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2022年江西省新余市公共英語(yǔ)五級(jí)(筆試)知識(shí)點(diǎn)匯總(含答案)學(xué)校:________班級(jí):________姓名:________考號(hào):________
一、1.ListeningComprehension(15題)1.Youcanfindyournoseinthedarknessbecauseofyour"feltimage".
A.RightB.Wrong
2.WhendidDr.Huberbecomeinterestedinpiano?
3.Theystartedworkingin1968basedontheobservationmadebyJung,thefounderof______.
4.AsimplediethighinvitaminsandsugarbutlowinfatandchemicalsbenefitsthosepeopleinHunza.
A.TrueB.Fasle
5.WhendidDicksongotoBostonforeyetreatment?
A.In1848.
B.Intheearly1850s.
C.Inthelate1850s.
D.Intheearly1860s.
6.聽力原文:Iwanttotalktodayaboutsomestudies.Theyseemtoindicatethatthereisastartlingworld-widedeclineinthenumberofamphibians,suchasflogs,toadsandsalamanders.There'slittledoubtthatonereasonwhythenumberofamphibiansisdecliningistheirhabitatshavebeendestroyedwhenthedevelopersfillinpondsandmarshestobuildhouses.Amphibianscan'tjustmovesomewhere.Theyneedwatertolaytheireggsin.Anotherproblemisthegrowingfishindustry.Anotherrangeofpopularpoolfishsuchascarphavebeenintroducedtomanylakesandpondsallovertheworld.Raisingandsellingthesefishcanbeprofitable,butthefisheattheeggsandoffspringofamphibiansthatwerealreadylivinginthelakesandponds.Otherfactorscouldbecontributingtothedeclineincludeacidrainandthespreadofpesticideresidues.Manypesticidesthatfarmersaddedtotheircropsareeventuallywashedawaybytherainandendupinpondsandotherbodiesofwaterwhereamphibianslive.Amphibiansareespeciallyvulnerabletopesticidesdissolvedinthewaterbecauseoftheirmoistskins.Watercanpassthroughamphibiansallowingtoxinsdissolvedinthewatertoentertheamphibians'body.
Whatdoesthespeakermainlydiscuss?
A.Thedistributionofdifferentspeciesofamphibians.
B.Possiblereasonsforreductioninthenumberofamphibians.
C.Theeffectsofenvironmentalchangeonthefishindustry.
D.Guidelinesfortheresponsibleuseofpesticides.
7.PartA
Directions:Youwillhearatalk.Asyoulisten,answerQuestions1-10bycirclingTRUEorFALSE.YouwillhearthetalkONLYONCE.Younowhave1minutetoreadQuestions1-10.
聽力原文:Hello,everyone.TodayIwillintroduceyouthelearningchainsinBritain.Herethechainsrefertoschoolslinkedtogetheraspartofagroup.Theycanofferstudentsmanypracticaladvantages.
Whenpeopleareaskedtonamealanguageschool,moreoftenthannot.theythinkofoneofthelargeinternationalchainsofschools.Somearevastlanguageteachingorganizationswithschoolsinmanydifferentcountriesandmayteachjustonelanguage.
Oneofthemainstrengthsofthesechainsisthefactthattheirnameisfamiliartopeopleallovertheworld.Thiscanbeabigadvantageintheconfusingworldoflanguagelearning.Moststudentsarebewilderedbythelargechoiceofschoolsandcoursesonoffer.bothathomeandabroad.a(chǎn)ndsomanyprefertochooseaschoolwhichhasafamiliarnameandanestablishedreputation.Chainschoolsknowthis,andpartoftheirsuccessisduetoeffectivemarketingandadvertising,whichhelpstokeeptheirnamewell-known.
Butchainschoolsshouldnotbedismissedbyseriousstudentsjustbecausetheyuseclevermarketingtechniques.Theyhaveotherimportantstrengthenswhichcanprovideadvantagestostudents.Aschoolisonlyasgoodasitsteachersandfacilities,andmanychainsofferveryhighstandardsinboth.Morechainsrequirethattheirteachershaveinternationallyrecognizedqualificationsandamaximumamountofteachingexperience.Itisimportantforchainstomaintainthesestandardsatallschools.becausethereputationofthewholechaincanbeaffectedifoneschoolperformsbadly.
