Article: St. Louisan's peanut butter is medicine for hunger.

Byline: Eric Hand

Dec. 11--NAMANDANJE, Malawi -- In the moonless African night, it is difficult to see your own hand. A fuzzy outline emerges only by the spectral glow of the Milky Way.

A rooster's cackle rips the silence. Mark Manary stirs from his sleep to change a flat tire in the pre-dawn gloom.

By 6 a.m., the sun has rocketed above the horizon. As Manary drives to one of his feeding clinics on the Malawian frontier, people from unseen paths fill the fringes of the road. They carry parcels and water and children. They push carts and pull goats.

Manary, a Washington University pediatrician, is proud of his feeding clinics but ...

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