2021-2022年甘肃省兰州市公共英语五级(笔试)重点汇总（含答案）

2021-2022年甘肃省兰州市公共英语五级(笔试)重点汇总（含答案）学校:________班级:________姓名:________考号:________

一、1.ListeningComprehension(15题)1.The"feltimage"ismuchmoreimportantbecauseithelpsyoutobemoreconfident.

A.RightB.Wrong

2.PartC

Directions:Youwillhearatalk.Asyoulisten,answerthequestionsorcompletethenotesinyourtestbookletforQuestions21-30bywritingNOTMORETHANTHREEwordsinthespaceprovidedontheright.YouwillhearthetalkTWICE.

Younowhave1minutetoreadQuestions21-30.

听力原文：Imagineyouareahighschoolprincipal．Ateacherburstsbreathlesslyintoyouroffice．“There'safistfightinthedining-room．”shegasps．Theresponsibilityisyourstostopthefight．Howdoyoumeetit?

(1)Perhapsyou，asayoungster，tookpartinfightsandyourpresent-daytieswithstudentsarewarmandstrong．Youcanstopthefightbecauseyourprestigeishighamongthem．

(2)Youhaveaplanprepared．Otherschoolshavebeendisruptedsoyouhavealreadyplannedawaytostopanyfight．

(3)Youaretotallyconfidentofyourabilityinacrisis．Youarereadytostrideintothelunchroomandtakechargewithoutasinglequalm．Stoppingthefightwillbeeasy．

(4)Youferventlywishthatyoucoulddelegatethejobsinceyouknowthatyou'renotatalentedpeacemaker．Youwishyoucouldreturntothejobofplanningfortheschool'sneedtenyearshence．

Oneofthesefourreactionswouldbethefirstyou'dfeel．butonlyone—nottwoorthreeofthem，saythreepsychologists．Thesepsychologists—Dr.HarrietMann,Dr.HumphreyOsmondandMiriamSiegler—havecomeupwithaschemeforsortingpeopleregardlessoftheireducation，ageorsituation．

Theconceptisbasedonthepremisethatallpeoplehaveabasicwayofseeingtime．Eachofusispredisposedtoseealleventsfromtimevantagepoint．Eitheritremindsyouofthepast(past-oriented)，howtheeventfitsintotoday，yesterday，andtomorrow(timeline)，whatitistoday(present)，orhowitwilldevelop(future)．

Thethreebeganworkingin1968whenDr.MannandMrs.SieglerwereassistantstoDr.Osmond,director，attheBureauofResearch，NewJerseyNeuro-PsychiatricInstituteinPrinceton．Dr.OsmondiscurrentlydevisingwaystomakeempiricalstudiesofthetheoryandDr.MannisinCambridge，Massachusetts，writingabookontheWorldsofTime．Theirtake-offpointwasaninterestinobservationsmadebySwisspsychologistCarlGustavJung，whodescribedinthe1920sthetemperamentaldifferencesoffourpsychologicaltypes．Jungisknownasthefounderofanalyticpsychology．SinceJung'sworkin1921，however，noonehadconceivedofatheoreticalframeworkthatwouldaccountforthefourtypes．Withoutsuchaframework，therewasnopossibilityofsubstantiatingthatpeopleofdifferenttypesexperiencetheworldverydifferently．

Timeandspacearethetouchstonesinthesystem．Eachperson，afterall，useshistimesomehowandexistswithinandactsuponthespacearoundhim．Dr.Mann，andcompanyproposethatcertaintraitsaresharedbypersonsfallingineachofthefourcategories．

Thefirsttype，thepasttype，seestimeasbeingcircular．Forhim，thepastcropsupinthepresentandthenreturnstothepastasamemory．Heenjoyscollectingsouvenirsandkeepingdiaries．HetellsstoriesaboutGreatAuntHattieandalwaysremembersyourbirthday．

Pasttypesarepeggedbythissystemasemotionalpeoplewhoseetheworldinahighlysubjectiveway．Forinstance，SchoolPrincipalI(pasttype)couldidentifywiththefightandknowhowtohandleitbecauseofsomepastexperience-whetheritbesimilarfightsasachildhimselforonespreviouslydealtwithastheschoolprincipal．Inaddition，pasttypesusuallyfollowstrictmoralcodesandoftenarevaluedmoreforwhattheyarethanforwhattheydo．Thisqualityitself-becauseitlendsauthoritarianstrengthtoonewhopossessesit-mightcausethestudentstoquitfighting．Pasttypesoftenhavebeenfoundtobeskillfulatassessingtheexactemotionaltenorofaneventandareadeptatinfluencingothers'emotions，accordingtotheMann

3.Dr.MannisnowinCambridge,writingabookonthe______.