Studentsalsobenefitfromthestandardizedstructureofchains.Mostchainsusethesametextbooksinalltheirschools.a(chǎn)ndoftentheyproducetheirowncourseworkmaterials.Theyalsoorganizetheircoursesinthesamewaywhichmeansthatstartingdatesandcourselengthsareusuallythesameatallschools.
Forstudents,oneofthemainadvantagesofthisstandardizedstructureissimplicity.IfyoucannotdecidewhethertostudyintheU.S.orBritain.forexample,mostchainsallowstudentstostarttheirlanguagecourseatoneschoolandcontinueatanother,sotheycanexperiencedifferentregionsordifferentcountries,aspartofthesamestudytrip.
Chainschoolstendtobelargerthansinglecenterschools,whichcanalsohaveadvantagesforstudents.Withlargernumbersofstudents.schooladministratorscanachieveabettermixtureofnationalitiesinclassrooms.Thismeansthatstudentscanavoidbeingwithotherstudentswhospeaktheirlanguage.Thisgivesthemthechancetomeetstudentsfromothercountries,andtopracticetheirEnglishwiththem.
Somechainsofferstudentsaverysimplebookingandenrolmentprocedurewhichisalsouseful.Applicationformsandenrolmentproceduresarethesameforallschools,sostudentsneedonlysupplytheirdetailsonce.Studentsmayfindthattheycanbooktheircourseabroadthrougharepresentativeofachainschoolintheirowntownorcity.Otherchainsofferacentralizedbookingfacility,sostudentsonlyhavetocontactonecentertomakeabookinganywhereintheworld.
Chainschoolsoftenoperateindifferentlocations,whereasasingleschoolislikelytobebasedpermanentlyinonebuilding.Manychainschoolsoperatetemporaryschools,particularlyduringthesummerholidays.InBritain,theyoftenusesecondaryschoolpremiseswhichareemptyduringtheschoolholidays.
StudyingEnglishinanEnglish-speakingcountryisthemosteffectivewaytolearnthelanguage,butformanystudentsthisisonlyonestageoftheirlearningcareer.MoststudentsstartlearningEnglishintheirowncountryandtheywillprobablywanttocontinuelearningoncetheyreturnfrom
A.RightB.Wrong
8.PartC
Directions:Youwillhearatalk.Asyoulisten,answerthequestionsorcompletethenotesinyourtestbookletforQuestions21-30bywritingNOTMORETHANTHREEwordsinthespaceprovidedontheright.YouwillhearthetalkTWICE.
Younowhave1minutetoreadQuestions21-30.
聽力原文:Inyouruniversitywork.youwillbeexpectedtogiveoralpresentationsintheform.ofreportsorsimplyintheformsofanswerstoquestions.Thereareseveralthingsyouoraldotomakeyouroralpresentationsclearandeasytounderstand.
Thefundamentalpointtorealizeisthatspeechandwritingaredifferent.Ifyouwanttobebestunderstood.youcan'tsimplyreadyourwrittenreportaloud.Thebiggestdifferencebetweenspokenandwrittenlanguageisthatreaderscanlookbackovertheprintedwordswhentheydon'tunderstand.Inspokenlanguage,however,listenerscan'tgobackandcheckthewords.Theycanrelyonlyonmemory.Sothefirstprincipletokeepinmindwhenyou'replanningtospeakinpublicisthatyouhavetohelpthelistener'smemory.Thismeansthatanoralreportcan'tdeliverinformationasrapidlyasawrittenreport.Thatis,youcan'thaveasmanypiecesofnewinformationpackedintothesamenumberofwords,becausetheywillcomeattoofastarateforthelistenertounderstand.
Inanoralreport,therateofdeliveryhastobeslower.Oneofthebestwaystohelpyouraudienceissimplytospeakslowly.Manypeoplespeaktoofastwhentheyspeaktoagroup.Thisisamistake,especiallyifyouhaveaforeignaccent,becauseitmakeslisteningmoredifficult.Beyondthesimpletechniqueofspeakingmoreslowlywhenyouspeakbeforeagroup,therearewaysoforganizingyourpresentationthatcanhelpthelistenerbeclearandunderstandyourmainpoints.
