Why American schools need more testing, not less.
Read parts one, two, three, four, five, and six of Zeke Emanuel's Africa diaries. We are having dinner at the residence of the U.S. Ambassador to Mozamique, overlooking the Indian Ocean. We are eating with the newly installed Minister of Health; the Executive Director of the Foundation for Community Development, Professor Narciso Mato; and other Mozambican and U.S.
Read parts one, two, three, four, and five of Zeke Emanuel's Africa diaries. Six boys sit on green plastic classroom chairs in gowns with their clothes neatly folded on a side table. Cloth booties cover their feet and lower leg. They smile nervously. They are waiting to be called for a medical circumcision. Eduardo says he is 16 years old, as is his friend sitting next to him. Why are they getting a circumcision? “For hygiene, and for HIV,” they tell us. And their classmates are getting one too. This is the Military Hospital in Maputo, Mozambique.
Read parts one, two, three, and four of Zeke Emanuel's Africa diaries. I am touring a health facility in Gombore, about 60 minutes from the main road. It’s small, but it’s part of a larger effort that is making a real difference in Ethiopia. Ethiopia is one of the most rural countries in the world. 85 percent of the population live in dispersed small communities. Even the capital, Addis Ababa, which has 4 million people, represents only 5 percent of the population.
Read parts one, two, and three of Zeke Emanuel's Africa diaries. According to Joe Malone, the CDC Medical Officer working on the U.S. President’s Malaria Initiative, I have just arrived at Disneyland. This after traveling more than 150 kilometers southwest of Addis Ababa, the capital of Ethiopia, and then 45 minutes over gravel and mud roads to Wossilo. On the drive down the unpaved road we saw one bus, no cars, no motorbikes and no bicycles—only people walking. When we arrive, the shacks are made of sticks covered with mud mixed with straw. The floors are all hardened mud.
Read parts one and two of Zeke Emanuel's Africa diaries. I just did a rapid diagnostic test for malaria at the Parasite Control Service in Thies. Thies is a research facility that mainly studies the mosquitoes and malaria parasite. (They also showed me how they grow the mosquitoes.) And the test is pretty simple. Just a pin prick in the fourth finger, a tiny loop of blood, and 4 drops of developing fluid. We waited the 15 minutes and, presto, No Malaria. But that was obvious. It takes 2 weeks to develop malaria. So I will retest myself at the end of the trip in Mozambique.
Read part one of Zeke Emanuel's Africa Diaries here. About six hours after leaving Dakar, Senegal’s capital, we arrive in Kissan, a village of 526 people that lies in the Tambacounda Region. We left paved road about 30 miles ago. After bouncing on rutted, puddle-filled paths through the bush, we enter a collection of one-room huts made of cinder blocks with thatched roofs. Chickens, ducks, and goats roam the reddish-orange mud alleyways. Kissan is one of the hot spots for malaria, a deadly disease that mosquitoes carry and that killed 900,000 people last year alone.
Although health care has been a major preoccupation of this blog, global health has come up only very occasionally. But that’s something we’ve wanted to change for a while. So, when Ezekiel Emanuel approached us, offering to write a diary while traveling through Africa, we accepted. Emanuel is a bioethicist and oncologist. He serves in the Office of Management and Budget, where he has helped shape President Obama’s policies on global health. He also happens to be an accomplished writer, having contributed articles to a wide range of publications over the years.
The Secret History of the War on CancerBy Devra Davis(Basic Books, 505 pp., $27.95)I.In 1775, Percivall Pott, a surgeon at St. Bartholemew's Hospital in London who gave his name to several diseases and conditions, published Chirurgical Observations. Although he had treated such distinguished personages as Samuel Johnson and Thomas Gainsborough, his treatise focused on the lowliest of the low. In so doing, he became the first to hypothesize what is now a widespread notion: that cancer can be caused by environmental exposure.
The Secret History of the War on Cancer by Devra Davis (Basic Books, 505 pp., $27.95) I. In 1775, Percivall Pott, a surgeon at St. Bartholemew's Hospital in London who gave his name to several diseases and conditions, published Chirurgical Observations. Although he had treated such distinguished personages as Samuel Johnson and Thomas Gainsborough, his treatise focused on the lowliest of the low. In so doing, he became the first to hypothesize what is now a widespread notion: that cancer can be caused by environmental exposure.