In response to peer-reviewed data (here and here) that manufacturers sold substandard medicines, the World Health Organization (WHO) asked the alleged manufacturers to test their own products. Self-regulation is not likely to give an honest answer, and it is astounding that WHO embraces it. Our data highlighted that products approved by stringent regulatory authorities (SRAs) and the WHO pre-qualification program (WHO PQP) performed roughly 4 to 5 times better than non-approved products. But some problems were found with WHO-approved products. Prior to publication of our first article a confidential memo detailing the findings was sent to WHO PQP.
Malaria control interventions implemented in Mutale significantly reduced the incidence of malaria in the population. In order to accurately monitor progress towards the elimination goal, the malaria control programme should strengthen the reporting and capturing of the data in the provincial malaria information system; all patients diagnosed with malaria should be investigated to determine the likely source of the malaria, and malaria related deaths should be audited to improve case detection and management. Furthermore, the country should strengthen cross border malaria control collaborations in order to minimize malaria importation.
Malaria vector control using long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS), with pyrethroids and DDT, to reduce malaria transmission has been expansively implemented in Zambia. The impact of these interventions on malaria morbidity and mortality has not previously been formally assessed at the population level in Zambia.Read More
After service in the British SAS Regiment the author became a physician and then an orthopaedic surgeon.
He has held professorial positions in Canada, Vietnam and the United States, practiced and taught orthopaedic surgery in three continents and in several wars.
He has extensive experience as an expert witness in court. Somewhere along the way, time was found to operate a four hundred acre mixed farm, a one hundred seat restaurant and to obtain a licence as a flying instructor.
The author's books are available from bookstores, the publishers, or from on-line bookstores such as Amazon, Barnes and Noble, and Indigo/Chapters.