Daniel Kalla

Kalla’s toxic new thriller

“I see how it looks…. Just another teen suicide. Or maybe an accidental OD. Another addict who fooled his parents. No…! I know my Owen…. Never, never, never….”

This is the reaction of Owen’s mother – who happens to be a U.S. senator – to her son’s death in Daniel Kalla’s latest thriller Fit to Die (Simon & Schuster Canada). L.A. detective Cari Garcia initially writes off the reaction as a mother ignorant of her child’s drug use, and bristles against the political pressure to determine the young track star’s cause of death. When she learns he died from ingesting a capsule that contained 2,4-Dinitrophenol, or DNP – used as a fertilizer, pesticide or explosive, but also abused by people to lose weight – she becomes more motivated to solve the mystery, in part because of a tragedy in her own past.

Meanwhile, here in Vancouver, toxicologist Dr. Julie Rees is dealing with a mysterious increase in deaths among bodybuilders, finding out that DNP is the cause. Then, a famous pop star and social media influencer dies in her penthouse, showing the same symptoms. And the co-owner of a wellness centre with locations in Los Angeles and Vancouver dies of a similar overdose. All the cases are connected and the L.A. and Vancouver police and medical personnel have to work together to find out who’s behind the influx of DNP on the market.

Like all of Kalla’s books, Fit To Die is an intriguing read, suspensefully written. While I didn’t enjoy it quite as much as I have his other thrillers – it was somewhat repetitive and the main characters’ backstories didn’t ring as true to me – I still wanted to know whodunnit. I also value having learned about the real-life issue of toxic diet pills and gaining some insight into body dysmorphia and eating disorders. I trust Kalla’s facts, as he is not only a writer, but an emergency room physician and a University of British Columbia clinical associate professor. He was kind enough to answer some questions via email.

JI: There are some Jewish-sounding surnames in the novel. In what ways does your being Jewish enter into your novel writing?

DK: Well, in this case the Hertzberg-Davis Centre is the real forensic lab for the LAPD. So that made it easy. I couldn’t remove the Jewish influence in my writing even if wanted to, which, obviously, I don’t. I’ve written a historical trilogy, The Far Side of the Sky, that is explicitly a Jewish story. In thrillers like Fit to Die, I don’t consciously think about my background or religion, but there is no doubt it influences the writing.

JI: Do you name characters after friends, or sometimes offer naming opportunities for charity auctions or the like?

DK: Haha. I learned early in my writing career to never name a character after a friend. It only ends badly. I’ve never auctioned off a character name for charity, but I would love to. It can be agony finding the right character name. Why not outsource it?

JI: This is your 10th thriller. How has your writing style and/or process evolved since your first one?

DK: I hope I’ve learned from some of my past mistakes. Paradoxically, it gets easier and harder. Easier in the sense that I’m more confident in my voice and the nuts and bolts of my storytelling. Harder in that I’m more critical of my writing and fear becoming derivative in my stories. But the one thing that keeps me going is my enthusiasm for telling a new story. I think I’m more passionate than ever.

JI: From the several thrillers of yours that I’ve read, your topic choices are timely and coincide with current events. The medical side, you’ve got covered. But what are some of your sources for other aspects? In this book, for example, how the dark web works and even the pop culture aspects, including language, like “partizzle”?

DK: I obviously have a huge advantage with respect to the medical background, but that’s only a part of it. As you point out, this story – about a (real) and deadly diet pill that is marketed online to the most vulnerable and amplified by toxic social media – took some intense research. I had to learn all about body dysmorphia and immerse myself in the TikTok culture, which explains some of the Zoomer slang one of the character uses, like “partizzle.” I was lucky to have a local VPD superintendent help guide me through the logistics of what an investigation into this kind of complex online conspiracy would look like.

JI: Where do you find time to write?

DK: For me, it’s never about the time. I’m lucky to work in the ER, which is shift work, but I think I could find time no matter what my day job was. For me, it’s all about momentum and inspiration. When I have those, I find the time. When I don’t, free time doesn’t help.

JI: What part of your soul does writing feed?

DK: Not to sound overly melodramatic, but it kind of feeds my core. Medicine does, as well, but in a very different sense. I find purpose as a doctor, but I find my passion as a writer. I can imagine retiring one day from medicine, but I can’t imagine not writing.

JI: Can you speak about the process of getting a book from idea to publication?

DK: The challenge of transforming the kernel of an idea into a publishable novel always seems insurmountable from the outset – this book particularly. I wanted to build a compelling mystery and resurrect some characters from a past novel (The Last High) and introduce new ones, all while tackling a highly sensitive yet vitally relevant topic: how the toxic diet culture and social media prey on the most vulnerable. I like to think I met the challenge, but, of course, that’s for each reader to decide.

Kalla’s latest great read

There’s something comforting about reading a thriller writer whose novels you’ve enjoyed in the past. You know exactly what to expect, and yet the pages almost turn themselves. Given, however, that we’ve been living through a real pandemic for almost two years now, it might feel “too close to home” to pick up a Daniel Kalla – who writes about mysterious diseases that run rampant, plagues that resurface, surging deaths from opioids and other such things – but, somehow, he makes it fun rather than depressing. His latest, Lost Immunity (Simon & Schuster), is a great read.

It helps that Kalla is a real medical doctor. An emergency room physician here in Vancouver, he knows that of which he speaks and can relate complicated information without sounding didactic. And there’s always what to explain in his books. In Lost Immunity, the lessons are particularly relevant, about how a bacteria spreads, the challenges of contact tracing and containment, the benefits and side effects of vaccines, the concept of herd immunity, etc., etc. But he does all this while being completely entertaining. Readers of Lost Immunity will have an idea of what Dr. Bonnie Henry and her team have been going through these last many months – minus (I hope) the human killer element.

