Global Health 101 Fourth Edition Textbook ISBN: 978-1-284-14538-0. Completely usable for a student taking this course. There is some wrinkling on pages, there is some bends on the front and back cover, there is minor separation in binding and front page. Some minor writing inside. I have taken good photos of these issues so the buyer knows the quality of item they are receiving. Again, it is a good usable textbook at an affordable price for any student taking this course. Item will be packaged well and shipped out quickly.