In this inaugural book concerning the history of public health in The Gambia, Jagne passes on valuable historical and eyewitness experiences as a public health administrator, practitioner, and educator for many decades. He treats the subject in connection with relevant cultural, socio-economic, and political factors that impact this important field. He addresses how, why, and when things happened, how they were dealt with, and the lessons to learn from them. As reflected in his heart for his students, this book is necessary for those who would affect change in the field in the future. He provides knowledge and awareness that is an essential foundation for training those engaged in medical and health professions and those in policy-making positions. This book provides a needed historical background of events that helps students and changemakers plan effectively for the future.