Polio and the Plague: Epidemics in Fiction
Back in January I had the idea to catch up as much as I can on previous Wellcome Book Prize long- and shortlists while the Prize is on hiatus. I decided to start with a pair of novels about polio from my public library system: The Golden Age by Joan London and Nemesis by Philip Roth. The latter, especially, has taken on new significance due to its evocation of a time of panic over a public health crisis (see this article, but beware spoilers). On a fellow book reviewer’s recommendation, I also took Year of Wonders by Geraldine Brooks off the shelf and read it at the same time as the Roth.
The Golden Age by Joan London (2014)
[First published in the UK in 2016; on the Wellcome Book Prize 2017 longlist]
The Golden Age was a real children’s polio hospital in Western Australia, but London has peopled it with her own fictional cast. In 1953–4, Frank Gold and Elsa Briggs, polio patients aged 12 going on 13, fall in love in the most improbable of circumstances: “The backs of their hands brushed as they walked side by side on their crutches. Their bloodstreams recharged by exercise and fresh air, they experienced a fiery burst of pleasure.”
Frank is much the more vibrant character thanks to his family’s wartime past in Hungary and his budding vocation as a poet, which was spurred on by his friendship with Sullivan, a fellow inmate at his previous rehabilitation center. The narrative spends time with the nurses, parents and other patients but keeps coming back to Frank and Elsa. However, Chapter 7, with Frank and his mother Ida still back in Budapest, was my favorite.
I was reminded of Tracy Farr’s work (The Life and Loves of Lena Gaunt), especially the look back from decades later. This has a strong premise and some great lines, but for me there was something slightly lacking in the execution.
Favorite lines:
There was beauty everywhere, strange beauty, even—especially?—in a children’s polio hospital.
Polio is like love, Frank says … Years later, when you think you have recovered, it comes back.
My rating:
Nemesis by Philip Roth (2010)
[On the Wellcome Book Prize 2011 shortlist]
In the summer of 1944 Newark, New Jersey is hit hard by polio. As a local playground director, 23-year-old Bucky Cantor is distressed when several of his charges become ill; a couple of them even die within a matter of days.
At first Bucky, whose poor eyesight kept him out of the War, sees his job as his own field of duty, but gradually fear and helplessness drive him away. He escapes to the Pocono Mountains to join his fiancée, Marcia, as a summer camp counselor, but soon realizes the futility of trying to outrun a virus. Unable to accept the randomness of bad luck, he blames God – and himself – for the epidemic’s spread.
Despite our better general understanding of epidemiology today, there were still many passages in this novel that rang true for me as they picture life proceeding as normal until paranoia starts to take hold:
Despite polio’s striking in the neighborhood, the store-lined main street was full of people out doing their Saturday grocery shopping…
(Bucky) Look, you mustn’t be eaten up with worry … What’s important is not to infect the children with the germ of fear. We’ll come through this, believe me. We’ll all do our bit and stay calm and do everything we can to protect the children, and we’ll all come through this together.
The important thing, he said, was always to wash your hands after you handled paper money or coins. What about the mail, someone else said … What are you going to do, somebody retorted, suspend delivering the mail? The whole city would come to a halt. Six or seven weeks ago they would have been talking about the war news.
Roth really captures the atmosphere of alarm and confusion, but doesn’t always convey historical and medical information naturally, sometimes resorting to paragraphs of context and representative conversations like in the last quote above. I also wasn’t sure about the use of a minor character (revealed on page 108 to be one of Bucky’s playground kids and a polio patient) as the narrator. This seemed to me to make Bucky more of a symbolic hero than a genuine character. Still, this was a timely and riveting read.
My rating:

A period warning about polio reprinted at the back of Paul Auster’s Report from the Interior.
Year of Wonders by Geraldine Brooks (2001)
In 1665, with the Derbyshire village of Eyam in the grip of the Plague, the drastic decision was made to quarantine it. A benevolent landowner arranged for regular deliveries of food and other supplies to just outside the parish boundaries. The villagers made an oath that no one would leave until the pestilence was eradicated. One year later, two-thirds of its residents were dead. Brooks imagines that the “plague seeds” came to the village in a bolt of cloth that was delivered from London to the tailor George Viccars, who lodged with widow Anna Frith. Viccars is the first victim and the disease quickly spreads outward from Anna’s home.
Anna barely has time to grieve her own losses before she’s called into service: along with the minister’s wife, Elinor Mompellion, she steps in as a midwife, herbal healer and even a miner. The village succumbs to several sobering trajectories. Suspicion of women’s traditional wisdom leads some to take vigilante action against presumed witches. Unscrupulous characters like Anna’s father, who sets up as a gravedigger, try to make a profit out of others’ suffering. Frustration with the minister’s apparent ineffectuality attracts others to forms of religious extremism. Like Bucky, people cannot help but see the hand of God here.
