Authors: Nick Louth
âOkay. I agree.'
Leo had been pretty well briefed about Erica's disappearance, presumably by Loebe. Max had been happy enough to sell Loebe three heftily-priced sculptures. But this was a godsend. After three weeks of universal scepticism it was nice to be believed by someone.
Max led Leo through to Amsterdam's crowded central station where they boarded the subway back to Bijlmermeer. It was just getting dark by the time they arrived, but the air was still pleasantly warm. Max and Leo threaded their way through the walkways and landscaping of apartment blocks until they found where the fire had been. There was no sign of the motorcycle. The burned window was now boarded up and the crime tape removed. A bored security guard with a dog paced around outside.
Max scanned the area for any of the kids who had confronted him earlier. He asked a woman about the teenager with a blade of orange hair. She smiled in weary recognition and identified him as Michael Korten, one of her neighbour's sons. She asked Max whether he was in trouble again. Max shook his head, took the address and thanked the woman.
Korten lived on the third floor of a neighbouring block. The rows of apartments shared an external concrete walkway looking over parkland and a raised subway line. Max and Leo made their way along the walkway, stepping over children's toys and bicycles and squeezing past flower tubs and an empty pram. At his apartment they heard voices and the sizzle of frying. Max was ten feet from the door when it opened. He and Leo huddled in the doorway of the next apartment. Korten walked past, pecking his quiff in time to whatever he was listening to on his Walkman.
Max turned and clamped his good hand over Korten's mouth while Leo pressed the gun to his ribs. Only when he had promised to keep quiet did they move away with him, ducking into the communal garbage room and shutting the door behind.
âWe're looking for a guy called Anvil,' Max said.
Korten's eyes widened. âWho?'
âYou ride his motorcycle, butthead.' Max crushed Korten's carefully gelled orange spike into his scowling face. âI don't like you. I remember you from Purple Haze. When there's trouble bubbling, you're always doing the cooking.'
Korten's fists tightened. âHow's your face Carver? Janus leave you any teeth?'
âEnough to bite you real hard,' Max said. On some imagined cue, Leo's fist whipped into Korten's belly. The kid folded up, coughing on the filthy floor, with Leo's Walther hard against his temple. âBreak dis boy down the rubbish shute?' Leo asked eagerly, picking up the Walkman and stuffing it into his pocket.
âNice thought, but let's hold off.' Max was more alarmed by Leo's ferocity than Korten seemed to be.
âSo what's it to be Michael? You tell us where to find Anvil and tell us his real name or my friend here is gonna drop you, head first, three floors into the rest of the garbage.'
âNo-one splits on him. Cops can't touch him. What makes you different?'
âI don't need a conviction, dummy. I don't need witnesses. I'm judge and jury and my friend here is an enthusiastic executioner.'
Leo pulled the belt out of Korten's trousers and bound his hands behind his back. He opened the rubbish shute, banging Korten's head twice on the metal edge just for fun. He didn't murmur, but blood snaked down his scalp through the flattened orange stalks and down his ear. Leo seized him by the hair and pushed his face out into the stinking void, the updraught of stale cabbage and urine.
Korten was trembling, finally scared, but his mouth still ran on. âYou're out of your depth, man. Way over your fucking head. You should get out while you can.'
âAll dis dat he say very boring, Max. Mebbe I just shoot him now?' Leo put the Walther to Korten's temple and tightened his finger on the trigger.
Korten squeezed his eyes shut and started talking. âThere's a bar. Der Ridder.' He gave them directions. âThey know Anvil in there. His real name is Luc.'
âWould that be Luc de Wit?'
Korten nodded mutely. Slowly the connections began to solidify in Max's mind. So Anvil really was de Wit, in turn the only registered director of Xenix Molecular. But in some ways that didn't add up. Anvil was a thug. Perhaps more terrifying and smarter than most. But what on earth could he want with a laptop full of data about malaria?
âSo we'll find Anvil in Der Ridder.'
âHe drinks there sometimes, listens to the jukebox. If anyone asks, say Stokenbrand told you.'
âThe cop?' Max was suddenly enjoying himself.
âYeah. He's the dirtiest detective, a real
klootzak
. They'll believe you. Don't say I told you or I'm dead.'
âIt's a deal,' Max said.
