Margaret Campbell is a forensic pathologist from Chicago. Li Yan is a Beijing detective with a horribly burned corpse on his hands. She has a broken life behind her, a lonely future dedicated to her profession in front. He has survived two decades of violent change by marrying himself to a career which now promises, at last, to bring him the respected place in Chinese society that his family lost in the Cultural Revolution. Neither of them is ready for the consequences of asking the wrong questions about the dead man — the ones that lead to the terrifying truth.

The macabre discovery of a truck full of dead Chinese in southern Texas brings together again the American pathologist Margaret Campbell with Li Yan, the Beijing detective with whom she once shared a turbulent personal and professional relationship. Forced back into an uneasy partnership, they set out to identify the Snakehead who is behind the 100-million-dollar trade in illegal Chinese immigrants which led to the tragedy in Texas — only to discover that the victims were also unwitting carriers of a deadly cargo. Li and Margaret have a biological time-bomb of unimaginable proportions on their hands, and an indiscriminate killer who threatens the future of humankind.

A top Chinese swimmer kills himself of the eve of an international event — shattering his country's hopes of victory against the Americans. An Olympic weightlifter dies in the arms of his Beijing mistress — a scandal to be hushed up at the highest level. But the suicides were murder, and both men's deaths are connected to an inexplicable series of "accidents" which has taken the lives of some of China's best athletes. In this fifth China Thriller, Chinese detective Li Yan and American pathologist Margaret Campbell are back in Beijing confronting a sinister sequence of murders which threatens to destroy the future of international athletics.