Winter Book Festival and Giveaway: Jane Maxwell and Where There is No Doctor



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books library (Custom)I am absolutely thrilled to be able to share this next author interview in the Backdoor Survival Winter Book Festival.  These week we hear from Jane Maxwell, Senior Editor at Hesperian Health Guides and the co-author of the landmark books:

Where There Is No Doctor
Where Women Have No Doctor
A Health Handbook for Women with Disabilities

Many of you that have been preparing for years are familiar with medical books fro the Hesperian Group and to say that I am honored that Jane has agreed to answer my questions is an understatement.  Jane shares her answers below and is also providing one of my readers with a free printed copy of the latest version of Where There Is No Doctor.


Before we begin, I would like to announce the winner of last week’s giveaway.  The three books that make up Ron Foster’s “The Prepper Trilogy” (Preppers Road March, BUG OUT! Preppers on the move! and The Light In The Lake: The Survival Lake Retreat) were won by “Shelley”  Congratulations! I have contacted you by email with instructions for claiming your prize.

Here is how Shelley described why she prepares and what she is preparing for:

My husband has been prepping for years, but I have just begun REALLY prepping in the past year. I have begun paying attention to the way this country (and world) have degraded. It is very frightening how everything has changed. We are trying to prepare for anything, although we can never be prepared for every scenario. I am so thankful for all of the knowledge that people are willing to share.

Be sure to check out the details of this week’s giveaway below.


To set the tone for my interview with Jane, here is a short video by Lucas Amikiya in Sumbrungu (an African village in Ghana) offering his praise  “Where There is No Doctor”.

Lucas Amikiya in Sumbrungu


An Interview with JANE MAXWELL

Tell me about Where There Is No Doctor.  What is it?

I always like to start by saying that Hesperian Health Guides is a nonprofit publisher of health care resources for communities around the world where people have little or no access to health resources. The book we’re best known for is Where There Is No Doctor.

Basically, the book got started by a small group doing medical work in rural Mexico. It started out as a book of protocols. If someone comes in who has been cut by a machete, and it’s infected, this is what you do. If a woman is having a baby, and the body is coming out in the wrong direction, this is what you do. If somebody is vomiting and they also have a rash, this is what it might be and this is how you treat it. So it just built up from there.

I started as a volunteer at Hesperian in 1982. I had learned about the book Where There Is No Doctor at the Berkeley Free Clinic, where I was also volunteering. We had a copy of the book there, and I thought, “This is great! They’re providing free health information, and demystifying medicine.” My first task as a volunteer at Hesperian was building shelves!

Once you got involved at Hesperian, what type of research did you end up doing and how did you get involved in the editorial work?

I had read Where There Is No Doctor, and had seen some things that needed to be changed and updated. I proposed to do that – and they said, “Go ahead – but you need to raise the money!”

Somehow I raised 25,000 dollars, and I thought I was king of the world! And so we got the first update going. A lot of the information on antibiotics needed to be changed; we added information about frostbite, and also malaria. Malaria was different in different parts of the world, the patterns were different, so we had to work that in. Flukes (Schistosomiasis) is different in Asia than in Africa, so things like that that needed to be added that weren’t in there before. And of course HIV had become a reality, and we had to include that.

Even nonfiction books include a message. What message do you hope readers will take away after reading Where There Is No Doctor?

A lot of medicine is not rocket science! One of the things they found while doing the health worker trainings in Mexico, is that within 2 months you can teach somebody a good 90% of what people go to a general practitioner for. You just don’t need heavily trained doctors for most medical problems people have, like colds, digestive problems, and even treatment for a wound. It’s for that top 10% of health problems that you need a highly skilled medical professional.

For example, one of the doctors taught villagers about a thing called Pterygium. It happens a lot to farmers who work outdoors in the wind. A skin-like thickening slowly grows over the eye, and can eventually really disrupt your vision. The growth can be scraped off, and one villager was taught how to do this. Another teachable thing is dental work, which we address in Where There Is No Dentist. We wouldn’t want to teach anyone to drill a tooth just by reading a book, (you really need hands-on experience for that) but you can teach people how to identify decay, to remove it and put something in to replace it.