As they were leaving, Leo turned to Korten. âWe know your house. If you lieâ¦' He raised the Walther. âBrother, sister, parent, all dead, understand?'
Korten nodded. Leo grabbed Korten's wrists, pushed them high behind his back and looped the belt tight round the handle on the rubbish chute. âYou stay,' he said, unnecessarily.
In less than a minute they had thundered down the three flights of concrete stairs and were out into the warm, darkening evening. Max clapped his arm around the Zaireian's shoulder as they headed for Der Ridder. âLeo. Threats are fine, but we gotta be careful, okay? I'm on bail, you understand. So no shooting. Please.'
Leo looked disappointed. âBut dis people dey scum, Max. In my country, put against de wall.' He shouldered an imaginary weapon. âDakka-dakka-dakka-dakka. Problem all finished.' He grinned like a child at Christmas.
Saskia Sivali took her briefcase and umbrella in one hand, cushioned her swollen belly with the other and ran the two hundred yards from the Hague's central railway station to the Health Ministry. You can't keep a minister waiting, even if you are seven months pregnant.
At Parnassus Square she slipped into the shadow of the health department's twin towers, Castelia and Helicon, their tennis court-sized gable roofs sweating away the dew in the early morning sun.
Saskia found Professors van Diemen and Friederikson waiting impatiently for her at reception and together they took the lift to the top. The hushed corridor of the twentieth floor smelled of fresh paint. Gilt picture frames hung empty on the wall, still awaiting the paintings to go within them. From the twelve-foot high windows, Saskia had been told, there was a view way over the parliament building and church spires, west as far as the North Sea. There was no time to look.
They were shown to room A2035, âthe war room.' It had huge stainless steel doors, studded every few inches as if to resist a medieval battering ram. The chandelier was a tangle of golden wire, a thorn bush touched by King Midas. The grandiose style had been a standing joke for staff who sat in there to discuss family planning, measles inoculation and the prostate advisory group.
Then along came
Plasmodium five
. Fifty-two cases of untreatable malaria. Rising by at least five a day. Thirty-one deaths so far. No recoveries. All jokes were forgotten.
Health Minister Betsy Dijkstra began the meeting even before she had closed the door behind her. âWe can forget usual departmental formalities. I think most of you know Professors Friederikson and Van Diemen. Saskia Sivali is one of Professor van Diemen's students. We have asked her to be here because she has been most closely involved in identifying the parasite.'
The minister introduced her officials. Peter Huisman, director-general of public health, was tall and sharply dressed, smugness oozing from every pore. Willem Pierson, the environmental advisor, was in his thirties with a face permanently creased in anxiety under a domed pate which thrust through a ring of pale cropped hair. Beside him sat the policy advisor on public health. Kia Spiegel's slight frame made her look even younger than her twenty-six years, but looks can be deceptive. She was the department's rising star.
âWe don't have time for separate outbreak management team and public policy committee meetings,' Dijkstra said. âThe public needs answers now, and immediately after this meeting the TV cameras are coming in. I hope you will be able to give me something positive to tell them.'
âWe will do what we can,' Friederikson said. âBut we cannot do the impossible.' Saskia scrutinised the professor. He looked tired, and even more bad tempered than usual.
Dijkstra tapped a thick document on the desk in front of her. âI've read your report about the new malarial strain, Professor van Diemen, but what strikes me most is that we don't know yet how it got here.'
Van Diemen nodded. âWe know very little for certain. The first thirty-eight cases we traced to KLM flight 648 from New York. The others we are still investigating, but it does seem likely that the outbreak began with mosquito bites on that flight. KLM officials confirmed to me that several upper deck passengers claimed to have been bitten or had seen mosquitoes late on into the flight. The cabin crew was not made aware of this until the morning, but sprayed all the cabins with insecticide two hours before landing. Unfortunately when the aircraft was cleaned no-one thought to keep any insect bodies, so we cannot identify the mosquito species.'
Peter Huisman spoke: âBut the United States is not generally malarial. How would malarial insects have come aboard?'
Van Diemen cleared his throat. âWe don't know. Perhaps in the hand baggage of someone who changed planes at JFK. Federal Aviation Authority officials are checking passengers on connecting flights to see if anyone reported illness.'
