Infectious disease is the most common cause of illness and death
in Africa, yet health practitioners routinely fail to identify
causative microorganisms in most patients. As a result, patients
often do not receive the right medicine in time to cure them
promptly even when such medicine is available, outbreaks are larger
and more devastating than they should be, and the impact of control
interventions is difficult to measure. Wrong prescriptions and
prolonged infections amount to needless costs for patients and for
health systems. In Divining without Seeds, Iruka N. Okeke
forcefully argues that laboratory diagnostics are essential to the
effective practice of medicine in Africa.
The diversity of endemic life-threatening infections and limited
public health resources in tropical Africa make the need for basic
laboratory diagnostic support even more acute than in other parts
of the world. This book gathers compelling case studies of
inadequate diagnoses of diseases ranging from fevers including
malaria to respiratory infections and sexually transmitted
diseases. The inherited and widely prevalent health clinic model,
which excludes or diminishes the hospital laboratory, is flawed, to
often devastating effect. Fortunately, there are new technologies
that make it possible to inexpensively implement testing at the
primary care level. Divining without Seeds makes clear that routine
use of appropriate diagnostic support should be part of every drug
delivery plan in Africa and that diagnostic development should be
given high priority."
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