Spillover: Animal Infections and the Next Human Pandemic

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Spillover: Animal Infections and the Next Human Pandemic

by David Quammen (Goodreads Author)

4.24 of 5 stars 4.24 · rating details · 819 ratings · 207 reviews

The emergence of strange new diseases is a frightening problem that seems to be getting worse. In this age of speedy travel, it threatens a worldwide pandemic. We hear news reports of Ebola, SARS, AIDS, and something called Hendra killing horses and people in Australia but those reports miss the big truth that such phenomena are part of a single pattern. The bugs that tran...more

Hardcover, 1st edition, 587 pages

Published October 1st 2012 by W. W. Norton (first published September 24th 2012)

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Oct 17, 2012 Tony rated it 4 of 5 stars

Shelves: science-nature, top-10-2012

You have to understand. I have my phobias. So it makes for awkward social encounters. Like: “Mommy,” said the little girl in the elevator, “Why is that man holding his breath the whole way down from the 16th floor?” I have been known to say things like, “Will you please stop sneezing in the direction of my beer?” I went to a doctor’s office a few years ago. Nothing ultimately serious, but possibly so, so that I went for the quickly scheduled appointment even though I was already nursing a bad co...more

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Nov 28, 2012 Russ rated it 5 of 5 stars

Full disclosure first, I'm a fan of this type of non-fiction. Laurie Garret - The Coming Plague, Richard Preston - The Hot Zone, Randy Shilts - And the Band Played On... the list goes on and on. I love this stuff. But having said that, this is truly the best thing I've ever read on the subject of infectious agents spilling over from their host species into humans. Brilliant, readable and absolutely spell-binding, Quammen's description of mutation, illness and the effect of human encroachment int...more

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Apr 14, 2013 Jafar rated it 5 of 5 stars

I try not to read books that make me paranoid or hypochondriac — and that's not the intention of this book — but I'll think twice next time that I'm in some exotic place and close to wild animals. The Monkey Forest in Bali was mentioned in this book in relation to herpes B (a deadly disease caused by a spillover from macaques monkeys to humans). Thanks goodness I feel a visceral revulsion towards monkeys. I didn't hand-feed any or let them climb up my head and shoulders so that I can take a pict...more

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Feb 11, 2013 Lauri Vaughan rated it 5 of 5 stars

Biologists around the world do excellent work regarding -- well just about everything, including dangerous field investigation of potentially pandemic viral diseases. Thankfully, science writer Quammen is not hesitant to work side-by-side with these brave men and women. And, because he was willing to travel the world to do such research, Quammen is uniquely qualified to see things from the 30,000-foot view few said researchers -- all committed to discreet niches -- have the luxury to contemplate...more

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Jan 29, 2013 Spencer rated it 5 of 5 stars

Shelves: other-science-current-affairs-etc

Yet another incredibly fascinating book from one of my all-time favorite authors, David Quammen. This book is about zoonotic viruses, meaning viruses that "spillover" from animals to humans. Many of these are familiar to all of us: HIV, Ebola, SARS, influenza, etc., although some are less well known. These (and many, many others) all trace their origins to species other than humans. Some of the most common "reservoirs" of these diseases are primates, bats, and birds, and the way in which viruses...more

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Jan 23, 2013 Carl rated it 4 of 5 stars Recommends it for: Everyone but the most squeamish

I’m a long time fan of David Quammen’s books and articles on natural history, which is a key part of the story of modern zoonoses. And as a physician I have a professional interest in zoonoses. Here in one book is an interesting combination of virology, some bacteriology, ecology, evolution, natural history, and clinical medicine.

I can’t give it 5 stars for a few reasons. It’s too long. Yes, there are many interesting diseases and stories about them, but there’s too much magazine style reportin...more

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Jan 16, 2013 Sharon Porter-Moxley rated it 5 of 5 stars

Shelves: medical-thriller

I absolutely loved this well documented book by David Quammen. He speaks with real authority when telling us about the many viruses that are spilling over from animals to humans. Ebola,Flu,Parret Fever and more are examined in their historical context.

