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Infectious Disease: A Very Short

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Infectious Disease: A Very Short Introduction
VERY SHORT INTRODUCTIONS are for anyone wanting a stimulating
and accessible way into a new subject. They are written by experts, and
have been translated into more than 45 different languages.
The series began in 1995, and now covers a wide variety of topics in
every d
­ iscipline. The VSI library currently contains over 700 volumes—a
Very Short Introduction to everything from Psychology and Philosophy of
Science to American History and Relativity—and continues to grow in
every subject area.

Very Short Introductions available now:

ABOLITIONISM Richard S. Newman AMERICAN IMMIGRATION


THE ABRAHAMIC RELIGIONS David A. Gerber
Charles L. Cohen AMERICAN INTELLECTUAL
ACCOUNTING Christopher Nobes HISTORY
ADDICTION Keith Humphreys Jennifer Ratner-­Rosenhagen
ADOLESCENCE Peter K. Smith THE AMERICAN JUDICIAL
THEODOR W. ADORNO SYSTEM Charles L. Zelden
Andrew Bowie AMERICAN LEGAL HISTORY
ADVERTISING Winston Fletcher G. Edward White
AERIAL WARFARE Frank Ledwidge AMERICAN MILITARY HISTORY
AESTHETICS Bence Nanay Joseph T. Glatthaar
AFRICAN AMERICAN HISTORY AMERICAN NAVAL HISTORY
Jonathan Scott Holloway Craig L. Symonds
AFRICAN AMERICAN RELIGION AMERICAN POETRY David Caplan
Eddie S. Glaude Jr AMERICAN POLITICAL HISTORY
AFRICAN HISTORY John Parker and Donald Critchlow
Richard Rathbone AMERICAN POLITICAL PARTIES
AFRICAN POLITICS Ian Taylor AND ELECTIONS L. Sandy Maisel
AFRICAN RELIGIONS AMERICAN POLITICS
Jacob K. Olupona Richard M. Valelly
AGEING Nancy A. Pachana THE AMERICAN PRESIDENCY
AGNOSTICISM Robin Le Poidevin Charles O. Jones
AGRICULTURE Paul Brassley and THE AMERICAN REVOLUTION
Richard Soffe Robert J. Allison
ALEXANDER THE GREAT AMERICAN SLAVERY
Hugh Bowden Heather Andrea Williams
ALGEBRA Peter M. Higgins THE AMERICAN SOUTH
AMERICAN BUSINESS HISTORY Charles Reagan Wilson
Walter A. Friedman THE AMERICAN WEST
AMERICAN CULTURAL HISTORY Stephen Aron
Eric Avila AMERICAN WOMEN’S HISTORY
AMERICAN FOREIGN RELATIONS Susan Ware
Andrew Preston AMPHIBIANS T. S. Kemp
AMERICAN HISTORY Paul S. Boyer ANAESTHESIA Aidan O’Donnell
ANALYTIC PHILOSOPHY ASTROPHYSICS James Binney
Michael Beaney ATHEISM Julian Baggini
ANARCHISM Alex Prichard THE ATMOSPHERE Paul I. Palmer
ANCIENT ASSYRIA Karen Radner AUGUSTINE Henry Chadwick
ANCIENT EGYPT Ian Shaw JANE AUSTEN Tom Keymer
ANCIENT EGYPTIAN ART AND AUSTRALIA Kenneth Morgan
ARCHITECTURE Christina Riggs AUTISM Uta Frith
ANCIENT GREECE Paul Cartledge AUTOBIOGRAPHY Laura Marcus
ANCIENT GREEK AND THE AVANT GARDE David Cottington
ROMAN SCIENCE Liba Taub THE AZTECS Davíd Carrasco
THE ANCIENT NEAR BABYLONIA Trevor Bryce
EAST Amanda H. Podany BACTERIA Sebastian G. B. Amyes
ANCIENT PHILOSOPHY Julia Annas BANKING John Goddard and
ANCIENT WARFARE John O. S. Wilson
Harry Sidebottom BARTHES Jonathan Culler
ANGELS David Albert Jones THE BEATS David Sterritt
ANGLICANISM Mark Chapman BEAUTY Roger Scruton
THE ANGLO-­SAXON AGE John Blair LUDWIG VAN BEETHOVEN
ANIMAL BEHAVIOUR Mark Evan Bonds
Tristram D. Wyatt BEHAVIOURAL ECONOMICS
THE ANIMAL KINGDOM Michelle Baddeley
Peter Holland BESTSELLERS John Sutherland
ANIMAL RIGHTS David DeGrazia THE BIBLE John Riches
ANSELM Thomas Williams BIBLICAL ARCHAEOLOGY
THE ANTARCTIC Klaus Dodds Eric H. Cline
ANTHROPOCENE Erle C. Ellis BIG DATA Dawn E. Holmes
ANTISEMITISM Steven Beller BIOCHEMISTRY Mark Lorch
ANXIETY Daniel Freeman and BIODIVERSITY CONSERVATION
Jason Freeman David Macdonald
THE APOCRYPHAL GOSPELS BIOGEOGRAPHY Mark V. Lomolino
Paul Foster BIOGRAPHY Hermione Lee
APPLIED MATHEMATICS BIOMETRICS Michael Fairhurst
Alain Goriely ELIZABETH BISHOP
THOMAS AQUINAS Fergus Kerr Jonathan F. S. Post
ARBITRATION Thomas Schultz and BLACK HOLES Katherine Blundell
Thomas Grant BLASPHEMY Yvonne Sherwood
ARCHAEOLOGY Paul Bahn BLOOD Chris Cooper
ARCHITECTURE Andrew Ballantyne THE BLUES Elijah Wald
THE ARCTIC Klaus Dodds and THE BODY Chris Shilling
Jamie Woodward THE BOHEMIANS David Weir
HANNAH ARENDT Dana Villa NIELS BOHR J. L. Heilbron
ARISTOCRACY William Doyle THE BOOK OF COMMON PRAYER
ARISTOTLE Jonathan Barnes Brian Cummings
ART HISTORY Dana Arnold THE BOOK OF MORMON
ART THEORY Cynthia Freeland Terryl Givens
ARTIFICIAL INTELLIGENCE BORDERS Alexander C. Diener and
Margaret A. Boden Joshua Hagen
ASIAN AMERICAN HISTORY THE BRAIN Michael O’Shea
Madeline Y. Hsu BRANDING Robert Jones
ASTROBIOLOGY David C. Catling THE BRICS Andrew F. Cooper
BRITISH CINEMA Charles Barr COGNITIVE BEHAVIOURAL
THE BRITISH CONSTITUTION THERAPY Freda McManus
Martin Loughlin COGNITIVE NEUROSCIENCE
THE BRITISH EMPIRE Ashley Jackson Richard Passingham
BRITISH POLITICS Tony Wright THE COLD WAR Robert J. McMahon
BUDDHA Michael Carrithers COLONIAL AMERICA Alan Taylor
BUDDHISM Damien Keown COLONIAL LATIN AMERICAN
BUDDHIST ETHICS Damien Keown LITERATURE Rolena Adorno
BYZANTIUM Peter Sarris COMBINATORICS Robin Wilson
CALVINISM Jon Balserak COMEDY Matthew Bevis
ALBERT CAMUS Oliver Gloag COMMUNISM Leslie Holmes
CANADA Donald Wright COMPARATIVE LITERATURE
CANCER Nicholas James Ben Hutchinson
CAPITALISM James Fulcher COMPETITION AND ANTITRUST
CATHOLICISM Gerald O’Collins LAW Ariel Ezrachi
CAUSATION Stephen Mumford and COMPLEXITY John H. Holland
Rani Lill Anjum THE COMPUTER Darrel Ince
THE CELL Terence Allen and COMPUTER SCIENCE
Graham Cowling Subrata Dasgupta
THE CELTS Barry Cunliffe CONCENTRATION CAMPS
CHAOS Leonard Smith Dan Stone
GEOFFREY CHAUCER David Wallace CONDENSED MATTER PHYSICS
CHEMISTRY Peter Atkins Ross H. McKenzie
CHILD PSYCHOLOGY Usha Goswami CONFUCIANISM Daniel K. Gardner
CHILDREN’S LITERATURE THE CONQUISTADORS
Kimberley Reynolds Matthew Restall and
CHINESE LITERATURE Sabina Knight Felipe Fernández-­Armesto
CHOICE THEORY Michael Allingham CONSCIENCE Paul Strohm
CHRISTIAN ART Beth Williamson CONSCIOUSNESS Susan Blackmore
CHRISTIAN ETHICS D. Stephen Long CONTEMPORARY ART
CHRISTIANITY Linda Woodhead Julian Stallabrass
CIRCADIAN RHYTHMS CONTEMPORARY FICTION
Russell Foster and Leon Kreitzman Robert Eaglestone
CITIZENSHIP Richard Bellamy CONTINENTAL PHILOSOPHY
CITY PLANNING Carl Abbott Simon Critchley
CIVIL ENGINEERING COPERNICUS Owen Gingerich
David Muir Wood CORAL REEFS Charles Sheppard
THE CIVIL RIGHTS MOVEMENT CORPORATE SOCIAL
Thomas C. Holt RESPONSIBILITY Jeremy Moon
CLASSICAL LITERATURE William Allan CORRUPTION Leslie Holmes
CLASSICAL MYTHOLOGY COSMOLOGY Peter Coles
Helen Morales COUNTRY MUSIC Richard Carlin
CLASSICS Mary Beard and CREATIVITY Vlad Glăveanu
John Henderson CRIME FICTION Richard Bradford
CLAUSEWITZ Michael Howard CRIMINAL JUSTICE Julian V. Roberts
CLIMATE Mark Maslin CRIMINOLOGY Tim Newburn
CLIMATE CHANGE Mark Maslin CRITICAL THEORY
CLINICAL PSYCHOLOGY Stephen Eric Bronner
Susan Llewelyn and THE CRUSADES
Katie Aafjes-­van Doorn Christopher Tyerman
CRYPTOGRAPHY Fred Piper and EMOTION Dylan Evans
Sean Murphy EMPIRE Stephen Howe
CRYSTALLOGRAPHY A. M. Glazer EMPLOYMENT LAW David Cabrelli
THE CULTURAL REVOLUTION ENERGY SYSTEMS Nick Jenkins
Richard Curt Kraus ENGELS Terrell Carver
DADA AND SURREALISM ENGINEERING David Blockley
David Hopkins THE ENGLISH LANGUAGE
DANTE Peter Hainsworth and Simon Horobin
David Robey ENGLISH LITERATURE Jonathan Bate
DARWIN Jonathan Howard THE ENLIGHTENMENT
THE DEAD SEA SCROLLS John Robertson
Timothy H. Lim ENTREPRENEURSHIP Paul Westhead
DECADENCE David Weir and Mike Wright
DECOLONIZATION Dane Kennedy ENVIRONMENTAL ECONOMICS
DEMENTIA Kathleen Taylor Stephen Smith
DEMOCRACY Naomi Zack ENVIRONMENTAL ETHICS
DEMOGRAPHY Sarah Harper Robin Attfield
DEPRESSION Jan Scott and ENVIRONMENTAL LAW
Mary Jane Tacchi Elizabeth Fisher
DERRIDA Simon Glendinning ENVIRONMENTAL POLITICS
DESCARTES Tom Sorell Andrew Dobson
DESERTS Nick Middleton ENZYMES Paul Engel
DESIGN John Heskett EPICUREANISM Catherine Wilson
DEVELOPMENT Ian Goldin EPIDEMIOLOGY Rodolfo Saracci
DEVELOPMENTAL BIOLOGY ETHICS Simon Blackburn
Lewis Wolpert ETHNOMUSICOLOGY Timothy Rice
THE DEVIL Darren Oldridge THE ETRUSCANS Christopher Smith
DIASPORA Kevin Kenny EUGENICS Philippa Levine
CHARLES DICKENS Jenny Hartley THE EUROPEAN UNION
DICTIONARIES Lynda Mugglestone Simon Usherwood and John Pinder
DINOSAURS David Norman EUROPEAN UNION LAW
DIPLOMATIC HISTORY Anthony Arnull
Joseph M. Siracusa EVANGELICALISM
DOCUMENTARY FILM John G. Stackhouse Jr.
Patricia Aufderheide EVIL Luke Russell
DREAMING J. Allan Hobson EVOLUTION Brian and
DRUGS Les Iversen Deborah Charlesworth
DRUIDS Barry Cunliffe EXISTENTIALISM Thomas Flynn
DYNASTY Jeroen Duindam EXPLORATION Stewart A. Weaver
DYSLEXIA Margaret J. Snowling EXTINCTION Paul B. Wignall
EARLY MUSIC Thomas Forrest Kelly THE EYE Michael Land
THE EARTH Martin Redfern FAIRY TALE Marina Warner
EARTH SYSTEM SCIENCE Tim Lenton FAMILY LAW Jonathan Herring
ECOLOGY Jaboury Ghazoul MICHAEL FARADAY
ECONOMICS Partha Dasgupta Frank A. J. L. James
EDUCATION Gary Thomas FASCISM Kevin Passmore
EGYPTIAN MYTH Geraldine Pinch FASHION Rebecca Arnold
EIGHTEENTH‑CENTURY BRITAIN FEDERALISM Mark J. Rozell and
Paul Langford Clyde Wilcox
THE ELEMENTS Philip Ball FEMINISM Margaret Walters
FILM Michael Wood GLOBAL ECONOMIC HISTORY
FILM MUSIC Kathryn Kalinak Robert C. Allen
FILM NOIR James Naremore GLOBAL ISLAM Nile Green
FIRE Andrew C. Scott GLOBALIZATION Manfred B. Steger
THE FIRST WORLD WAR GOD John Bowker
Michael Howard GÖDEL’S THEOREM A. W. Moore
FLUID MECHANICS Eric Lauga GOETHE Ritchie Robertson
FOLK MUSIC Mark Slobin THE GOTHIC Nick Groom
FOOD John Krebs GOVERNANCE Mark Bevir
FORENSIC PSYCHOLOGY GRAVITY Timothy Clifton
David Canter THE GREAT DEPRESSION AND THE
FORENSIC SCIENCE Jim Fraser NEW DEAL Eric Rauchway
FORESTS Jaboury Ghazoul HABEAS CORPUS Amanda L. Tyler
FOSSILS Keith Thomson HABERMAS James Gordon Finlayson
FOUCAULT Gary Gutting THE HABSBURG EMPIRE
THE FOUNDING FATHERS Martyn Rady
R. B. Bernstein HAPPINESS Daniel M. Haybron
FRACTALS Kenneth Falconer THE HARLEM RENAISSANCE
FREE SPEECH Nigel Warburton Cheryl A. Wall
FREE WILL Thomas Pink THE HEBREW BIBLE AS LITERATURE
FREEMASONRY Andreas Önnerfors Tod Linafelt
FRENCH LITERATURE John D. Lyons HEGEL Peter Singer
FRENCH PHILOSOPHY HEIDEGGER Michael Inwood
Stephen Gaukroger and Knox Peden THE HELLENISTIC AGE
THE FRENCH REVOLUTION Peter Thonemann
William Doyle HEREDITY John Waller
FREUD Anthony Storr HERMENEUTICS Jens Zimmermann
FUNDAMENTALISM Malise Ruthven HERODOTUS Jennifer T. Roberts
FUNGI Nicholas P. Money HIEROGLYPHS Penelope Wilson
THE FUTURE Jennifer M. Gidley HINDUISM Kim Knott
GALAXIES John Gribbin HISTORY John H. Arnold
GALILEO Stillman Drake THE HISTORY OF ASTRONOMY
GAME THEORY Ken Binmore Michael Hoskin
GANDHI Bhikhu Parekh THE HISTORY OF CHEMISTRY
GARDEN HISTORY Gordon Campbell William H. Brock
GENES Jonathan Slack THE HISTORY OF CHILDHOOD
GENIUS Andrew Robinson James Marten
GENOMICS John Archibald THE HISTORY OF CINEMA
GEOGRAPHY John Matthews and Geoffrey Nowell-­Smith
David Herbert THE HISTORY OF COMPUTING
GEOLOGY Jan Zalasiewicz Doron Swade
GEOMETRY Maciej Dunajski THE HISTORY OF EMOTIONS
GEOPHYSICS William Lowrie Thomas Dixon