Perhaps what I was most missing in the London and Roth novels (and in Hamnet, which bears such striking thematic similarities to Year of Wonders) was intimate first-person narration, which is just what you get here from Anna. The voice and the historical recreation are flawless, and again there were so many passages that felt apt:
Stay here, in the place that you know, and in the place where you are known. … Stay here, and here we will be for one another.
the current times did seem to ask us all for every kind of sacrifice
(once they start meeting for church in a meadow) We placed ourselves so that some three yards separated each family group, believing this to be sufficient distance to avoid the passing of infection.
Yet it is a good day, for the simple fact that no one died upon it. We are brought to a sorry state, that we measure what is good by such a shortened yardstick.
I’ve docked a half-star only because of a far-fetched ending that reminded me of that to The Wonder by Emma Donoghue. Apart from that, this is just what I want from my historical fiction.
My rating:
Are you doing any reading about epidemics?
Book Serendipity: 2020, Part I
I call it serendipitous when two or more books that I’m reading at the same time or in quick succession have something pretty bizarre in common. Because I have so many books on the go at once – usually between 10 and 20 – I guess I’m more prone to such incidents. I also post these occasional reading coincidences on Twitter. (The following are in rough chronological order.)
- A Wisconsin setting in three books within a month (Shotgun Lovesongs by Nickolas Butler, This Is How It Always Is by Laurie Frankel and Crossing to Safety by Wallace Stegner)
- I came across a sculpture of “a flock of 191 silver sparrows” in Dear Edward by Ann Napolitano while also reading Silver Sparrow by Tayari Jones.
- Characters nearly falling asleep at the wheel of a car in Crossing to Safety by Wallace Stegner and In the Dream House by Carmen Maria Machado
- There’s no escaping Henry David Thoreau! Within the span of a week I saw him mentioned in The Library of Ice by Nancy Campbell, The Snow Tourist by Charlie English, Losing Eden by Lucy Jones and Crossing to Safety by Wallace Stegner. Plus I’d just read the whole graphic novel Thoreau and Me by Cédric Taling.
- Discussions of the work of D.H. Lawrence in Unfinished Business by Vivian Gornick and The Offing by Benjamin Myers
- That scientific study on patient recovery in hospital rooms with a window view vs. a view of a brick wall turns up in both Dear Life by Rachel Clarke and Losing Eden by Lucy Jones.
- The inverted teardrop shapes mirror each other on these book covers:
- Punchy, one-word titles on all these books I was reading simultaneously:
- Polio cases in The Golden Age by Joan London, Nemesis by Philip Roth and Crossing to Safety by Wallace Stegner
- An Italian setting and the motto “Pazienza!” in Dottoressa by Susan Levenstein and Crossing to Safety by Wallace Stegner
- Characters named Lachlan in The Ninth Child by Sally Magnusson and The Inland Sea by Madeleine Watts
- Mentions of the insecticide Flit in Nemesis by Philip Roth and Sacred Country by Rose Tremain
- A quoted Leonard Cohen lyric in Traveling Mercies by Anne Lamott; Cohen as a character in A Theatre for Dreamers by Polly Samson
- Plague is brought to an English village through bolts of cloth from London in Year of Wonders by Geraldine Brooks and Hamnet by Maggie O’Farrell; both also feature a woman who is a herbal healer sometimes mistaken for a witch (and with similar names: Anys versus Agnes)
- Gory scenes of rats being beaten to death in Hamnet by Maggie O’Farrell and Nemesis by Philip Roth
- Homemade mobiles in a baby’s room in A Theatre for Dreamers by Polly Samson and Sacred Country by Rose Tremain
- Speech indicated by italics rather than the traditional quotation marks in Pew by Catherine Lacey and Red at the Bone by Jacqueline Woodson
What’s the weirdest reading coincidence you’ve had lately?
The Wellcome Book Prize 2019 Longlist: Reactions & Shadow Panel Reading Strategy
The 2019 Wellcome Book Prize longlist was announced on Tuesday. From the prize’s website, you can click on any of these 12 books’ covers, titles or authors to get more information about them.
This year marks the 10th anniversary of the prize. As always, it’s a strong and varied set of nominees, with an overall focus on gender and mental health. Here are some initial thoughts (see also Laura’s thorough rundown of the 12 nominees):
- I correctly predicted just two, Sight by Jessie Greengrass and Heart: A History by Sandeep Jauhar, but had read another three: This Really Isn’t About You by Jean Hannah Edelstein, Amateur by Thomas Page McBee, and Educated by Tara Westover (reviewed for BookBrowse).
