100 books like To End a Plague

Wait, this book isn’t about Africa! No: it’s a biography of Dr. Paul Farmer, a co-founder of the medical humanitarian agency Partners in Health who died in 2022, and who had a major influence on how I, and thousands of others, think about providing healthcare in low-resource settings.

This extremely readable biography of Farmer focuses mostly on his work in Haiti – where Farmer did pioneering work on HIV treatment – and while it’s the other side of the world, it’s a crucial text for rethinking how we understand structural inequalities and access to health care.

The seeds of Farmer’s radical approach were taken by many idealistic medical workers into African HIV programs and indeed when he died, he was in Rwanda, where he co-founded the University of Global Health Equity.

This book is exactly what the title promises, and a great place to start.

It’s written by a Swazi health economist who has worked on HIV in Africa for more than 30 years; I have learned a lot from Whiteside and his research over my years of covering this issue. The book looks at the biology and epidemiology of HIV, and also at all the ways it shapes societies.

Whiteside takes complicated concepts of population dynamics, sexual networking, AIDS, and geopolitical security and explains them briskly, clearly, concisely. His focus is the global AIDS epidemic, but his own work and the book are both deeply rooted in Africa.

Craig Timberg was a reporting colleague when I was a correspondent in South Africa, and became a friend, one with whom I often passionately disagreed.

That’s why I suggest this book: it offers a very different perspective than mine. Craig and his co-author Halperin, an epidemiologist whose work had a big influence on Craig’s thinking, draw a clear through-line for how Western powers created the sparks of the African epidemic then vigorously fanned them.

A significant chunk of the book focuses on solutions (Halperin is a vociferous champion of male circumcision as an intervention to drive down the spread of the virus). It’s a brisk read that makes complex epidemiological dynamics accessible.

Steinberg is one of South Africa’s great writers of narrative non-fiction; his work is oddly little known outside his home country and it was of huge value to me when I discovered it, not long after I moved to Johannesburg.

This book tracks the progress of a testing and treatment program in Lusikisiki, which had one of the highest HIV infection rates in the world. Part of the story is told through the eyes of a white doctor who expects that, once treatment is there, everyone will seek it out – and a young Black man named Sizwe, clever and successful, who shows all the reasons why HIV response is not as simple as opening up a clinic.

Steinberg’s book probes into some of the messier, less-well-understood dynamics that have driven the pandemic, and features voices rarely heard outside a community like Lusikisiki.

Peter Piot was a young microbiologist at a lab in Belgium, in 1976, when he was assigned to analyze specimens in a thermos bottle shipped up from Zaire, where villagers were dying of a horrific and unknown disease. The thermos contained a virus that came to be known as Ebola. This was the event, as his book vividly recounts, that led Piot to a long and distinguished career in infectious viral diseases, from Ebola to AIDS and beyond.

Scientists now know that the AIDS virus, HIV-1, entered the human population much earlier than is commonly thought—back around 1908, give or take a margin of error, and via a single spillover from a chimpanzee into a human, probably by blood exposure when a chimp was killed and butchered for food. Pepin’s book illuminates how the virus might then, slowly and quietly at first, have spread from a forest in southeastern Cameroun, down tributaries of the Congo River to major cities such as Brazzaville and Leopoldville (now Kinshasa), and from there to the world. Pepin’s work was vastly helpful to me when I assembled my own account of that story, included in my own books.

Eben Venter, though born in the heart of the South African ‘platteland’ (the South African equivalent of ‘fly-over country’), has spent much of his adult life in Australia, and the novel poignantly straddles the two locales: the constricting conservatism of the protagonist’s farm background, and the bewildering freedoms and opportunities of a more cosmopolitan setting. Here that conflict is heartbreakingly acted out and in a grim sense resolved in the main character’s losing battle against AIDS, and his death-bed reconciliation with his hitherto unbending father. Venter gives us a harrowing account of what it is like to die of a disease that wastes your body, blinds you, and makes you mad before killing you. It is all the more remarkable that the experience is registered from the inside, as it were, in a subjective stream of consciousness. The poignancy of the novel is intensified for me by knowing that the… show more.

A big mistake in much radical analysis is to characterize problems in dualistic terms that externalize responsibility from Africa (Rodney, of course, is wide open to that critique). Thus, colonialism is not just irredeemably bad but simple to identify and directly related to white skin. The end of formal colonialism provided new targets in sometimes caricature form: black-skin-white-mask neocolonialism and neoliberalism, notably. Such things undoubtedly exist. However, Kenworthy’s brilliant, gob-smacking analysis of the unintended consequences of life-saving technologies reveals levels of complexity and complicity that belie easy dualisms. How does something that promises liberation from mass suffering and death (anti-retroviral drugs) become a machine to entrench corrupt elites and opportunistic NGOs, to sell cheap textiles in America, and to exploit poor women’s unremunerated care work? Read, weep, and lose your illusions about corporate social responsibility.

This is a memoir that has really stayed with me. It is beautifully written and a compulsive read.

Dr. Verghese describes the world of the deep south on the precipice of the AIDS epidemic. It is his story of being a young doctor, but also the story of the explosion in HIV cases far from the coastal cities that were the epicenters of the epidemic. I found myself crying over the cases he described, and feeling his heart-ache as he battled for individuals with HIV to gain acceptance, support, and treatments in their communities. 

This is an amazing book if you want to understand that disease isn’t just medical, it’s also cultural.

Contagious really describes how culture influences how we understand illness and how that affects treatment and care of individuals, including who we blame and how we understand risk.

People like to think of medicine and science as being detached and objective, but this book shows that simply isn’t true.