Can you tell readers a little more about yourself and how you came to be interested in health and international health?

I came to the United States in 1961 from the United Kingdom and got a job at a bank, but on the weekends I volunteered at an organization that worked with children with disabilities in San Francisco.

I was always, always, interested in other parts of the world. I was also always interested in medicine. I had done a year and a half of nursing school in the UK. I enrolled at City College in San Francisco for 2 years and then transferred to UC Berkeley to finish my studies in cultural anthropology, with a focus on medical systems.

I actually spent my senior year in Ghana. It changed my life. I drove across the Sahara desert in a land rover – a trip that would be hard to do now! After that I ended up getting my MPH from UC Berkeley, where I also took a lot of journalism courses. And I started volunteering at the Berkeley Free Clinic, where I’m still involved today.

I guess my background has been kind of a mish mash of medicine, anthropology, and writing.

What makes Where There Is No Doctor popular in the prepping community?

Where There Is No Doctor is useful for anyone who may find themselves in circumstances where medical care is not available. And the emphasis on illustrations and non-technical language makes them accessible to anyone. You don’t need to have years of training to be able to provide basic medical care. Our books also cover a very wide range of issues, and our focus lends itself well to situations where self-reliance and low-tech solutions may be critical.

Where there is no doctor

This is just one of many illustrations.

Preppers may also be interested to know that Hesperian’s other books can also be useful for disaster prepping. We wrote Helping Health Workers Learn to train laypeople in how to use Where There Is No Doctor to treat others. It has storytelling and game playing, so you can get the medical ideas across to people in an easy way.

Hesperian also produced a book called Where Women Have No Doctor that has medical information for women. A Community Guide to Environmental Health addresses, among other things, issues of sanitation, hygiene, and water treatment. It has 26 pages on how to build latrines!

A Book for Midwives covers all of the issues involved in pregnancy and birth in an easy-to-follow format. We also distribute a book published by the Christian Veterinary Mission in Seattle called Where There Is No Animal Doctor. It covers basic care and nutrition issues for livestock from cattle to goats to poultry.

Is there anything else you would like to share about yourself and writing books for Hesperian?

While we develop our books at Hesperian, we want to make sure they will have information that will be useful in communities everywhere. So we invite people to review the books as we are developing them, as they are being written, and to give us their opinions. They can say to us, “that would never go on in this community.” They tell us if the words are too difficult to understand, or if the illustrations don’t make sense. They give us line-by-line feedback.

For one of our current books-in-progress, we are field testing and getting it reviewed in over 20 countries. We compile and read these comments to see what seriously needs to be changed, make the changes, and then send it back for more feedback.

Whenever there is medical information we always have medical professionals review it, as well. A Hesperian book isn’t just a potential resource – it’s already been proven in the field.


owl reading bookA copy of Where There Is No Doctor has been reserved for one lucky Backdoor Survival reader. 

This week’s question is this:

What do you feel with be the toughest health or medical challenge following a disaster, collapse or breakdown of society as we know it?

Please reply with your answer in the comments area at the end of this article.  The deadline is 6:00 AM Pacific next Friday and a winner will be selected next Friday at random using tools on the website.


The challenge of medical care when health care professionals are not available is a concern to all preppers.  Not only is there there the lack of knowledge, but there is the lack of supplies and medicines as well.  It is my hope that none of us will ever be called upon to use book-knowledge to treat a serious injury or illness.  That said, if it does happen, I want to be prepared with an arsenal of printed materials to help me do the very best I can to help those in need.

Enjoy your next adventure through common sense and thoughtful preparation!


If you have not done so already, please be sure to like Backdoor Survival on Facebook to be updated every time there is an awesome new article, news byte, or free survival, prepping or homesteading book on Amazon.

In addition, when you sign up to receive email updates you will receive a free, downloadable copy of my e-book The Emergency Food Buyer’s Guide.

