There can be no doubt about Peter Kennedy's passion for patients with trypanosomiasis, and his dedication to improving their treatment has to be admired. This book presents all the information a layman would need about the disease in a digestible fashion, and as a medical student I found the scientific writing to be a good primer for myself as well.
The book charts a career in global health well and explores the difficulties of working in resource poor countries. However, this is where the major flaw of the book becomes apparent. Kennedy notes many times that the countries he visits in Africa are very poor; he also notes many times that they are former British colonies; he also notes that the diseases that afflict them are underfunded, especially trypanosomiasis. Unfortunately he fails to draw a connection between these 3 aspects. Most of his references to the colonial past of Africa are in the form of name dropping the British 'explorers' who made their fortunes and fame on the continent, or by talking about the colonial buildings he so enjoys. Several times Kennedy refers to the 'great events' that occurred during colonial times. I found this strange fetishisation of brutal imperialist regimes very offputting, and decreased my enjoyment of the book hugely. No attempt is made to relate the history of imperial exploitation, and current neo-colonial economic activities with the poverty that makes diseases like trpyanosomiasis such a problem, and with the underfunding of diseases that primarily affect Africa.
This book is a great primer on trypanosomiasis and a good introduction to the problems faced in meeting global health needs. But the attempts to provide a broader cultural view of Africa are riddled with nostalgia for the colonial past that Kennedy seems to pine for.