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Within Our Grasp: Childhood Malnutrition Worldwide and the Revolution Taking Place to End It

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An important, hopeful book that looks at the urgent problem of childhood malnutrition worldwide and the revolutionary progress being made to end it.   A healthy Earth requires healthy children. Yet nearly one-fourth of the world's children are stunted physically and mentally due to a lack of food or nutrients. These children do not die but endure a lifetime of diminished potential.   During the past thirty years, says Sharman Russell, we have seen a revolution in how we treat these sick children. We have a new understanding of the human body and approach to nutrition, and new ways to reach out to hungry mothers and babies. We have gone from unwittingly killing severely malnourished children to bringing them back to health through the "miracle" of ready-to-eat therapeutic food.   Intertwined with stories of nutrition experts on the front lines of finding ways to end malnutrition for good, Russell writes of her travels to Malawi, one of the poorest and least-developed countries in the world and also the site of cutting-edge research into childhood malnutrition. (Eighty percent of Malawians are farmers subsisting on less than an acre of land and coping with erratic weather patterns due to global warming; fifty percent live below the poverty line of under $2 a day; and thirty-seven percent of Malawi's children are affected by a lack of food or nutrients.)   As she writes of her personal exploration of new friendships and insights in a country known as "the warm heart of Africa," Russell describes the programs that are working best to reduce childhood stunting and explores how malnutrition in children is connected to climate change, how vitamins and minerals prevent childhood malnutrition, why the empowerment of women is the single most effective factor in eliminating childhood malnutrition, and what the costs are of ending (and not ending) childhood malnutrition.   Sharman Russell, much-admired writer of luminous prose and humane heart, whose writing has been called, "elegant" (The Economist) and "extraordinarily well-crafted, far-reaching, and heart-wrenching" (Booklist), winner of the John Burroughs Medal for distinguished natural history writing, has written an illuminating, inspiring book that makes clear the promise of what is today, gratefully, within our grasp.

285 pages, Kindle Edition

Published April 6, 2021

12 people are currently reading
140 people want to read

About the author

Sharman Apt Russell

27 books264 followers
I am pleased to be considered a nature and science writer and excited that my Diary of a Citizen Scientist was awarded the John Burroughs Medal for Distinguished Nature Writing. The John Burroughs Medal was first given in 1926, and recipients include Aldo Leopold, Rachel Carson, Barry Lopez, John McPhee, and many others. To be in such a list.

My most recent nonfiction is What Walks This Way: Discovering the Wildlife Around Us Through Their Tracks and Signs (Columbia University Press, 2024)--part memoir of my tracking experiences, part introduction to the basics of identifying mammal tracks, and part call to reform how we manage wildlife in North America.

My previous Within Our Grasp: Childhood Malnutrition Worldwide and the Revolution Taking Place to End It (Pantheon Books, April, 2021) combines my longtime interest in the environment with my longtime interest in hunger. I began writing about this subject some twenty years ago, believing firmly that the goals of the environmentalist and the humanitarian are aligned. Healthy children require a healthy Earth. A healthy Earth requires healthy children.

Essentially I write about whatever interests me and seems important--living in place, grazing on public land, archaeology, flowers, butterflies, hunger, Cabeza de Vaca, citizen science, global warming, and pantheism.

I like this range of subject matter. I believe, too, in this braid of myth and science, celebration and apocalypse.

A little bit of bio:

Raised in the suburbs of Phoenix, Arizona, in 1981 I settled in southern New Mexico as a "back to the lander" and have stayed there ever since. I am a professor emeritus in the Humanities Department at Western New Mexico University in Silver City, as well as a mentoring faculty at Antioch University in Los Angeles. I received my MFA in Creative Writing from the University of Montana and my B.S. in Conservation and Natural Resources from the University of California, Berkeley.

My work has been translated into Korean, Chinese, Swedish, German, Spanish, Portuguese, Russian, Turkish, Polish, and Italian. That is really a unique thrill: to see your words in Chinese ideograms.

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Displaying 1 - 16 of 16 reviews
Profile Image for Steve Wiggins.
Author 9 books92 followers
May 28, 2022
Reading serves many functions. I often read to escape the harsh realities of life. I also read to learn. It’s often difficult to read about socially conscious causes, largely because they loom so massive and there seems to be no solution. Sharman Apt Russell takes on one of these topics in Within Our Grasp: Childhood Malnutrition Worldwide and the Revolution Taking Place to End It. The subtitle says quite effectively what the book is about. While many of us fight to keep weight off, there are just as many, if not more, starving. This isn’t a how to book, but it is an optimistic one.

