Word: tb
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...Goldfeld's synergistic partnership. "Thim without Anne is just another local NGO leader struggling to start an organization," says Joel Charny, a former member of the CHC board. "Anne without Thim is a Harvard researcher without the connections to get things done." Today CHC is adapting its TB program for Cambodia's growing HIV problem and launching ambitious clinical trials, led by Goldfeld, that will study how to treat patients simultaneously suffering from both diseases. This is CHC at its best--harnessing grassroots programs to find answers to vital medical questions, which can then be used to help the very...
...wards, the beds are filled by patients with AIDS, TB, malaria, typhoid, cholera, malnutrition and anemia. Some will die. Most will be cured. All will be treated with as much care and attention--if not more--as is afforded wealthy patients at Harvard Medical School and Boston's Brigham and Women's Hospital, where Farmer has joint appointments. He calls this approach the "preferential option for the poor...
Farmer is, above all, a gifted clinician, and he developed in Haiti something he calls "the P.I.H. model," a formula for administering first-class health care in dirt-poor settings. Every AIDS or TB patient is assigned a paid health worker, or accompagnateur--generally a friend, relative or neighbor--who will handle the drugs and make sure they are taken on schedule. The patient is also given what the doctors hope will be enough food for a family of five. "You can't take these meds on an empty stomach," Farmer explains, "and you can't treat a wasting disease...
...astonishing 22 lbs., but Farmer senses that something's wrong; the boy's belly is distended with fluid. He gives the accompagnateur 2,000 francs (about $4) for transportation to return for further tests. The next day he drains Damascene's belly and diagnoses TB that has moved beyond the lungs. With proper treatment, says Farmer, the child will live long enough to have children...
...GLOBAL FUND www.theglobalfund.org This multinational partnership was created in 2002 to fund a dramatic scale-up in the fight against three big killers: AIDS, TB and malaria...