GEOPOLITICS Klaus Dodds THE HISTORY OF LIFE Michael Benton
GERMAN LITERATURE Nicholas Boyle THE HISTORY OF MATHEMATICS
GERMAN PHILOSOPHY Jacqueline Stedall
Andrew Bowie THE HISTORY OF MEDICINE
THE GHETTO Bryan Cheyette William Bynum
GLACIATION David J. A. Evans THE HISTORY OF PHYSICS
GLOBAL CATASTROPHES Bill McGuire J. L. Heilbron
THE HISTORY OF POLITICAL INTERNATIONAL RELATIONS
THOUGHT Richard Whatmore Christian Reus-­Smit
THE HISTORY OF TIME INTERNATIONAL SECURITY
Leofranc Holford‑Strevens Christopher S. Browning
HIV AND AIDS Alan Whiteside INSECTS Simon Leather
HOBBES Richard Tuck INVASIVE SPECIES Julie Lockwood and
HOLLYWOOD Peter Decherney Dustin Welbourne
THE HOLY ROMAN EMPIRE IRAN Ali M. Ansari
Joachim Whaley ISLAM Malise Ruthven
HOME Michael Allen Fox ISLAMIC HISTORY Adam Silverstein
HOMER Barbara Graziosi ISLAMIC LAW Mashood A. Baderin
HORMONES Martin Luck ISOTOPES Rob Ellam
HORROR Darryl Jones ITALIAN LITERATURE
HUMAN ANATOMY Peter Hainsworth and David Robey
Leslie Klenerman HENRY JAMES Susan L. Mizruchi
HUMAN EVOLUTION Bernard Wood JAPANESE LITERATURE Alan Tansman
HUMAN PHYSIOLOGY JESUS Richard Bauckham
Jamie A. Davies JEWISH HISTORY David N. Myers
HUMAN RESOURCE JEWISH LITERATURE Ilan Stavans
MANAGEMENT Adrian Wilkinson JOURNALISM Ian Hargreaves
HUMAN RIGHTS Andrew Clapham JAMES JOYCE Colin MacCabe
HUMANISM Stephen Law JUDAISM Norman Solomon
HUME James A. Harris JUNG Anthony Stevens
HUMOUR Noël Carroll THE JURY Renée Lettow Lerner
IBN SĪNĀ (AVICENNA) Peter Adamson KABBALAH Joseph Dan
THE ICE AGE Jamie Woodward KAFKA Ritchie Robertson
IDENTITY Florian Coulmas KANT Roger Scruton
IDEOLOGY Michael Freeden KEYNES Robert Skidelsky
IMAGINATION KIERKEGAARD Patrick Gardiner
Jennifer Gosetti-­Ferencei KNOWLEDGE Jennifer Nagel
THE IMMUNE SYSTEM THE KORAN Michael Cook
Paul Klenerman KOREA Michael J. Seth
INDIAN CINEMA LAKES Warwick F. Vincent
Ashish Rajadhyaksha LANDSCAPE ARCHITECTURE
INDIAN PHILOSOPHY Sue Hamilton Ian H. Thompson
THE INDUSTRIAL REVOLUTION LANDSCAPES AND
Robert C. Allen GEOMORPHOLOGY
INFECTIOUS DISEASE Marta L. Wayne Andrew Goudie and Heather Viles
and Benjamin M. Bolker LANGUAGES Stephen R. Anderson
INFINITY Ian Stewart LATE ANTIQUITY Gillian Clark
INFORMATION Luciano Floridi LAW Raymond Wacks
INNOVATION Mark Dodgson and THE LAWS OF THERMODYNAMICS
David Gann Peter Atkins
INTELLECTUAL PROPERTY LEADERSHIP Keith Grint
Siva Vaidhyanathan LEARNING Mark Haselgrove
INTELLIGENCE Ian J. Deary LEIBNIZ Maria Rosa Antognazza
INTERNATIONAL LAW C. S. LEWIS James Como
Vaughan Lowe LIBERALISM Michael Freeden
INTERNATIONAL MIGRATION LIGHT Ian Walmsley
Khalid Koser LINCOLN Allen C. Guelzo
LINGUISTICS Peter Matthews MICROECONOMICS
LITERARY THEORY Jonathan Culler Avinash Dixit
LOCKE John Dunn MICROSCOPY Terence Allen
LOGIC Graham Priest THE MIDDLE AGES Miri Rubin
LOVE Ronald de Sousa MILITARY JUSTICE Eugene R. Fidell
MARTIN LUTHER Scott H. Hendrix MILITARY STRATEGY
MACHIAVELLI Quentin Skinner Antulio J. Echevarria II
MADNESS Andrew Scull JOHN STUART MILL Gregory Claeys
MAGIC Owen Davies MINERALS David Vaughan
MAGNA CARTA Nicholas Vincent MIRACLES Yujin Nagasawa
MAGNETISM Stephen Blundell MODERN ARCHITECTURE
MALTHUS Donald Winch Adam Sharr
MAMMALS T. S. Kemp MODERN ART David Cottington
MANAGEMENT John Hendry MODERN BRAZIL Anthony W. Pereira
NELSON MANDELA Elleke Boehmer MODERN CHINA Rana Mitter
MAO Delia Davin MODERN DRAMA
MARINE BIOLOGY Philip V. Mladenov Kirsten E. Shepherd-­Barr
MARKETING MODERN FRANCE
Kenneth Le Meunier-­FitzHugh Vanessa R. Schwartz
THE MARQUIS DE SADE John Phillips MODERN INDIA Craig Jeffrey
MARTYRDOM Jolyon Mitchell MODERN IRELAND Senia Pašeta
MARX Peter Singer MODERN ITALY Anna Cento Bull
MATERIALS Christopher Hall MODERN JAPAN
MATHEMATICAL ANALYSIS Christopher Goto-­Jones
Richard Earl MODERN LATIN AMERICAN
MATHEMATICAL FINANCE LITERATURE
Mark H. A. Davis Roberto González Echevarría
MATHEMATICS Timothy Gowers MODERN WAR Richard English
MATTER Geoff Cottrell MODERNISM Christopher Butler
THE MAYA Matthew Restall and MOLECULAR BIOLOGY
Amara Solari Aysha Divan and Janice A. Royds
THE MEANING OF LIFE MOLECULES Philip Ball
Terry Eagleton MONASTICISM Stephen J. Davis
MEASUREMENT David Hand THE MONGOLS Morris Rossabi
MEDICAL ETHICS Michael Dunn and MONTAIGNE William M. Hamlin
Tony Hope MOONS David A. Rothery
MEDICAL LAW Charles Foster MORMONISM Richard Lyman Bushman
MEDIEVAL BRITAIN John Gillingham MOUNTAINS Martin F. Price
and Ralph A. Griffiths MUHAMMAD Jonathan A. C. Brown
MEDIEVAL LITERATURE MULTICULTURALISM Ali Rattansi
Elaine Treharne MULTILINGUALISM John C. Maher
MEDIEVAL PHILOSOPHY MUSIC Nicholas Cook
John Marenbon MUSIC AND TECHNOLOGY
MEMORY Jonathan K. Foster Mark Katz
METAPHYSICS Stephen Mumford MYTH Robert A. Segal
METHODISM William J. Abraham NANOTECHNOLOGY Philip Moriarty
THE MEXICAN REVOLUTION NAPOLEON David A. Bell
Alan Knight THE NAPOLEONIC WARS
MICROBIOLOGY Nicholas P. Money Mike Rapport
MICROBIOMES Angela E. Douglas NATIONALISM Steven Grosby
NATIVE AMERICAN THE PALESTINIAN-­ISRAELI
LITERATURE Sean Teuton CONFLICT Martin Bunton
NAVIGATION Jim Bennett PANDEMICS Christian W. McMillen
NAZI GERMANY Jane Caplan PARTICLE PHYSICS Frank Close
NEGOTIATION Carrie Menkel-­Meadow PAUL E. P. Sanders
NEOLIBERALISM Manfred B. Steger IVAN PAVLOV Daniel P. Todes
and Ravi K. Roy PEACE Oliver P. Richmond
NETWORKS Guido Caldarelli and PENTECOSTALISM William K. Kay
Michele Catanzaro PERCEPTION Brian Rogers
THE NEW TESTAMENT THE PERIODIC TABLE Eric R. Scerri
Luke Timothy Johnson PHILOSOPHICAL METHOD
THE NEW TESTAMENT AS Timothy Williamson
LITERATURE Kyle Keefer PHILOSOPHY Edward Craig
NEWTON Robert Iliffe PHILOSOPHY IN THE ISLAMIC
NIETZSCHE Michael Tanner WORLD Peter Adamson
NINETEENTH‑CENTURY BRITAIN PHILOSOPHY OF BIOLOGY
Christopher Harvie and Samir Okasha
H. C. G. Matthew PHILOSOPHY OF LAW
THE NORMAN CONQUEST Raymond Wacks
George Garnett PHILOSOPHY OF MIND
NORTH AMERICAN INDIANS Barbara Gail Montero
Theda Perdue and Michael D. Green PHILOSOPHY OF PHYSICS
NORTHERN IRELAND David Wallace
Marc Mulholland PHILOSOPHY OF SCIENCE
NOTHING Frank Close Samir Okasha
NUCLEAR PHYSICS Frank Close PHILOSOPHY OF RELIGION
NUCLEAR POWER Maxwell Irvine Tim Bayne
NUCLEAR WEAPONS PHOTOGRAPHY Steve Edwards
Joseph M. Siracusa PHYSICAL CHEMISTRY Peter Atkins
NUMBER THEORY Robin Wilson PHYSICS Sidney Perkowitz
NUMBERS Peter M. Higgins PILGRIMAGE Ian Reader
NUTRITION David A. Bender PLAGUE Paul Slack
OBJECTIVITY Stephen Gaukroger PLANETARY SYSTEMS
OBSERVATIONAL ASTRONOMY Raymond T. Pierrehumbert
Geoff Cottrell PLANETS David A. Rothery
OCEANS Dorrik Stow PLANTS Timothy Walker
THE OLD TESTAMENT PLATE TECTONICS Peter Molnar
Michael D. Coogan PLATO Julia Annas
THE ORCHESTRA D. Kern Holoman POETRY Bernard O’Donoghue
ORGANIC CHEMISTRY POLITICAL PHILOSOPHY David Miller
Graham Patrick POLITICS Kenneth Minogue
ORGANIZATIONS Mary Jo Hatch POLYGAMY Sarah M. S. Pearsall
ORGANIZED CRIME POPULISM Cas Mudde and
Georgios A. Antonopoulos and Cristóbal Rovira Kaltwasser
Georgios Papanicolaou POSTCOLONIALISM Robert J. C. Young
ORTHODOX CHRISTIANITY POSTMODERNISM Christopher Butler
A. Edward Siecienski POSTSTRUCTURALISM
OVID Llewelyn Morgan Catherine Belsey
PAGANISM Owen Davies POVERTY Philip N. Jefferson
PAKISTAN Pippa Virdee PREHISTORY Chris Gosden
PRESOCRATIC PHILOSOPHY THE ROMAN EMPIRE
Catherine Osborne Christopher Kelly
PRIVACY Raymond Wacks THE ROMAN REPUBLIC
PROBABILITY John Haigh David M. Gwynn
PROGRESSIVISM Walter Nugent ROMANTICISM Michael Ferber
PROHIBITION W. J. Rorabaugh ROUSSEAU Robert Wokler
PROJECTS Andrew Davies RUSSELL A. C. Grayling
PROTESTANTISM Mark A. Noll THE RUSSIAN ECONOMY
PSEUDOSCIENCE Michael D. Gordin Richard Connolly
PSYCHIATRY Tom Burns RUSSIAN HISTORY Geoffrey Hosking
PSYCHOANALYSIS Daniel Pick RUSSIAN LITERATURE Catriona Kelly
PSYCHOLOGY Gillian Butler and THE RUSSIAN REVOLUTION
Freda McManus S. A. Smith
PSYCHOLOGY OF MUSIC SAINTS Simon Yarrow
Elizabeth Hellmuth Margulis SAMURAI Michael Wert
PSYCHOPATHY Essi Viding SAVANNAS Peter A. Furley
PSYCHOTHERAPY Tom Burns and SCEPTICISM Duncan Pritchard
Eva Burns-­Lundgren SCHIZOPHRENIA Chris Frith and
PUBLIC ADMINISTRATION Eve Johnstone
Stella Z. Theodoulou and Ravi K. Roy SCHOPENHAUER
PUBLIC HEALTH Virginia Berridge Christopher Janaway
PURITANISM Francis J. Bremer SCIENCE AND RELIGION
THE QUAKERS Pink Dandelion Thomas Dixon and Adam R. Shapiro
QUANTUM THEORY SCIENCE FICTION David Seed
John Polkinghorne THE SCIENTIFIC REVOLUTION
RACISM Ali Rattansi Lawrence M. Principe
RADIOACTIVITY Claudio Tuniz SCOTLAND Rab Houston
RASTAFARI Ennis B. Edmonds SECULARISM Andrew Copson
READING Belinda Jack SEXUAL SELECTION Marlene Zuk and
THE REAGAN REVOLUTION Gil Troy Leigh W. Simmons
REALITY Jan Westerhoff SEXUALITY Véronique Mottier
RECONSTRUCTION Allen C. Guelzo WILLIAM SHAKESPEARE
THE REFORMATION Peter Marshall Stanley Wells
REFUGEES Gil Loescher SHAKESPEARE’S COMEDIES
RELATIVITY Russell Stannard Bart van Es
RELIGION Thomas A. Tweed SHAKESPEARE’S SONNETS AND
RELIGION IN AMERICA Timothy Beal POEMS Jonathan F. S. Post
THE RENAISSANCE Jerry Brotton SHAKESPEARE’S TRAGEDIES
RENAISSANCE ART Stanley Wells
Geraldine A. Johnson GEORGE BERNARD SHAW
RENEWABLE ENERGY Nick Jelley Christopher Wixson
REPTILES T. S. Kemp MARY SHELLEY Charlotte Gordon
REVOLUTIONS Jack A. Goldstone THE SHORT STORY Andrew Kahn
RHETORIC Richard Toye SIKHISM Eleanor Nesbitt
RISK Baruch Fischhoff and John Kadvany SILENT FILM Donna Kornhaber
RITUAL Barry Stephenson THE SILK ROAD James A. Millward
RIVERS Nick Middleton SLANG Jonathon Green
ROBOTICS Alan Winfield SLEEP Steven W. Lockley and
ROCKS Jan Zalasiewicz Russell G. Foster
ROMAN BRITAIN Peter Salway SMELL Matthew Cobb
ADAM SMITH Christopher J. Berry TIME Jenann Ismael
SOCIAL AND CULTURAL TOCQUEVILLE Harvey C. Mansfield
ANTHROPOLOGY LEO TOLSTOY Liza Knapp
John Monaghan and Peter Just TOPOLOGY Richard Earl
SOCIAL PSYCHOLOGY Richard J. Crisp TRAGEDY Adrian Poole
SOCIAL WORK Sally Holland and TRANSLATION Matthew Reynolds
Jonathan Scourfield THE TREATY OF VERSAILLES
SOCIALISM Michael Newman Michael S. Neiberg
SOCIOLINGUISTICS John Edwards TRIGONOMETRY Glen Van Brummelen
SOCIOLOGY Steve Bruce THE TROJAN WAR Eric H. Cline
SOCRATES C. C. W. Taylor TRUST Katherine Hawley
SOFT MATTER Tom McLeish THE TUDORS John Guy
SOUND Mike Goldsmith TWENTIETH‑CENTURY BRITAIN
SOUTHEAST ASIA James R. Rush Kenneth O. Morgan
THE SOVIET UNION Stephen Lovell TYPOGRAPHY Paul Luna
THE SPANISH CIVIL WAR THE UNITED NATIONS
Helen Graham Jussi M. Hanhimäki
SPANISH LITERATURE Jo Labanyi UNIVERSITIES AND COLLEGES
THE SPARTANS Andrew J. Bayliss David Palfreyman and Paul Temple
SPINOZA Roger Scruton THE U.S. CIVIL WAR Louis P. Masur
SPIRITUALITY Philip Sheldrake THE U.S. CONGRESS Donald A. Ritchie
SPORT Mike Cronin THE U.S. CONSTITUTION
STARS Andrew King David J. Bodenhamer
STATISTICS David J. Hand THE U.S. SUPREME COURT
STEM CELLS Jonathan Slack Linda Greenhouse
STOICISM Brad Inwood UTILITARIANISM
STRUCTURAL ENGINEERING Katarzyna de Lazari-­Radek and
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Marta L. Wayne and Benjamin M. Bolker

