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50 pages 1 hour read

Richard Preston

The Hot Zone: The Terrifying True Story of the Origins of the Ebola Virus

Nonfiction | Book | Adult | Published in 1994

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Key Figures

Richard Preston (The Author)

Richard Preston is an American journalist and author born in 1954. His 1992 New Yorker article “Crisis in the Hot Zone” led to a bestselling book, The Hot Zone. The success of The Hot Zone led to a career writing both fiction and nonfiction about deadly diseases in a suspense-driven, popular style. He occasionally uses his journalistic skills to track down information, as when he finds the veterinarian who signed the export certificates for the monkeys that began the outbreak of the then-unknown filovirus in Marburg, Germany—someone the World Health Organization investigators failed to speak with.

Preston appears as a figure in the narrative most clearly in Part 4, where he makes his own expedition to Kitum Cave to see the place where Charles Monet and Peter Cardinal contracted Ebola. As he travels to Kenya for this quest, he reflects upon a childhood experience living on a farm in an unspecified place in Africa. In the process of researching and writing this book, he appears to develop a growing sense of alarm about the danger posed by filoviruses, and this alarm is most clearly reflected in his vigilance while traveling to Kitum Cave: To Preston, any animal could be a host and any small injury could be a breach in the body’s defenses to let a filovirus in.

“Charles Monet”

Charles Monet is the pseudonym Preston assigns to the man who contracts Marburg virus in Kitum Cave and dies in a Nairobi hospital in 1980. Monet had only arrived in Kenya in the summer of 1979. The French citizen is described as a “loner” and nature lover whose closest relationships were with impoverished local sex workers: “He gave money to his women friends, and they, in return, were happy to love him” (30).

Monet is “fifty-six years old, of medium height and build, with smooth, straight brown hair; a good-looking man” (27). His experiences in his final weeks are clearly posited as a speculative reconstruction: “it would have rained”; “Perhaps Monet stood on the grass”; and “no doubt admiring the view” (32, 35). The thinness of his characterization is no doubt partly the result of Preston’s attempts to reconstruct him more than a decade after his death by speaking to people who could have known him only for half a year, but this lack of concrete information helps to establish the air of mystery around his case and the search for the elusive natural host of the Marburg virus.

Nurse Mayinga N. (Mayinga N’Seka)

Nurse Mayinga, as Preston calls her, is Mayinga N’Seka, a nurse at the Ngaliema Hospital in Kinshasa, in what was then Zaire, who dies after treating Sister ME there in the first known Ebola outbreak, which occurred in 1976. Preston describes her as “a pleasant, quiet, beautiful young African woman” (110). Mayinga was 22 years old at the time of her death, a professional healthcare worker killed in the line of duty. Preston emphasizes her youth and the tragic shortening of her life by discussing her relationship with her parents (“she was the apple of their eye”) and her hopes of further study in Europe (110).

After exhibiting symptoms, but before returning to Ngaliema Hospital for treatment, N’Seka circulated in downtown Kinshasa for two days, exposing at least 36 direct contacts to Ebola. Preston can only speculate about her motives, suggesting that “It must have been a case of psychological denial” (110) that caused her to attempt to arrange her exit papers for Europe and then seek care at two other hospitals before returning to Ngaliema Hospital, where the seriousness of her illness was immediately recognized. N’Seka may also have sized up the capacity of the local medical infrastructure to treat Sister ME’s illness and attempted to save her own life by fleeing. N’Seka’s time in the city caused great alarm when it was reported to the international epidemiology community, but, after weeks of quarantine, none of N’Seka’s immediate contacts proved infected.

Without ever consenting to it, Mayinga gave her name to the Mayinga strain of Ebola Zaire as samples of her blood reached laboratories the world over. Her blood serum is also used to test unknown viruses against the known filovirus strains; this, too, is called by scientists “the Mayinga” (191). Virus particles in her blood were ultimately DNA sequenced and used to develop an Ebola vaccine. Few inadvertent contributions to science have ever been more significant (Freudenthal, Emmanuel. “A Short History of an Ebola Vaccine.” The New Humanitarian, 4 Jun. 2019).

Eugene (“Gene”) Johnson

Eugene Johnson (1947-2019) was an American virologist specializing in hemorrhagic fevers. He worked for USAMRIID during the years covered by The Hot Zone. Preston describes him as a legendary “Ebola hunter,” a large man with a somewhat wild, disheveled appearance, shy despite his celebrity in scientific circles (74). He is introduced into the narrative in 1987, when he receives samples of Peter Cardinal’s blood from a mysterious contact at Dulles Airport. After confirming that Cardinal has Marburg, Johnson conceives and leads the Army expedition to Kitum Cave in 1988. During this expedition, he spends a month with a full team of 35 researchers attempting to find the host organism for Marburg virus. Despite his dedication to virus research, Johnson struggles emotionally with the task of killing the sentinel monkeys, as required by the experimental design.

Later, Johnson is at the center of the efforts to control the outbreak at the monkey house in Reston. His gear from the Kitum Cave expedition outfits the Army team, and his expertise allows him to design the operation. Johnson’s reappearances in the narrative thus help Preston build a case for the importance of virus research. Even an expensive and apparently failed expedition like Johnson’s in Kitum Cave lays valuable groundwork for countering a later viral threat on US soil.

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