As I mention in my blog post on it (Sects and Violence in the Ancient World ), Russell holds up the name of several heroes who’ve lived among the starving at have done something about it. The numbers here are impressive. Nations that once had a great deal of starvation, through the efforts of Non-Governmental Organizations, have brought the numbers down. There are still problems. Elephants, for example, often decimate crops in Africa. Foods intended for starving children can be diverted. War. All of these things can undermine the efforts of the saints who try to combat malnutrition.

One of the things that made me sad about this book is that, while governments sometimes try to help, more often than not they are a major contributing factor to the problem. Wars, for example, are a major source of childhood starvation. Wars are started by governments, sometimes for opaque purposes. Why did Russia invade Ukraine? Starvation will result. This is an important book with a positive message. We can make a difference, even if our governments often don’t.
Profile Image for Kate.
179 reviews11 followers
August 28, 2021
I really enjoyed this book. A very comprehensive and very readable (a difficult balance well achieved here!) tour through the complex issue of malnutrition. Russell weaves personal stories and a human face as well as interconnections with the Earth and nature throughout the book while at the same time describing complex biological and social science ideas in ways that make sense to a lay reader. And she accomplishes this without shying away from the nuance. The issue of malnutrition, its causes and treatment raises questions requiring ethical and moral judgments, grey areas where there is no clear right answer, and tradeoffs. Russell does not paint an unrealistic rosy picture and does service to this nuance. She sees and explains the systemic interactions at play, describes them well, yet remains optimistic. It's a brilliant balance.

I would highly recommend this for interested readers who want to understand what malnutrition is, why it happens, the human face of what suffering looks and feels like, how malnutrition and solving malnutrition are interconnected with nature, the Earth, and our collective survival, and some of the ways to prevent, treat, and interrupt poverty cycles that lead to malnutrition. It is definitely most tailored to an interested lay audience, but I also think there is a lot of material here that is great for teaching and some historical documentation that does not exist anywhere else on record. This book is not only about undernutrition and humanitarian response, but addressess all of the underlying drivers of malnutrition: diets, care practices, hygiene and sanitation, as well as addressing issues diet-related non-communicable diseases, obesity, and the challenge of ultra-processed foods. She does a great job seeing all perspectives on the role of the private sector, governments, and non-governmental organizations, again treating issues steeped in ethical judgements, ideology, and tradeoffs from a balanced perspective and very openly acknowledging where her own perspectives lie personally.

The thing I found most valuable for my own learning as a professional in this field myself is the rich historical documentation. In particular, the history she details in the first 4 chapters about the history of understanding and treating malnutrition, and especially the 1980s-2000s history of treating severe acute malnutrition, the invention of community-based treatment and ready-to-use therapeutic foods includes enormous detail not elsewhere written down. Clearly she gathered these stories from interviews with people who were in the room, and the historical documentation is invaluable.

Buried in the middle of the book is some very good advice about listening to one's critics (towards the end of chapter 17). She teaches it as a lesson for writers, but it is a lesson for all of us. Critics are mirrors that give us important feedback. My favorite quote has nothing to do with the topic of the book at all, but is a gem of wisdom: "Your doubt will remind you of where and how you need to work harder. Listen harder. Question more."

This was a delightful read. I thank the author - in full disclosure - for providing me with a copy of this book to review.




Profile Image for Lynnette.
68 reviews1 follower
November 8, 2021
This book takes you on a journey of past, present, and planned initiatives to end childhood hunger and malnourishment. Author Sharman Apt Russell weaves her personal story throughout, making it more real, engaging, and heartwarming. We can do this! Regardless if you are a humanitarian, policymaker, entrepreneur, nutritionist, or interested in the issue of malnutrition, this book has something for everyone.

This book took me by surprise—I didn’t expect to get swept up into its pages and not to want to put it down. I learned a lot about malnutrition and appreciated the balance of the author’s experiences, in-progress efforts, and the hidden treasures of science and nutrition explained. See the golden nuggets section for more.

