front cover of The Age of Scientific Wellness
The Age of Scientific Wellness
Why the Future of Medicine Is Personalized, Predictive, Data-Rich, and in Your Hands
Leroy Hood and Nathan Price
Harvard University Press, 2023

“If you want to understand how the latest advances in genomics and AI can completely transform your health, and to translate this promise into practical tools that you can apply today, read this book!”—Mark Hyman, author of Young Forever

Taking us to the cutting edge of the new frontier of medicine, a visionary biotechnologist and a pathbreaking researcher show how we can optimize our health in ways that were previously unimaginable.


We are on the cusp of a major transformation in healthcare—yet few people know it. At top hospitals and a few innovative health-tech startups, scientists are working closely with patients to dramatically extend their “healthspan”—the number of healthy years before disease sets in. In The Age of Scientific Wellness, two visionary leaders of this revolution in health take us on a thrilling journey to this new frontier of medicine.

Today, most doctors wait for clinical symptoms to appear before they act, and the ten most commonly prescribed medications confer little or no benefit to most people taking them. Leroy Hood and Nathan Price argue that we must move beyond this reactive, hit-or-miss approach to usher in real precision health—a form of highly personalized care they call “scientific wellness.” Using information gleaned from our blood and genes and tapping into the data revolution made possible by AI, doctors can catch the onset of disease years before symptoms arise, revolutionizing prevention. Current applications have shown startling results: diabetes reversed, cancers eliminated, Alzheimer’s avoided, autoimmune conditions kept at bay.

This is not a future fantasy: it is already happening, but only for a few patients and at high cost. It’s time to make this gold standard of care more widely available. Inspiring in its possibilities, radical in its conclusions, The Age of Scientific Wellness shares actionable insights to help you chart a course to a longer, healthier, and more fulfilling life.

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Bodily Matters
The Anti-Vaccination Movement in England, 1853–1907
Nadja Durbach
Duke University Press, 2005
Bodily Matters explores the anti-vaccination movement that emerged in England in the late nineteenth century and early twentieth in response to government-mandated smallpox vaccination. By requiring a painful and sometimes dangerous medical procedure for all infants, the Compulsory Vaccination Act set an important precedent for state regulation of bodies. From its inception in 1853 until its demise in 1907, the compulsory smallpox vaccine was fiercely resisted, largely by members of the working class who interpreted it as an infringement of their rights as citizens and a violation of their children’s bodies. Nadja Durbach contends that the anti-vaccination movement is historically significant not only because it was arguably the largest medical resistance campaign ever mounted in Europe but also because it clearly articulated pervasive anxieties regarding the integrity of the body and the role of the modern state.

Analyzing historical documents on both sides of the vaccination debate, Durbach focuses on the key events and rhetorical strategies of the resistance campaign. She shows that those for and against the vaccine had very different ideas about how human bodies worked and how best to safeguard them from disease. Individuals opposed to mandatory vaccination saw their own and their children’s bodies not as potentially contagious and thus dangerous to society but rather as highly vulnerable to contamination and violation. Bodily Matters challenges the notion that resistance to vaccination can best be understood, and thus easily dismissed, as the ravings of an unscientific “lunatic fringe.” It locates the anti-vaccination movement at the very center of broad public debates in Victorian England over medical developments, the politics of class, the extent of government intervention into the private lives of its citizens, and the values of a liberal society.

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Duel Without End
Mankind’s Battle with Microbes
Stig S. Frøland
Reaktion Books, 2022
From the bubonic plague to theoretical pathogens on other worlds, a sweeping look at the past, present, and future of mass infections—and how we battle them.
 
In this panoramic and up-to-date account, we learn how the Black Death, smallpox, the 1918 influenza pandemic, and other great epidemics have not only led to enormous suffering and mass death but have also contributed to the fall of empires and changed the course of history. We also discover how new infectious diseases such as HIV/AIDS and COVID-19 emerge—and how we wage war against them.
 