Spotlight Item:  Hesperian’s classic book, Where There Is No Doctor, is arguably the most widely-used health care manual in the world.   A must for the prepper bookshelf, it includes practical, easily understood information on how to diagnose, treat, and prevent common diseases.  Special attention is focused on nutrition, infection and disease prevention, and diagnostic techniques as primary ways to prevent and treat health problems.

Also check out Where There Is No Dentist as well as the Hesperian website where you may download free copies of their books in e-book format.  You may also want to consider making a small donation to keep their work going.

Bargain Bin: Listed below are all of the books in the Backdoor Survival Winter Reading List. There are both fiction and non-fiction titles and a bit of something for everyone. Also, some of these books are Kindle e-books but you do not need a Kindle to read Kindle e-books. Simply download the free Kindle app from the Amazon site and you are good to go.

The Backdoor Survival Winter Reading List – Non-Fiction

The Prepper Next Door: A Practical Guide For Disaster And Emergency Planning (Author Charlie Palmer)

Rapid Fire!: Tactics for High Threat, Protection and Combat Operations (Author Max Velocity)
Lanterns, Lamps and Candles (Author Ron Brown)

An Operations Manual For Humankind – The Complete Compendium Of Natural Health: (Author: Paul Patrick Robinson)

Understanding the Use of Handguns for Self-Defense (Author David Nash)

Where There Is No Doctor (Authors David Werner, Jane Maxwell, Carol Thuman)

Making the Best of Basics – Family Preparedness Handbook: (Author James Talmadge Stevens)

How to Live on $10,000 a Year – Or Less – Newly Revised for 2013 (Author George Ure)

Barbed Wire, Barricades, and Bunkers: The Free Citizen’s Guide to Fortifying the Home Retreat (Author F.J. Bohan)

The Prepper’s Pantry: Building and Thriving with Food Storage (Author Anne Lang)

The Truth About Simple Unhooked Living (Author Estar Holmes)

The Backdoor Survival Winter Reading List – Fiction

Preppers Road March (Author Ron Foster)

BUG OUT! Preppers on the move! (Author Ron Foster)

The Light In The Lake: The Survival Lake Retreat (Author Ron Foster)

Patriot Dawn: The Resistance Rises: (Author Max Velocity)

Holding Their Own: A Story of Survival (Author Joe Nobody)

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Updated Jul 9, 2013
Published Feb 23, 2013

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41 Responses to “Winter Book Festival and Giveaway: Jane Maxwell and Where There is No Doctor”

  1. Mrs. Gaye, I think the greatest challenge post disaster is/will be sanitation. Lack of sanitation, of course, leads to diseases and lack of adequate clean water. Everything will be reduced to basics and clean water is the most basic of all needs.

  2. My biggest health concern post SHTF is dealing with the chronic medical concerns in our family. Fibro, diabetes and emphysema.

  3. I feel the toughest health or medical challenge for me would be to care for those with Diabetes or other conditions that require daily medicationa. We have become so reliant on man-made medications, picking up the phone to call our doctors for advise, and machinery that relies on batteries or electricity to supplement our loved ones care. At some point there may be no more medicine, access to our personal physician, or electricity.

  4. People sometimes focus on all the big stuff during an emergency. Its the little things that hurt you most. Small cuts for example can lead to infection and bigger problems. Problems with your teeth concern me the most however. That more than anything requires professional attention to get things right. You can work around it for a while, but if there is a long term emergency and services are cut back or not existent, one really needs to be prepared for the worst. Everyone buys food, firearms and bug out bags, but no one thinks about the little things that can stop you dead in your tracks.

  5. Easy answer for me as we are very healthy with no diseases or pain. I have all kinds of herbs, tinctures, spices, greens, natural pain relievers, and supplements to get us and many others thru’ bad times.

    The worst thing for me would be a bad fall and break a leg. Without a dr, it would surely be very painful for my husband to rebreak it and get it mending. It can be done and we have natural pain pills, pain tincture, bandages, etc. but breaking a leg would cause me to panic for sure, and keep me from getting important things done. Ouch!

