I purchased this book for myself in e-book format to see how they work; quite well much to my surprise, at least in the RocketBook format.Preston, author of the virus-based thriller Hot Zone examines the factual biological threat of smallpox, otherwise known as variola. There are poxviruses that exist in almost all animal species, and one apparently crossed the species barrier several thousand years ago to become the most devastating killer of humans, superseding the plague by far. It's also one of the first diseases to have been officially completely eliminated from the world, except for two known storage points: one in the United States, the other in Russia.
Preston suggests that several rogue nations could be working on it as a biological weapon. The vaccinations most of us older folks received years ago are no longer immunizing, lasting only about five years.
The genome, i.e. letters of the genetic code, of variola is one of the longest of any virus and it has about two hundred genes. This complexity is used by the virus to defeat the immune system of the human host. The AIDS virus, in contrast, has only ten genes. "HIV is a bicycle, while smallpox is a Cadillac loaded with tailfins and every option in the book."
Preston is certain that smallpox will again be unleashed upon an unsuspecting world by terrorists. The virus floats through the air, traveling like lightning from victim to victim, a biological chain reaction. Studies done in a hospital in Meschede, Germany where a smallpox victim - he had arrived with the disease from outside the country - had been taken in 1970 showed that people could be infected even when they were outside the quarantine zone; it traveled much as smoke would throughout a building, even traveling into windows from the outside. The only way to stop it was massive vaccinations, which prevented the virus from moving outside the area.
The current vaccine produces serious adverse effects in a small number of those who receive it. It also might not be potent against a reengineered smallpox. Researchers have shown how easily the mousepox strain can be changed to become lethal to mice that normally are immune to it, - so easy, that an expert said a bright high school student could do it using publicly available information.
Conventional wisdom was that smallpox could not be transmitted into other non-human animals. It would be useful to induce the disease into other primates to be able to test newer forms of a vaccine. Fortunately, or unfortunately, that barrier was crossed May 31, 2001 when four monkeys were infected with one billion particles of smallpox virus. Two died. For the first time in history, a non-human animal had been infected with smallpox.
Smallpox had been declared completely eradicated in 1980, thanks to a heroic effort by the World Health Organization. Quite a controversy has surrounded the maintenance of the smallpox virus that has been kept potent in two storage facility freezers: one at the CDC in Atlanta, the other at a former germ-warfare facility in Siberia. The Russians had loaded tons of the virus into warheads during the eighties - thanks, guys - but these were to have been destroyed. Preston thinks that small amounts have been secreted out of the country into the hands of terrorist groups.
Preston interviewed Russian and American bioweapon experts who sit around and blithely discuss how easy it would be to create Armageddon, perhaps just by using a garden sprayer to deliver the disease particles. Air travel and constant movement around the planet would do the rest. Perhaps Bush should think about shutting down airports. Time to resurrect train travel, anyway.
Preston mixes anecdotes with science and detail to create a frightening view of a possible future, one much more lethal than nuclear war.
Just forget about sleeping if you read this book.