Humanity has struck back at the microbes: antibiotics and new vaccines have saved millions of lives. But the battle with these relentless, silent enemies is far from won. We face increasing threats from new and unavoidable pandemics, antibiotic resistance, and even potential extraterrestrial microbes. Duel Without End is a fascinating journey through the long history of infection, from the dawn of life to humanity’s future exploration of deep space.
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Every Woman's Guide to Diabetes
What You Need to Know to Lower Your Risk and Beat the Odds
Stephanie A. Eisenstat M.D. and Ellen Barlow
Harvard University Press, 2007

Women have long needed a book devoted to their unique issues with diabetes. This up-to-date and practical guide advocates simple lifestyle changes that can help women reduce their risk of getting diabetes or, if already diagnosed, prevent the disease’s most serious complications. Every Woman’s Guide to Diabetes translates the latest findings from diabetes research into proven strategies busy women can use to stay healthy and gain control over an often overwhelming disease. The authors discuss the nature of diabetes, helping readers through the complex medical decisions involved in diabetes treatment. They highlight strategies to decrease the emotional stress and social isolation that often accompany diagnosis, and offer everyday techniques for managing blood sugar.

Key features include:

— Unique aspects of diabetes for women throughout the life cycle
— Timetable of recommended tests and check-ups
— Guide to medications with common dosages
— Charts to help organize diabetes-care tasks and supplies
— Time-management tips for better disease regulation
— Guide to contraceptives available to women with diabetes
— Review of issues critical to women before, during, and following pregnancy
— Advice for overcoming barriers to weight loss and exercise
— Plan for intelligent diet trade-offs while still enjoying meals
— Practical tips for planning exercise
— Strategies to avoid diabetes “burn-out”

Written by two physicians (one of whom is a woman living with diabetes) and an experienced medical writer, Every Woman’s Guide to Diabetes recognizes the power that women have in their households to effect lifestyle changes that will benefit themselves and loved ones, including their mothers, daughters, sisters, and partners. This power can reduce the toll of the diabetes epidemic.

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Final Report
Evaluation of Tools and Metrics to Support Employer Selection of Health Plans
Soeren Mattke
RAND Corporation, 2014
The Affordable Care Act places strong emphasis on quality of care as a means to improve outcomes for Americans and promote the financial sustainability of our health care system. This report attempts to help employers understand the structural differences between health plans and the performance dimensions along which plans can differ, as well as to educate employers about available tools that can be used to evaluate plan options.
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The Fragile Wisdom
An Evolutionary View on Women’s Biology and Health
Grazyna Jasienska
Harvard University Press, 2013

So many women who do everything right to stay healthy still wind up with breast cancer, heart disease, or osteoporosis. In The Fragile Wisdom, Grazyna Jasienska provides an evolutionary perspective on the puzzle of why disease prevention among women is so frustratingly difficult. Modern women, she shows, are the unlucky victims of their own bodies’ conflict of interest between reproductive fitness and life-long health.

The crux of the problem is that women’s physiology has evolved to facilitate reproduction, not to reduce disease risk. Any trait—no matter how detrimental to health in the post-reproductive period—is more likely to be preserved in the next generation if it increases the chance of giving birth to offspring who will themselves survive to reproductive age. To take just one example, genes that produce high levels of estrogen are a boon to fertility, even as they raise the risk of breast cancer in mothers and their daughters.

Jasienska argues that a mismatch between modern lifestyles and the Stone Age physiology that evolution has bequeathed to every woman exacerbates health problems. She looks at women’s mechanisms for coping with genetic inheritance and at the impact of environment on health. Warning against the false hope gene therapy inspires, Jasienska makes a compelling case that our only avenue to a healthy life is prevention programs informed by evolutionary understanding and custom-fitted to each woman’s developmental and reproductive history.

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Hygiene, Volume I
Books 1–4
Galen
Harvard University Press, 2018

Antiquity’s most prolific and influential medical writer and practitioner.

Galen of Pergamum (129–?199/216), physician to the court of the emperor Marcus Aurelius, was a philosopher, scientist, medical historian, theoretician, and practitioner who wrote forcefully and prolifically on an astonishing range of subjects and whose impact on later eras rivaled that of Aristotle. Galen synthesized the entirety of Greek medicine as a basis for his own doctrines and practice, which comprehensively embraced theory, practical knowledge, experiment, logic, and a deep understanding of human life and society.

