Salt of the Earth

Written by J.J. Marsh
Review by Bonnie DeMoss

Switzerland, 1916. Seraphine spends her days taking care of her two half-brothers, who were born with a condition called cretinism, known today as congenital hypothyroidism. Their father is a hard man who wishes both boys were dead, and says so. Seraphine has never known her own father, who was not married to her mother. She dreams of a different life, where she can study, work, and make a difference, but it seems so out of reach. She also is developing a goiter on her throat, like so many of her fellow townspeople, and tries very hard to hide it. Then Bastian Favre comes to town. He is an assistant to Dr. Eggenberger, who is working on a cure for cretinism and goiters. Can it be as simple as salt?

This compelling novel explores the history of iodized salt and the pursuit of a cure for hypothyroidism in Switzerland by adding iodine to the diet. The author portrays the skepticism and superstitions of the people affected so well. Seraphine’s mother is used to express the doubt and fear, and to show the extreme effects of a lack of iodine on mothers and their babies. The refusal of some of the townspeople to accept such a simple cure is indicative of the time. The slow-burn romance is captivating, as Bastian’s instant attraction to Seraphine meets many challenges along the way. There is epistolary work in the form of letters and news articles. The news articles are an excellent way of following the story of how Switzerland’s Goiter Commission made the decision to recommend iodized salt to the people in 1922. Fans of romance and medical history will enjoy this book. Highly recommended.