State of Wonder - Ann Patchett [136]
Marina had never seen the rooms where the other doctors lived. There was a small circle of huts behind the lab but the lab was where they worked and ate and stayed to talk in the evenings. She had known for some time that one of the huts contained the mice that were forced into repeated pregnancies, their heavy bellies bumping against their exercise wheels, and now she knew that another hut was full of mosquitoes. Their larvae grew in tepid water inside of plastic trays that stacked into a tall rack of metal shelving. When they were ready to hatch they were transferred into large plastic buckets with a piece of pantyhose stretched across the top that was held in place by a rubber band. From there the mosquitoes were infected with malaria. It might have been because everyone felt so confident in the success of their vaccinations that they could afford to be so sloppy in their protocol, but when Alan Saturn first showed them to Marina she did not feel comfortable with the hundreds of flying insects per bucket banging their minuscule weight against a web of nylon.
“Feeding time at the zoo,” Alan said, and soaked a large wad of cotton in a cup of sugar syrup. “Go on and give them a taste of what they really want. Breathe on them. Just lean over and exhale.”
And so she did, and they flung themselves upward in one ineffectual black fist. Marina stepped back.
“Mammalian breath, that’s what draws them. It’s only the females that bite, you know. The males neither contract nor spread the protozoa.” He dropped the cotton onto the hosiery and the mosquitoes went in like sharks for bloody chum. He watched them for a minute. “They always hold up their end of the bargain.”
There were two plastic flyswatters tacked to the wall, their wire handles rusted. “How do you test yourself?” she asked, not entirely certain she wanted to know.
“We take five mosquitoes out of the infected bucket,” he said, tapping the lip of the bucket she’d just breathed into. “When I first came here you should have seen what we went through. We’d put on hazmat suits, seriously, face masks, gloves. As if every tenth mosquito outside isn’t carrying anyway. Now I just stick a net in there. I know what I’m doing. I put those five in a cup with a piece of nylon over the top, then I hold the cup on my arm, on my leg, it doesn’t matter. When I have five bites I kill the mosquitoes and run them under the microscope on a slide to make sure they were all infected. That’s pretty much it.”
“That’s it?”
“Well, then you wait. The malaria will present in ten days. But it doesn’t present. It hasn’t for any of us.”
“So how can you be certain your mosquitoes are good?”
“The microscope tells us that, and then from time to time we infect one of the men in the tribe from the same batch. Ten days later, clockwork, he has malaria. We bring in some of the women and the same group of mosquitoes can bite them all day long and it’s nothing.” Alan was leaning over another bucket. He blew in before giving them the cotton.
“And this man who contracts malaria, how does he agree to this?”
He stood up and shrugged. “I suppose if this man had a lawyer it could be said that he hadn’t agreed, or that he hadn’t been made fully aware of what he was agreeing to. I’ve got some Cokes in here, I don’t tell Annick that. They love them.”
“You give them a Coke for getting malaria?”
“Don’t make this out to be the Tuskegee Institute. Chances are excellent that these men have had malaria before, or that they would have had malaria eventually. The difference is that when they get it in this room we’re also going to cure it. Curing malaria isn’t the problem, you’ll remember; the problem is figuring out a way to vaccinate against it. If they get sick for a couple of days in the name of developing a drug that could protect the entire tribe, the entire world, then I say so be it.”
“Yes,” Marina said, feeling a little uncomfortable with the argument. “But they don’t say so be it.”
Alan Saturn picked up his buckets and began to arrange them