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In the diaries and memoirs of immigrants arriving during the early twentieth century, one repeatedly encounters evidence of the intense fear of the physicians at Ellis Island, the medical inspection process, and the potential for deportation.
In proving that radical responses such as quarantines are ineffective and not based on good science, Markel applies a personal perspective gained through his family's experiences as Eastern European immigrants as well as his own interactions with 21st century immigrant patients. The six epidemiological histories here are gripping, and Markel's style is reminiscent of Sherwin Nuland or Gina Kolata. Humanity is locked in an eternal war with microbes, Markel writes, and despite all efforts, "contagion cannot be confined to national borders." --Therese Littleton
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