Karen Levy, a seasoned expert in global health and development, discusses the pitfalls of overly fashionable concepts like 'sustainability' and 'holistic approaches' in development projects. She critiques the misguided focus on these terms, arguing that they can lead to ineffective solutions. Levy highlights the successful scaling of deworming initiatives, sharing insights on the challenges faced in implementation and funding. Through her experience with community engagement in Kenya, she emphasizes the need for realistic, evidence-based approaches to bring about meaningful change.