His chapter on Aids was the most relevant and revealing of the book. I learned that the first case of Aids in a human was probably in 1908. I was bowled over with his revelations on the inadvertent transmission of AIDs, through the ignorant use of...more

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Nov 08, 2012 Emily rated it 4 of 5 stars

Shelves: 2012

This book is about zoonoses--illnesses that spread from animals to people. It describes the typical process: the virus or bacteria lives, long-term and harmlessly, in a reservoir species. When it infects an amplifier species, it can spread more quickly to humans. For example, the Hendra virus has its reservoir in flying foxes (large Australian bats), but when it infects horses, it can spread to people, who are in much closer contact with their sick horses than with bats.

Not only are zoonoses th...more This book is about zoonoses--illnesses that spread from animals to people. It describes the typical process: the virus or bacteria lives, long-term and harmlessly, in a reservoir species. When it infects an amplifier species, it can spread more quickly to humans. For example, the Hendra virus has its reservoir in flying foxes (large Australian bats), but when it infects horses, it can spread to people, who are in much closer contact with their sick horses than with bats.

Not only are zoonoses threatening because new ones can appear unexpectedly (like SARS or HIV), they are also essentially impossible to eradicate, unlike (say) polio, which is only found in humans, whom you can vaccinate. Bats come off rather badly in this book. In the past, I've learned that you should like them because they eat harmful insects. It turns out that they are the source of all sorts of nasty bugs, in the virus sense of the word.

Quammen writes quite a bit about his travels to research the book, or how one scientist introduces him to another. Not only does this give the book a bit of a travelogue feeling, it also acknowledges the essential contributions of the people who tranquilize angry macaques or go out in the middle of the night to rig up bat nets--without which none of the science would have happened. His style is vivid and entertaining, though there's one passage in the chapter about HIV/AIDS that is strangely novelistic. Not bad, just incongruous and unnecessary.

Nothing in this book will make you change your behavior, unless you are remiss about handwashing or routinely eat things bats have shat on. At the end the author emphasizes: "The purpose of this book is not to make you more worried. The purpose of this book is to make you more smart. That's what most distinguishes humans from, say, tent caterpillars and gypsy moths. Unlike them, we can be pretty smart." I didn't find this book particularly scary--just informative--so don't avoid it just on those grounds.

To the extent it contains a call to action, the book reminds us that human pressure on ecological systems creates havoc. A relatively short section deals with Lyme disease and reveals the startling conclusion that Lyme flourishes in isolated areas. Think the islands in a parking lot rather than a forest. It's where we come in contact with ecologies that we've disrupted that we find zoonoses.

P.S. Bonus points for sending me to the dictionary: "cadastral."
P.P.S. Further bonus points for this sentence, even if the sentiment isn't new: "[A]nyone who favors Intelligent Design in lieu of evolution might pause to wonder why God devoted so much of His intelligence to designing malarial parasites."(less)

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Nov 07, 2012 Mal Warwick rated it 5 of 5 stars

Where Do "Emerging Diseases" Emerge From?

AIDS, Ebola, Marburg, SARS, H5N1 — every one of the world’s scariest diseases is a “zoonosis,” that is, a virus harbored by animals and transmitted to humans, often by other animals, in a complex minuet that often stretches out into decades.

AIDS, for example. According to the latest research, reported by David Quammen in Spillover, Patient Zero was not that French-Canadian flight attendant you may have read about who went amok in the 1970s but a hunter in...more Where Do "Emerging Diseases" Emerge From?

AIDS, Ebola, Marburg, SARS, H5N1 — every one of the world’s scariest diseases is a “zoonosis,” that is, a virus harbored by animals and transmitted to humans, often by other animals, in a complex minuet that often stretches out into decades.

