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House on Fire: The Fight to Eradicate Smallpox (California/Milbank Books on Health and the Public) (Volume 21) Paperback – June 6, 2011

4.9 out of 5 stars 55 ratings

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A story of courage and risk-taking, House on Fire tells how smallpox, a disease that killed, blinded, and scarred millions over centuries of human history, was completely eradicated in a spectacular triumph of medicine and public health. Part autobiography, part mystery, the story is told by a man who was one of the architects of a radical vaccination scheme that became a key strategy in ending the horrible disease when it was finally contained in India. In House on Fire, William H. Foege describes his own experiences in public health and details the remarkable program that involved people from countries around the world in pursuit of a single objective―eliminating smallpox forever. Rich with the details of everyday life, as well as a few adventures, House on Fire gives an intimate sense of what it is like to work on the ground in some of the world’s most impoverished countries―and tells what it is like to contribute to programs that really do change the world.
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Editorial Reviews

Review

“[Foege] bounces the reader along with him in his jeep, on motorbikes over rugged terrain and on bustling trains. . . . [And] shows what can be accomplished when governments and thousands of health workers focus on a single objective. “ ― Wall Street Journal

“Dr. Foege’s book . . . remind[s] us how fragile life looks.” ―
New York Times

“[Foege] writes a mixture of memoir, dry public health guide and riveting tale of an all-consuming mission.” ―
New Scientist

House on Fire is a reminder of the importance of preventive medicine and will lead readers to an appreciation of all of the lives that would have otherwise been lost if the challenge to prevent smallpox had not been met.” ― Journal of the American Medical Association

“Demonstrate[s] the enormous benefit that can accrue to mankind when a determined and ambitious band of individuals come together. . . . “[An] extraordinary story.” ―
Lancet

"Part autobiography, part mystery, the story is told by a man who was one of the architects of a radical vaccination scheme that became a key strategy in ending the horrible disease when it was finally contained in India. . . . Foege describes his own experiences in public health and details the remarkable program that involved people from countries around the world in pursuit of a single objective—eliminating smallpox forever." ―
Guardian

“A readable and thorough account by a key player in this outstanding victory for public health.” ―
Library Journal

“A fascinating human interest account that is expertly merged with scientific facts. . . .
House on Fire is an inspiring story that portrays the remarkable efforts of a courageous physician and public health leader.” ― Journal of Community Health

“A fascinating account” ―
Bulletin of the Royal College of Pathologists

“A great, quick, and intensely personal read about the inside story of Foege's revolutionary idea and powerful actions. . . . Foege was wise before his time.” ―
Medpage Today

From the Back Cover

“Bill Foege takes us inside the world's greatest public health triumph: the eradication of smallpox. It's a story of true determination, passion and courage. The story of smallpox should encourage all of us to continue the critical work of worldwide disease eradication.”--Bill Gates, Co-Chair of the Bill & Melinda Gates Foundation

“Bill Foege is one of the public health giants of our times. He was responsible for the design of the campaign that eradicated smallpox―the most important global health achievement in history and possibly the greatest feat in any field of international cooperation. His insights into the nature of this major event will undoubtedly help to meet the global health challenges of the 21st century.”―Julio Frenk, M.D, PhD, Dean, Harvard School of Public Health

“The eradication of a disease has long been the holy grail of global health and Bill Foege found it: more than any other person, he was responsible for the eradication of smallpox from the face of the earth. This is a story told by a remarkably humble man, about the extraordinary coalition that he helped to build, and the most impressive global health accomplishment the world has ever seen.”―Mark Rosenberg, author of
Real Collaboration: What It Takes for Global Health to Succeed

“I am thrilled that Bill Foege, one of the great heroes of the smallpox eradication campaign, has written this important book. It tells a beautiful human story of an incredible public health triumph, and is full of lessons that could be applied to many of the global challenges we face today.”―Helene D. Gayle MD, President and CEO, CARE USA

“Bill Foege’s
House on Fire is the first-hand account of how a revised strategy to eradicate smallpox was tested, validated, and applied. Without the global adoption of this new surveillance strategy, the final deathblow to this longtime global menace might never have been dealt.”―Adetokunbo O. Lucas, MD, DSc, author of It Was The Best of Times: From Local to Global Health

“Smallpox is the most devastating disease the world has known, as it destroyed lives and shaped history over the centuries.
House on Fire provides a day-to-day account by my friend Dr. Bill Foege of the battle required to defeat this wily and diabolic virus."--President Jimmy Carter