  6. I believe the biggest issue will be not having access to prescription medicine. There will be all these people dealing with withdrawal symptoms, some awful, from their usual medications. How will we handle this situation?

  7. I would think lack of reliably clean drinking water would be the biggest problem after an event. We bought a berkey filter to use in conjunction with our year round stream. Seems like a good start.

  8. my biggest fear is the panic that will set in when SHTF.people will go crazy and there will be a ripple effect after that.there will be lines and lines of people and of course the ones with insurance will be helped but all us others will be turned away.people will be dieing all over the place and nobody will even care.

  9. Pregnancy issues are what hit me last year, when both of my daughters were expecting. One daughter, with every pregnancy (this was her 3rd), has had hyperemesis gravidarum. This time was no different, and, for a period of time, was able to keep nothing at all down. The cycle was broken only when she spent a month hooked up to IV’s for fluids, and a zofran pump. Our other daughter had previously had 3 c-sections, and, of course, this one was delivered by c-section also. In a SHTF scenario, we could easily have lost both daughters and both babies. Even though my husband (their dad) is a family physician, and did have obstetrical training (way back when), things could have turned ugly very quickly.

  10. I would think the toughest specific medical challenge would be a danger we all might face in the worst-case scenario: That of trying to take care of severe burns, because of how critical the use of antibiotics is to recovery. Even a small severe burn could be devastating, and a shortage of antibiotics could make it a lethal condition.

  11. I, being in my late 60’s, am most worried about doing without my meds. I dont take alot, but some are very inportant. My doctors laughs when I ask him for enought meds to last along time. It aint goin to happen.

  12. Lack of clean water and malnutrition with all the problems both of these cause saddens me as I contemplate what might happen just in a disaster situation. Most people I know are already in pitiful shape (including me) and are coping with consequences brought on by a lifestyle of processed food and inactivity.

  13. Simple infections will be problematic as well as keeping u with normal levels of hygeine.

  14. It’s tough to isolate just one single challenge, as different scenarios present slightly differewnt challenges. That said, sanitation/hygiene is up there with finding replacements for essential prescription meds. Whereas natural remedies can do a lot, such as garlic’s antibiotic capacity, or aspirin froim tree bark, others are not so easy to replace. Insulin “and anticonvulsants are two that come to mind. Lastly, I must say this: neither first responders nor civilian medical teams will likely be ready to triage overstressed and potentially violent people. When the SHTF, all of our societal norms of behaavior will no longer be valid. The insecurity of the situation will couple with people’s normal fears to create an extremely volatile and challenging crisis for doing triage.

  15. I believe the most pressing initial challenge will be shock, triggering mental, physical and emotional disassociation that occurs when untrained individuals are subjected to overwhelming fear and emergency situations that trigger our fight or flight response patterns.

  16. I think we will be surprised by what poses the greatest challenge, but my first concern would be sanitation (which will affect everyone and could endanger even the healthiness individuals). The second issue, which is very high on the list in my family, would be the loss of daily medications, such as for diabetics and others with ongoing health challenges. Many fictional accounts depict a ‘dying off’ in such situations. I certainly hope that won’t become reality.

  17. It appears that most people are concerned with meds, and sanitation. I am concerned with meds, but sanitation? I live in the country on a septic tank. I have 10 ea 55 galion rain barrels to catch rain. Berkly water purifiers are cheap enought. I have a silver generator for infections, so what am I missing? Really. This site is to help each other. Is there something I am missing?

  18. The biggest threats to our family would be water- and medical- related. We have limited space for water storage, and the nearest creek is over a mile away. Then there are the purification issues. Chronic illnesses are also a terrible worry, as all of us have asthma, as well as other chronic conditions. I am treated for chronic, severe pain, and would have difficulty moving around without access to meds. Scares the daylights out of me!

  19. I am a retired nurse and agree completley with Jane Maxwell. Many illnesses and injuries can be treated by non-medical people. With references and general knowledge, much can be learned and applied.
    My biggest concern “when there is no medical care” is the lack of medication for people with chronic illnesses…such as diabetics, heart patients, transplant patients, and especially pediatric pts. with asthma or other repsiratory problems.