AIDS, for example. According to the latest research, reported by David Quammen in Spillover, Patient Zero was not that French-Canadian flight attendant you may have read about who went amok in the 1970s but a hunter in Southeast Cameroon around 1908 who killed a chimpanzee and somehow unwittingly allowed the animal’s blood to seep into his own circulatory system, either through a cut or by eating his prey’s raw flesh. This is the phenomenon that epidemiologists call “spillover.” At that point, a particularly virulent form of a recently emergent simian virus found a friendly and familiar environment in the hunter’s blood and flourished, becoming what we know today as HIV-1 (the more lethal form of the virus that causes AIDS). Later, the hunter passed along the virus to one or more women through sexual contact, and the disease slowly spread, both by sex and by transmission through reused needles, undetected as anything out of the ordinary, from Cameroon into what is now called the Democratic Republic of the Congo, Uganda, and other sub-Saharan countries, and thence by happenstance to Haiti. It was a Haitian harboring HIV-1 who probably passed it along to that notorious Canadian flight attendant, setting off the epidemic among gay men in North America.

In Spillover, Quammen tells tales like these in fascinating detail, relating the stories of the often-heroic scientists, physicians, and veterinarians who worked directly with deadly diseases, occasionally at the cost of their own lives. Quammen spent years writing this book. He appears to have read all the relevant scientific literature, attended specialized scientific conferences, and spent long hours tracking down and speaking face-to-face with the people who discovered these diseases, isolated the viruses, first treated the symptoms, and labored for thankless years on end in laboratories around the world to help humanity avert the next pandemic.

You may have read Richard Preston’s best-selling 2001 treatment of the emergence of Ebola in The Hot Zone. If not, I can tell you that I vividly recall the book because it was so dramatic, and so terrifying. No doubt I had nightmares about contracting Ebola. But it turns out, according to Quammen and to the eminent scientists he interviewed, that Preston’s account was sensationalized and highly inaccurate in essential details. For example, he described tears of blood, massive hemorrhages, and melted internal organs, none of which has any basis in fact.

However, Spillover, in its own way, is no less frightening. Quammen advances the popular theory that what appears to be the accelerating emergence of dangerous new pathogens became inevitable as a result of the enormous population growth of homo sapiens — because humanity has increasingly encroached on animal habitat and come into intimate contact with animals as never before. In discussions with noted biologists, he explores the concept of “breakout,” the explosive growth frequently seen in some animal species that shortly leads to sudden, catastrophic — through disease. He intimates that, with AIDS — or, all too possibly, with the next pandemic — humankind may experience something similar. Despite all the horrific details about AIDS, Ebola, Marburg, and the like, these are the book’s scariest passages.

David Quammen writes about science, nature, and travel — a total of 10 nonfiction books and five novels to date. A former Rhodes Scholar, he was educated at Yale and Oxford.

(From www.malwarwickonbooks.com)(less)

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Nov 03, 2012 Andy rated it 2 of 5 stars

Spillover is a well-written bio-thriller in the tradition of The Hot Zone, etc. It rehashes the same misleading theme of scary monster viruses waiting out there in the bushes to kill us all. It is good if you want a horror story, not if you want useful, accurate science about public health.

As the subtitle indicates, it is focused on the hypothetical "Next Big One" but misses the point about what caused the actual Great Pandemic of 1918, repeating boilerplate nonsense about gene shifts etc. The...more

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Oct 14, 2012 Molly rated it 5 of 5 stars

Thrilled to see that David Quammen had a new science book, I snatched this up. It’s been 15 years since his book "Song of the Dodo” about island biogeography, which remains at the top of my favorite non-fiction.

Can one *enjoy* a book about infectious disease? Anyone who's read Richard Preston's “The Hot Zone” will guiltily admit, yes (interestingly, he takes Preston to task for overplaying descriptions of Ebola infection. “Bleeding out" is not accurate.)

There is inherent narrative drama in the...more

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Jan 05, 2013 H Wesselius rated it 5 of 5 stars

Extremely well written account of zoonosis -- the transfer of viral diseases from an animal to human. A combination of science writing and a travelogue should keep just about anyone interested.

