Book review

This thriller portraying an outbreak of a mysterious disease is too close to reality for comfort

Public health services are troublingly unequipped to handle the situation described in Sidin Vadukut’s ‘Bombay Fever’.

The “medical thriller” Bombay Fever begins with a Mumbai-based journalist travelling to Geneva to cover a watch exhibition, where he has an unexpected encounter with an infected Sri Lankan woman. The woman collapses and dies in his arms. The journalist returns to Mumbai with a bad cough and sparks a full blown outbreak of a disease that the world has never seen.

The novel is named after the fictitious infection (which will, one hopes, remain in the realm of fiction) whose moniker comes from the character of the journalist. Sidin Vadukut’s novel encapsulates what an outbreak really looks like – panic among the public, politicians playing down the seriousness of the situation, scientists and epidemiologists completely out of their depth. And journalists hunting for a lead.

Vadukut said that he wanted to write a medical thriller after he did some research on the global Spanish flu outbreak of 1918, which killed millions at the time. The central character of the book is Aayush Vajpayee, who is posted as a social medical officer at the time of the outbreak. His job is to combat antimicrobial resistance by interacting with all stakeholders including doctors, pharmacists, nurses, and the community at large.

The evidence given by Vajpayee to a commission formed to inquire into the government’s response to the outbreak forms the backbone of the book. While on his trips to various houses, Vajpayee stumbles on the patient zero of the outbreak in India - the journalist who is found dead in his house. The victim is found literally “melted” down, a peculiar symptom of the disease.

Vadukut brings several twists to the plot, dropping a few hints on what could have caused the outbreak to keep the reader on the edge. Is this a bug that has been identified in the past? Or is it just a drug-resistant form of an already known virus?

What goes wrong during a disease outbreak

Predictably, it takes a few weeks for authorities to get a handle on what is causing the outbreak. As the novel portrays realistically, bringing in representatives of government bodies that are supposed to swoop in during an outbreak – scientists from the National Centre of Disease Control, for instance – takes a long time. In the end, a clue to containing the outbreak comes from unexpected quarters.

The reader gets a glimpse of the worst that can happen when there is a communication breakdown. Especially when social media, such as WhatsApp, explodes with forwarded messages carrying blatantly wrong or misleading information. The impact of fake news on public health has already been witnessed. During vaccination drives for measles rubella this year, WhatsApp messages claiming it makes children impotent did the rounds.

This book presents a scenario where the harm done by seemingly helpful forwards is much worse. Just like in the novel, the government is often unable to stem the explosion of false information. Here, the chief minister herself inadvertently gives out information which is misinterpreted and leads to more deaths. Vadukut makes the valid point that hiding information from the public, or underplaying information about an outbreak, can only lead to more confusion and panic.

Sidin Vadukut
Sidin Vadukut

Unpredictability of medicine

In India, outbreaks of disease are frequent. Just this May, in a tribal hamlet of Andhra Pradesh, sixteen people died in three weeks of causes that are still unclear. Government officials blamed the deaths on habits such as drinking unsafe water, eating “rotten” meat and social conditions like malnutrition. The people brought this outbreak upon themselves, the officials seemed to say. While it is understandable that the real cause of deaths is sometimes very difficult to understand, there was no real attempt made to find it either. Uncomfortable possibilities, like a malaria outbreak, are dismissed.

In the book, the deadly Bombay Fever affects not just the invisible poor, but even the richer sections of the population. It is perhaps for this reason that the elected leaders are forced to take notice.

Bombay Fever effectively portrays what is already known about medicine – that it has severe limitations. A fever, cold and cough can be the symptoms of many different kinds of infections. Even if a bug is identified, often doctors may not know how it works. Medicine is sometimes guesswork, often hoping that existing drugs will cure patients. Even after bringing outbreaks under control, sometimes scientists do not know why certain measures worked. This book pays tribute to those who work in these extremely limiting conditions.

After writing his dedications, the author cautiously addresses “everyone else” and says: “This is a work of fiction, outrage accordingly.” The warning is unnecessary. The country’s public health system is in such bad shape that the sort of outbreak described in the book doesn’t seem very far fetched. Will it take a horrible outbreak of the sort described in the book for the government to take note of public health? Let us hope not.

Bombay Fever, Sidin Vadukut, Simon & Schuster.

Support our journalism by subscribing to Scroll+ here. We welcome your comments at letters@scroll.in.
Sponsored Content BY 

Get ready for an 80-hour shopping marathon

Here are some tips that’ll help you take the lead.

Starting 16th July at 4:00pm, Flipkart will be hosting its Big Shopping Days sale over 3 days (till 19th July). This mega online shopping event is just what a sale should be, promising not just the best discounts but also buying options such as no cost EMIs, buyback guarantee and product exchanges. A shopping festival this big, packed with deals that you can’t get yourself to refuse, can get overwhelming. So don’t worry, we’re here to tell you why Big Shopping Days is the only sale you need, with these helpful hints and highlights.

Samsung Galaxy On Nxt (64 GB)

A host of entertainment options, latest security features and a 13 MP rear camera that has mastered light come packed in sleek metal unibody. The sale offers an almost 40% discount on the price. Moreover, there is a buyback guarantee which is part of the deal.

Original price: Rs. 17,900

Big Shopping Days price: Rs. 10,900

Samsung 32 inches HD Ready LED TV

Another blockbuster deal in the sale catalogue is this audio and visual delight. Apart from a discount of 41%, the deal promises no-cost EMIs up to 12 months.

Original price: Rs. 28,890

Big Shopping Days price: Rs. 10,900

Intel Core I3 equipped laptops

These laptops will make a thoughtful college send-off gift or any gift for that matter. Since the festive season is around the corner, you might want to make use of this sale to bring your A-game to family festivities.

Original price: Rs. 25,590

Big Shopping Days price: Rs. 21,900

Fashion

If you’ve been planning a mid-year wardrobe refresh, Flipkart’s got you covered. The Big Shopping Days offer 50% to 80% discount on men’s clothing. You can pick from a host of top brands including Adidas and Wrangler.

With more sale hours, Flipkart’s Big Shopping Days sale ensures we can spend more time perusing and purchasing these deals. Apart from the above-mentioned products, you can expect up to 80% discount across categories including mobiles, appliances, electronics, fashion, beauty, home and furniture.

Features like blockbuster deals that are refreshed every 8 hours along with a price crash, rush hour deals from 4-6 PM on the starting day and first-time product discounts makes this a shopping experience that will have you exclaiming “Sale ho to aisi! (warna na ho)”

Set your reminders and mark your calendar, Flipkart’s Big Shopping Days starts 16th July, 4 PM and end on 19th July. To participate in 80 hours of shopping madness, click here.

Play

This article was produced by the Scroll marketing team on behalf of Flipkart and not by the Scroll editorial team.