. . . The only crime equaling inhumanity is the crime of indifference, silence, and forgetting.—James OrbinskiIn 1988, James Orbinski, then a medical student in his twenties, embarked on a year-long research trip to Rwanda, a trip that would change who he would be as a doctor and as a man. Investigating the conditions of pediatric AIDS in Rwanda, James confronted widespread pain and suffering, much of it preventable, much of it occasioned by political and economic corruption. Fuelled by the injustice of what he had seen in Rwanda, Orbinski helped establish the Canadian chapter of Médecins Sans Frontières (Doctors Without Borders/MSF). As a member of MSF he travelled to Peru during a cholera epidemic, to Somalia during the famine and civil war, and to Jalalabad, Afghanistan.In April 1994, James answered a call from the MSF Amsterdam office. Rwandan government soldiers and armed militias of extremist Hutus had begun systematically to murder Tutsis. While other foreigners were evacuated from Rwanda, Orbinski agreed to serve as Chef de Mission for MSF in Kigali. As Rwanda descended into a hell of civil war and genocide, he and his team worked tirelessly, tending to thousands upon thousands of casualties. In fourteen weeks 800,000 men, women and children were exterminated. Half a million people were injured, and millions were displaced. The Rwandan genocide was Orbinski’s undoing. Confronted by indescribable cruelty, he struggled to regain his footing as a doctor, a humanitarian and a man. In the end he chose not to retreat from the world, but resumed his work with MSF, and was the organization’s president when it was awarded the Nobel Peace Prize in 1999.An Imperfect Offering is a deeply personal, deeply political book. With unstinting candor, Orbinski explores the nature of humanitarian action in the twenty-first century, and asserts the fundamental imperative of seeing as human those whose political systems have most brutally failed. He insists that in responding to the suffering of others, we must never lose sight of the dignity of those being helped or deny them the right to act as agents in their own lives. He takes readers on a journey to some of the darkest places of our history but finds there unimaginable acts of courage and empathy. Here he is doctor as witness, recording voices that must be heard around the world; calling on others to meet their responsibility.Ummera, ummera–sha is a Rwandan saying that loosely translated means ‘Courage, courage, my friend–find your courage and let it live.’ It was said to me by a patient at our hospital in Kigali. She was slightly older than middle aged and had been attacked with machetes, her entire body rationally and systematically mutilated. Her face had been so carefully disfigured that a pattern was obvious in the slashes. I could do little more for her at that moment than stop the bleeding with a few sutures. We were completely overwhelmed. She knew and I knew that there were so many others. She said to me in the clearest voice I have ever heard, “Allez, allez. Ummera, ummera-sha”–‘Go, go. Courage, courage, my friend–find your courage and let it live.’—From An Imperfect Offering

    The Survivors Club: The Secrets and Science that Could Save Your Life

    Key Features: The Author Uses A Reader-Friendly, Narrative Style Making The Text Engaging And Accessible To A Broad Range Of Students. The Text Illustrates The Multidisciplinary Nature Of Public Health And The Complex Ethical And Political Issues Central To It. It Includes Discussions Of Epidemiological Investigation, Biomedical Research, Environmental Assessment, Analyses Of Individual And Group Behavior, Massive Data Collection Efforts, And Policy Developments. New To This Edition: New Discussions About U.S. Health Care Reform New Discussions Of The Globalization Of National Economies And Its Effect On The Health Of Populations Expanded Discussions On Health Disparities New Analysis Of What Went Wrong Just After Hurricane Katrina Updated Discussions Of Developments In Topics Such Are H1N1 Swine Flu, Hormone Replacement Therapy, FDA Regulation, HPV Vaccine Controversy Planning For Healthy People 2020 And Much More.

    Here they met and studied unique animals and were confronted with danger from drought, fire, storms, and the animals they loved. This best-selling book is for both travelers and animal lovers.

    They saw their father, who was born into slavery, become America's first black Episcopal bishop. They saw their mother--a woman of mixed racial parentage who was born free--give birth to ten children, all of whom would become college-educated, successful professionals in a time when blacks could scarcely expect to receive a high school diploma. They saw the post-Reconstruction South, the Jim Crow laws, Harlem's Golden Age, and the Civil Rights movement--and, in their own feisty, wise, inimitable way, they've got a lot to say about it.More than a firsthand account of black American history, "Having Our Say" teaches us about surviving, thriving, and embracing life, no matter what obstacles are in our way.

    Its hands-on, completely accessible approach walks writers through each stage of the creative process, from the initial triggering idea to the revision of the final manuscript. It is unique in combing the three main aspects of creative writing instruction: process (finding inspiration, getting ideas on the page), craft (specific techniques like characterization), and anthology (learning by reading masters of the form). Succinct, clear definitions of basic terms of fiction are accompanied by examples, including excerpts from masterpieces of short fiction and essays as well as contemporary novels. A special highlight is Alice LaPlante's systematic debunking of many of the so-called rules of creative writing. This book is perfect for writers working alone as well as for creative writing classes, both introductory and advanced.

