key: cord-0033275-s6bf1q3n authors: Breedlove, Byron; Friedberg, Jared title: Perspective and Surprise in the Floating World date: 2016-06-03 journal: Emerg Infect Dis DOI: 10.3201/eid2206.ac2206 sha: 5caf51a982d8b7e59cb54b2eb532f1eb43fe8a63 doc_id: 33275 cord_uid: s6bf1q3n nan astute self-characterization is supported by the fact that he left more than 30,000 varied works of art, including woodblock prints, travel and book illustrations, manga, and silk paintings. Hokusai is one of the outstanding figures and innovators of the Ukiyo-e or "pictures of the floating world" (that is, scenes of everyday life) school of printmaking. He is credited with expanding the range of subjects from traditional Ukiyo-e depictions of courtesans and kabuki actors to encompass landscapes and to include people from various social levels. Though the exact date of its publication is unknown, Hokusai's defining work, "Thirty-Six Views of Mount Fuji," was created from 1826 through 1833. Mt. Fuji, which is tied firmly into the cultural, spiritual, and social identity of Japan, had long served as inspiration for Hokusai and his art. In response to brisk sales of the initial set of 36, the artist expanded this popular collection to comprise 46 woodblock prints. Art scholar Sarah Thompson notes that the universal appeal of Hokusai's works relates to his use of Western style perspectives and to "their strong internal structure. Many prints in the Fuji series explicitly contrast the strikingly triangular shape of the mountain with triangles, rectangles, trapezoids, or curved shapes formed by other elements of the design." Included among the original series of 36 views is this month's cover image "Yejiri Station, Province of Suruga." In this gently humorous image, Hokusai captures the reactions of several travelers on a serpentine path through the rustling marsh grasses, caught off guard by a sudden squall. Some stoop and clutch their hats and clothes as others fruitlessly reach toward their papers and hats blowing skyward, mixing with the leaves stripped from the bending trees. The British Museum offers this description: "The silhouette of Mt. Fuji is drawn with a single line, providing a backdrop for the figures and trees battling the wind in the foreground. Bending their bodies and clutching at scarves and hats, all turn their faces away from us-as if we were the source of the blast that carries off the tissues that had been tucked into the woman's kimono." The element of surprise is central to Hokusai's visual narrative. The Honolulu Museum of Art notes that Hokusai "focused on an instant of drama caused by a gust of wind. Fuji stands white and unshaken, affected neither by the wind nor the human drama." Like the unseen wind in Hokusai's print, severe respiratory disease outbreaks can be sudden, disruptive, and chaotic. Emerging or reemerging pathogens may trigger serious, widespread respiratory disease outbreaks-including adenovirus bronchitis, influenza, Legionnaires' disease, Middle East respiratory syndrome, multidrugresistant tuberculosis, and severe acute respiratory syndrome (SARS). To gain perspective on the nature of such threats, determining the etiology and understanding the clinical and epidemiologic characteristics of an outbreak is crucial. Surveillance systems-which are a basic component in the routine counting of disease cases-enable public health professionals to detect and investigate unexpected increases in these cases and prompt measures to control outbreaks, including those of emerging and reemerging respiratory disease. In a sense, surveillance systems embody the character of Mt. Fuji-which provides Hokusai's travelers in "Yejiri Station, Province of Suruga" with a reference point during a storm-as they provide a constant, stable approach for outbreak investigations. Surveillance for emerging respiratory viruses Sunshu Ejiri (Ejiri in Suruga Province Yejiri Station, Province of Suruga Unexplained respiratory disease outbreaks Honolulu Museum of Art. Ejiri in Suruga Province Boston: MFA Publications • Prisons as Reservoir for Community Transmission of Tuberculosis, Brazil • Multidrug-Resistant Tuberculosis in Europe • Noninvasive Test for Tuberculosis Detection among Primates • Risk Factors for Death from Invasive Pneumococcal Disease • Red Deer as Maintenance Host for Bovine Tuberculosis, Alpine Region • Mycoplasma pneumoniae and Chlamydia spp • Epidemiology of Human Mycobacterium bovis Disease