  20. I believe initially there will be a lot of trauma injuries after a disaster. This will be followed by phycological problems and associated issues followed by those with chronic issues that can not attain their medication then will come disease.

  21. I live in a semi rural area, twenty miles to town. Many if not most of my neighbors are on some type of medication. I fear many would be unable to survive for an extended period of time if they could not replinish their meds. I have tried to prepare for the worst and hope for the best. Thanks for your useful research.

  22. I am concerned about critical meds for heart, high blood pressure, diabetes, etc. Because of the possible lack of these medicines, I am researching alternative herbal remedies that I could grow.

  23. I think sanitation will be the biggest problem. Lack of clean water and improper waste disposal can lead to many diseases as we now see in third world countries.

  24. Almost any medical issue could turn into a life or death situation if we no longer have the 24/7 access to medical help but I fear the worst danger we will face is from drug addicts. Like everything else in a “shtf” situation, illegal drugs will also be in short supply. Addicts are already willing to do almost anything to get their hands on their next fix. Even family members could be tempted to steal from someone who genuinely needs medication for an illness. Probably good advice anytime but keep medications out of sight or locked away and never advertise what types of drugs you keep in the house. Try to build up an extra supply of any medication that is a must have and start reading everything you can on alternative/natural medicines.

  25. I believe the biggest concern will be the overwhelming number of victims and the limited ability to treat them all. Even in something such as an economic collapse, there will be limited supplies, limited care providers and limited choices regarding treatment afterwards. I give this example; you save a person by doing CPR, but you did not cure the underlying disease process that led them to have the cardiac arrest in the first place. Or a snake bite. Or infections. It will be overwhelming to most not having that ability to follow a persons care to cure. You can treat some with first aid but those with serious injury or disease, may not make it. It is a sobering thought for most.

  26. Sadly there will be many diseases, and injuries that will simply not be treatable in a SHTF world. So I try to plan for the things that could be treated. I believe the most common medical problem will be infections of the skin. Any type of wound to the skin will be an open invitation to infections. The infecting ‘bugs’ that are around now include some ‘super bugs’ caused by over use of antibiotics by the general public. Given to patients by doctors that were too often trying to please the patients. There will be little that can be done for severe infections that would need IV high level wide spectrum antibiotics if they develop into that stage. So treat every scratch and cut immediately.
    Keep a good supply of hydrogen peroxide, iodine, Epsom salts for soaks, and antibiotic ointments to be used along with soap and water. Quick treatment will usually prevent infections. Every scratch, cut, wound will need to be thoroughly cleaned and treated. Save worn out cotton socks, T-shirts, etc. Wash and then re-wash with some bleach added to the water. This will make good bandage materials. Make sure they are well dried and then put in zip lock bags to keep them clean. We should prepare for other common ailments that we can treat at home too but I believe preventing infections would be the most common medical need if in a SHTF world.

  27. I think the biggest concerns would be when someone needs some kind of surgery…appendicitis, heart surgery, chronic illnesses…all the things that need major medication and professional help. Would people be able to get these necessary treatments that save lives? Basic cleanliness is well known nowadays, so I’m not so concerned with sanitation and routine medical things.

  28. I think the biggest problems with be: infection – even the smallest cut can cause large problems, and dehydration- with the possible lack of clean water vomiting and diarrhea can cause people to become dehydrated easily.

  29. Fortunately my family is healthy, but in the event of a disaster I would think it would be infection or an accident

  30. My opinion about the worst thing to be faced after a disaster, etc., is that our number one basic need for survival (and the one thing many preppers forget to focus on) is shelter. What happens when your home is taken from you by force? What happens if it is leveled by a natural disaster? What happens if it’s in a neighborhood that is no longer safe and you have to leave? So many health problems and concerns can begin by not having that one basic necessity: shelter. Most of America can’t think about alternative shelters because they are too far in debt or have too little income to think about an alternative shelter, but it would be wise to consider what you would do if anything were to happen to your current shelter…and don’t count on the gov’t being there for your needs.