4.听力原文：TheUniedStatesofAmericaisafoundingmemberoftheInternationalFootballAssociation.In1913theAmericanFootballAssociationwasfoundedwithover7,000registeredclubsand1.4millionplayers.

InhistorytheU.S.teamenteredthefinalsoftheWorldCupfourtimesandgaineddiethirdplaceinthefirstWorldCup.Butsincethe4thWorldCupUSAhaspaidmoreattentiontotheOlympicGamesandAmericanfootball.

TheheadcoachoftheU.S.teamnowisfromYugoslavia,the57-year-oldcoachmovedtoMexicotwenty-oneyearsagoandlaterhebecametheheadcoachofMexico'sNationalTeam.Afterthatheleftforanevensmallercountry,CostaRica.Beforelong,hebecamewell-knownallovertheworld.

OnMarch7th,1991,hefacedthebiggestchallengeinallhislifetoleadtheU.S.team.TheAmericanFootballAssociationspentayearbuildingafootballfieldinCaliforniaforhim.Andintwoyears'timehisteamdefeatedtheteamsofIreland,EnglandandPortugal.

ThustheU.S.teamenteredwitheaseintothefinalsoftheWorldCup.Andasthehost,itenteredautomaticallyintothefirstcirclein1994.

WhenwastheAmericanFootballAssociationfounded?

A.In1913.B.In1930.C.In1914.D.In1917.

5.PartB

Directions:Youwillhear3conversationsortalksandyoumustanswerthequestionsbychoosingA,B,CorD.YouwillheartherecordingONLYONCE.

听力原文：M：Ireallydon'tknowwhattodothissummer．Ican'taffordtojustsitaround，andtheredon'tseemtobeanyjobsavailable．

W：Whydon'tyoutryhouse-sitting?LastsummermyfriendSallyhouse-satfortheGammonswhentheywentawayonvacation．Mrs．GammonhiredSallytostayintheirhousebecauseshedidn'twantitleftempty．

M：YoumeantheGammonspaidSallyjusttoliveintheirhouse?

W：Itwasn'teasy．Shehadtomowthelawnandwaterthehouseplants．AndwhenJodihouse-satforMr．Johnson，hehadtotakecareofhispets．

M：House-sittingsoundslikeagoodjob．Iguessit'salittlelikebaby-sitting—exceptyou'retakingcareofahouseinsteadofchildren．

W：Thestudentemploymentofficestillhasafewjobsposted．

M：DoIjusthavetofilloutanapplication?

W：SallyandJodihadtointerviewwiththehomeownersandprovidedthreereferenceseach．

M：Thatseemslikealotoftroubleforasummerjob．

W：Well，thehomeownerswantsomeguaranteesothattheycantrustthehouse-sitter．Youknow，theywanttomakesureyou'renotthetypewho'llthrowwildpartiesintheirhouse，ormoveagroupoffriendsinwithyou．

M：House-sitterswhodothatsortofthingprobablyaren'tpaidthen．

W：Usuallythey'repaidanywayjustbecausethehomeownersdon'twanttomakeafuss．Butifthehomeownerreportedit，thenthehouse-sitterwouldn'tbeabletogetanotherjob．Soifthehomeownerreportedit，thenthehouse-sitterwouldn'tbeabletogetanotherjob．Sowhydon'tyouapply?

M：Yeah．IthinkIwill．

Whichjobdoesthewomansuggesttotheman?

A.Baby-sitting.

B.House-cleaning.

C.House-sitting.

D.Mowingthelawn.

6.PartA

Directions:Youwillhearatalk.Asyoulisten,answerQuestions1-10bycirclingTRUEorFALSE.YouwillhearthetalkONLYONCE.Younowhave1minutetoreadQuestions1-10.