Product details

  • Publisher ‏ : ‎ University of California Press
  • Publication date ‏ : ‎ June 6, 2011
  • Edition ‏ : ‎ First Edition
  • Language ‏ : ‎ English
  • Print length ‏ : ‎ 240 pages
  • ISBN-10 ‏ : ‎ 0520274474
  • ISBN-13 ‏ : ‎ 978-0520274471
  • Item Weight ‏ : ‎ 13.3 ounces
  • Dimensions ‏ : ‎ 5.8 x 0.6 x 8.7 inches
  • Customer Reviews:
    4.9 out of 5 stars 55 ratings

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William H. Foege
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Customer reviews

4.9 out of 5 stars
55 global ratings

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Customers say

Customers find this book to be a compelling account of the battle against smallpox, with one review describing it as the most dramatic achievements of our time. Moreover, the book receives positive feedback for its educational value, particularly for public health classes, and customers appreciate its perfect condition. Additionally, the writing style is well-received, with one customer noting that it flows easily.

AI-generated from the text of customer reviews

19 customers mention "Narrative quality"19 positive0 negative

Customers praise the narrative quality of the book, describing it as a compelling and spectacular memoir that tells the great story of the battle against smallpox.

"...I suspect many a layman or woman will also enjoy this wonderful, readable book. I draw attention to one of Foege's important messages...." Read more

"...There is lots of story here, not just dry science. In the African section alone I counted thirty-three interesting anecdotes...." Read more

"...primer for public health, touches the heart, and transports you to singular achievement in history there is something remarkable going on in the..." Read more

"This is a wonderful account of the final phases of one of the greatest public health accomplishments of the 20th century, the eradication of smallpox..." Read more

9 customers mention "Reading quality"9 positive0 negative

Customers find the book to be of high quality, particularly suitable for public health classes, with one customer noting it's required reading in medical schools.

"...I suspect many a layman or woman will also enjoy this wonderful, readable book. I draw attention to one of Foege's important messages...." Read more

"...disease eradication reads like a mystery thriller, serves as a primer for public health, touches the heart, and transports you to singular..." Read more

"...about the reasoning behind his approach, experimentation, incorporation of new information, developing buy-in, training and implementation, changing..." Read more

"...Millions of lives were saved due to these Herculean efforts. Dr. Foege is a born story teller as well as a true hero." Read more

3 customers mention "Spruce up"3 positive0 negative

Customers are satisfied with how the book arrived, noting it was in perfect condition.

"Great condition. Delivered quickly." Read more

"Really good book for any public health class. My copy was in mint condition and came right on time." Read more

"Book has only just arrived but is in perfect condition and exactly as described. I am very pleased !" Read more

3 customers mention "Writing style"3 positive0 negative

Customers appreciate the writing style of the book.

"...is told from William Foege's personal perspective and the writing style flows easily...." Read more

"...Not a problem as book was super cheap and still readable. Thank you! A+++" Read more

"...prepared to be bored out of my mind reading this, but it is a very well-written book. It's like a public health suspense novel." Read more

Top reviews from the United States

  • Reviewed in the United States on August 19, 2011
    I am fortunate enough to know Bill Foege, to have worked for him at the CDC, to be mentored by his example, and to enjoy many lectures he has given. He is simply one of the great people of our time. Although I went to Nigeria for 3 months in 1969 to work on smallpox immunizations and worked at the CDC for 30 years (in birth defects), there was much about the smallpox eradication story I did not know. I found this book so exciting that it was difficult to put down. I think that all who work in public health will enjoy this book. New students in public health should be inspired by and learn from reading this story of public health action that made such and important difference for mankind. I suspect many a layman or woman will also enjoy this wonderful, readable book.

    I draw attention to one of Foege's important messages. If you seek to improve a human condition, it is important to know that you have an intervention that works and that you can tell whether or not the intervention has improved the outcome. It is not just enough to throw good will and money at the problem. As Foege says: "this is a cause-and-effect world, and smallpox disappeared because of a plan, conceivewd and implemented on purpose by people."

    On a lighter note, I enjoyed his saying never hire a pessimist. If you need one for a while, contract for one.