INFECTIOUS
DISEASE
A Very Short Introduction
second edition
Great Clarendon Street, Oxford, OX2 6DP,
United Kingdom
Oxford University Press is a department of the University of Oxford.
It furthers the University’s objective of excellence in research, scholarship,
and education by publishing worldwide. Oxford is a registered trade mark of
Oxford University Press in the UK and in certain other countries
© Marta L. Wayne & Benjamin M. Bolker 2023
The moral rights of the authors have been asserted
First edition published 2015
All rights reserved. No part of this publication may be reproduced, stored in
a retrieval system, or transmitted, in any form or by any means, without the
prior permission in writing of Oxford University Press, or as expressly permitted
by law, by licence or under terms agreed with the appropriate reprographics
rights organization. Enquiries concerning reproduction outside the scope of the
above should be sent to the Rights Department, Oxford University Press, at the
address above
You must not circulate this work in any other form
and you must impose this same condition on any acquirer
Published in the United States of America by Oxford University Press
198 Madison Avenue, New York, NY 10016, United States of America
British Library Cataloguing in Publication Data
Data available
Library of Congress Control Number: 2023935107
ISBN 978–0–19–285851–1
Printed and bound by
CPI Group (UK) Ltd, Croydon, CR0 4YY
Links to third party websites are provided by Oxford in good faith and
for information only. Oxford disclaims any responsibility for the materials
contained in any third party website referenced in this work.
Contents

Acknowledgements xvii

List of illustrations xix

1 Infection is inevitable 1

2 Transmission at different scales 11

3 Influenza 28

4 HIV/AIDS 42

5 Cholera 56

6 Malaria 69

7 Amphibian chytrid fungus 86

8 SARS-­CoV-­2/COVID-­19 100

9 Looking ahead 112

Further reading 125

Index 137
Acknowledgements

For Charlie, Norma, Tara, and (in memoriam) Django. We


acknowledge the partial support of the US National Institutes
of Health. We would like to thank the understanding and
professional editorial staff at Oxford University Press, especially
Cathy Kennedy, along with our colleagues who contributed
friendly reviews and technical advice: Rustom Antia,
Janis Antonovics, Ottar Bjørnstad, Julia Buck, Robin Bush,
Derek Cummings, Jonathan Dushoff, David Earn, Tom Hladish,
David Hillis, Lindsay Keegan, Marm Kilpatrick, Aaron King,
Marc Lipsitch, Ana Longo, Glenn Morris, Juliet Pulliam,
Marco Salemi, and David Smith. Needless to say, we are entirely
responsible for any remaining errors or oversimplifications.
List of illustrations

1 SIR model 19 4 Contact network 37

2 Critical control level 5 Phylogenetic trees for


required to eradicate an HIV and influenza 51
infectious disease 20

3 Within-­host compartmental
model 25
Chapter 1
Infection is inevitable

We talk about ‘infectious lyrics’ and ‘viral videos’. Metaphors of


infectious disease saturate Western popular culture in the 21st
century. The COVID-­19 pandemic of the early 2020s has focused
the world’s attention on infectious disease, but it is only the latest
infectious disease of the 21st century (after SARS, H1N1 influenza,
Ebola, and Zika) and it will not be the last.

As recently as the 1970s, doctors were boldly proclaiming the


beginning of the end for infectious disease. They thought their
arsenal of vaccines for preventing viral diseases and broad-­spectrum
antibiotics for treating bacterial infections could handle any threat.
But disease was never dead, or even in remission. Even as the
doctors announced victory, drug resistant strains of Staphylococcus
aureus (one of the ‘flesh-­eating bacteria’ of British tabloids) were
spreading in hospitals. (Japan had experienced outbreaks of drug
resistant bacteria in the 1950s, but at the time these epidemics
were little noticed in the West.) Things got worse as HIV, which
has stubbornly resisted the development of vaccines to the present
day, emerged in the 1980s. In recognition of the renewed threat of
infectious disease, the US Institute of Medicine coined the phrase
‘emerging and re-­emerging diseases’ in the early 1990s.

An infectious disease is one that you can catch from another


person or organism as a result of the transmission of a biological
1
agent. In contrast, you fall ill with non-­infectious diseases—­heart
disease, diabetes, Alzheimer’s—­because of a combination of your
environment and genes inherited from your parents. The agents
that cause infectious disease are called pathogens or (more
broadly) parasites. While biologists once used ‘parasite’ only to
describe relatively large disease-­causing agents such as tapeworms
or ticks, they now include microorganisms (viruses, bacteria,
fungi, and protists) in this category as well, making the two terms
more or less synonymous.

Infectious disease frightens us precisely because it is infectious. Its


agents are invisible to the naked eye and thus largely unavoidable,
except by entirely eschewing human contact. Edgar Allan Poe
illustrated the fear of infection, as well as the futility of cutting off
human contact to evade infectious disease, in his 1842 story The
Masque of the Red Death. In Poe’s story, a group of wealthy nobles
Infectious Disease

withdraw to an isolated location to escape from a plague called the


Red Death. Ultimately, a costumed stranger infiltrates the group
at a masquerade ball. Despite their precautions, the entire group
succumbs to the disease.

However ineffective it might be, for most of human history the


strategy taken by Poe’s nobles—­avoiding disease transmission—­has
been the only way to combat infectious disease. As the COVID-­19
pandemic has shown, this strategy remains necessary even in the
21st century. Since the mechanisms of disease transmission were
unknown until the mid-­19th century, all human societies could do
in the face of an epidemic was to cut off contact with infected
areas. In 1665, Isaac Newton retreated to the countryside to avoid
the Great Plague of London—­and incidentally invented calculus
and discovered the law of gravity. In the same year, the English
village of Eyam voluntarily quarantined itself to prevent the
spread of the plague, with half or more of the villagers ultimately
dying. The word ‘quarantine’, which now describes the compulsory
isolation of potentially infected people to avoid transmission
to others, is derived from ‘quaranta giorni’, the 40 days that
2
ships had to wait outside the city of Venice to be sure they were
free of plague.

