A timely contribution to the fields of film history, visual cultures, and globalization studies, Cinematic Prophylaxis provides essential historical information about how the representation of biological contagion has affected understandings of the origins and vectors of disease. Kirsten Ostherr tracks visual representations of the contamination of bodies across a range of media, including 1940s public health films; entertainment films such as 1950s alien invasion movies and the 1995 blockbuster Outbreak; television programs in the 1980s, during the early years of the aids epidemic; and the cyber-virus plagued Internet. In so doing, she charts the changes—and the alarming continuities—in popular understandings of the connection between pathologized bodies and the global spread of disease.

Ostherr presents the first in-depth analysis of the public health films produced between World War II and the 1960s that popularized the ideals of world health and taught viewers to imagine the presence of invisible contaminants all around them. She considers not only the content of specific films but also their techniques for making invisible contaminants visible. By identifying the central aesthetic strategies in films produced by the World Health Organization, the Centers for Disease Control, and other institutions, she reveals how ideas about racial impurity and sexual degeneracy underlay messages ostensibly about world health. Situating these films in relation to those that preceded and followed them, Ostherr shows how, during the postwar era, ideas about contagion were explicitly connected to the global circulation of bodies. While postwar public health films embraced the ideals of world health, they invoked a distinct and deeply anxious mode of representing the spread of disease across national borders.

How should we understand the fear and fascination elicited by the accounts of communicable disease outbreaks that proliferated, following the emergence of HIV, in scientific publications and the mainstream media? The repetition of particular characters, images, and story lines—of Patients Zero and superspreaders, hot zones and tenacious microbes—produced a formulaic narrative as they circulated through the media and were amplified in popular fiction and film. The “outbreak narrative” begins with the identification of an emerging infection, follows it through the global networks of contact and contagion, and ends with the epidemiological work that contains it. Priscilla Wald argues that we need to understand the appeal and persistence of the outbreak narrative because the stories we tell about disease emergence have consequences. As they disseminate information, they affect survival rates and contagion routes. They upset economies. They promote or mitigate the stigmatizing of individuals, groups, locales, behaviors, and lifestyles.

Wald traces how changing ideas about disease emergence and social interaction coalesced in the outbreak narrative. She returns to the early years of microbiology—to the identification of microbes and “Typhoid Mary,” the first known healthy human carrier of typhoid in the United States—to highlight the intertwined production of sociological theories of group formation (“social contagion”) and medical theories of bacteriological infection at the turn of the twentieth century. Following the evolution of these ideas, Wald shows how they were affected by—or reflected in—the advent of virology, Cold War ideas about “alien” infiltration, science-fiction stories of brainwashing and body snatchers, and the HIV/AIDS pandemic. Contagious is a cautionary tale about how the stories we tell circumscribe our thinking about global health and human interactions as the world imagines—or refuses to imagine—the next Great Plague.

A North Carolina woman dies of a flesh-eating bacterial disease. Thousands of people in West Africa are suffering from cholera. And antibiotics are rapidly becoming less and less effective at fighting what were once mild infections. The biggest threat to the future of human society may not be terrorist attacks or nuclear war, but rather microscopic bacteria. Immunologist Norbert Gualde explains in Resistance the dangers we face from bacterial resistance, asserting that we must confront the reality awaiting us--the next fatal plague may occur sooner than we think. 

Over the course of the twentieth century, incredible advances in medicine inspired a utopian belief among many that all common infectious diseases would eventually be eradicated. But Resistance shows that this dream is an impossible one. The book’s riveting narrative reveals how new infectious agents and diseases are being discovered every day and how bacteria previously thought to have been destroyed are returning with a vengeance. Drawing upon the history of past epidemics, Gualde explores how new outbreaks might be predicted and controlled. He also investigates the potentially devastating social and political impact of such public health disasters, particularly in underdeveloped countries in the southern hemisphere. He ultimately argues that the constant interaction between man and microorganisms will inevitably catalyze future epidemics similar to the horrific ones of centuries past.

Global outbreak monitoring and medical research on the human body’s immune system are beginning to produce effective strategies against bacterial resistance. But the most important weapon is awareness of the crisis, and this engrossing and brilliantly translated study will serve as a wake-up call for us all.