Courting danger while doing good--protecting global health workers from harm.

نویسنده

  • Claire Panosian
چکیده

U the morning of February 26, 2010, the name Eddie Roach meant nothing to me. Then a desperate e-mail brought the 32-year-old self-described “global health missionary” into my life. Weeks earlier, Roach had been distributing handheld water purifiers in rural Uganda; now, according to his friend’s SOS, he was in a Nevada intensive care unit awaiting dialysis and exchange transfusion. Diagnosis? Severe and complicated Plasmodium falciparum malaria. The critically ill Roach had actually sought help well before he lost consciousness in his friend’s upstairs bedroom. Having become sick during his last days in Africa, he wanted to stop in London on his way home, but an airline agent declined to change his ticket. On the next leg of his journey, a f light attendant observed that Roach had a fever and chills and suggested that he might have malaria. After landing in Los Angeles, he visited a walk-in clinic. “Do I have malaria?” he asked. No, he was told when his urine showed red cells. You have a kidney stone, maybe a urinary tract infection. Take this antibiotic, just in case. Finally, he reached Lake Tahoe, fell into a feverish sleep, and didn’t wake up. Three weeks later, Roach was discharged from the hospital. His dialysis catheter came out the following month. Today, if he could turn back the clock, Eddie Roach would faithfully down antimalarial pills in Uganda. But when he began his trip, his mind was elsewhere. For starters, despite the fact that he had completed previous “clean water” assignments in Haiti, Burma, and Cambodia and taken previous trips to Africa, Roach’s knowledge about malaria was sketchy, and he feared possible side effects from preventive medication. Second, he was focused on saving other people’s lives, not protecting his own. In the past decade, interest in global health has surged — not just among medical students, residents, and seasoned physicians,

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عنوان ژورنال:
  • The New England journal of medicine

دوره 363 26  شماره 

صفحات  -

تاریخ انتشار 2010