Quarantines (at least those better than the one in Poe’s story) do
block transmission, but they are fundamentally reactive—­they are
only imposed once we become aware of a serious threat of disease.
They help only healthy people living in uninfected populations,
not individuals who have already been infected or uninfected
people unlucky enough to be stuck in the quarantine zone. On the
other hand, quarantines can be effective against any disease,
provided that we know something about its mode of transmission
(since plague is generally spread by rat fleas, preventing
communication among humans while allowing rats to move freely
is useless).

Quarantines are deployed to protect groups of people, rather than

Infection is inevitable
individuals. As medical science improved, public health officials
began to shift their focus from the protection of populations to the
protection of individuals. Immunization—­the process of
protecting people by stimulating their immune systems with
foreign substances such as mild pathogen strains or toxins—­was
the first of several major breakthroughs in individual-­focused
infectious disease control. Immunization for smallpox was widely
practised in Africa, China, India, and Turkey by the early 18th
century. It achieved public visibility in the West following its
importation to England in 1721 by Lady Mary Wortley Montagu,
the wife of the British ambassador to Turkey, and more
spectacularly via an ‘experiment’ in the same year promoted by
clergyman Cotton Mather of the colonial city of Boston,
Massachusetts. In the face of a smallpox outbreak, Mather and his
medical colleague Zabdiel Boylston promoted immunization
rather recklessly, against the will of the majority of his fellow
Bostonians. Despite several deaths, the experiment demonstrated
an effective alternative to physical isolation: immunization
protected individuals from infection without restricting anyone’s
freedom of movement.
3
Mather and Boylston’s experiment also illustrated an ethical
conflict between controlling disease for the benefit of an
individual and controlling disease for the benefit of an entire
population. Bostonians who were successfully immunized were
safe from disease, but for several days following immunization
they could have transmitted the disease to unprotected
individuals. Most modern immunizations involve non-­infectious
substances, so this particular problem is of lesser concern today,
but the conflict between individual and public health, and
between individual rights and public health, is very much alive.

Most immunizations can only prevent healthy individuals from


becoming infected, or reduce the impact of infection, not cure
infected people. Individual-­level control of disease took another
leap forward in the mid-­20th century with the advent of antibiotic
chemicals. First derived from common household moulds,
Infectious Disease

bacteria, and even fabric dyes, antibiotics could be used to cure


individuals who were already infected. The possibility of curing
disease also lessened the fear of quarantine, which had previously
been seen as a death sentence.

Between antibiotics to cure harmful bacterial infections and a


wave of new and effective vaccines to prevent diseases such as
polio, measles, and pertussis, an infectious disease-­free future
must have seemed within reach to the public health officials of the
1970s. However, public health officials were quickly faced with
proof that individual-­level control fails for many diseases.
Vaccines work by priming the human immune system, and thus
they are much harder to develop for disease agents such as
malaria or HIV that have evolved strategies for evading the
immune system. Antibiotics are only effective against bacteria, not
other microorganisms such as viruses or fungi (while antiviral and
antifungal chemicals do exist, they are much less broadly effective
than antibiotics). With the realization in the late 20th century that
infectious diseases were not vanquished after all, research began
to shift back towards population-­level control.
4
So far we have divided treatments according to whether they
primarily help populations (quarantine) or individuals
(immunization/vaccination, antibiotics). Looking more closely,
however, we can see that both antibiotics and immunization do
help protect populations, as well as benefiting the individuals who
receive treatment. Using drugs to cure sick people reduces the
impact of infectious disease, because people who recover also stop
infecting others. Thus, treating sick people can reduce transmission.
Using vaccines to protect people from infection means that some
potentially infectious contacts (activities by infected people such as
sneezing or sexual activity, depending on the disease) are wasted on
people who are protected from disease, again reducing transmission.
This so-­called herd immunity reduces the size of an epidemic even
beyond the direct effects of vaccination. If we immunize enough of
the population, we can reduce transmission sufficiently to stamp out
an epidemic. If we can do this at a global scale, then the disease will

Infection is inevitable
become extinct (as in the case of smallpox, one extinction that
doesn’t bother environmentalists).

If the problem were just that some diseases are harder to control
than others, we would still be making progress, albeit slowly, in
the fight against infectious disease. Modern molecular biology has
provided us with a variety of new antiviral drugs, and vaccines are
in development even for such difficult cases as malaria and
HIV. But both humans and infectious disease agents are living
organisms, and all living organisms undergo ecological and
evolutionary change, making infectious disease a moving target.
Our growing recognition that we (and our plagues!) are tied to the
wheel of life, and our realization that individual-­level approaches
have failed to free us from the wheel, drives the shift in infectious
disease research today.

Ecological processes
As much as we try to deny it, humans are subject to the laws of
ecology. We control most aspects of our environment. Motor
5
vehicles have replaced large predators as the leading category of
violent death; we have wiped out most of our potential
competitors; and we have domesticated the organisms below us in
the food chain. But infectious disease still connects us to ecology’s
global web.

The most important disease–­ecology connection is zoonosis, the


transmission of new diseases from animal reservoir hosts to
humans: COVID-­19 may be the most spectacular example, but
many of the new and emerging diseases that we haven’t got a
handle on come from animals: Ebola, SARS, avian (H5N1)
influenza, and hantavirus are a few of the better-­known examples.
In fact, almost all infectious diseases originate in this way, and
most emerging disease threats are zoonotic. Since it is difficult to
vaccinate or design drugs against unknown diseases, this parade
of new threats is terrifying: we don’t know when the next
Infectious Disease

‘super-­disease’ might emerge.

Zoonoses are as old as humanity. Smallpox is thought to have


moved from rodents into humans at least 16,000 years ago;
measles probably moved from cattle to humans when humans first
started to live in large cities; and HIV jumped from monkeys and
chimpanzees to humans in the early 20th century. However, rapid
human population growth and changes in land use have increased
human–­animal contact, whether in the tropical rainforest
(HIV and Ebola) or in the temperate suburbs (Lyme disease).

As well as coming into more contact with animals, humans are


moving around the planet at an ever-­increasing pace. Contact
between individuals, and thus transmission, can happen much
faster and over much greater distances than when Isaac Newton
moved to the countryside to escape the plague in the 17th century
or when Poe penned The Masque of the Red Death in the 19th
century. Diseases that had previously been confined to narrow
regions (generally low income countries) can rapidly expand
their ranges. This is true not only for human infectious diseases,
6
but also for diseases affecting other species whose infectious agents
are transported by humans in our luggage, in the food with which
we sustain ourselves during travel, or on our shoes. Human travel
and commerce can spread disease indirectly, by transporting
vectors: animals (especially insects) that transmit disease from
one organism to another. For example, the international trade in
used tyres is spreading Aedes mosquitoes, the vector of dengue
fever. As well as vectors, we sometimes move the reservoir hosts of
zoonoses. The first human infections of the Ebola virus outside
Africa, in 1989, came from monkeys (crab-­eating macaques) that
had been imported from the Philippines for animal
experimentation: luckily, the particular strain involved (Ebola
Reston) turned out to be harmless to humans.

Increasing movement spreads vectors and hosts to new areas;


environmental change allows them to thrive in their new homes.

Infection is inevitable
With global climate change, animals and especially temperature-­
sensitive insects can invade new areas in temperate regions.
Although the topic is still controversial, many climate scientists
and some epidemiologists are convinced that mosquito-­borne
diseases like dengue and malaria are already spreading to new
populations under the influence of regional climate change. An
even greater impact comes from more localized environmental
changes driven by human patterns of settlement and economic
activity. For example, the larvae of dengue-­transmitting
mosquitoes thrive in water bodies as small as used tyres and
household water tanks. More generally, as people move from rural
to ever-­growing urban environments, they face greater sewage
problems (spreading cholera and other water-­borne disease) and
encounter new and different kinds of disease-­bearing insects.

Evolutionary processes
Ecology constantly exposes us to new epidemics, but evolution is
even worse: the diseases we already know change even as we
attempt to come to grips with them. As living organisms fighting
7
for survival, infectious diseases don’t accidentally escape our
attempts to control them. They are groomed by natural selection
to escape. Infectious disease is a moving target that moves faster
the harder we try to hit it. Disease biologists frequently invoke
Lewis Carroll’s Red Queen from Through the Looking Glass, who
said: ‘it takes all the running you can do, to keep in the
same place’.

For every disease prevention strategy, infectious diseases have an


evolutionary countermeasure. Bacteria did not evolve antibiotic
resistance in response to human antibiotic use: scientists have
found antibiotic resistance genes similar to modern variants in
DNA extracted from 30,000-­year-­old frozen soil. This isn’t
surprising, because humans did not invent most antibiotics.
Rather, we borrowed or co-­opted them from fungi, which had
evolved them as a strategy for combating bacteria. However, the
Infectious Disease

widespread use of antibiotics in both medicine and agriculture has


allowed bacteria that are resistant to one or more types of
antibiotic to outcompete their susceptible counterparts. Other
organisms, such as the protozoans that cause malaria, have also
evolved resistance to the drugs used to treat them. And when HIV
patients are given a single drug rather than a multi-­drug ‘cocktail’,
the virus evolves drug resistance within their bodies in just a few
weeks. Pathogens evolve resistance to vaccines as well as drugs,
but in a different way. Rather than resistance genes spreading
within the pathogen population, strain replacement occurs—­
previously rare types that are immune to our vaccines, such as the
Omega strain of SARS-­CoV-­2, take over the population.

Although mosquitoes have smaller populations and lower birth


rates than bacteria and viruses, and hence evolve much more
slowly, they too have found evolutionary countermeasures to our
disease control strategies. In high income countries, DDT use was
discontinued as Rachel Carson and others spread the alarm about
its harmful effects on wildlife, but vector control strategies based
on DDT were short-­lived even in middle and low income
8
countries because DDT resistant mosquitoes evolved within a
decade of the onset of mass spraying programmes.

Every aspect of infectious disease biology, not just the ability to


resist or circumvent control measures, is constantly evolving.
Biologists have noted that the virulence of a disease—­how harmful
it is to its host—­is an evolutionary characteristic of the pathogenic
organism. Typically mild diseases can suddenly acquire mutations
that make them much nastier. A small number of mutations in the
West Nile virus (WNV) that arose in the late 1990s made it far
more lethal to birds and mice (and probably humans, although it’s
hard to know for sure since we don’t experiment on humans).

Although mutations are random, evolution by natural selection is


not: once pathogens mutate, their subsequent success depends on
ecological conditions. Biologist Paul Ewald was among the first to

Infection is inevitable
point out that changes in pathogens’ ecological conditions, such as
a shift from direct person-­to-­person transmission to water-­borne
transmission, could favour more virulent forms of infectious
diseases. The rise of global air travel may drive evolutionary as
well as ecological changes in disease: some biologists have pointed
out that mixing between spatially separated populations can
encourage virulence, although so far there are no verified
real-­world examples of this phenomenon.

Outlook
Given these challenges, the elimination of infectious disease—­the
siren song of the 20th century—­seems hopelessly naive, and
approaches based solely on protecting individuals appear both
untenable and unjust, given inequality in access to healthcare.
It would seem that we must learn to live with infectious disease,
rather than eliminate it. However, we must also strive to reduce
the misery caused by infectious disease. Accordingly, this century
has seen a shift from attempts to eliminate the agents of infectious
disease, to attempts to understand, predict, and manage infectious
9
disease transmission at the population level. Synergistic
approaches, not simply magic bullets, are required for a
sustainable approach for everyone to be able to live well with
infectious disease: we must make use of tools from molecular
biology, economics, and sociology, among others. We will touch on
many of these topics, but focus our book on the disciplines of
ecology and evolution: ecology, because understanding ecological
relationships helps us understand cycles of transmission;
evolution, because disease agents evolve, both on their own and in
response to our efforts to control them.
Infectious Disease

10
Chapter 2
Transmission at
different scales

Transmission defines infectious disease. Transmission occurs


when someone passes a disease to someone else: technically
speaking, when a pathogen that was established in one host
organism’s body succeeds in moving into another host’s body
and establishing itself there.

Transmission occurs in a huge variety of ways. For example, in


transmission of respiratory diseases such as influenza, virus
particles produced by the cells in an infected person’s lungs are
first coughed or sneezed into the surrounding atmosphere. These
infectious particles can survive briefly in the air or on surfaces in
the environment, and thus be directly transmitted from person to
person with minimal contact. The receiving person can either
inhale them directly, or can pick them up by touching a surface
shortly after virus-­containing droplets land there. The receiver can
then transfer virus particles to their nose by touching their face;
from there, the natural movement of air within their nose moves
the virus into their respiratory tract. In the respiratory tract, the
virus particles enter vulnerable cells and resume their cycle of
spreading from one cell to another within the host’s body.

