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Communicable diseases and poverty in Southern Africa - Dr Mark Colvin & Dr Brian Sharp


1. Introduction
 
From the time that early humans first roamed the planet they have been beset by endemic and epidemic infectious diseases. It is only in the last 200 years that humankind has managed to effect a degree of control over these diseases, first with public health measures such as improved sanitation, water supply and the provision of safe food and, more recently, with effective antimicrobial drugs. So successful were these measures against infectious diseases that, in the industrialised world at least, it was believed that the battle was largely over and it was just a matter of time until they would be eradicated. The advent of HIV/AIDS in the 1980s dispensed with that notion and the field of "newly emerging infections" is rapidly developing as the industrialised world realises that it is not immune to the impacts of infectious diseases.
 
Of course, in the developing world infectious diseases such as malaria, TB, diarrhoea and lung infections have remained important causes of morbidity and mortality. Today, these same countries are bearing the brunt of the burden of these "old" diseases as well as having the highest case loads of new diseases such as HIV/AIDS. This paper discusses the impact that the two major communicable diseases in the Southern African region, i.e. HIV/AIDS and malaria, are having on human and economic development.

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