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Medicine in Malawi

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Microbiology Laboratory, Barnes Hospital; St. Louis, Missouri

Ann Intern Med. 1980;92(6):861-864. doi:10.7326/0003-4819-92-6-861
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After training as a house officer in medicine at a Boston teaching hospital and as an epidemiologist in parasitic disease at the Center for Disease Control, I spent 2 years working in Lilongwe, Malawi (Africa), from 1973 to 1975. I review here selected aspects of that experience in the hope that it will provide insight into the medical problems of developing African nations, as well as guidance for others who may consider working in similar countries.

Background: Malawi is in east-central Africa between Mozambique, Tanzania, and Zambia (Figure 1). The country is about 560 miles long and varies from 50




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