- I’m particularly delighted to see Edelstein on the longlist as her book was one of my runners-up from last year and deserves more attention.
- I’m not personally a huge fan of the Greengrass or McBee books, but can certainly see why the judges thought them worthy of inclusion.
- Though it’s a brilliant memoir, I never would have thought to put Educated on my potential Wellcome list. However, the more I think about it, the more health elements it has: her father’s possible bipolar disorder, her brother’s brain damage, her survivalist family’s rejection of modern medicine, her mother’s career in midwifery and herbalism, and her own mental breakdown at Cambridge.
- Books I knew about and was keen to read but hadn’t thought of in conjunction with the prize: The Trauma Cleaner by Sarah Krasnostein and My Year of Rest and Relaxation by Ottessa Moshfegh.
- Novels I had heard of but wasn’t necessarily interested in beforehand: Murmur by Will Eaves and Freshwater by Akwaeke Emezi. I went to get Freshwater from the library the afternoon of the longlist announcement and am now 60 pages in. I’d be tempted to call it this year’s Stay with Me except that the magic realist elements are much stronger here, reminding me of what I know about work by Chigozie Obioma and Ben Okri. The novel is narrated in the first person plural by a pair of (gods? demons? spirits?) inhabiting Ada’s head.
- And lastly, there are a few books I had never even heard of: Polio: The Odyssey of Eradication by Thomas Abraham, Mind on Fire: A Memoir of Madness and Recovery by Arnold Thomas Fanning, and Astroturf by Matthew Sperling. I’m keen on the Fanning but not so much on the other two. Polio will likely make it to the shortlist as this year’s answer to The Vaccine Race; if it does, I’ll read it then.
Some statistics on this year’s longlist, courtesy of a press release sent by Midas PR:
- Five novels (two more than last year – I think we can see the influence of novelist Elif Shafak), five memoirs, one biography, and one further nonfiction title
- Six debut authors
- Six titles from independent publishers (Canongate, CB Editions, Faber & Faber, Oneworld, Hurst Publishers, and The Text Publishing Company)
- Most of the authors are British or American, while Fanning is Irish (Emezi is Nigerian-American, Jauhar is Indian-American, and Krasnostein is Australian-American).
Chair of judges Elif Shafak writes: “In a world that remains sadly divided into echo chambers and mental ghettoes, this prize is unique in its ability to connect various disciplines: medicine, health, literature, art and science. Reading and discussing at length all the books on our list has been fascinating from the very start. We now have a wonderful longlist, of which we are all very proud. Although it sure won’t be easy to choose the shortlist, and then, finally, the winner, I am thrilled about and truly grateful for this fascinating journey through stories, ideas, ground-breaking research and revolutionary knowledge.”
We of the shadow panel have divided up the longlist titles between us as follows (though we may well each get hold of and read more of the books, simply out of personal interest) and will post reviews on our blogs within the next five weeks.
Amateur: A true story about what makes a man by Thomas Page McBee – LAURA
Astroturf by Matthew Sperling – PAUL
Educated by Tara Westover – CLARE
Freshwater by Akwaeke Emezi – REBECCA
Heart: A history by Sandeep Jauhar – LAURA
Mind on Fire: A memoir of madness and recovery by Arnold Thomas Fanning – REBECCA
Murmur by Will Eaves – PAUL
My Year of Rest and Relaxation by Ottessa Moshfegh – CLARE
Polio: The odyssey of eradication by Thomas Abraham – ANNABEL
[Sight by Jessie Greengrass – 4 of us have read this; I’ll post a composite of our thoughts]
The Trauma Cleaner: One woman’s extraordinary life in death, decay and disaster by Sarah Krasnostein – ANNABEL
This Really Isn’t About You by Jean Hannah Edelstein – LAURA
The Wellcome Book Prize shortlist will be announced on Tuesday, March 19th, and the winner will be revealed on Wednesday, May 1st.
We plan to choose our own shortlist to announce on Friday, March 15th. Follow along here and on Halfman, Halfbook, Annabookbel, A Little Blog of Books, and Dr. Laura Tisdall for reviews and predictions.
Are there any books on here that you’d like to read?
Final Wellcome Book Prize Shortlist Review: The Vaccine Race by Meredith Wadman
I had hoped this would be a comparable read to Rebecca Skloot’s The Immortal Life of Henrietta Lacks and Siddhartha Mukherjee’s The Emperor of All Maladies, which are two of my absolute favorite books and were also among the first to turn me on to medical-themed literature. Instead, I found myself skimming through the book’s dense scientific and historical information: like Mukherjee’s other book, The Gene, which made last year’s Wellcome shortlist, The Vaccine Race is overstuffed with a mixture of the familiar (for me, at least – genetics), the seemingly irrelevant (cell culture techniques and scientific nomenclature), and the truly interesting (questions of medical ethics).