Theorganizationofyourtalkshouldallowenoughtimeforthelistenertothinkbothbeforeandaftereachnewidea.Thepurposeofthetimebeforethenewinformationistogivetheaudienceachancetounderstandthebackgroundclearly.Knowledgeofthebackground,orsettingoftheinformation,makesitmucheasiertoanticipatewhatkindofinformationiscomingnext.Ifthenewinformationoccurstooearly,withoutenoughbackground,thelistenersshouldnotbepreparedwithenoughbackgroundtobeabletopredictwhat'scoming.
I'vebeendescribingthetimeforthinkingbeforethenewinformation.It'salsoimportanttoprovidetimeforthinkingafterthenewinformation.Thisthinkingtimeallowslistenerstofittheideaintotheirgeneralknowledgeofthesubject.Thinkingtimegivesthelistenerachancetomakesurethattheideawasunderstoodbeforegoingontothenextnewidea.
Therearethreegeneralwaystogivethelistenertimeforthinkingandtimeafterapointofnewinformation.Onewayissimplytopause.Amomentofsilencegivesthelistenertimetotakeinthenewinformation,butthereareotherways.Asecondmethodistouseaparaphrase.Thatis,yousaythesamething,butindifferentwords.Thisparaphrase,orrepetitionoftheidea,helpsthelistenerstofixthethoughtintheirmemory.Athirdwaytogivethelistenertimetothinkistousewordsthatdon'tmeanmuch.Thesearewordsthatconveynoinformation,butjustfillintime.Forinstance,youmightsaysomethinglike“asI'vebeensaying”or“andsoforth”and“andsoon”.Thatkindofexpressiondoesn'treallysayanything.It'sjustmadeofwhatwecall“fillerwords”.Thewordshavenorealmeaning.buttheydoperform.ausefulfunction.sincetheyallowthelistenertimetothink.
Insummary,then,weknowthatorallanguageshoulddeliverinformationataslowerratethanyoucanuseinwrittenlanguage.Newinformationshouldbepresentedmoregradually.Thinkingtimeshouldbeprovidedbothbeforeandaftereachimportantnewitem.Thetimebeforeistoprovideabackgroundsothatthelistenerscanhaveachancetoanticipat
9.Waterisasimportantasvitamins,mineralsandproteinsforlife.
A.RightB.Wrong
10.PartB
Directions:Youwillhear3conversationsortalksandyoumustanswerthequestionsbychoosingA,B,CorD.YouwillheartherecordingONLYONCE.
聽力原文: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'11throwwildpartiesintheirhouse,ormoveagroupoffriendsinwithyou.
M:House-sitterswhodothatsortofthingprobablyaren'tpaidthen.
W:Usuallythey'repaidanywayjustbecausethehomeownersdon'twanttomakeafuss.Butifthehomeownerreportedit,thenthehouse-sitterwouldn'tbeabletogetanotherjob.Soifthehomeownerreportedit,thenthehouse-sitterwouldn'tbeabletogetanotherjob.Sowhydon'tyouapply?
M:Yeah,IthinkIwill.
Whichjobdocsthewomansuggesttotheman?
A.Baby-sitting.
B.House-cleaning.
C.House-sitting.
D.Mowingthelawn.
11.PartB
Directions:Youwillhear3conversationsortalksandyoumustanswerthequestionsbychoosingA,B,CorD.YouwillheartherecordingONLYONCE.
聽力原文:M:Now,I'dliketosaythatIthinkthatthisgovernmentproposingtobuildmorenuclearpowerstationsinthiscountryisreallybeingstupid.Thepointaboutnuclearpoweristhatwehaven'tlearnttodoawaywiththewaste.Wehaven'tlearnttocopewiththewastefromityet.
W:Well,Isometimesthinkthat,youknow,they'vegotanimpossiblejob.ImeanalltheimpressionIgetisthatthereisnoalternative…well,that'stheimpressionIget.
M:No,no,noI…Idon'tagreewiththatatall.Thereareplentyofalternatives.There'sthesun…solarpower…thatisasourcethatisalwaysthere,wealwayshaveit.
W:Idon't…Idon'tquiteseewhatyou'regettingatactually,solarpower,what'sthat?
M:Well,theheatfromthesun,itcanbeusedinsolarpanelsonthetopsofhousesforheating,storinguppowertoheatwaterandtoheatthehouses,youknow,somesolarpanelsareinoperationalreadyandtheyaresavingmoney…
W:That'sagoodpointactually,butisitreallyviable,that,ImeanbecauseI'd…
M:Sorryitmustbe!AndtheonegreatadvantageisthatIcansee,ifthegovernmentsetupsmallunitstobuildsolarpanelsandtoinstallthem,itwouldbecreatingemploymentwhichwouldimprovetheunemploymentsituationandbringterrificadvantages.
