Mohawk midwife Katsi Cook lives in Akwesasne an indigenous community in upstate New York that is downwind & downstream from three Superfund sites For years she witnessed elevated rates of miscarriages birth defects & cancer in her town ultimately drawing connections between environmental contamination & these maladies When she brought her findings to environmental health researchers Cook sparked the United States first large-scale community-based participatory research project In The River Is in Us author Elizabeth Hoover takes us deep into this remarkable community that has partnered with scientists & developed grassroots programs to fight the contamination of its lands & reclaim its health & culture Through in-depth research into archives newspapers & public meetings as well as numerous interviews with community members & scientists Hoover shows the exact efforts taken by Akwesasnes massive research project & the grassroots efforts to preserve the Native culture & lands She also documents how contaminants have altered tribal life including changes to the Mohawk fishing culture & the rise of diabetes in Akwesasne Featuring community members such as farmers health-care providers area leaders & environmental specialists while rigorously evaluating the efficacy of tribal efforts to preserve its culture & protect its health The River Is in Us offers important lessons for improving environmental health research & health care plus detailed insights into the struggles & methods of indigenous groups This moving uplifting book is an essential read for anyone interested in Native Americans social justice & the pollutants contaminating our food water & bodies