Strong language includes variations of "s-t," "f-k," "ass," "dick," and "hell." Another character is a victim of sex trafficking. There are references to San Miguel beer, marijuana, cigarettes, and "shabu" which is a slang term for meth. The book also mentions that journalists receive threats or are killed in the Philippines if they write any negative articles about the government. The war on drugs is a large part of the story, and there are mentions of articles and descriptions of photos that depict some of the gruesome murders happening in the Philippines. Readers will learn about the Philippines' culture and history, President Duterte's violent war on drugs, as well as words and phrases in various Filipino dialects. Compassion, communication, curiosity, and courage are important themes. Parents need to know that Randy Ribay's Patron Saints of Nothing is a powerful and heartrending coming-of-age tale about 17-year-old Filipino American Jay Reguero, who goes to the Philippines to uncover the truth about his cousin's death.
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