Many viruses, including influenza and diarrhoea-­causing viruses


such as rotavirus, can survive for days in the environment,
building up on particular kinds of objects known as fomites.
11
Fomites may even push male physicians to wear bowties: ever
since health researchers identified regular neckties as potential
fomites, arguments have raged in the medical community about
fashion vs disease control. Influenza viruses can even survive for
several days on banknotes, especially if they are first mixed with
‘nasopharyngeal secretions’ (snot), although we don’t know how
much these survivors contribute to disease transmission.

Pathogens whose infectious particles die very quickly outside the


warm, wet environment of the human body often rely on bodily
fluids being directly transferred from person to person, as in the
case of sexually transmitted diseases such as HIV (see Chapter 4)
and gonorrhoea. While sexual contact was the most common form
of fluid exchange throughout most of human evolutionary history,
these pathogens can also be transmitted by more modern modes
of fluid exchange such as blood transfusions or the sharing of
Infectious Disease

syringes by drug users.

Other pathogens that cannot survive in the environment have


evolved to use biological organisms, especially blood-­sucking
insects, ticks, and mites, as vectors to travel from one host to
another. This strategy requires considerably more biological
machinery than direct transfer between the bodies of two hosts of
the same species. In the extreme case of pathogens with complex
life cycles such as malaria (see Chapter 6), the pathogen goes
through major transformations within the body of the mosquito
vector. In fact, from the perspective of a mosquito-­inhabiting
malaria parasite, a human is just a convenient way to transmit
itself to another mosquito.

Other infectious diseases can persist much better outside their


hosts’ bodies. The agents causing diseases such as cholera (see
Chapter 5), typhoid, and Legionnaires’ disease can survive in
water, making their way from one host to another through
drinking water or air conditioning systems. Anthrax—­which kills
its hosts quickly, reducing the potential for direct transmission
12
from one animal host to another—­produces long-­lasting spores
that survive for years in the environment, infecting grazing
animals years later when they ingest spores attached to soil
particles. Many fungi, such as certain species of Aspergillus, live
primarily as free-­living organisms, but can sometimes grow within
human hosts if they find themselves there, especially if the host
has its immune system weakened by stress or infection with other
diseases. (In contrast to the obligate host dependence of most
pathogens, such opportunistic pathogens can live in a host if one
is available, but do not require a host in order to complete their
life cycles.) The amphibian fungus Batrachochytrium
dendrobatidis (Chapter 7) is closely related to non-­pathogenic
soil-­dwelling fungi, but is itself an obligate parasite—­as far as we
know it can only persist in the environment for a few weeks.

Transmission at different scales


Filters for encounter and compatibility
Following the work of Claude Combes, we can break down the
process of transmission from one host to another into three
stages: (1) transfer of infectious particles from inside the original
host’s body to the environment; (2) transfer of infectious particles
through the environment, or through the bodies of intermediary
vectors or hosts, to the receiving host; (3) transfer of particles
from the environment into parts of the receiving host’s body such
as the blood, lungs, or liver where the pathogen can reproduce.
These three stages collectively comprise the encounter filter.

Having made it into a new host’s body, the travelling pathogen


must overcome physical, biochemical, and immunological barriers
in order to grow in the body of the new host. In other words, even
if the pathogen can pass the encounter filter, it must also be
biologically compatible with the new host; this final stage is called
the compatibility filter. A host could close its compatibility filter
by having a disease-­resistant genetic mutation, such as the
sickle-­cell variant of the haemoglobin gene that protects against
malaria, or the CCR5-Δ32 mutation that protects against HIV.
13
Opportunistic fungal infections are usually blocked as long as the
host has a properly functioning immune system. In order to block
most viral diseases, however, the host’s immune system needs to
have encountered the pathogen before, either naturally or through
vaccination.

Both the encounter and compatibility filters must be open in order


for successful transmission to occur. Public health measures can
close the encounter filter and are especially important in the early
stages of an epidemic. Drugs or vaccines can close the
compatibility filter, but they are not always available.

Methods for closing the encounter filter include simple preventive


strategies such as quarantine (see Chapter 1). They also include
environmental strategies such as improved sanitation to control
water-­borne disease, or mosquito and tick control to stop
Infectious Disease

vector-­borne disease. Another class of strategies involves trying to


convince people to modify their behaviour. These include all the
rules that have become so well known during the COVID-­19
pandemic (stay 2 metres away from other people, avoid indoor
gatherings), or the US Centers for Disease Control’s suggestions
for avoiding mosquito-­borne diseases such as West Nile virus: stay
indoors at dusk, wear long pants and long-­sleeved shirts, and use
insect repellent. Though changing people’s behaviour is difficult,
it is sometimes the cheapest way to control disease. You don’t need
to inject or swallow substances that may have harmful side effects,
and behavioural changes can even protect against unknown
pathogens. Avoiding exchanging bodily fluids with strangers is a
good idea, even if they have been screened for all currently known
diseases.

We can rarely control disease with a single filter. The Swiss cheese
model, first introduced in aviation safety, emphasizes that
individual filters may fail or be unusable by some people, and that
we often need to combine different kinds of controls at the
environmental, population, and individual levels, using tools from
14
ecology, behavioural psychology, and molecular biology. For
malaria, we need bed-­nets and indoor spraying and antimalarial
drugs and vaccines; for Lyme disease, we need to cut brushy
vegetation around our houses and control deer populations and
check ourselves for ticks.

Epidemic dynamics
It’s easy to understand the encounter and compatibility filters at
the individual level: if you can prevent the transfer of infectious
particles from the environment into your body, or if you immunize
yourself to prevent the infection from taking hold in your body,
you can stay safe. In order to understand the effects of these filters
at the population level—­for example, to decide whether an
immunization programme or a quarantine will stop an

Transmission at different scales


epidemic—­we need mathematical models. Almost as soon as
biologists began to understand the mechanics of disease
transmission, mathematicians started to develop models to
describe the effects of the encounter and compatibility filters at
the population level. As early as 1760, Daniel Bernoulli, a member
of an eminent Swiss family of mathematicians and scientists, used
a mathematical model to describe how smallpox immunization
(i.e. closing the compatibility filter for some individuals) could
improve public health. Bernoulli concluded that immunization
could increase the expected lifespan at birth by 10 per cent, from
about 27 to 30 years (the expected lifespan at birth was very short
in the 18th century because of the high rate of infant and
childhood mortality).

Bernoulli’s model only took into account the direct benefits of


immunization, thus missing the key insight of herd immunity.
Immunization protects the people who are immunized, but it also
reduces the prevalence of the disease and thus provides an
indirect benefit to non-­immunized people. To eradicate disease,
you don’t need to close the compatibility and encounter filters
entirely (i.e. immunize 100 per cent of the people, or prevent
15
transmission 100 per cent of the time); you just need to reduce
transmission enough so that each infectious case gives rise to less
than one new case. In technical terms, you need to reduce the
reproductive number—­the average number of new cases generated
by a single case—­to less than 1. If you succeed, then the disease
will die out in the population as a whole, even though a few
unlucky people may still get infected.

The reproductive number depends on the biology of the disease:


how quickly can it produce new infectious particles? How well do
they survive in the environment? It also depends on the ecology
and behaviour of the host, which controls the encounter filter:
how often do hosts run into each other, and how do they interact
when they do? Are they washing their hands or wearing masks?
Finally, it depends on the fraction of the population that remains
susceptible to the disease, which declines over the course of an
Infectious Disease

epidemic as individuals first get infected and then recover


(typically becoming immune, at least temporarily) or die; as we
have seen during the COVID-­19 pandemic, behaviour also
changes over the course of the epidemic as individuals’ fear of
diseases waxes and wanes. To ignore these last complications,
epidemiologists focus on the intrinsic reproductive number, R0
(pronounced ‘R-­zero’ or ‘R-­nought’), which is the number of cases
that would be generated by the first case in a new outbreak. R0 is a
basic measure of disease biology and community structure; it
doesn’t depend on how far the epidemic has spread through the
population. If you can close the compatibility and encounter filters
far enough to reduce the intrinsic reproductive number to less
than 1, then you can not only control an epidemic in progress, but
prevent the disease from getting started in the first place.

The importance of this kind of average-­centred, population-­level


thinking in disease control was first appreciated by Ronald Ross,
who built mathematical models of malaria transmission to prove
that malaria could be eradicated without completely eliminating
mosquitoes, by reducing mosquito populations below a threshold
16
level—­so that on average each infected human led to less than one
new human case. (As we will see in Chapter 6, mosquito control
and other methods for closing the encounter and compatibility
filters have successfully eradicated malaria in some places, but not
worldwide.) Ross won the Nobel Prize in 1902 for elucidating the
life cycle of malaria, but his biography at the Nobel Foundation’s
website states that ‘perhaps his greatest [contribution] was the
development of mathematical models for the study of [malaria]
epidemiology’.

Ross’s model was one of the first compartmental models, which


divide the population into compartments according to their
disease status and track the rates at which individuals change
from one disease status to another. The simplest compartmental
model is called the SIR model because it divides the population up

Transmission at different scales


into Susceptible, Infective, and Recovered (or in some cases
Removed) people. Susceptibles are people who could get infected,
but are not currently infected (i.e. their compatibility filter is
open); infectives have the disease and can transmit it (i.e. they are
infectious as well as infected); recovered people have had the
disease and are at least temporarily immune. (‘Removed’ is used
for people who die from infection or animals that are killed to stop
them from infecting others—­while the difference between
recovery and death matters to an individual, they have the same
consequences for epidemic spread . . .)

The original compartmental models spawned many variations: for


example, SIS models represent diseases such as gonorrhoea where
individuals go straight back into the susceptible compartment
once they have been cured of disease (say by taking antibiotics),
because there is no effective immunity. Dozens of books and
thousands of scientific papers have been written about
compartmental models. Researchers have added all kinds of
complexity to these models, accounting for the effects of genetics,
age, and nutrition on the compatibility filter, and incorporating
social and spatial networks to model the encounter filter.
17
Compartmental models also form the basic structure of huge
agent-­based computer models that track the behaviour and
infection status of every individual in the population in order to
understand the spread of epidemics such as influenza or
COVID-­19.

While realism and faithfulness to the biological facts of a given


disease are important, compartmental models have remained the
workhorse of epidemiological modelling because, even in their
simpler forms, they capture most of the important characteristics
of the spread of disease through a population. Especially when we
are ignorant of important information about a disease—­a
situation painfully familiar to epidemiologists—­an oversimplified
model can be more useful than an overcomplicated one, as long as
we interpret its conclusions cautiously.
Infectious Disease

Compartmental models typically assume that everyone in the


population starts out equally susceptible to a particular disease
(at or soon after birth, or in the case of sexually transmitted diseases,
once they become sexually active). Susceptibles get infected by
mixing with infected people in some way—­for example, being
coughed or sneezed on or exchanging bodily fluids. The infection
rate increases with the proportion of infected people in the
population. After an infectious period during which they spread
disease, infected people recover; they move into the recovered
compartment and gain effective immunity to the disease. A huge
number of variations on this model are possible, including
subdividing the population by age, sex, or geographic location;
allowing people to return to the susceptible class from the
recovered class after some time period; or allowing for variation in
the rate at which different individuals transmit disease.

The structure of the SIR model (Figure 1) helps categorize the


ways we can control epidemics. The most common control
strategy—­closing the compatibility filter by immunization or
prophylactic drug treatment (i.e. giving people drugs to prevent
18
S

Infection
Quarantine;
transmission control

Immunization; I
prophylaxis

Natural Treatment;
recovery culling
or death

Transmission at different scales


1. The SIR model describes the progression of people through disease
stages from susceptible to infectious to recovered/removed.
Interventions such as culling, treatment, or quarantine can speed up
or prevent transitions between compartments.

rather than cure disease)—moves individuals directly from the


susceptible to the recovered compartment without passing
through the infected compartment on the way, at least until their
immunity wanes or they stop taking the treatments. Most other
epidemic control measures affect the encounter filter in one way
or another. For epidemics in wildlife or domestic animals and
plants, killing susceptible or infected individuals (culling) removes
these individuals from the population entirely, hopefully
minimizing subsequent transmission and thus reducing R0
below 1. Culling is a commonly used strategy, albeit a controversial
one, for controlling the foot and mouth disease virus in cattle.
Post-­exposure treatment (antibiotics, antivirals, etc.) increases the
rate at which individuals move into the recovered compartment,
shortening their infectious period and reducing the number of
susceptibles they can infect; when treatments are not available,
contact tracing and isolation can similarly curtail the infectious
19
period. Finally, transmission controls such as quarantines block
infection without moving individuals between compartments.

The SIR model provides a quantitative framework for calculating


how much control is necessary to eradicate a disease, or how
much a given level of control will reduce the level of disease in the
population. Suppose we can eliminate some fraction of effective
contacts, by a control fraction (p), by closing either the
compatibility filter (e.g. by vaccination) or the encounter filter
(e.g. by providing condoms or clean needles, or by social
distancing). Then the value of R0 will be reduced by a factor 1 − p;
if R0 is initially equal to 4 and we can achieve a control fraction of
0.75 or 75 per cent, then we will reduce R0 to (1 − 0.75) × 4 = 1.

