The Viral Underclass by Steven W. Thrasher

The Human Toll When Inequality and Disease Collide

Through reportage, research and personal narrative, this book shows how infectious disease and public-health responses deepen existing inequalities, producing a ‘‘viral underclass’’—poor, Black, immigrant, incarcerated and LGBTQ+ people who disproportionately suffer contagion, surveillance and stigma. It traces historical and contemporary outbreaks (including HIV, Zika and COVID-19), documents how policing, neglect, discriminatory policy and digital surveillance exacerbate harm, and reveals how medicine and media can reproduce racial and economic injustice. The work argues for a human-rights–centered public health that addresses social determinants, rejects punitive responses, and restores dignity and justice to marginalized communities.

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