I morally disagree with the author on several points (like including the real legal name of TB victims, and openly demonstrating a complete lack of compassion for them). Additionally, the story is just... poorly written. The first four chapters have absolutely nothing to do with the rest of the book. It is not important that vampires were inspired by TB, that's just a fun fact that Krishnan felt she had to include in her book because she had already researched it, I suppose. Also, the title is just wrong - it does not describe, in any way, how "tuberculosis shaped history" - it describes, primarily, the modern forms of tuberculosis and how they impact daily life in India. That's a different book than what I thought I was getting.