Part One. Overview – what’s the problem?
1. "Save that. We might need it someday"
2. Public health and politics in West Africa
3. Medical school and the Amazon: "You are very keen in your diagnosis"
4. Brazil, Chile, and abortion
5. Public health; research; and revelation
6. A new calling
7. Threat to the Holy Cross Wilderness
8. Family planning, Amazon style
9. "You may not ask that question"
10. "As you know, the human population has just doubled for the first time"

Part Two. Manifestations of malignancy
11. What the fractal is this?
12. Malignant expansion and retroactive heterotrophicity in modern urbanizations
13. Effects of malignant human activity on small, local ecosystems
14. Human contact and island ecosystems
15. Effects of human activities on regional ecosystems
16. Effects of human activity on continental ecosystems
17. The oceans
18. Toxic trash, oncometabolites, and cow farts
19. Effects of human activity on biodiversity
20. Effects of human activity on the global ecosystem

Part Three. Analysis and policy choices
21. Humans as cancer: Metaphor, model, analogy, hypothesis, or diagnosis?
22. Human activities and malignant entropy
23. Human culture and the ecophagic imperative
24. "What will be the limiting factor for the human population?"
25. "We have met the enemy, and he is us"
26. Epilogue: "Great Bringer of Death to Paradise"

Warren M. Hern, MD, is a practicing physician in Boulder, Colorado, where he is also on the anthropology faculty at the University of Colorado. He holds a Master of Public Health degree and a PhD in epidemiology. His clinical and epidemiologic research has been published widely in scientific and medical journals, including BioScience and Population Studies. His public advocacy of reproductive rights has appeared in The New York Times, Washington Post, CBS' 60 Minutes, and other prominent venues. He has conducted decades of research in fertility and population trends based in the Peruvian Amazon.