There are 21 chapters with a sprinkling of poignant photographs. I highly recommend this book to those who want to know more about malnutrition and how the world is suffering.
Profile Image for Elizabeth.
4 reviews3 followers
October 30, 2021
This is a book written with great compassion. It’s often said we have enough food so that no one should go hungry, but Sharman Apt Russell shows how this is possible and underscores the urgency with which it must be done. Within Our Grasp is a book that will move you, inspire you, and make you put it down immediately upon completion so you can *do* something about the tragedy of childhood malnutrition.

Within Our Grasp illustrates the consequences of malnutrition not just for the child, but also for society. Failure to nourish children means failure to nurture our full potential to reverse the impacts of climate change, biodiversity loss, deforestation and more.

For nearly a decade, I organized a Walk for Plumpy’nut and I was so grateful for the attention Sharman Apt Russell paid to this “miracle food.” I thought I knew Plumpy’nut’s origin story, benefits and complexities well. But, this book provided me with a new appreciation for the journey that led us to Plumpy’nut (and the journey that has followed, as ready-to-use therapeutic foods have evolved based on context, stage of malnutrition to address and local needs).

In addition to detailing the history of Plumpy’nut, Within Our Grasp provides important historical overviews and current implications of issues like food sovereignty, agroecology, genetically modified organisms (GMOs), the Green Revolution and multinational corporations’ engagement in food security.

As someone who has supported Concern Worldwide for years, I also appreciated the on-the-ground view Sharman Apt Russell provided on the organization’s tireless relief efforts. I was touched to see Concern’s ingenuity and expertise highlighted so frequently and it renewed my gratitude for the work its staff accomplishes day-in and day-out. In addition to Concern Worldwide, this book is an excellent primer on many of the organizations setting the research and advocacy agenda for sustainable food systems and hunger relief.

While I originally thought I’d recommend this book to anyone engaged in food systems work, I take it back. All of us could benefit from reading this book and acting on it.

Thanks very much to the author for providing me with a copy of this book to review.
Profile Image for Janet Rodriguez.
Author 1 book4 followers
June 23, 2022
Sharman Apt Russell’s most recent nonfiction book, Within our Grasp: Childhood Malnutrition Worldwide and the Revolution Taking Place to End It (Pantheon, 2021), is part personal account, part fact-finding mission. She writes of her travels to Malawi, one of the poorest nations not at war, and intertwines the narrative with history, statistics, and stories relating to childhood hunger from all over the world. She brings nutritionists, doctors, and business leaders to lend their views about effective changes and policies, and shines light on community partnerships. The result is an illuminating and necessary read about the global revolution to end childhood hunger and malnutrition.

I rarely recommend books to "everyone who reads" but this is one of those books. It needs to be read for the fact that it addresses such a necessary subject worldwide: childhood malnutrition. BUT it's also light and fun, shares personal experiences, and gives the reader a wonderful follow-up chapter of all the programs discussed in previous chapters. It's an amazing book. EVERYONE should read it!
1 review
August 4, 2021
A master class in disguise: Sharman Apt Rusell's book takes us through the multiple dimensions of the tragedy of malnutrition from the evidences' perspective, while telling us the human stories that remind us these are not just figures and scientific facts but fellow humans' lives in many parts of this globe.
The encouraging part is that Rusell's thorough research and investigation show that not only we keep on refining ways to battle malnutrition but that we have people everywhere working to see the end of it; and makes us feel that maybe we will be able to tell our grandchildren that we were part of the solution...
217 reviews1 follower
March 27, 2025
No ma'am. I think this book could have been an essay. It was repetitive and all over the place in terms of topics discussed. I also don't know why the title includes "worldwide" when the book was at least 90% about Malawi. I think whoever was in charge of editing failed woefully. They could have helped the author focus. She clearly had rich experiences in Malawi that she wanted to share, but boy, what this a slog to read.
1 review
August 28, 2022
Within Our Grasp explains some of the roots of childhood malnutrition, and the impact of different social, geographical, and climate factors on this complex issue. The book describes how locally produced ready-to-use therapeutic food (RUTF) and community-based therapeutic care (CTC) can help to overcome childhood malnutrition and hunger and emphasizes on engagement of local community.
106 reviews1 follower
July 26, 2021
Tremendous book on world hunger especially youth and what can be done about it.
26 reviews
June 28, 2023
Such an interesting and up to date read. Definitely wanted to read and learn more.
Profile Image for Meighan Marlo.
10 reviews
July 4, 2024
A great read providing historical perspective and the multitude of complexities that encompass malnutrition internationally.
Profile Image for Buffy.
202 reviews
April 26, 2025
I had a hard time finishing this book given the state of current affairs while I was reading it. I hope it becomes a prequel, not a relic.
3 reviews
April 18, 2021
Review of "Within Our Grasp: Childhood Malnutrition Worldwide and the Revolution Taking Place to End It," 2021, Pantheon, by Sharman Apt Russell


