Lately, stories about outbreaks seem to be spreading faster than the diseases themselves. An outbreak of measles in Ohio is just part of an 18-year high of U.S. cases. Meanwhile, polio continues to circulate in Pakistan, Afghanistan, and Nigeria, while spreading to other countries.
Less than 5% of Nigerians have insurance; two-thirds of all health care costs are paid out of pocket. When people must pay out of pocket for health care at the point of service, this restricts access, excludes the poorest and most vulnerable, and leads to delays in patients seeking help.
The historical record suggests that when many hostages are involved, rescues are bloody affairs. Early RAND research on hostage situations showed that of all the ways hostages may be killed—during the initial abduction, trying to escape, murdered by their captors or during the rescue—79 percent died during the rescue.
Off the western coast of Africa, just north of the equator, the Gulf of Guinea has endured piracy for decades. But recent spikes in new, more dangerous forms of piracy imply a troubling sense of invincibility in the minds of the perpetrators.
Bold and innovative approaches are being developed in different parts of the African continent in the quest to reduce maternal mortality. A noteworthy example of this is the Abiye Safe Motherhood program in Ondo State, Nigeria.
Improving the security of the Gulf of Guinea's oil infrastructure would increase output and promote additional investment, to the benefit of oil importing nations. The U.S. Air Force has expertise that could help build local security capabilities.
This study was commissioned by the UK General Medical Council (GMC) to provide an evidence base on the systems of medical regulation in place in the countries of origin of doctors seeking to enter the UK and obtain registration to practise.