Professor Friederikson shook his head. âMinister, the problem in this theory is the number of passengers infected on KLM 648. To cause thirty or forty cases of malaria would need dozens of mosquitoes, possibly hundreds. Certainly not the handful that might be trapped in coats or luggage from the tropics.'
âSo do you have a better idea?' Dijkstra asked Friederikson.
âThe only way that many mosquitoes would be on an aircraft is because somebody brought them on. The obvious candidate would be a scientist en route to the Parasitology Conference here.'
âWhy would anyone take mosquitoes in their luggage?' Dijkstra asked.
âGetting official permission for transporting disease-bearing species is, to put it mildly, bureaucratic. I generally take a jar or plastic food box and transport adult or larval mosquitoes that way. I've never been caught.'
Dijkstra turned to Van Diemen âIs this a common practice?'
âI have heard of it, yes. But no responsible scientist would move mosquitoes known to be infected, as presumably these were,' he added hastily.
âThis is a very serious matter.' The minister held the gaze of the two professors. âObviously, whoever did this failed to report it. That is extremely reprehensible, shocking in any scientist.' Dijkstra made notes, her mouth tight with anger.
Huisman looked over his spectacles and tapped at the papers in front of him. âYour report, Professor van Diemen, shows a twenty per cent mortality rate within thirty six hours. How does it kill?'
âThe usual cause is cerebral malaria,' Van Diemen said. âThe parasites clump and adhere to the walls of capillaries in the brain, inhibiting blood flow and starving it of oxygen. This is identical to
falciparum
malaria, but more acute and more rapid.'
âAll over the country people are rushing to the doctor the moment they are bitten by any mosquito. What reassurances can you give them?' Dijkstra said.
âIt is not
my
job to reassure the public, minister. I am a professor of tropical medicine. I am happy to give my expert opinion, what you do with it is your business,' Van Diemen said. âIf mosquitoes escaped from the aircraft, the public should be aware that being a tropical species they can live only a few weeks even in this warmest of Dutch summers. Your chances of being bitten by one are remote and they find our water too cool for their eggs.'
âWell, that is some reassurance,' the director general said.
âAnd I'm afraid it is complacent nonsense too,' interrupted Friederikson. âForget the mosquitoes from the plane, local mosquitoes are what we should be worrying about.'
âWe have no evidence they can carry the parasite, do we?' Dijkstra asked, looking at Van Diemen, who silently shook his head.
âWe have circumstantial evidence,' Friederikson said, unfolding a big map on the table. âFor the last few days I have been on the phone to every Dutch hospital, to get exhaustive information about the patients confirmed carrying the new parasite. Every dot is a confirmed case, based on where the patient lives. As you can see they are scattered all over the place. First of all, ignore the blue dots. They are patients that we know were passengers on KLM 648, and were infected before they arrived in the country. The three yellows represent those who have been abroad recently enough to have been infected there. What I want you to look at are the eight reds, those who say they have not been abroad in recent months.'
âThis means nothing,' Van Diemen said, waving his hand over the map. âWhere these people live is irrelevant. What if they all work at Schiphol airport? They could have been bitten by mosquitoes from the plane.'
âThis one is a three-year old child,' snapped Friederikson, stabbing his finger at one of the red dots. âAnd this old lady lives in a nursing home. Both more than seventy kilometres from Schiphol.'
âStatistically insignificant,' muttered Van Diemen. âIt is just too early to say.'
âBy the time it is statistically significant we may have a full scale epidemic with hundreds of deaths,' retorted Friederikson, his knuckles white. âThis is no time for statistical niceties. We need action.'
âWe issued another health advisory this morning,' the director general said.
âWhat use is that?' Friederikson said. âNinety three people from flight 648 have failed to respond to the earlier one. It should be
mandatory
.'
âWe have no mandatory power to force hospital attendance,' Huisman retorted. âIn any case, many of the passengers on that flight are no longer in the country.'
âIf you had acted rapidly, every one on the flight would have been given a mosquito net and a bottle of repellent whether they have symptoms of malaria or not.'
âA case of shutting the stable door, Professor, surely,' Huisman smirked.