Sharman Apt Russell’s latest nonfiction book (she has a series of eco-science-fiction, YA fiction, and other stories as well) focuses on how malnourished many of the world’s children are, how that has changed in the past thirty years, and what governments, non-profits, and the communities themselves are doing to improve the situation.

She shows concrete examples of the immense changes in the past twenty years or so. Goals set in 2000 by the UN’s Millennium Development Goals group (p. 47) were assessed in 2015 (p. 56). Although none had been fully met, 50% fewer people were living in extreme poverty, 91% of the children of primary school age were in the world were enrolled in classes, child mortality was half of what it had been, and the deaths of pregnant women had dropped by 45%. Successes in sustainability and reducing the threats of climate change had seen less progress – but little had gone backwards.

Sharman spells out several related lessons that people working with childhood malnutrition have learned. They boil down to “listen to the local people, and do things their way, in their communities,” guided by what we know of science, and how to empower people. Simpler, low-tech, decentralized responses to issues generally produce sustainable results, while top-down centralized approaches that vanish when the funding ends too often fail, leaving people with the same problems and less trust in the possibility of change. Complicating matters are cultural issues that outsiders must take into account. Rather than trying to change local people’s cultures to something more understandable and acceptable to people from richer countries who genuinely want to help, the most effective way of introducing healthier foods and practices is to work within a group’s existing beliefs and strengths.

This book is a delight. Sharman never minimizes the gravity of the topic, but brings her readers along through a combination of anecdotes, well-explained statistics, and clear discussions of policies. At the same time, we come to know Sharman as a teacher of writing, as a person, and as a careful, compassionate, and optimistic observer of people and their hopes and actions. I recommend it as both a call to action, and as an antidote to the weight of the world’s problems.

Note: Sharman was one of my mentors in my MFA program at Antioch University Los Angeles.
1 review
July 10, 2021
World hunger is something people usually do not want to talk about. I also feel a bit numb when I begin to think about the complexity of the problem. There are so many causes and variables surrounding hunger, it seems overwhelming. But not to Sharman Apt Russell who has the passion and skills to deeply explore the many contributing factors and has now given us a second book on hunger “Within Our Grasp”. From the history of hunger to the periodic table of the elements, Sharman explores all these many variables, many I had not even thought of. She eloquently weaves together these variables along with vivid descriptions of children, families and places challenged by hunger and malnutrition.
Sharman also informs us of the evolution and history of our response to hunger especially the new response of food medicine or RUTF (ready to use therapeutic food). She is so taken by the promise of this new approach in dealing with hunger, she and her husband make the long journey to Malawi, one of the poorest countries in Africa. She visits these RUTF sites, meets with women’s groups, joins in dance and ceremony and sees for herself how this new approach is lowering malnutrition as well as empowering women, creating community, employing people, and educating and partnering with local farmers. Sharman’s colorful reflections on her journey and connections with the generous people of Malawi and how they are overcoming hunger is heart felt and hopeful. It puts a human face on the abstract idea of hunger. It leaves us with more hope to one of our greatest human challenges. It makes us feel that ending world hunger may well be “within our grasp.”
Author 8 books43 followers
May 8, 2021
"Within Our Grasp" describes a human tragedy but one that contains a sliver of hope. Based on Apt Russell’s 2016 sojourn in Malawi, the book details numerous programs and ideas designed to combat childhood malnutrition.

The theme that develops is the interconnectedness of the issues that lead to mass hunger, e.g., corporate greed, colonialism, climate change, economic inequality, the patriarchy, and poor sanitation. Success in combating childhood malnutrition will come only through holistic means chosen and implemented locally. It’s a beautiful lesson perfectly conveyed in this beautiful book.
1 review
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May 17, 2021
I started going to bed early just so I could read more. This is an insightful book, filled with passion. I learned a lot about some of the big names and transitions in malnutrition treatment over the past decades. I finished reading reinvigorated and inspired.
Displaying 1 - 16 of 16 reviews

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