Lost Immunity features a smart and likeable protagonist in Lisa Dyer, Seattle’s new chief public health officer. In a community health forum about a law mandating immunization for middle-school girls and boys with the latest HPV vaccine, Dyer takes on the doubters – members of “the ‘vaccine hesitancy’ community” – calmly and compassionately, with science always as her guide. Within this community are her own sister and father, so she’s had much practice.

As exhausting and frustrating as the forum is, Dyer’s job gets more challenging even before the Q&A is over – “her phone buzzes on the lectern. She can’t help but glance down at the health advisory from her office that pops up on the screen. ‘Four dead from meningitis. All attended the same local Bible camp.’”

The campers are children and teenagers, and the death rate rises quickly. (I admit to having skimmed the parts about dying kids, as they added a little too much realism for me.) Dyer and her colleagues must try to contain the outbreak – of the same strain of bacteria that caused 35 deaths in short order in Iceland six months earlier, and for which an American pharmaceutical firm is doing final-phase trials on a promising vaccine. Dyer pressures the company into releasing the vaccine early – as the mortality rate in Iceland was 46% – and goes ahead with a vaccination campaign. At first, it seems to be working, but then some severe and fatal apparent side effects bring everything to a halt. But is it really the vaccine that’s responsible? Even if you can probably guess the answer, Dyer’s journey to get there is full of twists, as well as fascinating exchanges on all aspects of the vaccination issue.

For a review of Daniel Kalla’s We All Fall Down, visit jewishindependent.ca/could-the-plague-come-back.

Could the plague come back?

With his latest novel, We All Fall Down (Simon & Schuster, 2019), Vancouver writer and emergency-room physician Daniel Kalla covers both familiar and new territory. He once again postulates with scary enough realism what might happen if there were an outbreak of a deadly disease, but this time, it’s the plague – the same bacteria that caused the Black Death in the 14th century.

Kalla, who is head of emergency at St. Paul’s Hospital and a clinical associate professor at the University of British Columbia, will talk about his new book on April 17 at Incite: Riveting Crime Tales, presented by the Vancouver Writers Fest and Vancouver Public Library, in partnership with the Crime Writers of Canada. He will be joined by fellow Vancouverite Eve Lazarus, author of Murder by Milkshake: An Astonishing True Story of Adultery, Arsenic and a Charismatic Killer (Arsenal Pulp Press, 2018), about the murder of Esther Castellani by her husband Rene in 1965 in Vancouver, and Toronto-based Kim Moritsugu, whose latest book is The Showrunner (Dundurn, 2018), described as a “Hollywood-noir, darkly humourous suspense.”

We All Fall Down is set in Genoa, Italy. It alternates between current-day events – the site of an old monastery that has been demolished to make way for new condominiums seems to be ground zero for the reemergence of the plague – and the year 1348, when that monastery’s inhabitants are almost decimated by the Black Death, as is much of Europe. There is a link between the two outbreaks and North Atlantic Treaty Organization infectious diseases expert Alana Vaughn, called in from Belgium, is among those who must figure it out, along with a World Health Organization expert, Canadian epidemiologist Byron Menke, and Alana’s former lover, Dr. Nico Oliva, who sounded the alarm when a patient was brought into his hospital, coughing up blood and with a bubo (lump, swelling) in her armpit. The patient had been working on the construction site when she took ill and was dead soon thereafter.

The rapidity with which the plague takes a life drives the urgency to determine its sources and stop its spread. The most emotive chapters of We All Fall Down are short. Kalla briefly introduces readers to various people in the midst of tender or happy moments, who then suddenly feel chilled or choked by phlegm and blood. These scenes add meaning to the consistently provided death tolls, and personalize the suffering. Readers will empathize, and shiver.

As in his previous novels – Pandemic (Forge Books, 2005), about a fictional new flu, more deadly than SARS, and Resistance (Tor Books, 2006), about the outbreak of an antibiotic-resistant bacteria – the disease in We All Fall Down is deliberately being spread. Initially, Alana’s theory is that it is bioterrorism, but eventually the WHO-led team comes to another conclusion and the race is on to find the perpetrator.

In the mid-1300s, one-third to a half of the European population was killed within three years, a character in the novel notes – “The worst natural disaster in all of recorded history.” And the novel offers a glimpse into that horrific time via the diary of a barber-surgeon, Rafael Pasqua, who lost his wife to the plague. His story is graphic at times, and it is he who relates how Jews were attacked and persecuted, as the assumed cause of the devastation. Kalla juxtaposes this persecution and violence with that of Muslims in the modern-day instance of the outbreak, as it is first thought that Muslim terrorists might have developed the plague as a bioweapon. Despite hundreds of years of evolution, people’s fear and desperation still drive them to seek a scapegoat.

Less interesting in We All Fall Down are the romantic storylines: Alana and Nico dealing with their past relationship, Alana’s new relationship with Byron, and Rafael’s with Camilla, the daughter of a Jewish friend and fellow physician. At least the medieval love story adds some tension to the plot, as Jews become more and more at risk as the plague continues unabated. And, in truth, the relationships provide some respite from the death taking place all around the characters.

On the whole, We All Fall Down is a good read. Kalla, being an emergency physician who has researched and written about different pandemics, makes the possibility of the Great Plague resurfacing seem frighteningly possible. There are countless benefits of globalization, but it certainly makes containment of an epidemic that much harder. It is a sobering thought.

Incite events are free, but registration is required. To attend Riveting Crime Tales, which takes place in the Alice MacKay Room at the central branch of VPL downtown at 7:30 p.m. on April 17, fill out the form at writersfest.bc.ca/programs/incite/incite-form.