School Library Journal
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Gr 7 Up-The influenza pandemic of 1918 directly killed or contributed to the deaths of 50 to 100 million people worldwide, and not only the very old and very young. Enlisted men and people in their 20s were surprisingly susceptible to the mutated H5N1 strain that quickly spread via troop ships, prisoners of war, and crowded living conditions. Listeners journey with Marrin, from early human interactions with the virus, through hygiene innovations (handwashing; covering a cough) to the rat-infested trenches and disease-ridden barracks of World War I. Marrin's careful research is never dull, and his details of episodes of bird flu and swine flu since 2000 make it clear that dangerous flu viruses still exist. Marrin combines science, detective work, the history of medical innovation, and just the right amount of ick factor for middle and high school students. Narrator Jim Frangione speaks with an enthralling gravity befitting the subject matter. Clear and expressive enunciation does service to this fascinating story. VERDICT Very, very, very interesting. An ideal nonfiction selection for middle and high school.-Maggie Knapp, Trinity Valley Sch., Fort Worth, TX © Copyright 2018. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Publishers Weekly
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Marrin (Uprooted) presents a gripping analysis of "history's worst-ever health disaster," the so-called Spanish Flu of 1918, which infected 500 million people worldwide ("one-third of the human race at the time") over an 18-month period. Moving easily through relevant background, from the development of urban centers to contemporary medical practices, he identifies two primary factors: the wretched and overcrowded conditions of WWI battlegrounds, hospitals, and training camps, combined with ignorance of the cause of and best ways to contain influenza. Modern transportation methods, prioritizing war over health, a weakened civilian population, and a virulent mutation of the virus all contributed to the staggering death toll (estimated at between 50 million and 100 million). An engrossing chapter addresses the U.S. response, uncoordinated efforts to combat the pandemic that were often essentially "worthless." Much of the current understanding of the contagion derives from research done since the 1930s; Marrin's lucid presentation of it concludes with a sobering assessment of the risks of a similar pandemic, perhaps involving a mutated strain of the H5N1 bird flu virus as "the ultimate terrorist weapon." Archival photos, notes, and reading suggestions are included. Ages 12-up. (Jan.) © Copyright PWxyz, LLC. All rights reserved.

Kirkus
Copyright © Kirkus Reviews, used with permission.

A comprehensive history of the influenza pandemic of 1918, the worst global killer that humankind has experienced.Historian Marrin (Uprooted, 2016, etc.) begins four years earlier, at the beginning of World War I. Liberally referencing research, partial statistics, diaries, medical records, newspaper articles, art, photographs, poetry, song, and literature, Marrin works to give an accurate depiction of the circumstances and ill-timed incidents that led to the global catastrophe, which killed at least three times as many people as the war worldwide. The author does not neglect the squalor around the globe: ill soldiers in trenches and overcrowded barracks, suffering families, orphaned children, hunger and undernourishment, and deaths so numerous that bodies are stacked upon bodies. Marrin reveals how scientists and doctors knew little about influenza a century ago, as surgeons and physicians didn't practice routine hygiene or quarantine and were often rendered helpless; in fact, he argues (albeit briefly) that nurses turned out to be most useful against influenza, for they provided supportive care. He then brings the eye-opening narrative to the present, detailing the search for the origins of influenza; recent scientific breakthroughs; the emergence of the H5N1 strain; and how, without intending to, scientists have brought the virus to a risky, imminent pandemic.Not one to shy away from unnerving details, Marrin relays what researchers and scientist express today: another influenza pandemic will unquestionably strike again. (notes, bibliography, further reading, picture credits, index) (Nonfiction. 12-18) Copyright Kirkus Reviews, used with permission.

Horn Book
(c) Copyright The Horn Book, Inc., a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Between 1918 and 1920, three waves of a very aggressive influenza virus killed tens of millions of people. World War I was in full swing when the flu pandemic began, and it was abetted by the widespread movement of troops and limited medical knowledge. Marrin's narrative is enhanced by primary source quotations, black-and-white photographs, and maps, all revealing the toll the pandemic took. Bib., ind. (c) Copyright 2018. The Horn Book, Inc., a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Book list
From Booklist, Copyright © American Library Association. Used with permission.

*Starred Review* Acclaimed for incisive explorations of America's bleakest moments, from the Triangle Shirtwaist Factory fire (Flesh & Blood So Cheap, 2011) to WWII-era Japanese internment camps (Uprooted, 2016), Marrin homes in on the most deadly disease event in the history of humanity. Raging from early 1918 to mid-1920, the influenza pandemic, aptly dubbed the devil virus, crescendoed in three lethal waves, spanned continents, and claimed an estimated 50- to 100-million lives worldwide. In six riveting chapters, Marrin examines the virus's precursors, including past plagues and prior medical breakthroughs, its aftermath, and its festering backdrop the congested trenches and training camps of WWI. While the pandemic's scope is broad and undiscerning, Marrin's approach is the opposite. With razor-sharp precision, he carefully presents genetic mutations, coffin shortages, the disease's devastating grip on colonized Africa, the direct correlation between women working as nurses and the ratification of the Nineteenth Amendment, and much more. Marrin's conclusion, too, pulls no punches; after all, when it comes to future pandemics, it's not a matter of if one will occur, but when. Fusing hard science and jump-rope rhymes, first-person accounts and crystalline prose, cold reason and breathtaking sensitivity, Marrin crafts an impeccably researched, masterfully told, and downright infectious account complete with lurid black-and-white photos throughout. This is nonfiction at its best.--Shemroske, Briana Copyright 2017 Booklist

School Library Journal
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Gr 7 Up-Seasoned nonfiction author Marrin returns with a thorough and entertaining telling of the Influenza Pandemic that swept the world during World War I, described as "the greatest medical holocaust in history." The narrative relays the progress of human disease from hunting and gathering days to the rise of "scientific medicine," with a discussion of biological agents from bacteria to viruses. Readers experience the public health crisis from its believed beginning in Kansas through its evolution from outbreak to epidemic to pandemic. The story allows for the wider context of the intertwined fates of the war and the disease, from trenches to overcrowded hospitals. Marrin's story of the flu in his own family (fighting with the Red Army, his father was stricken while stationed in Siberia and survived) adds an interesting personal touch. This anecdote emphasizes a key point: the pandemic was unique in its target population in that it disproportionately affected young adults. Marrin's exhaustive research leaves no topic untouched. The back matter of extensive notes and suggestions for further reading emphasize the meticulous degree of Marrin's research. Pair with Makiia Lucier's A Death-Struck Year for a fictional complement with a personalized perspective. VERDICT A solid nonfiction selection to middle and high school collections that emphasizes history, defense strategy, and medicine.-Deidre Winterhalter, Oak Park Public Library, IL © Copyright 2017. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.