His treatise Hygiene, also known as “On the Preservation of Health” (De sanitate tuenda), was written during one of Galen’s most prolific periods (170–180) and ranks among his most important and influential works, providing a comprehensive account of the practice of preventive medicine that still has relevance today. Also included in this two-volume edition are two shorter treatises on the relationship between health and wellness. Thrasybulus explores the theoretical question of whether hygiene is part of medicine or gymnastics, and in so doing delineates the interrelated roles of doctors and physical therapists. On Exercise with a Small Ball strenuously advocates that activity’s superiority to all other forms of exercise.

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Hygiene, Volume II
Books 5–6. Thrasybulus. On Exercise with a Small Ball
Galen
Harvard University Press, 2018

Antiquity’s most prolific and influential medical writer and practitioner.

Galen of Pergamum (129–?199/216), physician to the court of the emperor Marcus Aurelius, was a philosopher, scientist, medical historian, theoretician, and practitioner who wrote forcefully and prolifically on an astonishing range of subjects and whose impact on later eras rivaled that of Aristotle. Galen synthesized the entirety of Greek medicine as a basis for his own doctrines and practice, which comprehensively embraced theory, practical knowledge, experiment, logic, and a deep understanding of human life and society.

His treatise Hygiene, also known as “On the Preservation of Health” (De sanitate tuenda), was written during one of Galen’s most prolific periods (170–180) and ranks among his most important and influential works, providing a comprehensive account of the practice of preventive medicine that still has relevance today. Also included in this two-volume edition are two shorter treatises on the relationship between health and wellness. Thrasybulus explores the theoretical question of whether hygiene is part of medicine or gymnastics, and in so doing delineates the interrelated roles of doctors and physical therapists. On Exercise with a Small Ball strenuously advocates that activity’s superiority to all other forms of exercise.

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‘I Know Who Caused COVID-19’
Pandemics and Xenophobia
Zhou Xun and Sander L. Gilman
Reaktion Books, 2021
A timely exploration of the global explosion in xenophobia during the COVID-19 pandemic.
 
Through a close analysis of four cases from around the world, this book explores prejudice toward groups who are thought to have caused and spread COVID-19: the residents of Wuhan and Black African communities in China; ultra-Orthodox Jewish communities in the United States, United Kingdom, and Israel; African-Americans in the United States and Black/Asian/mixed ethnic communities in the United Kingdom; and White right-wing groups in the United States and Europe. The authors examine stereotyping and the false attribution of blame towards these groups, as well as what happens when a collective is actually at fault, and how the community deals with these conflicting issues.
 
This is a timely, cogent examination of the blame and xenophobia that have been brought to the surface by the COVID-19 pandemic.
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More than Medicine
The Broken Promise of American Health
Robert M. Kaplan
Harvard University Press, 2019

Stanford’s pioneering behavioral scientist draws on a lifetime of research and experience guiding the NIH to make the case that America needs to radically rethink its approach to health care if it wants to stop overspending and overprescribing and improve people’s lives.

American science produces the best—and most expensive—medical treatments in the world. Yet U.S. citizens lag behind their global peers in life expectancy and quality of life. Robert Kaplan brings together extensive data to make the case that health care priorities in the United States are sorely misplaced. America’s medical system is invested in attacking disease, but not in addressing the social, behavioral, and environmental problems that engender disease in the first place. Medicine is important, but many Americans act as though it were all important.

The United States stakes much of its health funding on the promise of high-tech diagnostics and miracle treatments, while ignoring strong evidence that many of the most significant pathways to health are nonmedical. Americans spend millions on drugs for high cholesterol, which increase life expectancy by only six to eight months on average. But they underfund education, which might extend life expectancy by as much as twelve years. Wars on infectious disease have paid off, but clinical trials for chronic conditions—costing billions—rarely confirm that new treatments extend life. Meanwhile, the National Institutes of Health spends just 3 percent of its budget on research on the social and behavioral determinants of health, even though these factors account for 50 percent of premature deaths.

America’s failure to take prevention seriously costs lives. More than Medicine argues that we need a shakeup in how we invest resources, and it offers a bold new vision for longer, healthier living.

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Strategies for Primary Health Care
Technologies Appropriate for the Control of Disease in the Developing World
Edited by Julia A. Walsh and Kenneth S. Warren
University of Chicago Press, 1986


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