听力原文：Thereareseveralplacesintheworldthatarefamousforpeoplewholiveforaverylongtime.Thesesplacesareusuallymountainousareas,farawayfrommoderncities.Doctors,scientistsandpublichealthexpertsoftentraveltotheseregionstosolveamysteriouslonghealthylife;theexpertshopetobringtothemodernworldthesecretsoflongevity.

HunzaishighintheHymalayanMountainsofAsia.There,manypeopleoveronehundredyearsofagearestillinphysicalhealth.Menofninetyarenewfathers,andwomenoffiftystillhavebabies.Whatarethereasonsforthisgoodhealth?ScientistsbelievethatthepeopleofHunzahavethesethreebenefits:first,physicalwork,usuallyinthefieldsorwithanimals;second,ahealthenvironmentwithcleanairandwater;andwhat'smore,asimplediethighinvitaminsandnutritionbutlowinfat,cholesterol,sugarandchemicals.

PeopleintheCaucasusMountaininRussiaarealsofamousfortheirlongevity.Inthisarea,thereareamazingexamplesofverylong-livedpeople.Birthrecordsarenotusuallyavailable,butawomancalledTsurbaprobablyliveduntilage160;amancalledShiraliprobablyliveduntil168.Hiswidowwas120yearsold.Ingeneral,peoplenotonlylivealongtime,buttheyalsolivewell.Theyarealmostneversick,andwhentheydie,theyhavenotonlytheirownteethbutalsoafullheadofhairandgoodeyesight.

Vilcabamba,Ecuador,isanotherareafamousforthelongevityofitshabit-ants.Thisregion—likeHunzaandtheCaucasus—isalsoinhighmountains,farawayfromcities.InVilcabamba,too,thereisverylittledisease.Onereasonforthegoodhealthofthepeoplemightbetheclean,beautifulenvironment:thetemperatureisabout70Fahrenheitallyearlong;thewindalwayscomesfromthesamedirection;andtheregionisrichinflowers,fruits,vegetablesandwildlife.

Insomeways,thedietsofthehabitantsinthethreeregionsarequitedifferent.Hunzukutseatmainlyrawvegetables,fruit(especiallyapricots),andchapattis—akindofpancake;theyeatmeatonlyafewtimesayear.TheCaucasiandietconsistsmainlyofmilk,cheese,vegetables,fruitandmeat;mostpeopletheredrinkthelocalredwinedaily.InVilcabamba,peopleeatasmallamountofmeateachweek,butthedietconsistslargelyofgrain,coins,beans,potatoesandfruit.

ExpertsfindonesurprisingfactinthemountainsofEcuador.Mostpeoplethere,eventheveryold,consumealotofcoffee,drinkalargeamountofalcohol,andsmokefortytosixtycigarettesdaily.

However,thedietsaresimilarintwogeneralways:first,thefruitsandvegetablesthattheinhabitantsofthethreeareaseatareallnatural;thatis,theycontainnochemicalsandsecond,thepeopleconsumefewercaloriesthanpeopledointheotherpartsoftheworld.AtypicalNorthAmericantakesinanaverageof3,300calorieseveryday;atypicalinhabitantofthesemountainousareasbetween1,700and2,000calories.

Inhabitantsinthethreeregionshavemoreincommoncalories,naturalfood,theirmountainsandtheirdistancefrommoderncities,becausethesepeopleliveincountrysideandaremostlyfarmers,theirlivesarephysicallyhard.Thus,theydonotneedtogotohealthclubsbecausetheygetalotofexerciseintheirdailywork.Inaddition,although,theirlivesarehard,thepeopledonotseemtohavetheworriesofcitypeople.Theirlivesarequiet.Consequently,someexpertsbelievethatphysicalexerciseandfreedomfromworrymightbethetwomostimportantsecretsoflongevity.

Somemoderncitiesareusuallyfamousforpeoplewholiveave

A.TrueB.Fasle

7.Inwhatpartoftheworldispotatoespeciallyafavoritefood?

8.听力原文：Yesterdaywediscussedtheproblemofrisingprices,or,intheeconomist'sterms,inflation.Wenotedthat,duringperiodsofinflation,allpricesandincomesdonotriseatthesamerate.Someincomesrisemoreslowlythanthecostofliving,andafewdonotriseatall.Otherincomesrisemorerapidlythanthecostofliving.

