Preston - Crisis in the red zone: the Story of the Deadliest Ebola Outbreak in History, and of the Outbreaks to Come
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Copyright 2019 by Richard Preston
Map copyright 2019 by Mapping Specialists Ltd.
All rights reserved.
Published in the United States by Random House, an imprint and division of Penguin Random House LLC, New York.
R ANDOM H OUSE and the H OUSE colophon are registered trademarks of Penguin Random House LLC.
Portions of this book first appeared in The New Yorker in somewhat different form.
Grateful acknowledgment is made to the following for permission to use previously unpublished material:
Jean-Franois Ruppol: Excerpts from an unpublished journal entitled Ebola 2 by Jean-Franois Ruppol. Reprinted by permission of the author.
Nadia Wauquier: Excerpts from an unpublished journal entitled Ebola Diary by Nadia Wauquier. Reprinted by permission of the author.
LIBRARY OF CONGRESS CATALOGING-IN-PUBLICATION DATA
Names: Preston, Richard, author.
Title: Crisis in the red zone : the story of the deadliest Ebola outbreak in history, and of the outbreaks to come / by Richard Preston.
Description: First edition. | New York : Random House, [2019]
Identifiers: LCCN 2019010492 | ISBN 9780812998832 | ISBN 9780812998849 (ebook)
Subjects: | MESH: Hemorrhagic Fever, Ebolahistory | Hemorrhagic Fever, Ebolaepidemiology | Disease Outbreakshistory | International Cooperationhistory | History, 21st Century
Classification: LCC RA644.E26 | NLM WC 534 | DDC 614.5/7dc23 LC record available at https://lccn.loc.gov/2019010492
Ebook ISBN9780812998849
randomhousebooks.com
Book design by Susan Turner, adapted for ebook
Cover design: Carlos Beltrn
Cover photograph: Matteo Colombo/Getty Images
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And another angel came out of the temple, crying with a loud voiceThrust in your sickle and reap, for the time has come for you to reap, for the harvest of the earth is ripe.
J OHN , Revelation
Crisis in the Red Zone is the successor to my 1994 book, The Hot Zone. Both books are nonfiction. The people in this story are real and the events are actual, and have been reported and told to the best of my ability. The narrative is supported by hundreds of personal interviews and years of research into published and unpublished documents and source material. Quoted speech comes from my interviews with subjects or from their recollections of words spoken by someone whos no longer alive.
The people in this story have been largely unnoticed by the world. Yet, for me at least, their actions and choices, their lives and deaths, seem to loom at the center of the most destructive rapid epidemic in anyones lifetime, one which sent feelers into Dallas and New York City, and may be an example of things to come. Though this story focuses on a few people at certain moments in time, I hope it can be thought of as a window that looks at the future of everyone.
Richard Preston
MILE O UAMOUNO a two-year-old boy in Meliandou village, Guinea.
M ENINDOR ( F INDA N YUMA) botanist and healer in Kpondu village, Sierra Leone.
D R. H UMARR S . K HAN chief physician of the Lassa Fever Research Program, Kenema Government Hospital, Sierra Leone.
A UNTIE M BALU S . F ONNIE chief nurse of the Lassa ward at Kenema Government Hospital.
L ISA H ENSLEY associate director of the Integrated Research Facility (IRF), Fort Detrick, Maryland.
P ETER B . J AHRLING director of the IRF.
S IMBIRIE J ALLOH coordinator of the Lassa research program, Kenema Government Hospital.
D R. P ARDIS S ABETI genomic scientist at Harvard University and the Broad Institute.
L INA M . M OSES scientist with Tulane School of Public Health and Tropical Medicine, New Orleans.
D R. L ANCE P LYLER chief of emergency medical operations for Samaritans Purse, ELWA Hospital, Monrovia, Liberia.
D R. K ENT B RANTLY chief physician of the Ebola ward, Samaritans Purse, ELWA Hospital, Monrovia, Liberia.
M ICHAEL G BAKIE biosafety officer and epidemiologist, Lassa research program; deputy to Humarr Khan.
A UGUSTINE G OBA director of the Lassa Laboratory (the Hot Lab) of the Lassa research program, Kenema Government Hospital.
N ADIA W AUQUIER epidemiologist with biotechnology firm Metabiota.
S AHR N YOKOR ambulance driver, Kenema Government Hospital.
D R. T OM F LETCHER WHO doctor; scientist at the Liverpool School of Tropical Medicine, U.K.
L UCY M AY nurse, Kenema Government Hospital.
I YE P RINCESS G BORIE nurse, Kenema Government Hospital.
M OHAMED Y ILLAH epidemiologist in the Lassa research program, Kenema Government Hospital. Brother of Auntie Mbalu Fonnie.
A LEX M OIGBOI senior nurse, Ebola ward, Kenema Government Hospital.
L ARRY Z EITLIN cofounder and president, Mapp Biopharmaceutical Inc., San Diego.
G ENE O LINGER scientist at the IRF, Fort Detrick, Maryland.
G ARY K OBINGER chief of pathogens at the National Microbiology Laboratory, Winnipeg, Canada.
D R. T IM OD EMPSEY WHO doctor; professor at the Liverpool School of Tropical Medicine, Liverpool, U.K.
A LICE K OVOMA nurse, Ebola ward, Kenema Government Hospital.
N ANCY Y OKO nurse and later supervisor of the Ebola ward, Kenema Government Hospital.
D R. J OHN S CHIEFFELIN WHO doctor; pediatrician with Tulane University School of Medicine, New Orleans.
N ANCY W RITEBOL medical worker with Samaritans Purse.
S ISTER B EATA ( J EANNE V ERTOMMEN) midwife at Yambuku Catholic Mission Hospital, Zaire (now Democratic Republic of the Congo).
F ATHER S ANGO G ERMAIN priest at Yambuku Catholic Mission, Zaire (now Democratic Republic of the Congo).
D R. J EAN- J ACQUES J . J . M UYEMB- T AMFUN virologist at the National University of Zaire, Kinshasa, Zaire.
S ISTER M YRIAM ( L OUISE E CRAN) nursing sister at Yambuku Catholic Mission Hospital.
D R. J EAN- F RANOIS R UPPOL head of the Belgian medical mission in Zaire.
D R. K ARL M . J OHNSON head of the Special Pathogens Branch of the Centers for Disease Control, Atlanta, Georgia, U.S.A.
P ATRICIA A . W EBB virologist at the Special Pathogens Branch of the CDC.
CDC = Centers for Disease Control
ELWA H OSPITAL = Eternal Love Winning Africa Hospital
HEPA FILTER = high-efficiency particulate air filter
IRF = Integrated Research Facility
NIH = National Institutes of Health
PPE = personal protective equipment
USAMRIID (pronounced You-SAM-rid) = United States Army Medical Research Institute of Infectious Diseases
WHO = World Health Organization
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