  31. I believe that the most difficult challenge we will face in a SHTF situation is sanitation. Every time I go camping or hiking I find the infamous charmin blossoms, even near water sources. Start with people doing their business in or near a water source because they don’t know any better, or just don’t care, then add in the water borne illnesses that will take many lives.

  32. The biggest problem will be lack of knowledge! Many things we know how to take care of–purifying water, cleaning wounds, sanitation. The things we don’t know about–symptoms we don’t know, treatments we don’t know—that’s what scares me the most!

  33. I think the biggest challenge in a crisis will be finding clean drinking water. The second problem will be the lack of medical help. Of coarse, there will be many obstacles in a disaster but it seems these two are usually on the top of the list.

  34. Having visited a Native American Reservation this past summer, I got a taste of how people would act in a SHTF scenario. They are at least an hour away from a big city hospital. It is sad that many of the women there don’t know how to give birth naturally anymore since they are so poorly treated when they do go to the hospital to give birth. They are often induced because of the travel time and lack of transportation itself on the reservation. I can see this being a hamper to other women, and being a thing that would spark great fear in the unprepared woman and her partner. Best thing to combat fear is education, and that is what this book would do!

  35. Toughest health challenge in my humble opinion is to know how to get clean safe water. If there is any question about water safety, a person should know how to purify it. We can go a few days without food, but we can’t stay healthy long without good water. Also, if forced to drink water you are not sure about and you become ill, you need to know how to take care of yourself and have the tools/meds/supplies to keep from getting sicker or dehydrated.

    The greatest medical challenge would be to have enough of vital medications to prevent having a medical crisis. Most likely, you would not be able to get refills on prescriptions. A lot of people go to Mexico and get a years’ supply of medications, for greatly reduced prices. That information needs to get out to people. A recent blog post by Bob Wells covers the ins and outs of doing that. //

    Also, I organized an Outdoor Education workshop while I was in college and we had the pleasure of having Dr. William Forgey give a presentation. He has written a similar book or self-help medicine geared toward backpackers in the wilderness. I thought it was excellent. //

    Lastly, what if someone become terminally ill??? And there is no way to save them or ease their pain? Is it wrong to think of helping them die??? Would you, could you do it? I think it is something that needs to be talked about or written about.

  36. I think the biggest hurtle we would face is the mental issues of just giving up. Some many people have problems from mobility to medical needs plus all the other normal “Just basic survival needs of water, shelter, food, etc” The way I see this is any of those problems may be overcome with the proper proactive mindset and skills of the individual. The biggest concern would be the people who declare “It cannot happen to us” allow them to adopt a catatonic reaction to the emergency. This would cause many life threatening instances for those people and even more so when those people are people of your family,extended and otherwise loved ones. Not only would you be dealing with an emergency, but you would be dealing with the challenge of giving more of yourself then you may be able to spare to loved ones who adopt this “Give up attitude”.
    This would wear me or most people, preppers or not, down even faster then any other medical, social upheaval or other situation I know of.
    How do you watch while someone chooses to waste away in front of your eyes and ignore your help.
    I know there any many ways to deal with this, but IMHO that would be the greatest challenge I would perceive on a SHTF

  37. I think the biggest challenge is blending in to your environment. It’s easier to prepare for the emergency than it is to actually go through the emergency. I’d rather not be seen, unless I wanted to be seen.

  38. Anyone with an urgent need such as moms needing c-sections, people needing appendectomies and patients requiring dialysis.

  39. I think the greatest challenge is going to be the fallout from the medication dependent public when the medications are no longer available.

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  41. I believe the biggest problem will be the psychological issues that manifest after a major disaster. On the one hand there will be victims that are truly traumatized and on the other, even scarier side, will be the mob mentality that everyone will have to defend against. It will be hard enough to find the basics, deal with medical issues, and survive without dealing with psychological issues that most people are not trained to handle.


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