W:IhaveheardthatinEngland,Imean,there'snotenoughsun,isthere?For,Imean,solarpanelshere?
M:Yes,well,that'snotquitetrue.I…thereisquiteabitofsun…youmaynotfeeltheactualheatofitonsomeoccasions.
W:No,youarefightthere!
M:Butthelightpowerfromthesunwill…
Whatdoesthemanthinkofthegovernment'spresentproposalaboutbuildingmorepowerstationsinthecountry?
A.It'sadangerousproposal.
B.It'sastupidproposal.
C.It'sanadvantageousproposal.
D.It'saviableproposal.
12.Wangdecidestotakecoursesandpassexams.
A.RightB.Wrong
13.Accordingtothefigureoftheacademicyear1995/96,wheredothelargestnumberofforeignstudentscomefrom?
14.WhatdoesthespeakersayaboutLowTillFanning?
A.It'sanewwayofapplyingchemicalfertilizer.
B.It'sanimprovedmethodofharvestingcrops.
C.It'sacreativetechniqueforsavinglabor.
D.It'safanningprocesslimitingtheuseofplows.
15.Whatistherelationshipbetweenthemanandthewomaninthedialogue?
A.Reporterandfashiondesigner.
B.Husbandandwife.
C.Shopassistantandcustomer.
D.Teacherandstudent.
二、2.UseofEnglish(10題)16.(33)
17.
【C4】
18.(43)
19.(50)
20.(48)
21.(37)
22.
【C13】
23.
【C8】
24.(35)
25.
【C2】
三、3.ReadingComprehension(15題)26.(78)
27.
Whycouldnotceramicsbeusedwidelyinthepast?
A.Becauseoftheirbrittleness.
B.Becausepeopledidn'tknowhowtousethem.
C.Becausetheywerenotuseful.
D.Becausetheycouldnotresistheat.
28.PartA
Directions:ReadthefollowingtextsandanswerthequestionswhichaccompanythembychoosingA,B,CorD.MarkyouranswersonANSWERSHEET1.
Inrecentyears,therehasbeenasteadyassaultonsaltfromthedoctors:Saltisbadforyou—regardlessofyourhealth.Politiciansalsogotonboard."Thereisadirectrelationship,"UScongressmanNealSmithnoted,"betweentheamountofsodiumapersonconsumesandheartdisease,circulatorydisorders,strokeandevenearlydeath."
Frightening,iftrue!Butmanydoctorsandmedicalresearchersarenowbeginningtofeelthesaltscarehasgonetoofar."Allthishueandcryabouteatingsaltisunnecessary,"Dr.Dustaninsists."Formostofusitprobablydoesn'tmakemuchdifferencehowmuchsaltweeat."Dustan'smostrecentshort-termstudyof150peopleshowedthatthosewithnormalbloodpressureunderwentnochangeatallwhenplacedonanextremelylow-saltdiet,orlaterwhensaltwasreintroduced.Ofthehypertensivesubjects,however,halfofthoseonthelow-saltdietdidexperienceadropinbloodpressure,whichreturnedtoitspreviouslevelwhensaltwasreintroduced.
"Anadequatetosomewhatexcessivesaltintakehasprobablysavedmanymotelivesthanithascostinthegeneralpopulation,"notesDr.JohnH.Largh."Soarecommendationthatthewholepopulationshouldavoidsaltmakesnosense."
Medicalexpertsagreethateveryoneshouldpracticereasonable"moderation"insaltconsumption.Foranaverageperson,amoderateamountmightrunfromfourtotengramsaday,orroughly1/2to1/3ofateaspoon.Theequivalentofonetotwogramsofthissaltallowancewouldcomefromthenaturalsodiuminfood.Therestwouldbeaddedinprocessing,preparationoratthetable.
Thosewithkidney,liverorheartproblemsmayhavetolimitdietarysalt,iftheirdoctoradvises.Buteventheveryvocal"lowsalt"exponent,Dr.ArthurHullHayes,Jr.admitsthat"Wedonotknowwhetherincreasedsodiumconsumptioncauseshypertension."Infact,thereisincreasingscientificevidencethatotherfactorsmaybeinvolved:deficienciesincalcium,potassium,perhapsmagnesium;obesity(muchmoredangerousthansodium);geneticpredispotition;stress.