As he discusses various diseases and their origins (SARS, Hendra, Ebola, HIV, etc) a general pattern emerges. Viruses exists within a reservoir - an animal host which derives no harm from the virus -- and only when a substantial change occurs does the virus spillover into the human population. This change...more

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Nov 28, 2012 Marie Angell rated it 5 of 5 stars

Fair warning: If you're prone to worrying about diseases and/or apocalypses, if you tend to lie in bed wondering, What next? Don't read this book.

If you're not too susceptible to concern and especially like to read about diseases, you'll probably be fascinated by this book. I hesitate to use the word enjoy, in that, well, admittedly, it's kind of scary. But if you generally sleep through the night, you'll be OK.

David Quammen has total command of not only the field of zoonotics (you'll learn that...more

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Mar 25, 2013 Enrique Dante Bouchot rated it 4 of 5 stars

This is not a sensationalist, paranoia-inducing book hyping the potential for an apocalyptic pandemic. And while it does emphasis the increasing incidence of spillovers (that is, of animal infectious diseases making the jump to humans) in the past century, and it does warn us about how our growing population and its ever-increasing ecological footprint is giving microorganisms such as virus and bacteria a larger window of opportunity to mutate into a form capable of causing "The Next Big One", i...more

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May 06, 2013 Danielle T rated it 5 of 5 stars

Shelves: current-affairs, genetics, science

Zoonotic diseases are reminders that we are in fact made of the same stuff as the rest of the natural world- viruses hijack our cells' replication mechanisms, bacteria lurking in a rat finds a home in our bodies, etc. Quammen takes a very thorough look at these for a popular audience, with each section about different types of disease or commonality that links many.

For instance, it never occurred to me that bats could be a huge, huge vector for types of viruses. But they do explain the spread o...more

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Mar 16, 2013 Laura rated it 5 of 5 stars

I've read a lot of books about infectious diseases. This one is unique in focusing entirely on zoonotic diseases. The author is well-read and has met with and interviewed numerous scientists and witnesses. He also travels a lot in the book, seeing for himself where diseases may come and go. While I knew of some of the diseases he mentions (SARS, AIDS), there were others new to me (Hendra, for instance).

I thought Quammen's writing was excellent. (One exception: the section where he imagines Patie...more

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Jan 30, 2013 Margaret Sankey rated it 3 of 5 stars

From a gifted science writer, the depressing prospect of a future zoonotic pandemic being *when* not if. Using previous near misses, and describing protocols with chilling examples, Quammen makes a pretty good prediction that somewhere in recently disturbed bat habitat, viruses in bat guano will be amplified by pigs and broadcast out of every orifice, hitting a human population that lacks good decentralized health care but has the ability to travel via jet plane, that corrupt officials will prob...more

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Dec 31, 2012 Eva rated it 5 of 5 stars Recommends it for: Anyone interested in science writing

Recommended to Eva by: the Scientific American podcast

Shelves: favorites

I found out about this book via a Scientific American podcast, where Quammen was praised as "the best science writer. Period."
High praise such as this naturally made me curious, though I have to confess that I didn't harbor much hope, seeing as I am a total scientific ignoramus. I am generally interested in topics such as these but I'm also completely hopeless with it and eventually always end up feeling like I just plodded my way through a five hundred page book and understood maybe a tenth of...more

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Oct 04, 2012 John rated it 5 of 5 stars

I found this book to be absolutely fascinating and I could not put it down. Essentially, the author makes it his mission to demonstrate how the ecological footprint of the human race profoundly affects the exposure to and infection by new and deadly viruses.

For anybody who enjoyed reading The Hot Zone or watching the movie Outbreak, this book is right up your alley. The author takes us through many different viruses, providing the history behind their development, the story of their outbreak, a...more

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Jan 29, 2013 Rhiannon rated it 4 of 5 stars

Let me just say this: wash your hands kids because it gets a little scary learning about germs. Yet I continue and continue further to read and digest the yucky.

However I will say this too: I'm highly interested in aiding and learning about ways to stop the death and destruction of gorillas world wide.