The unlikely protagonist of this story is Leonard Hayflick, a single-minded and resourceful researcher who is still alive in his late eighties and assented to dozens of interviews and many more e-mails as Wadman put this book together. While in high school Hayflick made a chemistry lab in his basement, and in college he built his father a dental lab: that tells you how driven he was. After graduating from the University of Pennsylvania, he worked at the Wistar Institute on its campus. He chiefly investigated whether viruses cause cancer and whether a cell line will be immortal or subject to the normal rules of aging – the Hayflick limit, named after him, is the number of cell divisions possible before a cell line dies out.
Hayflick experimented on his third child’s placenta, but also on aborted fetuses from the university hospital. Replacement fetal cell lines sourced from the Karolinska Institute in Stockholm, Sweden were used to produce the polio, rubella and rabies vaccines. In particular, he relied on the WI-38 line he developed from fetal cells taken from the Swedish “Mrs. X,” who – like Henrietta Lacks’s family – was never compensated; she did not want to be interviewed for or mentioned by name in this book. In the 1970s, with Roe v. Wade in the pipeline, the controversy over using aborted fetal tissue in research heated up*, and Hayflick was somewhat disgraced in the course of a 1976 lawsuit about his right to profit from WI-38.
But that’s not the only dubious ethical situation associated with the development of the twentieth century’s major vaccines: Hayflick’s bosses and associates had also tested early vaccines on intellectually disabled child “volunteers,” while a celebrated cancer researcher had injected cells into dying hospital patients and healthy prisoners in the name of science. Wadman writes, “by the mid-1960s, ordinary people were becoming less willing to give scientists carte blanche to tinker with human beings on a ‘Trust me, I know what’s best for you’ basis.” The question is whether these morally suspect strategies were worth it, given the alternative: rubella in pregnancy causes severe birth defects including blindness, while polio can be crippling and untreated rabies can lead to a slow and painful death.
These ethical questions are certainly worth thinking about, though the abortion history in particular is probably of much more interest to American readers. Here in Europe, abortion is a non-issue, so I don’t expect anyone to get fired up about the history of fetal tissue research. Wadman is certainly a thorough researcher and capable storyteller who doesn’t talk down when explaining science. That said, she might have scaled back on the science a bit to ensure that her work holds broader appeal for lay readers of popular science and medical history.
*More recently, Debi Vinnedge’s Children of God for Life nonprofit has opposed stem cell research despite a Vatican ruling that vaccines developed from fetal tissue are acceptable to use as long as there is no alternative.
My rating:
See what the rest of the shadow panel has to say about this book:
Annabel’s blog tour review: “The thrillerish feel to big pharma’s politics, and Hayflick’s continual battles for recognition and against anyone who wanted to take his cells away from him made for fascinating reading and added the much-needed human aspect.”
Clare’s review: “The Vaccine Race is a very dense read and some of the lengthier descriptions of things like the finer points of the biotechnology industry went a bit over my head in places. … However, the ethical debates are fascinating and clearly presented.”
Laura’s review: “Wadman writes clearly and compellingly, and given how much material she’s handling, managing to structure the book sensibly is a feat in itself. But I felt that The Vaccine Race was often not one thing or the other.”
Paul’s review: “It is a very important story that Wadman is telling … especially given that we may well be on the dawn of a new era in medicine with the rise of immunity against antibiotics.”
(Also, be sure to stop by Paul’s site today for an exclusive extract from The Vaccine Race as part of the ongoing blog tour.)
My gut feeling: This is the most science-y of the six books on the shortlist. For me that actually works against the broadness and public-facing nature of the prize, as expressed in its brief: “At some point, medicine touches all our lives. Books that find stories in those brushes with medicine are ones that add new meaning to what it means to be human. The subjects these books grapple with might include birth and beginnings, illness and loss, pain, memory, and identity. In keeping with its vision and goals, the Wellcome Book Prize aims to excite public interest and encourage debate around these topics.”
Shortlist strategy:
- Tomorrow I’ll quickly recap my thoughts about the two shortlisted books I read before the shortlist announcement, With the End in Mind and The Butchering Art.
- On Saturday morning I’ll announce our shadow panel winner. That day Clare and I are attending an event featuring five of the shortlisted authors in conversation at the Wellcome Collection in London. I’ll report back about it on Sunday.
- Monday is the awards ceremony, which I’ll be attending for the second year in a row. Expect my write-up of the experience on Tuesday. (In between you get a break from Wellcome Prize stuff with Library Checkout plus some recommendations for May!)