A little bit of algebra shows that in order to reduce R0 to less


than one we need to increase the control above a critical value of
Infectious Disease

pcrit = 1 − 1/R0 (Figure 2). This immediately gives us one explanation


for why it was much easier to eliminate smallpox (R0 ≈ 6, pcrit ≈ 0.8)
than it has been to eliminate measles (R0 ≈ 15, pcrit ≈ 0.95), despite

Malaria
1.00

Measles
Critical control threshold

0.75 Smallpox

0.50 Ebola

0.25

0.00
0 5 10 15 20
Reproductive ratio (R0)

2. Critical control level required (proportion immunized or treated to


prevent transmission) to eradicate an infectious disease, based on its
R0 value.

20
the fact that cheap and effective vaccines are available for both
diseases, and why it will be extremely difficult to eradicate
malaria, even once we have an effective vaccine: some researchers
have estimated R0 to be greater than 100 in some areas, so the
critical control fraction would be greater than 99 per cent. In fact,
the only way to eradicate malaria in high disease areas will be to
combine several different strategies (such as drug treatment and
mosquito control), each of which could have (say) 90 per cent
effectiveness, so that their combined efficacy could reach the
99 per cent level that might be required.

If disease control measures can reduce R0 below 1, they will not


only terminate any existing epidemic, but will prevent recurrence
of the epidemic as long as the control measures are maintained.
Eradicating a disease within a given region, such as the UK or

Transmission at different scales


Europe, reduces the local burden of infectious disease, but does
not eliminate the need for disease control unless public health
authorities can somehow be completely sure that they can prevent
the importation of disease from outside the eradication zone. Only
if we can eradicate a disease globally, as has so far been done only
for smallpox and rinderpest (a lethal cattle disease closely related
to measles), can control measures safely be discontinued. This
makes eradicating a disease, rather than simply controlling it, an
attractive policy option—­once the disease is completely gone, any
resources that went into managing it can be freed for other disease
control efforts, or for other societal goals.

Knowing R0 does not tell us everything about controlling


disease—­diseases such as influenza (R0 ≈ 2 − 3) and HIV
(R0 ≈ 2 − 5) are harder to control than their relatively low R0 values
would suggest. Sometimes treatments are unavailable, or too
expensive. In other cases, treatment or control measures are only
partly effective. With a vaccine that is only 50 per cent effective,
comparable to the experimental malaria vaccines currently being
tested, and better than the best HIV available (≈ 30 per cent
effective against infection), twice as many people need to be
21
treated (if R0 > 2 it would be impossible to eradicate the disease
with this vaccine). Another problem is that infections may be hard
to detect, and thus be out of reach of disease control efforts, for
either biological or cultural reasons. Biologically, some individuals
(carriers) can be infected and spread a disease while showing no
symptoms (asymptomatic); culturally, many diseases carry a
stigma that makes people hide the fact that they are infected.
During Ebola epidemics, one of the major concerns about
imposing harsh control measures is that they may simply
encourage people exposed to Ebola to hide from authorities.
Finally, the mere fact that a disease spreads quickly—­has a short
generation time, the average time between someone getting
infected and the time when they transmit the infection to
others—­makes it harder to control an ongoing epidemic, for two
reasons. First, the epidemic spreads too rapidly in the population
for epidemiologists to decide on and implement control measures.
Infectious Disease

Second, if a disease transmits quickly from person to person (even


if the infectious period is short, so that R0 is not too large),
epidemiologists doing contact tracing will not be able to find and
isolate infected people before they have already passed on the
disease to others.

Compartmental models tell us much more than the level of


control necessary to eradicate disease locally or globally. They also
give a simple formula for the number of people who will be
affected by a disease outbreak in the absence of control, or the size
of the susceptible population at equilibrium for a disease that
becomes established in the population (i.e. endemic).
Compartmental models have also helped epidemiologists to think
about the dynamics of disease—­the ways that the infected
population changes over time.

For example, one of the first applications of compartmental


models explained that observed multi-­year cycles of measles
epidemics did not necessarily mean that a new genetic type was
invading every few years; rather, disease spread so fast that the
22
susceptible population was exhausted and required several years
to build up to the point where it could support another major
outbreak. Similarly, mathematicians have pointed out that
vaccination campaigns that fail to eradicate a disease allow the
number of susceptibles in the population to build up. Even if
vaccination coverage stays high, these build-­ups may lead to large
outbreaks several years after the beginning of the campaign.
Without this dynamical insight, the outbreak could easily be
interpreted as a sudden change in the effectiveness of the vaccine
or the transmissibility of the disease, rather than as a
straightforward consequence of a sub-­critical level of control.

Within-­host disease dynamics


One of the many biological details that compartmental models

Transmission at different scales


omit in their quest for simplicity is any description of the way that
disease plays out within an individual host. In compartmental
models, hosts are either infected or not; we don’t keep track of the
level of infection within an individual (e.g. the number of
virus-­infected cells or the density of the virus in the bloodstream),
nor of the response of the individual’s immune system to the
disease.

Standard compartmental models are best for understanding small


pathogens (microparasites) such as viruses, bacteria, fungi, and
protists; because populations of these pathogens build up quickly
within a host, and trigger similar immune responses in most
hosts, lumping hosts into just three categories—­susceptible,
infected, and recovered—­is a reasonable simplification. In
populations infected with macroparasites—­larger parasites such
as tapeworms or ticks—­the number of parasites per host (parasite
load) varies greatly among individuals.

Mathematicians have designed more complex models that can


keep track of parasite load distributions, but the micro/
macroparasite distinction has also begun to blur as researchers
23
build more elaborate microparasite models that track changes in
the numbers of infected particles or cells and the level of
activation of the immune system within an individual. For
example, a large fraction of HIV transmission occurs within the
first month of infection. If we want to understand and predict
HIV epidemics, we obviously need to use models that distinguish
between recently and not-­so-­recently infected people; we might
even want to track the precise level of virus in the blood and other
bodily fluids of an infected person.

Models that track both changes in the number of infected


people and changes in the number of infected cells within
individuals are mathematically complex—­one can imagine the
difficulty of keeping track of all of the virus particles within
every individual in a population! Somewhat more manageable
are within-­host models, which focus on the progress of disease
Infectious Disease

within a typical person, ignoring how the disease spreads


among individuals. Where epidemiological models represent
the progress of disease in a population, and give insight into the
impact and control of disease at the population level, within-­host
models help us understand the dynamics of disease within a
single individual.

Despite this difference in scope, epidemiological models and


within-­host models have striking similarities (Figure 3). We can
easily adapt compartmental models for within-­host models,
especially for parasites such as viruses that must invade host cells
in order to reproduce. Instead of assuming that infection builds
up quickly and characteristically within individual hosts so that
we can treat them as either susceptible or infected, we now
assume that the level of infection (e.g. the number of virus
particles) builds up quickly and characteristically within host cells.
The concepts of encounter and compatibility filters are just as
useful on the within-­host as the within-­population levels,
describing how infection gets from one cell to another and what
prevents or allows infection of a cell by a disease particle.
24
Another random document with
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came a great tearing sound in the air. As the bird came it set up a
terrific screeching and the noise that it made with the beating of its
wings was like thunder-claps. Down it swooped on the man of wood,
claws outstretched and beak open, and in another moment it had
seized the figure and was trying to lift it. The more the figure
resisted, the tighter the evil bird held, its claws and beak fast sunk in
the wood. So fearful were its struggles that the earth about the root
of the tree heaved, and it seemed as if the roots would be torn out
bodily. Then finding that it could not move the thing, the bird made to
fly away, but its talons and beak were held by the wood as if in a
vise. All its flappings and tearings then were of no avail, and try as it
would, it could not release itself. Faster and harder it beat its wings
and the wind from them bowed the bushes and shook the house in
which Borac was hidden.
Then Borac came forth with magic feather and magic knot, and
was soon in the air above the struggling bird. Hovering there he
unloosed the thread with the magic knot and lowered it. Down it
dropped and was soon entangled in the beating wings like a web
about a fly, and, slight though the thread was, against the power of
the magic knot nothing could prevail. So in a short time the great
black bird was bound for ever.
In the morning Borac flew to the nest in the far valley and went
down into the pit in which were the unlucky ones that the bird had
caught. One by one he carried them from that place and to their
homes. As for the egg, putting his shoulder against it he tumbled it
from the ledge where the nest was, and it fell and was smashed to
pieces. So there was an end of the evil bird, which soon died; and it
was the last of its kind; and to-day, of all the birds of the air, there are
none to do harm to man.
THE BAD WISHERS

