The blood disease referenced often in the novel is actually sickle-cell anemia, called so because of the crescent-shaped appearance that carriers with both copies of the hbb gene have in their blood cells. Sickle-cell anemia actually creates a protection against malaria, but if a child has two parents with the hbb gene, he or she may suffer with many complications. According to the Mayo Clinic, complications of sickle cell anemia include:
While there are many medications used to treat the symptoms of sickle-cell anemia, the only real cure is through a bone marrow transplant.
Have students read more on this disease, and its connection to yam farming and malaria here:
Monrovia is the capital of Liberia. Liberia was originally settled by former slaves through the American Colonization Society, which was established to help free African Americans resettle in Africa. Liberia means “Land of the Free” in Latin. From 1820-1838, about 20,000 people resettled in or near Monrovia. In 1847, Liberia declared its independence, although it was not recognized by the United States until 1862. Even then, its existence was ignored and denied throughout the years of the Civil War. Liberia soon became a major player in world affairs, including as one of the founding members of the United Nations. For many African Americans who visited Monrovia, Liberia, as Nettie does in her travels to work with the Olinka, it is a bittersweet moment: it is a land where blacks are leaders, but it is also a reminder of the Blacks who sold their fellow brothers and sisters into slavery. Have students learn more about Monrovia, Liberia’s rich history at the following sites: