Undercover illness: Interventions needed to detect and treat sickle-cell anemia in Africa

In resource-constrained settings like Kenya, “more than 90% of children with sickle-cell anaemia die before the diagnosis can be made,” most likely due to opportunistic bacterial diseases. Two of the most common infections, Streptococcus pneumoniae and Haemophilus influenzae, are preventable or treated readily in developed countries. A recent study published in The Lancet underscores these health inequities suffered by children in sub-Saharan Africa. The report, “Bacteraemia in Kenyan children with…

Limitations on human rights in the context of drug-resistant tuberculosis: A reply to Boggio et al.

Joseph J. Amon, Françoise Girard, and Salmaan Keshavjee [Editor’s note: A PDF version of this article is available here.] Abstract Recent attention to multidrug-resistant and extensively drug-resistant tuberculosis (MDR- and XDR-TB) has increased discussion and debate over the extent to which limitations to human rights can be justified in the name of public health. In their recent article “Limitations on human rights: Are they justifiable to reduce the burden of…

We couldn’t have done it without them!

Olga Shevchenko and Renée C. Fox write: From the inception of our joint fieldwork in Moscow, and throughout the drafting of this article based upon it, we repeatedly said to one another, “I couldn’t have done this without you!” More than our reciprocal enjoyment in working together was expressed in this recurrent exclamation. It also contained our mutual recognition and appreciation of the distinctive contribution that each of us made…