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.