Weconcludedthatpersonswithfixedincomes,forexample,theelderlywhodependuponpensions,andpersonswithslow-risingincomesas,forexample,anemployeewithasalaryagreedtoinalong-termcontract,willbemostseriouslyaffectedbyinflation.Pleaserememberthatwhiletheirdollarincomes,staythesame,thecostofgoodsandservicesrises,andineffect,realincomedecreases,thatis,theyareabletopurchaselesswiththesameamountofmoney.

Wealsotalkedaboutthefactthatstockholdersandpersonswithbusinessinterestsandinvestmentswouldprobablybenefitmostfrominflation,sincehighpriceswouldincreasesalesreceipts,andprofitswouldlikelyrisefasterthanthecostofliving.

Andnow,beforewebegintoday'slecture,arethereanyquestionsabouttheterm,inflationoranyoftheexamplesgiveninourdiscussionsofar?

What'sthemainpurposeofthetalk?

A.Tointroducetheconceptofinflation.

B.Todiscussthecausesofinflation.

C.Toreviewyesterday'slectureoninflation.

D.Toargueinfavorofinflation.

9.Waterisasimportantasvitamins,mineralsandproteinsforlife.

A.RightB.Wrong

10.Accordingtothewoman,whyarewomenmuchbetteratdealingwithmorethanonethingatatime,butmenarenotasgood?

A.Becausewomenhavebetterabilities.

B.Becausemenarenotusedtohousework.

C.Becausemenlackpractice,

D.Becausemenfinditeasytoconcentrateononlyonething.

11.Thepast-orientedpeopleareflexiblein______.

12.Thefrontdoortohishomedoesnotopenautomatically.

A.TrueB.Fasle

13.Theystartedworkingin1968basedontheobservationmadebyJung，thefounderof______．

14.Whydoesthewomanrefertofootball?

A.Toillustratemen'sinterest.

B.Toillustratethatmenusuallydonottouchuponanythingimportantintalkingabouttheirworkandinterest.

C.Toprovemenaremostlyfootballfans.

D.Toshowthatmenintentionallytrytoavoidtalkingabouttheirtruefeelings.

15.Governmentbuildingsoftenhavespecialpathsforthosepeoplehandicapped.

A.RightB.Wrong

二、2.UseofEnglish(10题)16.

【C2】

17.

【C5】

18.(47)

19.

【C16】

20.(34)

21.

【C15】

22.RecentsurveysshowthatJapaneseyouthhavebecomea"MeGeneration"thatrejectstraditionalvalues.

"Around1980manyJapanese,【C1】______youngpeopleabandonedthevaluesofeconomicsuccessandbegan【C2】______fornewsetsofvaluesto【C3】______themhappiness,"writessociologistYasuhiroinComparativeCivilizationsReview.Japaneseyouthareplacingmoreimportanceontheindividual'spursuitof【C4】______andlessonthevaluesofwork,family,andsociety.

Japanesestudentsseemtobelosingpatiencewithwork,【C5】______theircounterpartsintheUnitedStatesandKorea.Ina1993【C6】______ofcollegestudentsinthethreecountries,only10%oftheJapaneseregarded【C7】______asaprimaryvaluecomparedwith47%ofKoreanstudentsand27%ofAmericanstudents.Agreater【C8】______ofJapaneseaged18—24alsopreferredeasyjobs【C9】______heavyresponsibility.

TheyoungerJapaneseareshowinglessconcernforfamilyvaluesastheypursueaninnerworldofprivatesatisfaction.Datacollected【C10】______theJapanesegovernmentin1993showsthatonly23%ofJapaneseyoutharethinkingaboutsupportingtheiragedparents,incontrast【C11】______63%ofyoungAmericans.Itappearsthatmanyyounger-generationJapaneseare【C12】______bothrespectfortheirparents【C13】______asenseofresponsibilitytothefamily.AuthorYoshizakiattributesthechange【C14】______Japaneseparents!over-indulgenceoftheirchildren,materialaffluence,andgrowing【C15】______forprivatematters.

