Mud, Microbes & Medicine

How a Curious Anthropologist Got to the Boardroom

Non-Fiction - Memoir
352 Pages
Reviewed on 02/19/2026
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    Book Review

Reviewed by Grant Leishman for Readers' Favorite

Mud, Microbes & Medicine by Elizabeth Reed Aden is a memoir that is definitely a study in two parts. As a young PhD anthropology student in the 1970s, the author sought a topic for her doctoral thesis. Searching the world for a suitable environment, she dismissed Alaska as too cold, the Middle East and Africa as too hot, and eyed the South Pacific as a suitable venue. Ultimately, she chose what was then known as the New Hebrides (now Vanuatu), a joint British and French colony. With little knowledge of what she would be facing and an overbearing and manipulative PhD mentor back in the States, she had an enormous culture shock. Her project of documenting the population of the small island of Malo, and testing their blood for malaria and Hepatitis B, both endemic diseases, would see her devote many years to the health and well-being of the islanders, whom she grew to love. From a wide-eyed PhD student, she would ultimately reinvent herself and enter the fast-paced and results-driven world of Big Pharma, where she would again excel.

Mud, Microbes & Medicine is a wonderfully charming read. Elizabeth Reed Aden has had an amazingly diverse life. I loved her attitude to authority and her willingness to stand up to the intensely patriarchal and misogynistic world of academia. What readers will appreciate is the author’s summing up at the end of each chapter or adventure in her life. Her “Lessons Learned” was a reflection of the thoughtful and methodical way she organized her research and her life. These lessons learned will resonate with many readers, as they did with me, and form a valuable part of the story. I admit to losing myself in the more technical aspects of her research, and later, when she was at the forefront of drug companies’ research into new life-saving drugs. I also greatly appreciated the details of Vanuatu’s struggle for independence and nation-building. The transition to a new independent government, despite differing factions, was achieved without significant bloodshed, and the author was there to witness it. Ultimately, this book is about connectedness and humanity. It is powerful, motivational, and fascinating. I recommend it.

Jo Kafer

I am fascinated with real-life stories about women who dare to do different things. Elizabeth Reed Aden is one of these women and her story is mesmerising.
Betsy, as she refers to herself, describes her years living on a remote island in Vanuatu while gathering invaluable data about the health of the inhabitants.
She overcame many hurdles concerning funding and supervision to pursue her research goals. It’s sad to note that some of the problems experienced by Elizabeth, still confront female researchers fifty years later.
Elizabeth describes the social norms of the seventies and her interactions with expats on the main island of Santo with emotion and insight. Her descriptions were so apt that I could clearly picture each character, reminding me of similar characters that I have come across in expat communities.
But what held me riveted as I read Elizabeth’s story was how she coped with living on a tiny island. I’ve spent quite a bit of time on small islands and in tiny remote villages in Vanuatu. These places have very few amenities, usually no running water and electricity and no flushing toilets either. There may be a shop where you can buy rice, tinned fish and toilet paper but not much else. You eat what can be grown or hunted, manioc and taro, island cabbage, bananas, coconuts and seasonal fruits. This may sound delightfully tropical, but this diet can be monotonous. Eating six mangoes every day does get boring.
The impact of living as Elizabeth did is not just about the lack of amenities, it’s about coping with the inevitable differences of cultural beliefs and practices. Sometimes those differences can be amusing but at other times they can be very challenging. I speak from experience having lived in a rural village in Vanuatu for more than seven years as a self-funded volunteer.
Mud, Microbes & Medicine really resonated with me. I highly recommend this book to anyone who wants to read a story about a strong woman and how she survived her immersion into a foreign culture and environment. Elizabeth Reed Aden didn’t simply survive, she thrived!