The diseases are often quite advanced and different; the extreme lack of personnel, supplies, tests, and treatment are appalling. The clinical stories I have tell the story for themselves. People would find such things almost unbelievable in today's world.

In the 1990's there was very minimal knowledge of HIV/AIDS where I worked in Tanzania - much false information and beliefs. The incidence and subsequent diseases were appalling. There was virtually no treatment available. When I last visited the hospital in 2018, the situation was practically the same - very sad.