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THE BIG NECESSITY

THE UNMENTIONABLE WORLD OF HUMAN WASTE AND WHY IT MATTERS

An utterly disarming and engrossing tour of all things excremental.

What’s the single most significant factor in increasing the human life span? Forget antibiotics and penicillin—think toilets.

“Eighty percent of the world’s illness is caused by fecal matter,” writes British journalist George (A Life Removed: Hunting for Refuge in the Modern World, 2004) in her stupefying exploration of how we address, or fail to address, the rising global tide of human waste. It’s not just that 2.6 billion of the world’s inhabitants lack access to a toilet of any kind, so that “four people in ten live in situations where they are surrounded by human excrement.” Even toilets are no guarantee of proper feces disposal. Until a few years ago, Milan piped its waste directly into the river Lambro. When too much storm water overloads Milwaukee’s treatment system, it dumps raw sewage into Lake Michigan, which supplies the city’s drinking water. George writes unflinchingly and with great style on this rarely explored topic, agreeing with Freud that humanity’s “wiser course would undoubtedly have been to admit [shit’s] existence and dignify it as much as nature will allow.” She sallies forth into the bowels of London with its wastewater operatives. She examines the robo-toilets of Japan, which do everything from washing and drying the private parts to checking blood pressure. She attends a World Toilet Organization conference and returns with more beneficial information than could ever be gathered from the other WTO. She visits with India’s “manual scavengers,” whose job is to remove feces wherever they present themselves, including the numerous dry latrines that consist of nothing more than two bricks. She considers the agricultural use of sludge—what’s left after the water’s gone—in China and the United States. She familiarizes herself with innovations in latrine design, wastewater treatment, composting toilets and stabilization ponds. She turns a critical spotlight on our Puritanical shame of body products and advises us to wise up. There is a reason that most creatures, unlike humans, don’t foul their nests.

An utterly disarming and engrossing tour of all things excremental.

Pub Date: Oct. 14, 2008

ISBN: 978-0-8050-8271-5

Page Count: 304

Publisher: Metropolitan/Henry Holt

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Aug. 1, 2008

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.

Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.

Pub Date: Jan. 19, 2016

ISBN: 978-0-8129-8840-6

Page Count: 248

Publisher: Random House

Review Posted Online: Sept. 29, 2015

Kirkus Reviews Issue: Oct. 15, 2015

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