Yes germs plagued my dreams during this book but have really opened my mind to the deforestation, over-population and lack of resources to protect some of our most ancient beginnings. I've found...more

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May 14, 2013 Mary rated it 4 of 5 stars

Quammen's book Spillover is a book that those who enjoy reading nonfiction especially about science will really love. I liked this book. It was fascinating reading. I am sure washing my hands a lot more frequently now, but have not started wearing a mask.

Spillover reads almost like a collection of mystery stories. He discusses various diseases that have moved from animals to humans and explains the scientific detective work that went into to finding the method of transmission to humans. Among t...more

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Apr 15, 2013 Austin rated it 5 of 5 stars

In this book, Quammen completes the impressive task of incorporating large amounts of technical detail into a very readable narrative. His subject is animal infections that spill over into human populations - including SARS, Ebola, Lyme disease and a host of viruses that I'd never heard of before. He keeps things entertaining by inserting himself into all of the difficult and dangerous situations that the scientists studying these diseases find themselves in - drawing blood from live bats, colle...more

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Oct 15, 2012 Rae rated it 4 of 5 stars

Shelves: 2012, math-and-sciences

In this timely book, Quammen tackles the potentially scary subject of zoonotic diseases (those with an animal reservoir or vector). Think HIV, Ebola, Marburg, rabies, influenza and such. Unlike Preston's The Hot Zone, though, this writing isn't too sensational or over-the-top frightening. Stay away from primates, bats and mosquitos and you should be healthy. Maybe.

I pretty much enjoy anything written by Quammen. His material is always very readable and he makes tough topics relatively easy to un...more

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Nov 28, 2012 Andy rated it 5 of 5 stars

Zoonoses - pathogens such as a virus, bacterium, prion, or fungus that are transmitted from animals to human, are the focus of this excellent book. Quammen writes in a manner that is very accessible to a non-scientist, and the presentation is compelling. Although I read quite a bit about pathogens this book really captivated me. I learned a lot about amplifier species (an animal that accelerates a virus' lethality between the reservoir species and humans), why bats are such a common pathogen res...more

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Sep 25, 2012 Staci rated it 4 of 5 stars

David Quammen's adventures have me trembling! The knowledge of all the "Spillover" that has already occured throughout the world intensifies the fear that perhaps the end of man kind will be the results of some crazy virus. Very informative and interesting read. I am giving it a solid 4 stars and passing it on to my Literature & Science professor.

My rating system is as follows:

5 stars - Excellent, Worth Every Penny, Made It Into My Personal Library!
4 stars - Great book, but not a classic.
3...more

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Nov 07, 2012 Richard Thompson rated it 5 of 5 stars

Shelves: best1012, non-fiction

An excellent mix of science and adventure story.

Spillover refers to the transfer of viruses (and sometimes bacteria) from animals to humans, the kind of transfer that leads to new and sometimes very virulent and dangerous diseases in the new human host. Among other diseases, Quammen traces the histories of the Ebola virsus, SARS, AIDS, influenza and malaria.

In the final analysis, Quammen says, these spillover events happen mostly because humans are crowding more and more into animal habitats whe...more

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Mar 29, 2013 Tiffany Heater rated it 5 of 5 stars

Shelves: 2013-favorites

I loved this book. This is the story of animal diseases that SPILLOVER and infect humans. In the US, we are all familiar with AIDS, we saw Asians wearing masks on tv during the SARS outbreak, and I am sure some of us think Malaria when we get bit by enough mosquitoes, or if we are traveling in a foreign country. But there are so many other diseases out there that have “spilled over” from animals to humans that we just don’t hear about, because maybe only 140 people died, or maybe it happened in...more

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Oct 26, 2012 Jim rated it 5 of 5 stars

Spillover is the term for when a virus jumps from one species to another...think influenza, HIV, Hanta, Ebola.... This is a very readable telling of the background of several viruses that have made the jump. He explores the origins of them, how they spread among humans, the search for information by scientists, and the outlook for the future. One technique really makes a difference in this book: makes it more than just a dry history of these viruses. At each stage we meet the people involved in...more

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Nov 18, 2012 Elizabeth rated it 5 of 5 stars

