The longer we spent on Tarawa the more Sylvia and I came to realize that to live on Tarawa is to experience a visceral form of bipolar disorder. There is the ecstatic high, when you find yourself swept away in a lagoonside maneaba rumbling to the frenzied singing and dancing of hundreds of rapturous islanders. And there are the crushing lows, when you succumb to a listless depression, brought about by the unyielding heat, sporadic sickness, pitiless isolation, food shortages, and the realization that so much of what ails Tarawa, the overpopulation and all its attendant health and social problems, need not be as bad as it is."
( J. Maarten Troost )
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