Theshift【C16】______individualismamongJapaneseismostpronouncedamong【C17】______veryyoung.Accordingto1991data【C18】______theBunkaCenterofJapan,50%ofJapaneseyouthaged16—19canbelabeled"self-centered"comparedwith33%among【C19】______aged25-29.Toearntheself-centeredlabel,theyoungpeoplerespondedpositivelyto【C20】______ideasas"Iwouldliketomakedecisionswithoutconsideringtraditionalvalues"and"Idon'twanttodoanythingIcan'tenjoydoing."

【C1】

23.(36)

24.(39)

25.(33)

三、3.ReadingComprehension(15题)26.

Whatdoestheunderlinedword"they"inParagraph2referto?

A.Creativeandcompetitiveinsuranceproducts.

B.Insurancecompanies.

C.Otheralternatives.

D.Investments.

27.

Whichofthefollowingstatementsisnottrue?

A.Electricfishcomefromdifferentfamilies.

B.Onecangetashockbytouchingtheelectricraysintwoplaces.

C.Theelectricplatesintheraysareconnectedwiththespinalcord.

D.Theelectriccatfishisedible.

28.Insuranceissupposedtoprovideprotectionagainstfinancialrisks,andwhiledyingtoosoonisonemajorriskweface,anotherriskmoreandmorepeoplefearisoutlivingtheirmoney.Asaresult,agrowingarrayoflifeinsuranceproductsmakeitpossibletoprotectagainstbothofthoserisks.

Inmanyoftoday'slifeinsuranceproducts,MacDonaldnotes,"Thedeathbenefitportionreallyhasbecomeacommoditytypeproduct,soifsomeoneisreallyconcernedaboutthefinancialimpactofdyingyoung,thentheycangetaprettygooddealbybuyingterminsuranceonacommoditybasis—findthecheapestpolicyandbuyit."But,hesays,"Theothersideofthecoinisthatinsurancecompanieshavedevelopedproductsthatcanbeverycreative,andverycompetitivetootheralternatives,includinginvestments.Theycanfillaveryimportantroleinanyoverallinvestmentplan."

Diverseanduniversalpoliciesofferpeoplechoicesinhowmuchtheywanttoputintotheirpoliciesandhowtheywanttheirfundsinvested.Thesefundscanthenbetappedlaterontoprovidealumpsumforpurchasingaretirementhomeorastreamofretirementincome.Lifeinsuranceisanattractiveinvestmentvehicle,becausethe"insidebuildup",theaccumulationoffundsinsideapolicystructrue,isnotsubjecttotaxes,incontrasttootherpersonalinvestments.

However,MacDonaldandotherswarnagainstusinginsurancepoliciespurelyasaninvestment.Whiletherearetaxadvantages,therearealsothecostsconnectedwiththeinsurancecoverage,andifyoudon'tneedthatcoveragethesecanbeexpensivewaystoinvest.

Moreover,MacDonaldnotesthatsomecompaniesareofferinginsurancethathasacriticalillnessorlong-termcarebenefit.Thesepoliciesspecifythatifsomeonesuffersaheartattack,forexample,theywillget25%ofthefaceamountoftheinsurancepolicyimmediatelyratherthanatdeath.Oriftheymustbeconfinedtoanursinghome,theywillbeabletouseuptothefaceamountofthepolicytopaythenursinghomecosts.

Amidtheproliferationofinsuranceproduct,MacDonaldsays,"Thepositivesideofitistherearebetterproducts—they'recheaperandmoreflexible.Thenegativesideisthatit'smorecomplicatedandeasiertomakeamistake.Inthepast,itwasplainvanilla;everybodywassellingthesameproductandeverybodyhadtofindanagenttheyliked.Nowtherehasbeensignificantchangesinproductstructureanddesign,andbenefits,andsoitisworthwhiletoshoparound."

Thepurposeofinsuranceisto______.

A.giveyoumoneywheneveryouneed

B.protectyoufromfinancialrisks

C.savemoney

D.outlivemoney

29.(70)

30.(69)

31.

Whycouldnotceramicsbeusedwidelyinthepast?

A.Becauseoftheirbrittleness.

B.Becausepeopledidn'tknowhowtousethem.

C.Becausetheywerenotuseful.

D.Becausetheycouldnotresistheat.

32.