"Itisnotyourenemy,"saysDr.Laragh,"SaltistheNo.1naturalcomponentofallhumantissue,andtheideathatyoudon'tneeditiswrong.Unlessyourdoctorhasproventhatyouhaveasalt-relatedhealthproblem,thereisnoreasontogiveitup."
Accordingtosomedoctorsandpoliticians,theamountofsaltconsumed
A.exhibitsasanaggravatingfactortopeopleinpoorhealth
B.curesdiseasessuchasstrokeandcirculatorydisorders
C.correlateshighlywithsomediseases
D.isirrelevanttopeoplesufferingfromheartdisease
29.(80)
30.ShortagesoffluvaccinearenothingnewinAmerica,butthisyear'sisawhopper.Untillastweek,itappearedthat100millionAmericanswouldhaveaccesstoflushotsthisfall.ThenBritishauthorities,concernedaboutquality-controlproblemsataproductionplantinLiverpool,barredallfurthershipmentsbytheChironCorp.Overnight,theU.S.vaccinesupplydwindledbynearlyhalfandfederalhealthofficialsfoundthemselvesmakinganunusualplea.Insteadofbeseechingusalltogetvaccinated,they'renowurgingmosthealthypeoplebetweentheagesof2and64notto."Thisreemphasizesthefragilityofourvaccinesupply,"saysDr.MartinMyersoftheNationalNetworkforImmunizationInformation,"andthelackofredundancyinoursystem."
Whyissuchabasichealthservicesoeasilyknockedout?Mainlybecauseprivatecompanieshavehadlittleincentivetopursueit.Tocreateasingledoseoffluvaccine,amanufacturerhastogrowlivevirusina2-week-oldfertilizedchickenegg,thencracktheegg,harvestthevirusandextracttheproteinsusedtoprovokeanimmunere-sponse.Profitmarginsarenarrow,demandisfickleand,becauseeachyear'sfluvirusisdifferent,anyleftovervaccinegoestowaste.Asaresult,theUnitedStatesnowhasonlytwomajorsuppliers(ChironandAventisPasteur)—andwhenoneofthemrunsintotrouble,thereisn'tmuchtheothercandoaboutit."Avaccinemakercan'tjustcallupandorder40millionmorefertilizedeggs,"saysManonCox,ofConnecticut-basedProteinSciencesCorp."There'sawholeindustrythat'sscheduledtoproduceacertainnumberofeggsatacertaintime."
Sleekertechnologiesarenowintheworks,andexpertsarehopingthatthisyear'sfiascowillspeedthepaceofinnovation.Themainchallengeistoshiftproductionfromeggsintocellcultures—amediumalreadyusedtomakemostothervaccines.Fluvaccinesareharderthanmosttoproducethisway,butseveralbiotechcompaniesarenowpursuingthisstrategy,andoneculture-basedproduct(SolvayPharmaceuticals'Invivac)hasbeenclearedformarketinginEurope.
ForAmericans,theimmediatechallengeistomakethemostofalimitedsupply.Thegovernmentestimatesthat95millionpeoplestillqualifyforshotsunderthevoluntaryrestrictionsannouncedlastweek.That'snearlytwicethenumberofdosesthatclinicswillhaveonhand,butonly60millionAmericansseekoutshotsinanormalyear.Infact,manyexpertsarehopingtheshortagewillserveasanawarenesscampaign—encouragingthepeoplewhoreallyneedaflushottogetone.
Shortagesoffluevaccineshowthat______.
A.Americareliestoomuchonforeignsuppliers
B.thedemandoffluevaccinesishighthisyear
C.qualityproblemisaseriousprobleminfluvaccineproduction
D.thesupplyoffluvaccinesisratherweakandAmericahasnoback-upmeasurestomakeitup
31.(77)
32.
Theword"fib"inthefourthsentenceofParagraph5,probablymeans______.
A.totellthetruth
B.toreduce
C.toincrease
D.totellasmalllie
33.PaulStraussmann,retiredvicepresidentofXerox,indicatesinhisbookInformationPay-offthat"almosthalfoftheU.S.informationworkersareinexecutive,managerial,administrativeandprofessionalpositions."Hefurtherstatesthat"managersandprofessionalsspendmorethanhalfoftheirtimeincommunicatingwitheachother."
