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Epic Measures: One Doctor. Seven Billion Patients., by Jeremy N. Smith
Ebook Download Epic Measures: One Doctor. Seven Billion Patients., by Jeremy N. Smith
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Review
“Epic Measures is a fantastic read.” (Bill Gates)“Jeremy Smith’s engaging story of a man obsessed with the numbers, and the mortal dramas they tell, reads like a novel and is better than any textbook or survey of this planet’s health.” (Paul Farmer, Co-Founder of Partners In Health and Co-Chair of the Department of Global Health and Social Medicine at Harvard Medical School)“Epic Measures is a story of people who believed…that what needed to be done could be done. It’s exciting, well-crafted, and inspirational. Like The Social Network but actually important. Saving a million lives isn’t cool. Y’know what’s cool? Saving a billion lives.” (Hank Green, co-creator and co-host of Crash Course and SciShow)“Jeremy Smith tells an inspiring story of how a simple idea, conceived logically and pursued with grit, can greatly improve the human condition.” (Edward O. Wilson, University Professor Emeritus, Harvard University)“This book is a crash course in global health mixed with a thriller and a biography. And my goodness, what a made-for-Hollywood character at its core—a brilliant but bristly scientist out to revolutionize the way we conceive healthcare.” (A. J. Jacobs, author of Drop Dead Healthy and The Year of Living Biblically)“Reading Epic Measures is like spending time with Chris Murray—an intense intellectual treat, the sense of participating in something important, and the thrill of a riveting adventure. For more realism, I recommend reading this book while biking up or skiing down a terrifyingly steep mountain slope.” (Gary King, Director of the Institute for Quantitative Social Science, Harvard University)“Bold, brash, and brilliant…. In Epic Measures, Jeremy Smith tells a compelling story of the man who led a group of like-minded collaborators, inspired a legion of followers, irritated the establishment, and changed the way the world thinks about health and disease.” (Harvey V. Fineberg, President, Gordon and Betty Moore Foundation)“The Global Burden of Disease Study is not only an epic dataset, but also an epic human story…. Through fine reporting and graceful writing, Jeremy Smith reveals the high-stakes story behind the numbers that are transforming global health. (Michelle Nijhuis, co-editor of The Science Writers’ Handbook)“Remarkably entertaining... A giant compilation of ‘who knew?’” (Tina Rosenberg, The New York Times Opinionator)“In public health it is said that what is measured gets done. But what if the measurements were all wrong? This book should be mandatory reading. While others on the beach may have been reading mysteries, I was turning the pages of a true thriller.” (Richard E. Besser, M.D., Chief Health and Medical Editor, ABC News)
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From the Back Cover
Medical doctor and economist Christopher Murray began the Global Burden of Disease study to gain a truer understanding of how we live and how we die. Leading one of the largest scientific projects ever attempted—as ambitious as the first moon landing or the Human Genome Project—the charismatic and controversial health maverick found a way to use Big Data to show that the ideal existence isn’t simply the longest but the one lived well and with the least illness. Along the way, he and his colleagues challenged—and changed—the accepted wisdom of major aid groups, the WHO, and the UN, making enemies but also winning some very influential friends in their ongoing crusade to redefine how we see health and well-being. Moneyball meets medicine in this remarkable chronicle of Murray’s lifelong determination to understand the world’s health problems, told with novelistic verve by acclaimed journalist Jeremy N. Smith. Encompassing wars and famines, presidents and activists, billionaires and billions of people worldwide living in poverty, Epic Measures is the story of one of the greatest scientific quests of our time—and the visionary mastermind behind it.