Accordingtothepassageitiscommonlybelievedthatbraindifferencesarecausedby______factors.

A.biologicalB.psychologicalC.physicalD.social

33.(76)

34.

Thefederalgovernmentgetsmostoftheirincomefrom______．

A.propertytaxB.incometaxC.salestaxD.estatetax

35.(75)

36.Themanbehindthisnotion,JackMaple,isadandywhoaffectsdarkglasses,homburgs(翘边帽)andtwo-toeshoes;yethehasbecomesomethingofalegendinAmerica'spolicedepartments.Forsomeyears,startinginNewYorkandmovingontohigh-crimespotssuchasNewOrleansandPhiladelphia,heandhisbusinesspartner,JohnLiederhavemarketedatwo-tiersystemforcuttingcrime.

First,policedepartmentshavetosortthemselvesout:rootoutcorruption,streamlinetheirbureaucracy,andmakemorecontactwiththepublic.Second,theyhavetoadoptacomputersystemcalledComstatwhichhelpsthemtoanalyzestatisticsofallmajorcrimes.Theseareconstantlykeyedintothecomputer,whichthendisplayswhereandwhentheyhaveoccurredonacolor-codedmap,enablingthepolicetomonitorcrimetrendsastheyhappenandtospothigh-crimeareas.InNewYork,Comstat'sstatisticalmapsareanalyzedeachweekatameetingofthecity'spolicechiefandprecinctcaptains.

MessrsMapleandLinder("specialistsincrime-reductionservices")havenodoubtthattheirsystemisamaincontributortothedropincrime.WhentheyintroduceditinNewOrleansinJanuary1997,violentcrimedroppedby22%inayear;whentheymerelystartedworkinginformallywiththepolicedepartmentinNewark,NewJersey,violentcrimefellby13%.Policedepartmentsarenowlininguptopayasmuchas$50,000amonthforthesetwomentoputthemstraight.

Probablyallthesenewpoliciesandbitsoftechnicalwizardry,addedtogether,havemadeabigdifferencetocrime.Butthereremainanomaliesthatcannotbeexplained,suchasthefactthatcrimeinWashingtonD.C.,hasfallenasfastasanywhere,althoughthepolicedepartmenthasbeencorruptandhopelessand,inlargestretchesofthecity,neitherpolicenorresidentsseemdisposedtofightthecriminalsintheirmidst.

Themoreimportantreasonforthefallincrimerates,manysay,isamuchlesssophisticatedone.Itisafactthatcrimerateshavedroppedastheimprisonmentratesoared.In1997thenationalincarcerationrate,at645per100000peoplewasmorethandoubletheratein1985,andthenumberofinmatesincityandcountyjailsroseby9.4%,almostdoubleitsannualaverageincreasesince1990.Surelysomecriminologistsargue,onesetoffiguresisthecauseoftheother.Itisprecisebecausemorepeoplearebeingsenttoprison,theyclaimthatcrimeratesarefalling.A1993studybytheNationalAcademyofSciencesactuallyconcludedthatthetriplingoftheprisonpopulationbetween1975and1989hadloweredviolentcrimeby10-15%.

Yetcauseandeffectmaynotbesoobviouslylinked.Tobeginwith,thesaleandpossessionofdrugsarenotcountedbytheFBIinitscrimeindex,whichislimitedtoviolentcrimesandcrimesagainstproperty.Yetdrugoffencesaccountformorethanathirdoftherecentincreaseinthenumberofthosejailed;since1980,theincarcerationratefordrugarrestshasincreasedby1000%.Andalthoughaboutthree-quartersofthosegoingtoprisonfordrugoffenceshavecommittedothercrimesaswell,thereisnotyetacrystal-clearconnectionbetweenfillingthejailswithdrug-pushersandadeclineintherateofviolentcrime.Again,thoughnationalfiguresaresuggestive,localonesdiverge:theplaceswherecrimehasdroppedmostsharply(suchasNewYorkCity)arenotalwaystheplaceswhereincarcerationhasrisenfastest.

JackMaplestartedhiscareerin______.