âNo, no, no. Not to protect
them
, but to protect our Dutch mosquitoes! You must stop thinking of malaria as a disease spread by mosquitoes,' Friederikson said. âThink of it as a disease spread by
humans
. Mosquitoes pretty much stay where they are, governed by climate, altitude and so on. But humans travel the world in a few hours, and if they have the malarial parasite in their blood they may be able to infect local mosquitoes, which then turn a minor outbreak into a self-sustaining epidemic. Ergo, the best way to break the infective cycle is to stop uninfected mosquitoes being able to reach infected humans.'
âShould we expect an epidemic then?' Huisman asked.
âIt is too early to say, but assume the worst,' Friederikson said. âWe should spray insecticide into every canal, dyke and waterway. It's a shame we can no longer use DDT. It is cheap, effective and lasts for ever.'
Dijkstra was shaking her head until her long earrings rattled. âNo, Professor. This is not the 1960s. We can't soak the country in insecticide, the environmental movement would be in uproar. Neither can we stoke public panic. In any case, most of these measures would take months to organise, and we are still unsure how much further this outbreak has to run.'
Friederikson smiled as if this was the answer he had been expecting. âThen you will have to wait for me to discover which Dutch mosquito species is the culprit, and we can target it more selectively.'
âCan you tell if an individual mosquito has got malaria?' Kia Spiegel asked.
âNormally, yes,' Friederikson said. âFirst we grind up its body and add a special chemical called a monoclonal antibody. We have a specific monoclonal antibody which reacts to each of the four malaria types in what we call an ELISA test. With a new species of malaria such as this we would normally be in the dark until a new monoclonal was developed, but I am delighted to say that Saskia discovered that
Plasmodium five
is cross-reactive. It reacts with the monoclonal we already use for
falciparum
malaria.'
The minister smiled at Saskia, thanking her for this crumb of comfort.
âNow,' said Friederikson, opening his briefcase and set two clear plastic containers on the table, each alive with mosquitoes. âThese, ladies and gentlemen are just two of dozens of species we find in this country. I have tried to infect both types with
Plasmodium five
using blood samples from an infected patient.'
Van Diemen looked across, startled. Saskia nodded slowly at him, and he shook his head in exasperation.
Friederikson continued. âI will know the results in two or three days, when the parasites have had a chance to mature inside the mosquito. The results could be anything from trivial to cataclysmic.'
He picked up a jar with a green lid. âThese are
Anopheles atroparvus
, an indigenous mosquito which has in the past carried one type of malaria, and which stays inside homes, biting throughout the winter. I would not be surprised if it was capable of carrying
Plasmodium five
, but because the mosquito is now quite rare, it could not support any serious epidemic. Infection of
atroparvus
is thus the optimistic end of the scale of possibilities.'
Friederikson then picked up the other container, which had a red lid. âThis is the most frightening end of the epidemiological scale.'
Saskia was close enough to see how densely it was packed, dozens of frenzied mosquitoes, desperate to escape. âHere are roughly one hundred hungry females of
Culex pipiens pipiens
, the common Dutch canal-side ankle biter. They are urban dwelling, bite humans exclusively and are active from March to the end of the October. Many billions of them exist right across northern Europe and we haven't a hope in hell of wiping them out.'
âMinister, don't be alarmed by this charade,' Van Diemen interrupted. âMosquitoes of the
Culex
family do not carry any kind of malaria, only
Anopheles
do. Professor Friederikson knows this very well, and I am surprised he suggests otherwise.'
âAh, but we know nothing about this parasite, â Friederikson retorted. âYou call it
Plasmodium five
, but in reality we don't yet know it is from the
Plasmodium
family. Yes, it causes malaria-like symptoms. But there are plenty of diseases, like dengue for example, which are carried by non-anopheline mosquitoes.'
âGentlemen please,' Dijkstra said. âIt is essential we work together on this. Lives
really
are at stake now.'
âYes, really,' Friederikson roared. âOf course the two million people a year who die of malaria in the developing world, their lives are not
really
at stakeâ¦'
âYes, I know,' Dijkstra said. âWhat I meant wasâ¦'
âWhat you meant was that they are dying
here
. So now it matters.'
âThat is not what I meant at all, Professor. Please sit down and stop shouting.' Dijkstra fixed him with her gaze.
Friederikson showed no signs of being intimidated. He pointed a long bony finger at the minister. âHave you imagined what will happen when
Plasmodium five
gets back to sub-Saharan Africa? Where there are few hospitals and no money and everybody gets regularly bitten by malarial mosquitoes?'