"A zoonosis is an animal infection transmissible to humans. AIDS is one. Influenza is a whole category of others. Pondering them as a group tends to reaffirm the old Darwinian truth ... that humanity is a kind of animal, inextricably connected with other animals: in origin and in descent, in sickness and in health. Pondering them individually, provides a salubrious reminder that everything, including pestilence, comes from somewhere." This brilliantly written book, part science, part travel, par...more "A zoonosis is an animal infection transmissible to humans. AIDS is one. Influenza is a whole category of others. Pondering them as a group tends to reaffirm the old Darwinian truth ... that humanity is a kind of animal, inextricably connected with other animals: in origin and in descent, in sickness and in health. Pondering them individually, provides a salubrious reminder that everything, including pestilence, comes from somewhere." This brilliantly written book, part science, part travel, part nature, part history, part sleuth, is accessible and engaging. The subject is terrifying but impossible to ignore. Emergent and emerging pathogens come to life in Quammen's writing. He begins with highly localized pathogens like Hendra and Ebola. His untangling of the story of AIDS, part fact, part conjecture, leaves little room to believe that we will avoid the Next Big One. He finishes with influenza. A DNA virus is a double-stranded molecule that usually repairs mistakes as it replicates itself. Not so RNA viruses. Coded by a single-strand molecule without a corrective arrangement, RNA viruses sustain rates of mutation thousands of times that of DNA. While there are exceptions to the rule - a little group of double stranded RNA - the rule mostly holds and "RNA viruses mutate profligately." Influenza is such a virus with an ability to mutate and adapt quickly to survival - survival is an imperative that threatens man's. Man has created an environment conducive to spillover, the term used by disease ecologists "to denote the moment when a pathogen passes from members of one species, as host, into members of another." Spillover occurs most advantageously in outbreak environments. Outbreak "can be defined as an explosive increase in the abundance of a particular species that occurs over a relatively short period of time.... From this perspective, the most serious outbreak on the planet earth is that of the species Homo sapiens." We live at high densities in cities, we penetrate fragile ecosystems, we butcher many of the wild animals there, we settle in them, we bring our domesticated animals there, we use valuable antibiotics there to foster weight gain and guard against the conditions we create, we export and import animals and plants, we travel, we alter our climate, we provide "an irresistible opportunity for enterprising microbes by the ubiquity and abundance of our human bodies.... Evolution seizes opportunity, explores possibilities, and helps convert spillovers to pandemics." Man cannot seem to harness the gift of intelligence to rectify this behavior. The only thing standing between a small evolving and opportunistic pathogen and a worldwide pandemic are the brilliant, resourceful, and imaginative scientists who comprise the world of disease hunters. Amazingly interconnected and devoted to their milieu, they share information and cooperate in a highly effective manner. David Quammen's Spillover engagingly shares that world.(less)

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Apr 16, 2013 Gina Martin rated it 4 of 5 stars

I learned a lot, and was surprised at how much I thought I knew was wrong. That's mostly due to the fact that I'd read Richard Preston's "Hot Zone" and believed his (very exciting) prose describing Ebola symptoms. Quammen takes the time to, gently but thoroughly, debunk Preston's account.

It's not just a book about Ebola. Quammen lays out how zoonotic diseases cross over and infect humans, and takes you through several different spillover events - Nipah virus, SARS, HIV, among others. He gets in...more

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About David Quammen

David Quammen (born February 1948) is an award-winning science, nature and travel writer whose work has appeared in publications such as National Geographic, Outside, Harper's, Rolling Stone, and The New York Times Book Review; he has also written fiction. He wrote a column called "Natural Acts" for Outside magazine for fifteen years. Quammen lives in Bozeman, Montana.

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Books by David Quammen

The Song of the Dodo: Island Biogeography in an Age of Extinctions

The Flight of the Iguana: A Sidelong View of Science and Nature

The Reluctant Mr. Darwin: An Intimate Portrait of Charles Darwin and the Making of His Theory of Evolution

Monster of God: The Man-Eating Predator in the Jungles of History and the Mind

Natural Acts: A Sidelong View of Science and Nature

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