A.PhiladelphiaB.OregonC.NewOrleansD.NewYork

37.PartB

Directions:Inthefollowingarticlesomeparagraphshavebeenremoved.ForQuestions66-70,choosethemostsuitableparagraphfromthelistA-Ftofitintoeachofthenumberedgaps.Thereisoneparagraphwhichdoesnotfitinanyofthegaps.MarkyouranswersonANSWERSHEET1.

DoesthepublisherofDouglasStarr'sexcellentBlood—AnEpicHistoryofMedicineandCommerceactuallyexpecttosellmanycopies?Whoeverchosethetitleiscertaintoscareoffthesqueamish,andthesubtitle,whichmakestheeffortsoundlikeadry,densesurveytext,hasreallydonethisbookadisservice.Infact,thebraveandcuriouswillenjoyabrightlywritten,intriguing,anddisquietingbook,withsomeimportantlessonsforpublichealth.

66.______

Thebookbeginswithahistoricalviewoncenturiesofloreaboutblood—inparticular,thebeliefthatbloodcarriedtheevilhumorsofdiseaseandrequiredoccasionaldraining.AsrecentlyastheRevolutionaryWar,bloodlettingwaswidelyappliedtotreatfevers.Theideaofusingoneperson'sbloodtohealanotherisonlyabout75yearsold—althoughroguescientistshadexperimentedwithtransfusinganimalbloodatleastasearlyasthe1600s.Thefirsttransfusionexperimentsinvolvedstitchingadonor'svein(inearlycasesthephysician's)toapatient'svein.

67.______

Sabotagedbynotionsaboutthe"purity"oftheirgroups'blood,JapanandGermanylaggedwellbehindtheAlliesintransfusionscience.OncetheyrealizedtheywerelosinginjuredtroopstheAllieshadlearnedtosave,theytriedtocatchup,conductinghorribleandunproductiveexperimentssuchasdrainingbloodfromPOWsandinjectingthemwithhorsebloodorpolymers.

68.______

Duringtheearlytomid-1980s,Starrsays,10,000Americanhemophiliacsand12,000otherscontractedHIVfromtransfusionsandreceiptofbloodproducts.Bloodbanksbothhereandabroadmovedslowlytoacknowledgethethreatofthevirusandinsomecasesevenactedwithcriminalnegligence,allowingthedistributionofbloodtheyknewwastainted.Thisisnotnewmaterial.ButStarr'sinsightsaddadimensiontoastoryfirstexploredinthelateRandyShilts'sAndtheBondPlayedOn.

69.______

Isthebloodsupplysafenow?Screeningproceduresandtechnologyhavegottenmuchmoreadvanced.Yetit'sdisturbingtoreadStarr'scontentionthatapersonreceivingmultipletransfusionstodayhasabouta1in90,000chanceofcontractingHTV—farhigherthanthe"oneinamillion"figurethatbloodbankersonceblithelyandfalselyquoted.Moreover,newpathogensthreatentoemergeandspreadthroughtheincreasinglyhigh-speed,globalblood-productnetworkfasterthansciencecanstopthem.ThispromptsStarrtoarguethattoday'sbloodstoresare"simultaneouslysaferandmorethreatening"thanwhendistributionwaslesssophisticated.

70.______

A.Themassivewartimeblooddriveslaidthegroundworkformodernblood-banking,whichhassavedcountlesslives.Unfortunately,thesedevelopmentsalsosetthestageforagreatmoderntragedy—thespreadofAIDSthroughtheinternationalbloodsupply.

B.Thereissomuchdrama,power,resonance,andimportantinformationinthisbookthatitwouldbeashameifthesqueamishwerescaredoff.Perhapsthekeylessonisthis:Thepublichealthmustalwaysbeguardedagainstthepressuresandpitfallsofcompetitivemarketsandhumanfallibility.

C.Inhischronicleofaresource,Starrcoversanenormousamountofground.Hegivesusanaccountofmankind'sattitudesovera400-yearperiodtowardsthis"precious,mysterious,andhazardousmaterial";ofmedicine'seffortstounderstand,control,anddevelopblood'slife-savingproperties;andofthemultibillion-dollarindustrythatbenefitsfromit.Hedescribesdisparateinstitutionsthatuseblood,fromthemilitaryandthepharmaceuticalindustrytob

38.

Whycanmanypeoplesee“silverlinings”totheeconomicshowdown?

A.Theywouldbenefitin