    The book documents the adverse environmental effects caused by the indiscriminate use of pesticides. Carson accused the chemical industry of spreading disinformation, and public officials of accepting the industry's marketing claims unquestioningly.The book appeared in September 1962 and the outcry that followed its publication forced the banning of DDT and spurred revolutionary changes in the laws affecting our air, land, and water. Carson’s book was instrumental in launching the environmental movement.

    This revised and enlarged edition of the leading anthology provides the essential writings of Marx and Engels--those works necessary for an introduction to Marxist thought and ideology.

    At the end of each visit, photographer and family collaborated on a remarkable portrait of the family members outside their home, surrounded by all of their possessions—a few jars and jugs for some, an explosion of electronic gadgetry for others. Vividly portraying the look and feel of the human condition everywhere on Earth, this internationally acclaimed bestseller puts a human face on the issues of population, environment, social justice, and consumption as it illuminates the crucial question facing our species today: Can all six billion of us have all the things we want?

    Freedom, Sen argues, is both the end and most efficient means of sustaining economic life and the key to securing the general welfare of the world's entire population. Releasing the idea of individual freedom from association with any particular historical, intellectual, political, or religious tradition, Sen clearly demonstrates its current applicability and possibilities. In the new global economy, where, despite unprecedented increases in overall opulence, the contemporary world denies elementary freedoms to vast numbers—perhaps even the majority of people—he concludes, it is still possible to practically and optimistically regain a sense of social accountability. Development as Freedom is essential reading.

    Poring over the faint text and faded pictures, he was entranced by the world of black magic and savagery the bishop described, and couldn't help but wonder what drove the Victorian to risk his life among people who had shot, drowned, or clubbed to death so many of his predecessors.Twenty years later and a century after that journey, Montgomery sets out for the reefs and atolls of Melanesia in search of the very spirits and myths the missionaries had sought to destroy. He retraces his ancestor's path through the far-flung islands, exploring the bond between faith and magic, the eerie persistence of the spirit world, and the heavy footprints of Empire.What he discovers is a world of sorcery and shark worship, where the lines between Christian and pagan rituals are as blurred as the frontiers of fact, fantasy, and faith. After confrontations with a bizarre cast of cult leaders, militants, and mystics, the author, in his quest for ancient magic, is led to an island in crisis -- and to a new myth with the power to destroy or to save its people forever.Alternately terrifying, moving, and hilarious, with overtones of Melville and Conrad, The Shark God is Montgomery's extraordinary and piercingly intelligent account of both Melanesia's transformation and his own. This defiantly original blend of history and memoir, anthropology and travel writing, marks the debut of a singular new talent.

    Benedict has for centuries been the guide of religious communities. St. Benedict's rules of obedience, humility, and contemplation are not only prerequisites for formal religious societies, they also provide an invaluable model for anyone desiring to live more simply. While they presuppose a certain detachment from the world, they provide guidance and inspiration for anyone seeking peace and fulfillment in their home and work communities. As prepared by the Benedictine monk and priest Timothy Fry, this translation of The Rule of St. Benedict can be a life-transforming book. With a new Preface by Thomas Moore, author of The Care of the Soul."God is our home but many of us have strayed from our native land. The venerable authors of these Spiritual Classics are expert guides--may we follow their directions home."--Archbishop Desmond Tutu

    This text has invited more than 4 million students into the study of this dynamic and essential discipline.The authors have restructured each chapter around a conceptual framework of five or six big ideas. An Overview draws students in and sets the stage for the rest of the chapter, each numbered Concept Head announces the beginning of a new concept, and Concept Check questions at the end of each chapter encourage students to assess their mastery of a given concept. New Inquiry Figures focus students on the experimental process, and new Research Method Figures illustrate important techniques in biology. Each chapter ends with a Scientific Inquiry Question that asks students to apply scientific investigation skills to the content of the chapter.

    It was one of the deadliest floods in U.S. history. 125 people were killed instantly, more than 1,000 were injured, and over 4,000 were suddenly homeless. Instead of accepting the small settlements offered by the coal company's insurance offices, a few hundred of the survivors banded together to sue. This is the story of their triumph over incredible odds and corporate irresponsibility, as told by Gerald M. Stern, who as a young lawyer and took on the case and won. "From the Trade Paperback edition."

    But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable. At once unflinching and compassionate, Better is an exhilarating journey narrated by arguably the best nonfiction doctor-writer around (Salon). Gawande's investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.