Acknowledgments -- Foreword to the Vintage Edition -- Prologue -- Trace amounts -- Silence -- Time -- Space -- War -- Animals -- Earth -- Air -- Water -- Fire -- Our bodies, inscribed -- Ecological roots -- Vintage edition -- Exercising your right to know -- Source notes -- Index. In her early twenties, Sandra Steingraber was afflicted with cancer, a disease that has afflicted other members of her adoptive family. Writing from the twin perspectives of a survivor and a concerned scientist, she traces the high incidence of cancer and the terrifying concentrations of environmental toxins in her native rural Illinois. She goes on to show similar correlation in other communities, such as Boston and Long Island, and throughout the United States, where cancer rates have risen alarmingly since mid-century. At once a deeply moving personal document and a groundbreaking work of scientific detection, Living downstream will be a touchstone for generations, reminding us of the intimate connection between the health of our bodies and the integrity of our air, land, and water.