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A must-read history of quarantine, its future – technological – and why public health is meaningless unless we consider ourselves part of a public

  • The earliest quarantine facilities were not unlike medical prisons, but the future of isolation to prevent disease spreading will rely on technology
  • So say Geoff Manaugh and Nicola Twilley in their compelling history of quarantine. They emphasise how much it relies on there being a sense of civic duty

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People in quarantine in Wuhan, China, at the height of the coronavirus pandemic there. Photo: Getty Images
Charmaine Chan

Until Proven Safe: The History and Future of Quarantine by Geoff Manaugh and Nicola Twilley, pub. MCD

Carved into sandstone at a 19th century former maritime quarantine station in Australia is a distressed message in Chinese that should resonate with millions of people around the world unlucky enough to have crossed paths with Covid-19.

“Fearful of contagion,” reads the inscription, by Xie Ping De of He county, Anhui province. “A burst of grief so un­bearable that it is inexpressible […] My friends, this is not a place of pleasure.”

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Now a converted spa-hotel with a museum and a sideline in ghost tours, Sydney’s Q Station provided R&R in 2009 for journalists Geoff Manaugh and Nicola Twilley (co-host of the long-running Gastropod food podcast). It also offered the couple the germ of an idea for one of this year’s must-read books.

Until Proven Safe: the History and Future of Quarantine is an intriguing look at how space and time, expressed through architecture, have been deployed for more than 600 years to stop the spread of epidemics – among them plague, yellow fever, tuberculosis, cholera, Ebola and, of course, coronavirus.
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The pair consider how quarantine – derived from the Italian quarantina for the 40-day period once believed to be the turning point for disease – developed into a ubiquitous practice to halt contagion not only among humans. They show how it has been used to keep plants and animals safe (although incineration and extermination are often the solution); keep space exploration free of contamination; and keep nuclear waste in “a strange kind of purgatory”.

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