Inotherwords,peopleareacorporation'smostexpensiveresource.Foratypicaloffice,over90percentoftheoperatingbudgetisforsalaries,benefitsandoverhead.Withthisinvestment,isitanywonderthatmanagersarefocusingmoreandmoreattentiononemployeeproductivity?Theyrealizethatthepaperjunglecannotbetamedsimplybyhiringmorepeople.Toreceiveareturnontheirinvestment,wisecorporateexecutiveofficersarerealizingwhatindustrialistsandagriculturistslearnedlongago—efficienttoolsareessentialforincreasedproductivity.
Adirectrelationshipexistsbetweenefficientflowofinformationandthequalityandspeedoftheoutputoftheendproduct.Forthosecompaniesusingtechnology,theperdocumentcostofinformationprocessingisonlyafractionofwhatitwasafewyearsago.Thedecreasingcostofcomputersandperipherals(equipmenttiedtothecomputer)willcontinuetomaketechnologyacost-effectivetoolinthefuture.AnexampleofthistypeofsavingisillustratedinthecaseoftheWesternDivisionofGeneralTelephoneandElectronicsCompany(GTE).Bymakingaone-timeinvestmentof$10milliontoautomateitsfacilities,managementestimatesanannualsavingof$8.5millionforthecompany.Thissavingsisgainedmainlythroughtheeliminationofsupportpeopleonceneededforproposalprojects.Throughatelecommunicationsnetworkthatsupports150computerterminalswithgoodgraphicscapabilities,theengineerswhoconceptualizetheprojectsarenowdirectparticipants.Theyusethegraphicscapacitiesofthecomputerratherthanrelyondrafterstopreparedrawings,theyentertheirowntextratherthanemploytypists,andtheyusethenetworktotrackprojectprogressratherthanconductingmeetings.
Inthefirstparsgraph,theauthorquotesStraussmann'swordsinordertomakeclear______.
A.theimportanceofcommunicativecapabilityinbusiness
B.theneedibrpeopleofhigherpositionsinacompany
C.theimportanceofassigningpeopletoproperpositions
D.thenecessityforpeopleinhigherpositionstoknowinformationscience
34.PartB
Directions:Inthefollowingarticlesomeparagraphshavebeenremoved.ForQuestions66-70,choosethemostsuitableparagraphfromthelistA-Ftofitintoeachofthenumberedgaps.Thereisoneparagraphwhichdoesnotfitinanyofthegaps.MarkyouranswersonANSWERSHEET1.
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,Startsays,10,000Americanhemophiliacsand12,000otherscontractedHIVfromtransfusionsandreceiptofbloodproducts.Bloodbanksbothhereandabroadmovedslowlytoacknowledgethethreatofthevirusandinsomecasesevenactedwithcriminalnegligence,allowingthedistributionofbloodtheyknewwastainted.Thisisnotnewmaterial.ButStarr'sinsightsaddadimensiontoastoryfirstexploredinthelateRandyShilts'sAndtheBondPlayedOn.
69.______
Isthebloodsupplysafenow?Screeningproceduresandtechnologyhavegottenmuchmoreadvanced.Yetit'sdisturbingtoreadStarr'scontentionthatapersonreceivingmultipletransfusionstodayhasaboutalin90,000chanceofcontractingHIV--farhigherthanthe"oneinamillion"figurethatbloodbankersonceblithelyandfalselyquoted.Moreover,newpathogensthreatentoemergeandspreadthroughtheincreasinglyhigh-speed,globalblood-productnetworkfasterthansciencecanstopthem.ThispromptsStarttoarguethattoday'sbloodstoresare"simultaneouslysaferandmorethreatening"thanwhendistributionwaslesssophisticated.
70.______
A.Themassivewartimeblooddriveslaidthegroundworkformodernblood-banking,whichhassavedcountlesslives.Unfortunately,thesedevelopmentsalsosetthestageforagreatmoderntragedy--thespreadofAIDSthroughtheinternationalbloodsupply.
B.Thereissomuchdrama,power,resonance,andimportantinformationinthisbookthatitwouldbeashameifthesqueamishwerescaredoff.Perhapsthekeylessonisthis:Thepublichealthmustalwaysbeguardedagainstthepressuresandpitfallsofcompetitivemarketsandhumanfallibility.
C.Inhischronicleofaresource,Startcoversanenormousamountofg
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