Missing the Forest for the Trees in Biomedical Research: The Example of Noma

Joseph M. Vinetz Division of Infectious Diseases, University of California, San Diego School of Medicine, La Jolla, CA

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  • 1

    Virchow R, 1848. Report on the Typhus Epidemic in Upper Silesia. Translation in L.J. Rather, ed., Collected Essays in Public Health and Epidemiology, 1985, Sagamore Beach, MA: Watson Publishing, reprinted in Social Medicine, vol 1, No. 1, 2006. Available at: http://journals.sfu.ca/socialmedicine/index.php/socialmedicine/issue/view/5/showToc.

  • 2

    Waitzkin H, 2006. One and a half centuries of forgetting and rediscovering: Virchow’s lasting contributions to social medicine. Social Medicine 1 :5–10.

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  • 3

    Marck KW, 2003. A history of noma, the “Face of Poverty”. Plast Reconstr Surg 111 :1702–1707.

  • 4

    Enwonwu CO, Phillips RS, Ferrell CD, 2005. Temporal relationship between the occurrence of fresh noma and the timing of linear growth retardation in Nigerian children. Trop Med Int Health 10 :65–73.

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  • 5

    Enwonwu CO, Falkler WA Jr, Phillips RS, 2006. Noma (cancrum oris). Lancet 368 :147–156.

  • 6

    Srour ML, Watt B, Phengdy B, Khansoulivong K, Harris J, Bennett C, Strobel M, Dupuis C, Newton PN, 2008. Noma in Loas: stigma of severe poverty in rural Asia. Am J Trop Med Hyg 78 :539–542.

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