问答题
Part B
In the following article some paragraphs have
been removed. For Questions 66~70, choose the most suitable paragraph from the
list A~F to fit into each of the numbered gaps. There is one paragraph which
does not fit in any of the gaps. Mark your answers on ANSWER SHEET 1.
Does the publisher of Douglas Starr’s excellent Blood--An Epic
History of Medicine and Commerce actually expect to sell many copies Whoever
chose the title is certain to scare off the squeamish ,and the subtitle,which
makes the effort sound like a dry, dense survey text, has really done this book
a disservice. In fact, the brave and curious will enjoy a brightly written,
intriguing, and disquieting book, with some important lessons for public
health.
66.______
The book begins with a
historical view on centuries of lore about blood--in particular, the belief that
blood carried the evil humors of disease and required occasional draining. As
recently as the Revolutionary War, bloodletting was widely applied to treat
fevers. The idea of using one person’s blood to heal another is only about 75
years old—although rogue scientists had experimented with transfusing animal
blood at least as early as the 1600s. The first transfusion experiments involved
stitching a donor’s vein (in early cases the physician’s) to a patient’s
vein.
67.______
Sabotaged by notions about the
"purity" of their groups’ blood, Japan and Germany lagged well behind the Allies
in transfusion science. Once they realized they were losing injured troops the
Allies had learned to save, they tried to catch up, conducting horrible and
unproductive experiments such as draining blood from POWs and injecting them
with horse blood or polymers.
68.______
During
the early to mid-1980s, Start says, 10,000 American hemophiliacs and 12,000
others contracted HIV from transfusions and receipt of blood products. Blood
banks both here and abroad moved slowly to acknowledge the threat of the virus
and in some cases even acted with criminal negligence, allowing the distribution
of blood they knew was tainted. This is not new material. But Starr’s insights
add a dimension to a story first explored in the late Randy Shilts’s And the
Bond Played On.
69.______
Is the blood supply
safe now Screening procedures and technology have gotten much more advanced.
Yet it’s disturbing to read Starr’s contention that a person receiving multiple
transfusions today has about a l in 90,000 chance of contracting HIV--far higher
than the" one in a million" figure that blood bankers once blithely and falsely
quoted. Moreover,new pathogens threaten to emerge and spread through the
increasingly high-speed, global blood-product network faster than science can
stop them. This prompts Start to argue that today’s blood stores are"
simultaneously safer and more threatening" than when distribution was less
sophisticated.
70.______
A. The massive wartime
blood drives laid the groundwork for modern blood-banking, which has saved
countless lives. Unfortunately,these developments also set the stage for a great
modern tragedy--the spread of AIDS through the international blood
supply.
B. There is so much drama, power, resonance, and
important information in this book that it would be a shame if the squeamish
were scared off. Perhaps the key lesson is this:The public health must always be
guarded against the pressures and pitfalls of competitive markets and human
fallibility.
C. In his chronicle of a resource, Start covers an
enormous amount of ground. He gives us an account of mankind’s attitudes over a
400-year period towards this "precious, mysterious, and hazardous material" ; of
medicine’s efforts to understand, control, and develop blood’s life-saving
properties; and of the multibillion-dollar industry that benefits from it. He
describes disparate institutions that use blood, from the military and the
pharmaceutical industry to blood banks. The culmination is a rich examination of
how something as horrifying as distributing blood tainted with the HIV virus
could have occurred.
D. The book’s most interesting section
considers the huge strides transfusion science took during World War Ⅱ. Medicine
benefited significantly from the initiative to collect and supply blood to the
Allied troops and from new trauma procedures developed to administer it. It was
then that scientists learned to separate blood into useful elements, such as
freeze-dried plasma and clotting factors, paving the way for both battlefield
miracles and dramatic improvement in the lives of hemophiliacs.
E. Starr’s tale ends with a warning about the safety of today’s blood
supply.
F. Starr obtained memos and other evidence used in
Japanese, French, and Canadian criminal trials over the tainted-blood
distribution. (American blood banks enjoyed legal protections that made U. S.
trials more complex and provided less closure for those harmed. ) His account of
the French situation is particularly poignant. Starr explains that in postwar
France, donating blood was viewed as a sacred and patriotic act. Prison
populations were urged to give blood as a way to connect more with society.
Unfortunately, the French came to believe that such benevolence somehow offered
a magical protection to the blood itself and that it would be unseemly to
question volunteer donors about their medical history or sexual or drug
practices. Combined with other factors, including greed and hubris, this led to
tragedy. Some blood banks were collecting blood from high-risk groups as late as
1990, well into the crisis. And France, along with Canada, Japan, and even
Britain, stalled approval and distribution of safer, American heat-treated
plasma products when they became available, in part because they were giving
their domestic companies time to catch up, with scientific advances.