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  • In Africa we reconstruct children born with clefts but also many mutilated by terrorists.

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Surgery and Global Health

DISCUSSIONS OF GLOBAL HEALTH PRIORITIES focus naturally on the large number of patients with malaria, tuberculosis, AIDS, and other infectious diseases. The epidemiology of these diseases is complex and in its broadest sense includes the global socioeconomic structures responsible for their prevalence…

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Cleft Lip–Palate Deformities in Western China

Aseries of 46 procedures (42 patients) was performed on youth with cleft lip–palate deformities in Lanzhou, China. Patients’ ages ranged from 6 months to 18 years. There were no short-term complications in this series, which included many advanced cases…

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Surgery and Global Health: A View from Beyond the OR

In Africa, surgery may be thought of as the neglected stepchild of global public health. There are fewer physicians per population on this continent than on any other; surgeons are rarer still, and almost all of them work in the urban enclaves of what remains a rural region…

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Increasing Access to Surgical Services for the Poor in Rural Haiti

Although surgical care has not been seen as a priority in the international public health community, surgical disease constitutes a significant portion of the global burden of disease and must urgently be addressed. The experience of the nongovernmental organizations Partners In Health (PIH) and Zanmi Lasante (ZL) in Haiti demonstrates the potential for success of a surgical program in a rural, resource-poor area when services are provided through the public sector, integrated with primary health care services, and provided free of charge to patients who cannot pay…

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Cleft Deformities in Zimbabwe, Africa

In the African country of Zimbabwe, a variety of socioeconomic factors have contributed to a lack of specialty care and resources for the indigent population. Although cleft lip and palate has a lower incidence in Africa (0.67 per 1000 births) than in Latin America or Asia, access to reconstructive surgery is often difficult to obtain. A surgical team worked with Zimbabweans at the Harare Central Hospital, Harare, to perform cleft surgery for 39 patients…

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