April 29, 2021
Lost Immunity, by Daniel Kalla
No one really needs to be reading about disease outbreaks during Year 2 of a Global Pandemic, you might argue, but I think you’d be wrong, because Daniel Kalla’s thriller Lost Immunity is about a different disease (meningitis) and because it honestly warmed my heart to come across the book’s references to Covid-19 in the past tense. And because while the book is a compelling plot-driven ride, the ideas it engages with are also timely and vital, and informed by Kalla’s own experiences as an emergency physician in Vancouver BC.
Kalla’s last book, The Last High, about the opioid crisis, was one of my favourite reads of last summer, and the follow-up is even better, mostly because it deals in ideas I’m constantly grappling with anyway these days, about risk and trust, vaccines, and disinformation, and how public health officials are meant to manage anything through all that noise. It’s really wonderful to see these ideas in action, to see them complicated and interrogated in a story about their real world stakes.
The centre of the novel is Lisa Dyer, head of Public Health in Seattle when a meningitis outbreak at a bible camp begins to spread through the community, killing children and teens. Turns out a pharmaceutical company has a new vaccine that’s been through trials and might be the only weapon to stop more people from dying—but she’ll get pushback from the “vaccine-hesitant” community, never mind the fact that both she and the drug company will both have to put their reputations on the line.
But of course because this is a thriller, there is a further complication—someone is trying to sabotage the vaccination program. This aspect of the story heightens the stakes, and underlines the importance of trust and safety, while not undermining the science of vaccination, of which Kalla is well aware. But he also manages sympathetic representation of different points of view—Lisa’s family is opposed to vaccination, and another character is a public anti-vaxxer who blames vaccinations for his son’s autism. Kalla shows that even when the science is sound, the situation on the ground can be complicated, and assessing notions of risk is different in practice than theory, and especially when it’s personal.
I loved this book. A gripping read, but it made me think, which is a perfect combination.
