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Every student of epidemiology learns the story of the Broad Street pump (London, 1854) that marks the birth of the science of epidemiology. In A Plague of Prisons, Ernest Drucker uses that story as a metaphor to explain the explosion of incarceration in the United States that followed the 1973 enactment of the Rockefeller drug laws. Epidemiology, in this account, is about the social – not just biological – transmission of a pathogen: how political decisions act as vectors – and how these vectors created a social epidemic of gargantuan proportions. Drucker is professor emeritus of family and social medicine at Montefiore Medical Center/Albert Einstein College of Medicine and former Editor-in-Chief of the journal Addiction Research. He was present at the creation of the AIDS epidemic in the Bronx in the early 1980s and watched from his front row seat how the war on drugs spread AIDS through the rest of the criminalized population via the Riker’s Island prison.

A plague of prisons: the epidemiology of mass incarceration in America