    January 10, 2020. Placing my umptienth order for four copies to give to those I think will enjoy or be inspired to work on the total prevention of spina bifida F--a disabling and often fatal birth defect that we have the "vaccine? for --required, mass fortification of food such as flour or salt with the B vitamin folic acid--but we are not using for 80% of the global population. We have had the vaccine for 29 years. I hope it will not be 200 years before all women of reproductive age have been "vaccinated" to prevent spina bifida and anencephaly--an always fatal birth defect that folic acid fortification prevents.
    19/02/2023 placing a new order. Just read new review that recommends all incoming students to school of public health shoujld read this book. I agree. Dr. Victor Hoffbrand, a distinguised academic hematology who has a text of hematology in its 8th edition has just published a book "The Folate Story: A Vitamin under the Microscope." I enjoyed as much as House on Fire. I highly recommend it to laymen and academics, especially those who are students of public health. I gave a 5 stars.
    14 people found this helpful
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  • Reviewed in the United States on May 22, 2011
    I've read four books on the smallpox eradication campaign, probably the greatest triumph in human history, and this is the best. The story is told from William Foege's personal perspective and the writing style flows easily.

    William Foege is one of the most unknown remarkable men of science. Working originally as a missionary doctor in Nigeria, he discovered and scientifically proved the surveillance and containment method of vaccination that reduced the number of people needing to be vaccinated from near 100% to 6%. As well as doing the science, then administering the strategy, he had to be an action hero, encountering many adventures in Nigeria during the Biafran Civil War and in hugely populated India.

    There is lots of story here, not just dry science. In the African section alone I counted thirty-three interesting anecdotes. Here are two of my favorite quotes from the book.

    * One had to be an optimist with a feel for numbers to be ecstatic at the same time that Bihar had over 5,000 known smallpox outbreaks and had just reported over 11,600 new cases of smallpox in a single week.
    * It wasn't science that threatened to stop us. It wasn't even nature per se. Rather, it was human nature: the human factors that involve strikes, job security, political concerns, turf. I remembered those words from graduate school: "When you tangle with culture, culture always wins." As hard as the daily work had been, this was the only time I was discouraged and uncertain about the outcome. I thought we had lost the battle.

    Four separate books should be written about Dr. Foege, a tireless promoter of global public health - his time in Africa, in India, as the head of the Centers for Disease Control (CDC), and his work with the Bill and Melinda Gates Foundation. This book covers two of those times and when I finished the book I was energized and itching to go out and help save the world.
    26 people found this helpful
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  • Reviewed in the United States on January 28, 2023
    After reading this fascinating account of the successful smallpox eradication campaign, I wondered how many lives the campaign has saved so far (as of 2023). While the author does not provide such an estimate--or an estimate of annual death rate from smallpox prior to its eradication--with a little digging, I found that the most commonly cited estimate of smallpox deaths during the twentieth century was 300 million. If this is correct, it suggests that there were on average roughly 4 million smallpox deaths a year before its eradication in 1975. Multiply that by the 47 years that have passed since 1975, it suggests that roughly 188 million lives have already been saved so far--which is more than the total number of deaths caused by the two World Wars combined. This alone is sufficient reason that this book should be required reading for every entering student of medicine or public health around the world.
  • Reviewed in the United States on June 9, 2011
    You don't need to be a physician or a public health expert to appreciate the wonder and drama with which smallpox was eradicated from the world. When a nonfiction book about disease eradication reads like a mystery thriller, serves as a primer for public health, touches the heart, and transports you to singular achievement in history there is something remarkable going on in the pages.
    I am a layman, no medical degree or public health experience, but this book allowed me to experience firsthand what it was like to be on the front line of a historical marker for mankind. I appreciated being allowed to glimpse through Bill Foege's len as he outlines the intricacies and importance of the data keeping, coordinates thousands of personal, manages the various agencies, governments and personalities while maintaining a sense of humility and optimism. A must read.
    11 people found this helpful
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Top reviews from other countries

  • Akshay Vyas
    5.0 out of 5 stars From India
    Reviewed in India on February 18, 2022
    The most astounding book and most recommended for whoever is interested in studying global health and epidemiology. Beauty of the book is how things are effortlessly explained. I personally found it very interesting.
  • Karen C
    5.0 out of 5 stars Remarkable book by a remarkable public health leader
    Reviewed in Canada on June 11, 2013
    I was fortunate to hear Dr. Foege speak twice many years ago and have followed his work since. The book outlines the incredible work of many to achieve something almost unbelievable- the erradication of smallpox. This book will be of interest to anyone in public health, humanitarian approaches or large scale organization. Although Dr. Foege typically gives most credit to those with whom he has worked, he is a true hero. Smallpox erradication is only one of his many achievements.
  • Jonathan Hinchliffe
    5.0 out of 5 stars WHO done it!
    Reviewed in the United Kingdom on May 30, 2013
    This was recommended by Bill Gates, not personally but during his Dimbleby lecture. It is really good. I was surprised.