“A policeman’s lot is not a happy one.” Gilbert and Sullivan’s well-known conclusion from the Pirates of Penzance clearly applies to physicians as well – globally The reasons are well known. Government, Private hospitals and insurance company edicts on how to treat patients, declining reimbursements, ever increasing costs to run a practice, endless paperwork requirements, constant time pressures and a hostile legal environment all combine to make the modern day physician’s lot a truly unhappy one of operatic proportions. The impact of declining government-run health care has dis-empowered physicians, leaving them disillusioned.
Read more ..... Nairobi is rife with entertainment spots and night life. One only needs some excuse to party, and there are lots of places catering for all sorts of budgets. Few stop to think about potential health effects of hard partying.Binge drinking is the extreme, and is defined as taking lots of alcoholic drinks in a very short period of time, or with the aim to get drunk. There is no such thing as completely safe drinking, but research has defined relatively safe alcoholic levels beyond which untoward health effects increase exponentially.
Read more ..... Motorized road transport has changed the face of employment, trade, family life and health care, bringing benefits that were unimaginable 100 years ago. We can now get patients to emergency rooms, deliver relief at the sites of disasters and take holidays in places we would not have been able to visit before. However, the price we are paying for such benefits is too high.
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For the world and all of us there is one consolation: the knowledge that while Ebola may have killed Dr Stella Adadevoh, she in turn may have stopped it killing thousands or even millions of other Nigerians. Dr Stella Adadevoh, was not a virology or public-health expert, simply a duty consultant at the First Consultant Hospital, a private clinic in Lagos. It was her sharp-eyed diagnosis, however, that identified Nigeria’s first case of the virus – a 40-year-old civil servant called Patrick Sawyer, who flew in to Lagos from Ebola-devastated Liberia in July.
Read more ..... In the developed world, access to basic health services and the existence of a functioning health system are taken for granted by most of the population. The situation is different in Sub-Saharan Africa, due to fundamental limitations in funding, staffing, training and other manifestations of essential infrastructure.
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