Volume 57, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


I was deeply moved by the invitation to address this august audience. It's not that I lack august audiences. I've addressed august nutritionists, august populationists, august pediatricians, august family care doctors, and august public health professionals of all kinds.

I thought I had addressed all the big guns of August. Now my days of August may be far from over. Today, Tropical Diseases and Hygiene: tomorrow, who knows what other venerable specialties of medicine will beckon?

But why was I invited? I have had only two engagements with tropical diseases. One was with vaccinations to prevent them. The other was an article I was asked to do years ago for entitled, “Whose Milk Shall We Market?” It was about the decline of breast-feeding, not precisely a tropical disease but a problem of all tropical countries.

These are hardly qualifying experiences. Nor could I find any


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