This is the first book in author Eva's "Famine Trilogy," in which she traveled to Qin'an County, Tongwei County, and Tianshui District in Gansu Province as well as to Yaozhou and Tuxian County in Shaanxi Province in 2011. She interviewed more than two hundred survivors of the Great Famine, with the oldest person being ninety-five years old and the youngest being fifty-eight years old. This book allows these lowest class, mostly uneducated peasants to speak and provide their own witness, leaving behind their voices and oral history. Based on interviews with more than fifty interviewees, the book contains the names of more than five hundred victims and forty-nine incidents of cannibalism.
Author Eva writes about her relationship with Gao Yaojie, a Chinese doctor. Dr. Gao Yaojie, who was severely repressed by the Chinese government for exposing the mass infection of Chinese farmers in Henan Province, China, by selling their blood, had no choice but to leave China at the age of 78 and go into exile in the United States. The dissemination of her story is strictly forbidden in China. In this book, author Eva describes Gao Yaojie's noble heart, her story, and her experiences.