OR days and days and for weeks and weeks Canassa and I rode
to the south, and the only break in our days was when we
changed our tired horses for fresh ones. That we did sometimes four
times in the day. We had plenty of choice, for we were driving some
three hundred mares and colts. Canassa was a gaucho, a
plainsman, as we would say, and a most excellent horseman, so he
made nothing at all of catching an unbroken colt with his lasso and
saddling and riding it, doing his share of the driving with the horse
new to saddle.
With so much of it I grew tired, and one night as we sat about our
little campfire heating water for our maté, the tea we made from
herbs, I said that I wished the job was at an end.
Canassa strummed his guitar awhile, then laid it aside and said:
“Wishes are no good and he who wishes, risks. For why?
Whenever you wish, you leave out something that should not be left
out, and so things go wrong.”
I told him that a small wish might be all right, but this he would
not allow. Things had to go just so, he said, and no one in the world
was wise enough to wish things as they should be wished. Then, in
the way of the men of the pampas, he told me a tale to prove the
truth of what he said, and this was the tale:
Once there was a woman in Paraguay who had no children and
she wished day and night for a boy and a girl. She did more than
wish, going to a place in the woods where were wild sweet limes and
oranges and lemons, and where the pools were covered with great
leaves of waterliles, and in the quiet of that place she made a song
about the children she wished for. In that song she sang of the boy
as handsome and swift of foot and strong of arm, and she sang of
the girl as a light creature with keen eyes and silken hair. Day after
day she did this and at last her wish came true, for she had a boy
and a girl and the boy was straight-limbed and well made and the girl
as lovely as a flower of the air.
So far, so good. But that was not the end. The woman had
wished that the boy might be strong and brave and swift and all
these he was. But she had not thought of other things, and, sad to
say, he lacked sight. For him there was neither day nor night, neither
sun nor moon, neither green of the pampas nor blue of the sky. As
for the girl, it is true that she had sight so keen that she could see the
eye of a humming-bird at a hundred paces, but her legs were
withered and useless and she could not walk, for the mother in
wishing had said nothing of her health and strength. To crawl about,
helping herself with her hands, was as much as she could do.
Seeing what had come to pass the mother was very sad, for her
dream had become a very pesadilla, a nightmare. So she grieved
and each day grew paler, and at last one evening caught her
children in her arms and kissed them and they saw her no more, the
neighbours next morning telling them that she had died.
Now one day when the children were well grown, there came to
the house in which they lived a man in a torn poncho who said that
he had walked hundreds of miles, from the land of the Noseless
People where it is always cold. He was tired and hungry and torn
with thorn-bushes, and his feet were cut with stones. So the boy and
girl took him into the house and gave him water to wash himself with
and chipa bread made of mandioca flour and sweet raspadura in
banana leaves. When he was well rested and refreshed, in return for
their great kindness he told them of a strange old witch-woman who
lived far away, one who knew many secrets by means of which she
could do wonderful things.
“In a turn of the hand,” said he, “she could make the girl strong of
limb and with another turn could restore sight to the lad.”
Then he went on to tell of other witches that he knew, saying that
there were many who were not all bad, but like men, were a mixture.
True, they sometimes kept children, but that was not to be laid to
their meanness but rather to their love of beauty. “For,” he said, “it is
no more wrong to keep a child to look at than it is to pluck a flower or
to cage a bird. Or, to put it another way, it is as wrong to cage a bird
as it is to steal a child.”
The meal being done the three of them sang a little, and the sun
being set the old man bade them good-night and stretched out under
a tree to sleep, and the next morning before the children awoke he
had gone.
All that day brother and sister talked much of what the old man
had told them, and the girl’s face flushed red and her eyes were
bright as she looked at her brother and thought of how sweet it
would be if he could see the mists of the morning and the cool
cleanness of the night. Meanwhile he in his dark world wondered
how he could find his way to the witch and persuade her to work her
magic, so that his sister might be able to go up and down, and to
skip and dance on limbs that were alive. So at last they fell to talking,
and the end of it all was that they started on a journey to the witch,
the brother carrying the sister on his shoulder while she guided him
safely through thorn-thicket, past swamps where alligators lay
hidden, and through valleys where bushy palmetto grew shoulder
high. Each night they found some cool place where was a spring of
crystal, or a pool of dark sweet water, and at last they came to the
little hills where the witch lived.
They found that all was as the old man had said, for the witch
was a lonely creature who saw few, because few passed that way.
She was glad enough to see her visitors and led them to a fragrant
leafy place, and seeing that the girl was drooping like a wind-wearied
bird, did what things she could. To the boy she told tales of the birds
and the golden light of the sun and the green of spreading branches,
thinking that with her tales they would be comforted and content to
stay with her in her soft green valley. But the more she did for their
comfort and the more she told them of the wonders of the world, the
greater was their desire to be whole, the girl with her limbs unbound,
the boy with his eyes unsealed.
Before long the lad told the witch of the old man’s visit and of
their hopes that had led them to take the great journey, and then the
old woman’s heart fell as she saw her dream of companionship
vanish. She knew that as soon as they were whole again they would
leave her as the birds that she fed and tended in nesting time left her
when winter came. Then she told them no more pleasant tales, but
tales of things dead and cold, of gray skies and desert places, of
tangled forests where evil things lived.
“It is better not to see at all,” she said, “than to see foul things and
heart-searing things.”
But the boy spoke up and said:
“There being such things, the more I would have my eyesight, so
that I might clear those tangled forests of the evil beasts of which
you speak.”
Hearing that, the witch sighed, though her heart was glad at the
boy’s words. So she turned to the girl, telling her of the harm that
sometimes came to those who walked, of the creatures that do
violence and scratch and maul; of stocks and stones that hurt and
cut tender feet; of venomous things that hide under rocks. But the
girl heard patiently, then clasped her hands and said:
“And that is all the more reason that I ask what I ask, for with feet
light and active I can skip away from the hurtful things, if indeed my
brother does not kill them.”
“Well,” said the witch, “perhaps when you know the beauty of the
place in which I live, you will be content to stay with me. I must do
what you ask because you are what you are by reason of a wish that
went wrong. Now to get the magic leaves with which to cure you I
must take a journey of a day and a night, and it is part of the magic
that those who would be cured must do a task. So to-morrow while I
am away you must work, and if I find the task finished you shall be
cured. But if you should not finish the task, then all will remain as it
is; but I will be eyes for the boy, telling him of the fine things of the
world, and for the girl I will be as limbs, running for her, working for
her. But I shall do and not wish. Truth is that I would gladly see both
of you whole again, but then you would go away, and I sorely lack
companionship.”
After a little the witch said to the girl:
“Tell me, little one, if this place were yours what would you do to
make it better to live in?”
“I would,” answered the girl, “have all the thorn-bushes taken
away that are now in the little forest behind the house, so that
Brother could walk about without being scratched and torn.”
“That is fair enough,” said the witch. “And you, boy, what would
your wish be?”
“I would have all the little stones that are in the valley taken away,
so that Sister could play on the soft grass without being hurt.”
“Well,” said the witch, “it is in the magic that you set your own
tasks. So the boy must have every stone cleared away before I
return and the girl must see to it that there are no more thorn-
bushes. Hard are the things that you have wished.”
After the witch had gone there was no joy in the hearts of the
children, for it seemed impossible that a blind boy should gather the
stones and no more possible for a lame girl to clear the forest. There
was a little time in which they tried, but they had to give up. So they
stood wondering, and for a moment thought of starting for their own
home.
Suddenly, strange to tell, who should come over the hill but the
old man in the torn poncho, and they were both very glad to see him.
After he had rested awhile they told him their troubles and spoke of
their grief because, in spite of all their efforts, it seemed as though all
must come to naught.
“I wish——” began the boy, but the old man stopped him with
lifted finger.
“Wishing never does,” he said. “But help does much and many
can help one.” He put his fingers to his mouth and gave a peculiar
whistle, and at once the sky was darkened with birds and each bird
dropped to the ground, picked up a stone and flew away with it, so
that the valley was cleared in a moment. He gave another whistle
and from everywhere came rabbits which ran into the woods,
skipping and leaping, and at once set to work to gnaw the stems of
the bushes. And as soon as the bushes fell, foxes came and
dragged them away, so that in an hour the forest was clear, and
when the witch came back, behold, the set task was done!
So the witch took the leaves that she had brought and made a
brew of them, giving the liquid to brother and sister to drink. “But,”
said she, “see to it that you speak no word, for if you do before
sunset, then back you go to your old state.”
Both promised that heartily and drank. But as soon as the boy
saw the green of the grass, and the blue and crimson and purple
flowers, and the humming-birds like living diamonds in the shade, he
called out in his great joy:
“Oh, Sister, see how beautiful!” and at once he was in utter
darkness again. At the same moment, feeling her limbs strong, the
girl was filled with such delight that she tossed her arms into the air
and danced. Then from her came a keen cry of pain as she heard
her brother’s cry and knew that he was blind again. There was a
moment when she wanted to lose all that she had gained so that she
could tell her brother that she shared his grief, but she remembered
that being strong she could help him in his pain, so she went to him
and took him by the hand and kissed his cheek.
At sunset the boy, who had been sitting quiet, spoke, turning his
sightless face to the witch.
“You have tried to be good to us,” he said, “and you have been as
kind as it lay in your power to be. Since Sister is well, I am content.
And I have seen the beauty of the world, though it was in a flash. So,
mother witch, since you have not been able to give us all we ask, we
will give you all that we have. Come, then, to the place where we live
and see the things that we love, the birds and the flowers and the
trees, and we will try in kindness to repay you for what you have
done.”
Hearing that, the witch suddenly burst into singing and hand-
clapping and told them that the spell was broken because she had
been befriended.
“No witch am I,” she said, “but your own mother who did not die,
but was changed to this form for vain wishes.”
Then the boy regained his sight and the mother became as she
had been, tall and straight and beautiful and kind, and the three of
them went to their old home and lived there for many years, very
happy and contented.

THE HUNGRY OLD WITCH

HE was a witch, she was very old, and she was always hungry,
and she lived long ago near a forest where now is Uruguay, and
just in the corner where Brazil and Argentina touch. They were the
days when mighty beasts moved in the marshes and when strange
creatures with wings like bats flew in the air. There were also great
worms then, so strong that they bored through mountains and rocks
as an ordinary worm makes its way through clay. The size and the
strength of the old witch may be guessed when you know that she
once caught one of the giant worms and killed it for the sake of the
stone in its head. And there is this about the stone—it is green in
colour and shaped like an arrow-head a little blunted, and precious
for those who know the secret, because he who has one may fly
through the air between sunrise and sunset, but never in the night.
The old witch had another secret thing. It was a powder, and the
knowledge of how to make it was hers alone and is now lost. All that
is known of it is that it was made from the dried bodies of tree-frogs
mixed with goat’s milk. With it she could, by sprinkling a little of it
where wanted, make things grow wonderfully. She could also turn
plants to animals with it, or change vines into serpents, thorn-bushes
into foxes, little leaves into ants. Living creatures she also changed,
turning cats into jaguars, lizards into alligators, and bats into horrible
flying things.
This old witch had lived for hundreds of years, so long indeed
that the memory of men did not know a time when she was not, and
fathers and grandfathers and great grandfathers all had the same
tale to tell of how she had always devoured cattle and pigs and
goats, making no account at all of carrying off in one night all the
animals of a village. To be sure, some had tried to fight her by
shooting arrows, but it was of no use, for by her magic the shafts
were bent into a shape like a letter V as soon as they touched her.
So in time it came about that men would put outside the village in a
corral one half of what they had raised in a year, letting the old witch
take it, hoping that thus she would leave them in peace.
At last there grew up a lad, a sober fellow of courage, who said
little and thought much, and he refused to take animals to the corral
when the time came for the old witch to visit that place.
When the people asked him his reason for refusing, he said that
he had had a dream in which he saw himself as a bird in a cage, but
when he had been there a little while a sweet climbing vine had
grown up about the cage and on this vine was a white flower which
twisted its way in between the bars. Then, as he looked at it, the
flower changed to a smiling maiden who held a golden key in her
hand. This key she had given to him and with it he had opened the
door of the cage. So, he went on to say, both he and the maiden had
gone away. What the end of the dream was he did not know, for at
that point he had wakened with the sound of singing and music in his
ears, from which he judged that all turned out well, though he had
not seen the end of it.
Because of this dream and what it might betoken he said that he
would not put anything in the corral for the old witch, but instead
would venture forth and seek her out, to the end that the land might
be free from her witcheries and evil work. Nor could any persuade
him to the contrary.
“It is not right,” he said, “that we should give away for nothing that
which we have grown and tended and learned to love, nor is it right
that we should feed and fatten the evil thing that destroys us.”
So the wise men of that place named the lad by a word which
means Stout Heart, and because he was loved by all, many trembled
and turned pale when the morning came on which he took his lance
and alone went off into the forest, ready for whatever might befall.
For three days Stout Heart walked, and at last came to a place all
grassy and flowery, where he sat down by the side of a lake under a
tree. He was tired, for he had walked far that day and found that
slumber began to overtake him. That was well enough, for he was
used to sleep under the bare heavens, but with his slumber came
confused dreams of harmful things which he seemed to see coming
out of the ground, so he climbed into the tree, where he found a
resting-place among the branches and was soon asleep.
While he slept there came to the side of the lake the old witch,
who cast her basket net into the water and began to fish, and as she
fished she sang in a croaking and harsh voice this:

“Things in the air,


Things in the water—
Nothing is fair,
So come to the slaughter.”

They were not the words, but that is what the words meant. But
unpleasant as was the song, yet it worked a kind of charm, and
things came to her, so that her basket net was filled again and again.
The fish she cast into a kind of wicker cage, of which she had
several.
Soon the croaking song chased sleep from the eyes of Stout
Heart, and looking down he saw the wrinkled crone and the great
pile of fish that she had cast on the bank, and his heart was grieved
for two things—one that there was such waste of good life, the other
that he had left his spear hidden in the grass. He grieved too, a little,
because he knew that on account of his long walk he was weak from
hunger and thirst. So there seemed little that could be done and he
sat very still, trusting that until he was better prepared for action the
old witch would not see him.
But all his stillness was of no avail. Looking at the shadow of the
tree as it lay upon the surface of the water, she saw the lad’s
shadow. Then she looked up and saw him. Had she had her magic
green stone with her, things would have been far different and this
tale all the shorter. But not having it and being quite unable to climb
trees, she said:
“You are faint and hungry. Come down, come down, good lad, for
I have much here that is good to eat.”
Hearing that, Stout Heart laughed, knowing that she was not to
be trusted, and he told her that he was very well indeed where he
was. So she tried another trick, spreading on the grass fruits and
berries, and saying in a wheedling voice:
“Come, son, eat with me. I do not like to eat alone. Here are fresh
fruits and here is honey. Come down that I may talk with you and
treat you as a son, for I am very lonesome.”
But Stout Heart still laughed at her, although, to be sure, he was
a lad of great appetite and his hungriness increased in him.
“Have you any other trap to set for me?” he asked.
Hearing that, the witch fell into a black and terrible rage, dancing
about and gnashing her teeth, frothing at the mouth and hooking her
long nails at him like a cat, and the sight of her was very horrible, but
the lad kept his heart up and was well content with his place in the
tree, the more as he saw her great strength. For in her rage she
plucked a great rock the size of a man’s body from the earth where it
was sunk deep, and cast it at the tree with such force that the tree
shook from root to tip.
For a moment the old witch stood with knit brows, then she went
on her hands and knees and fell to gathering up blades of grass until
she had a little heap. All the time she was cursing and groaning,
grumbling and snarling like a cat. When she had gathered enough
grass she stood up and began to sprinkle a grayish powder over the
grass heap, and as she did this she talked mumblingly, saying:

“Creep and crawl—creep and crawl!


Up the tree-trunk, on the branch.
Creep and crawl—creep and crawl!
Over leaf and over twig.
Seek and find the living thing.
Pinch him, bite him, torture him.
Creep and crawl—creep and crawl!
Make him drop like rotting fruit.”

So she went on, moving about in a little circle and sprinkling the
powder over the grass. Presently the pile of grass began to move as
if it hid some living thing, and soon the grass blades became smaller,
rounded themselves, and turned brown. Then from them shot out
fine hair-like points which became legs, and so each separate leaf
turned to an ant. To the tree they scurried and up the trunk they
swarmed, a little army marching over every leaf and twig until the
green became brown, and louder and louder the old witch screamed,
waving her arms the while:

“Creep and crawl—creep and crawl!


Up the tree-trunk, on the branch.
Creep and crawl—creep and crawl!”

The nearer to Stout Heart that they came, the louder she
shrieked, leaping about and waving her long-taloned hands as she
ordered:

“Seek and find the living thing.”


Then Stout Heart knew that trouble was brewing indeed, for
against so many enemies there was no fighting. For a time he
avoided them, but for a time only, and that by going higher and
higher in the tree, crawling along the branch that hung over the lake,
but nearer and nearer the ants came, and louder she bade them to

“Pinch him, bite him, torture him.”