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Product details
Paperback: 368 pages
Publisher: Harper Wave; Reprint edition (March 28, 2017)
Language: English
ISBN-10: 0062237519
ISBN-13: 978-0062237514
Product Dimensions:
5.3 x 0.8 x 8 inches
Shipping Weight: 9.6 ounces (View shipping rates and policies)
Average Customer Review:
4.3 out of 5 stars
38 customer reviews
Amazon Best Sellers Rank:
#364,396 in Books (See Top 100 in Books)
An absorbing story of how one man reinvented epidemiology by measuring everyone. EVERYONE. Every illness, disability, impairment and death and attributing each to the proper cause. Unbelievably this had never been done before.The book explores the politics behind disease measurements: governments want to appear to be more effective than they are while charities want to exaggerate the magnitude of problems to make their goals seem more urgent and more worthy of dollars spent. As an example there were so many deaths "claimed" by different charities as belonging to their pet cause that the deaths claimed exceeded BY FOUR TIMES the actual deaths on the planet! This one project suddenly leveled the playing field by assigning each death (illness/injury/etc) around the world one cause.Arguably, there is often more than one cause per death. Someone can be suffering from malnutrition which leads to poor outcomes when disease strikes. Also, if an overweight, sedentary person passes away- what killed them? The back pain that kept them sedentary? The diabetes that came from poor diet? Or the depression that kept them from seeking healthcare? The adjustment that the GBD uses to account for these multiple causes is the DALY, a simple measurement of impaired years that precede the actual death. For the first time we can identify a single cause of death and still acknowledge contributing factors.The magnitude of this project is mind boggling- the team basically went around the WHO, the CDC, and many governments to dissect the immense data with people on the ground. A triumph.Inspiring story, well written. Kudos to Smith!
As a high school social studies teacher who teaches about contemporary global issues, I am always searching for books, films, and articles that will engage my students and offer them insight into international topics. Over the years, I have been fortunate to encounter plenty of texts that captivate a significant portion of my students. Rare, however, is a book like Tracy Kidder’s Mountains Beyond Mountains, Katherine Boo’s Beyond the Beautiful Forevers, or Nina Munk’s The Idealist that provokes lively discussions among students of all backgrounds.Two weeks, I read an op-ed piece by Jeremy Smith in the New York Times that did a superb job of laying out perhaps the greatest challenge within global health: How do we know what our priorities ought to be? Smith raised a series of provocative questions: How do we compare the impact of one disease or ailment to another? Should we trust the figures of governments and NGOs who presumably have reasons to skew these figures? Is it possible to do a thorough accounting of everything that leads to injury and/or death throughout the world? Impressed by Smith's essay, I read it with my students the following day. In short, the discussion was superb as it not only provoked the students to reconsider their preconceived ideas about global health but it also inspired them to want to know more about Smith's argument that it was indeed possible to gather comprehensive data on what ills us as a species.Given the dynamic discussion, I did something that I have not done before in my fourteen years of teaching: I ordered a class set of a book that I had not read. When our class started reading Smith's book, Epic Measures: One Doctor. Seven Billion Patients the following week, it was immediately clear that this gamble had paid off. The students have been captivated by Smith's tale of Chris Murray, the astonishingly ambitious global health figure who has been the driving force behind the Global Burden of Disease project. As depicted by Smith, Murray is a study in contradictions: an iconoclast who seeks to work within the largest global health institutions and who is as capable of charming his peers as he is of alienating them. While Murray does not conform to our sense of how a humanitarian operates, this thrilling book offers us an insider's account of how he spearheaded the project that will almost surely save more lives than any innovation (vaccine, toilet, etc.) in public health history.I could not recommend this book more highly.
This book was excellent for giving perspective on world health.The eye openers for me were:[1] Statistics are really difficult to gather with accuracy and reliability.[2] Many "world health professionals" are more concerned with statistics which justify the funding of their program rather than serving the acculal needs of people.[3] Conditions that don't kill but reduce the quality of one's life need to be factored into this calculation.
Christopher Murray's work at Harvard, WHO, and now IHME (UW-Seattle) on the global burden of disease deserves a well-written, popular treatment like this. Smith's writing and sequencing make for a fine, fast, informative read. Substantively, though, Epic Measures is missing a key story within the integrated "burden of disease" project: how to get disability and death on the same page of value so that the Disability Adjusted Life Year (DALY) unit Murray and colleagues use makes sense as a proper way to see the relative values of living longer and living with better quality of life. That large omission noted, however, this is a fascinating book.
The author has done an impressive job of not only presenting the history of the Global Burden of Disease study, but also the biography of Christopher Murray in such a way as to actually make the reader understand how something of this magnitude can be accomplished by just one man. Yes, Dr Murray had many many collaborators, but this global analysis could not have been done without him. This book itemizes everything that is wrong with science and everything that is wonderful about science. The author should be commended for presenting the facts in such a way as to make a fascinating and engaging read. I finished this book in one sitting and it was the best $27 I've spent this year.
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