EDITORIAL
Twinning for better diabetes care: a model for improving healthcare for non-communicable diseases in resource-poor countries
1 International Insulin Foundation, University College London, London, UK
2 University of Southampton, Professional Advisory Council, Diabetes UK
3 Non-Communicable Diseases, Ministry of Health, Maputo, Mozambique
4 International Insulin Foundation, Centre for International Health and Development, University College London, London, UK
Correspondence to:
Professor J S Yudkin, 28 Huddleston Road, London N7 0AG, UK; j.yudkin@ucl.ac.uk
Keywords: diabetes; healthcare model; resource-poor countries
| The first 150 words of the full text of this article appear below. |
To many people, the major health problem for sub-Saharan Africa is infectious disease. The avoidability of deaths from AIDS, tuberculosis and malaria are a valid justification for the major drives to fundraising to tackle these. But there is another spectre waiting in the wings: non-communicable diseases (NCDs) are now the major cause of death in every continent other than Africa. Even in Africa, absolute death rates from NCD exceed those in industrialised countries1—it is only the fact that infection mortality is still higher in Africa that prevents NCD deaths from heading the list.
The extraction of insulin and its purification in Canada in 1922 was followed, within months, by a transformation in the prospects for a newly diagnosed child with diabetes in North America and Europe. Yet over 80 years later, across much of Africa, the life expectancy for such a child is less than 1 year,2 with the
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