Contents July 2012 Volume 34 Number 5 Opinion
05 Infection and intelligence Prof Shima Gyoh thinks evidence of the correlation between infection and intelligence should inform governments of the absolute priority to raise citizenry out of poverty
07 A vision for transformative capacity building for Africa’s health
Infection and intelligence
Screening and treatment of malaria in pregnancy control
Where’s the care? A special HIV care report
Assessment and control of the poisoned patient
Clinical review: Pharmacy and Dermatology
With financial support from:
Newsdesk 09 A round-up of news from the worldwide
increase in premature births to encouraging African-led innovation to address the continent’s health needs
Africa Health is a journal of continuing medical education information for physicians and other health professionals in Africa.
This issue has been made possible via funding from The Global Fund (GFATM)
Africa Health is published by: FSG Communications Ltd Vine House, Fair Green, Reach Cambridge, CB25 0JD, UK Telephone: +44 1638 743633 Fax: +44 1638 743998 Email:
editor@fsg.co.uk www.africa-health.com
Publisher/Editor Bryan Pearson
Assistant Editor/Production Penny Lang
Summaries and Abstracts Doug Addy
Design Peter Denniss
Business Development Director Michael Hodgson-Hess
Accounts Manager Grant Docking ISSN 1478-2642
Published six times a year by: FSG Communications Ltd Printed by: Buxton Press, UK
All contents are © 2012 FSG Communications Ltd.
Front cover: Prescriptions awaiting collection © Mark Thomas/SCIENCE PHOTO LIBRARY
International 14 The Global Fund
Setting priorities for palliative care: each country sets its own agenda
HIV Care: a special report 19 Where’s the care in the post-ART era? 22 How HIV care promotes prevention
24 Care and support during the pre-ART stage: what is the role of palliative care?
26 Integration: making it happen 30 Children and HIV care needs
31 Research on the impact of palliative care services offered in ART clinics
Feature 33 Malaria
Evolution of intermittent screening and treatment for malaria in pregnancy control
William R Brieger
An African-led consensus on health development measures is coming together. Francis Omaswa reports
Knowledge management
36 How do we keep millions living with HIV/AIDS in Africa on the ARVs they need?
David Jamieson, Crown Agents, UK
37 What helps? What harms? Based on what evidence? John Eyers on the difficulty some disciplines seem to have in presenting their evidence
Clinical Features
40 Assessment and diagnosis of the poisoned patient
Allister Vale and Sally Bradberry
46 Substance abuse: routes, hazards and body packing Allister Vale
Clinical Review 51 Pharmacy, Dermatology
Medicine Digest
55 General; Tropical: Cardiology; Obs & Gyn; Infection; Paediatrics; Surgery; Oncology; Diabetes; Psychology; Neurology
CPD challenge
61 Test yourself on the articles appearing in this issue of Africa Health Answers on page 62
Publishing Partners 63 Performance-driven solutions
Clinical Quiz
64 Is this dementia? Answers on page 49
Below are our Publishing Partners for 2012. Each organisation has demonstrated its commitment to health in Africa by supporting this publication throughout the year.
Vol 34 No 5 July 2012
July 2012
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