At last there was nothing for it but to drop out of the tree, for he
had been hanging to the end of a branch and the ants were already
swarming over his hands and some running down his arms. So he
let go his hold and went into the lake with a splash, down out of the
sunshine and into the cool green-blue of the waters. He swam a
little, trying to get out of the way before coming up, but had to put his
head out soon to get a breath. Then suddenly he seemed to be in
the middle of something that was moving about strangely, and it was
with a sudden leaping of the heart that he found himself in the old
witch’s basket net being drawn ashore. To be sure, he struggled and
tried to escape, but it was of no use. What with her magic and her
strength he was no more in her hands than is a little fish in the hands
of a man. He was all mixed up with other lake things, with fish and
with scum, with water-beetles and sticky weed, with mud and with
wriggling creatures, and presently he found himself toppled head
foremost into a basket, all dazed and weak. It was dark there, but by
the bumping he knew that he was being carried somewhere.
Soon he was tumbled into an evil-smelling place and must have
fallen into a trance, or slept. Again, he may not have known what
passed because of the old witch’s enchantments, for when he came
to himself he did not know whether he had been there for a long time
or a little. But soon he made out that he was in a stone house and
through a small hole in the wall saw that the place where the house
stood was bare of grass and full of great gray rocks, and he
remembered his dream and thought that it was all very unlike what
had really happened.
But in that he was not altogether right, for while he was in no
cage and no twining vine with glorious flower was there, yet there
was something else. For after a little while a door opened, and he
saw standing in a light that nearly blinded him with its brightness a
maiden full of winning grace, and light and slender, who stretched
out her hand to him and led him out of the dark into a great hall of
stone with a vast fireplace. Then having heard his story, which
brought tears to her blue eyes, she opened a lattice and showed him
a little room where he might hide.
“For,” said she, “I also was brought to this place long ago, and
when I came the old witch killed one who was her slave before me.
But before she died she told me the story of the green stone which
the witch has, and also how were used the magic powders. Since
then I have been here alone and have been her slave. But now she
will kill me and will keep you for her servant until she tires of you,
when she will catch another. And so it has been for many, many
years, and each one that dies has told the power of the green stone
to the other, though none had dared to use it.”
Now hearing all that, Stout Heart was all for running away at once
and taking the maiden from that dreadful place, but just as he
opened his mouth to speak there came to their ears the voice of the
old witch.
“Hide then,” said the maiden, “and all may yet go well. For I must
go to get the green stone by means of which we may fly. With you I
will dare. Alone I was afraid to venture.”
Even then he hesitated and did not wish to hide, but she thrust
him into a little room and closed the door. Through the wall he heard
the witch enter and throw a pile of wood on the hearth.
“I have a new prize,” said the ogress. “You I have fattened long
enough and now you must be my meal. One slave at a time is
enough for me, and the lad will do. Go then, fetch pepper and salt,
red pepper and black, and see to it that you lose no time, for I am
hungry and cannot wait.”
The girl went into another room and the witch fell on her knees
and began to build a roaring fire. Soon the maiden reëntered, but
running lightly, and as she passed the old woman she cast on her
some of the magic powder which she had brought instead of salt and
pepper. The hag had no idea that it was the powder that the girl had
thrown, and thinking that she had been careless with the salt and
pepper began to scold her, then getting to her feet took her by the
hair, opened the door of the little room in which Stout Heart was, and
little knowing that the lad was there cast her in, screaming:
“Stay there, useless one, until I am ready to roast you.”
The maiden thrust the green stone into the hands of Stout Heart
and at once they flew through the window and out under the arch of
the sky. As for the old witch, the powder did its work and she began
to swell so that she could not pass out of any of the doors. But
presently the boy and girl, from a height at which they could see
below them the narrow valley and the witch house, saw that the old
hag was struggling to get out by way of the roof.
The two lost no time then. They flew swift and high. But swift too
was the witch. Her growing had finished and out over the top of the
house she burst, and seeing the escaping pair, began to run in the
direction they had taken.
So there was much speeding both in the air and on the earth, and
unlucky it was for the two that the green stone allowed those who
carried it to fly only in the daytime. All this the maiden told Stout
Heart as they flew. The old witch well remembered that at night there
was no power in the flying stone and was gleeful in her wicked old
heart as she watched the sun and the lengthening shadows. So she
kept on with giant strides and leapings, and going at such a rate that
she was always very nigh under the two in the air. No deer, no
huanaco could have bounded lighter over the ground than she did,
and no ostrich could have moved swifter.
When the sun began to drop in the western sky, and he and she
were looking at one another with concern as they flew, the maiden
bethought her of a plan, and scattering some of the magic powder on
the earth she rejoiced to see that the leaves on which the powder fell
turned into rabbits. The sight of that the witch could not resist, and
she stopped a moment to catch some of the little animals and
swallow them, so a little time was won for the fliers.
But the hungry old witch soon went on and regained the time she
had lost and was under them again, running as fast as ever. So more
powder was scattered, this time on some thorn-bushes, which
changed to foxes. Again the old woman stopped to eat and the two
gained a little. But the sun was lower and they found themselves
dropping ever nearer to the earth, flying indeed but little higher than
the tree-tops, and as they saw, the old witch in her leaps lacked but
little of touching them.
Ahead of them was the lake in which Stout Heart had been
caught, the waters red as blood with the light of the western sky, but
the power of the stone was failing with the waning day, and of the
powder they had but a small handful left. As for the witch, so near
was she that they could hear her breathing, could almost imagine
that they felt her terrible claws in their garments.
On the bank of the lake the last handful of the magic powder was
cast, and they saw the grass turn to ants and the stones to great
turtles as they passed over the water, but so low that their feet
almost touched the surface of the lake. The power of the stone was
growing weak.
The old witch, seeing the turtles, stopped to swallow them, shells
and heads, and that gave the youth and maiden time enough to
reach the opposite shore, where the power of the stone was quite
exhausted as the sun touched the rim of the earth. The gentle
maiden clung to Stout Heart in great fear then as they saw the old
witch plunge into the lake, for she could travel on water as fast as
she could on land. Indeed, the fearful old woman cut through the
waters so swiftly that a great wave leaped up on either side of her,
and it was clear that before the sun had gone she would have her
claws in the two friends.
But when she was in the middle of the lake the weight of the
turtles she had swallowed began to bear her down. In vain she
struggled, making a great uproar and lashing her hands and feet so
furiously that the water became hot and a great steam rose up. Her
force was spent and the turtles were like great stones within her, so
she sank beneath the water, and was seen no more.
Great was the joy of the people when Stout Heart brought the
maiden to his home, for she became his wife and was loved by all
there as the fairest woman among them.
THE WONDERFUL MIRROR

HIS is the tale of Suso who was the daughter of a very rich man,
a very kind-hearted one, too. Never was beggar turned from his
door, nor in the length and breadth of his land was there hunger or
want. And he loved Suso no less than she loved him. She was very
close to his heart and all that could be done to make her happy he
did. As for her, there was no pleasure in her day if she was not
assured of his happiness.
When her sister had left home to be married, Suso and her father
had gone about planning a great park which Suso was to have for
her own, a park of terraced, flowered hills. And when it was finished,
both birds and animals came to live there and the air was full of
song. So in that place Suso played with her companions, and their
hearts were in tune with the beauty all about. It was a never-ending
pleasure to seek out new places in the great park, cool nooks in
which were little waterfalls whose silver music mingled with the
whispering of the leaves, or shaded spots where were ponds of
crystal water and fountains and seats and bright green carpets of
moss.
For a long time there was happiness, until, indeed, her father
married again, for her mother had died when Suso was a small child.
Then one day there was a cloud of grief in the maiden’s heart,
because on a silent, moonlit night she had walked with her father
and he had told her that he was troubled with a wasting sickness and
feared that he had not long to live. Some enemy, he said, had cast a
spell on him, so that day by day he grew weaker and weaker and
weaker. Wise men and doctors had looked into the matter, had sat
solemnly and thought, had guessed and wondered, but had agreed
on one thing only—that something was wrong. What that something
was they did not know, but they agreed that if the thing that was
wrong could be discovered and removed, all would go well again.
Because of what her father had told her, Suso was sad and often
wandered to a quiet place where she could tell her troubles to the
trees.
The stepmother was not at all fair in her ways and not only
disliked Suso, but was very mean and treacherous, hiding her hatred
from the father and petting Suso when he was near, stroking her hair
and saying pretty things. So well did the wicked woman play her part
that nothing could have made the father believe other than that she
loved Suso quite as much as he did. For instance, on that moonlit
night when he had told his daughter of his trouble, seeing her tears,
for she had wept bitterly, he had said:
“But Suso, my dove, your mother will care for you tenderly when I
am dead, for she loves you dearly.”
At that the girl stifled her sobs and dried her tears, lest the father
she loved so well should be wounded by her grief, and seeing her
calmed he had supposed that all was well and that his words had
soothed her.
But see how it really was with Suso and her stepmother. There
was one day, not long after, when father and stepmother and
daughter were standing by the fountain, watching the wavering
shadows flying across the green, when the man suddenly felt a
clutching pain at his heart and was forced to sit down for very
weakness. When he felt a little better and the first sharpness of the
pain had gone, Suso walked with him to the house, and when he
was comfortably seated and had a feather robe cast about him, he
bade her return to her stepmother. That she did, because she was
bid, although her wish would have been to sit at his feet. Because of
her unwillingness and her grief she went softly, and not singing and
dancing, as was her fashion. And what was her terror when she saw
and heard the wicked woman talking to a great horned owl that sat in
the hollow of an old tree! So terrible that seemed, that Suso could
find nothing to say, but stood with clasped hands, her heart a-flutter.
Seeing Suso, the woman motioned to the owl and the bird said no
more, but sat listening, its head on one side. Then the stepmother
took Suso by the hand and drew her into a place where they could
be seen by the father, but far enough away to be out of earshot. But
the father, seeing the woman and the maiden standing thus together,
was happy, thinking that his daughter had a friend. It made him
happier still to see the woman take Suso’s arm and pull it gently
about her waist. But he did not hear what was said, for had he heard,
it would have cut him to the heart.
This is what the woman said, and her voice was like a poison-
dart as she whispered loud enough for the owl to hear:
“Suso, stand thus with your arm about my waist so that your
father may see us together. Thus he will think that I love you.” Then
she hissed in the girl’s ear: “But I hate you, hate you, hate you.”
And the owl lifted his head, blew a little and repeated softly: “Hate
you—Hoo!—Hoo!”
From far off in the woods came the sound of an answering owl
like an echo: “Hate you—Hoo!—Hoo!” and it seemed to Suso that all
the world hated her for no cause, for the screeching parrots, too,
repeated the cry. As for the sweet feathered things that she loved,
they had all fled from that place.
Soon the stepmother spoke again and the owl dropped to a lower
branch the better to hear. “Suso,” said the woman, “your father
cannot live much longer. The spell is upon him and day by day he
nears his death. Because of that I am glad, for when he dies, all this
land, the house, and all its riches, must be mine.”
Hearing that vicious speech Suso was well nigh faint with fear
and horror and would have sped to her father to warn him. But the
woman caught her by the wrist, twisting it painfully, and pinched the
soft place on her arm with her other hand, and stooping again so that
it seemed to the watching father that she kissed Suso, she said:
“But see to it that you say no word, for the moment that you say
anything but good of me, that moment your father will fall dead.”
So what was Suso to do?
Thus it was that Suso crept to quiet places and told her tale to the
whispering leaves and to the evening breeze, and thus it was that in
the midst of all that beauty of golden sunlight and silver-glinted
waters and flower-twined forest she could not but be sad. For there
were tears in her heart, and everything that her father did for her was
as nothing and like a crumbling tower.
But she had told the trees (and trees bend their tops though they
are foot-fast, and leaves, too, whisper one to another), so that the
tale went abroad, though of this, Suso knew nothing.

II
Now while all this was going on there lived in the hills far off a
youth, and his name was Huathia. Brown-haired he was and bright-
eyed too, with clear skin and strong arms, and all who knew him said
that he was a good lad and honest.
He was a herder of goats and llamas, and one day, as he was out
in the vega with his flock, he chanced to see a falcon wheeling high
in the air, carrying something in its beak that sent the rays of the sun
flashing far, like silver light. Then the bird dipped with the thing it was
carrying, looking like a glittering falling star, and Huathia for a
moment lost sight of the bird as it dropped behind a bush. But it soon
rose and took to flight, this time without the shining thing. So Huathia
went to the place where the falcon had dropped, and there at the
bottom of a little stream he saw a bright round piece of silver. The lad
rescued it and looked at it with astonishment as it lay in his hand, a
polished and smooth disc it was, that reflected his face as clearly as
a mirror. So he kept it, wrapping it in a leaf, and took it that night to
the place where the lad lived with another herdsman, a very wise
and good man who knew many strange things, and he told the youth
that it was the wonderful mirror of one called Paracaca, long since
dead. He said that whoever looked in it saw his own face as others
saw it, but the owner of the mirror saw something else, “for,” added
he, “with it you may see the hidden spirit of other people, seeing

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