SS+Disease+neg+-+Malaria,+TB,+Ebola,+and+Sleeping+Sickness+Advantage+ans

Countries don't have the ability to contain TB- even with international help
__There are simply insufficient resources__ to cater for everyone infected with XDR-TB. __This means that potentially dozens of XDR-TB patients are being treated as outpatients, or at general hospitals where they share wards with people infected with other strains of TB, putting potentially curable patients at risk of acquiring a possibly incurable disease. Other countries in sub-Saharan Africa, such as Lesotho or Malawi, are even worse off, with little or no resources for XDR-TB diagnosis, surveillance, tracing or treatment.__ Given the critical lack of hospital beds, home-based care has been mooted as one option for treating XDR-TB patients. But the disease's airborne nature and its lethality to those with immune systems compromised by HIV/AIDS make this a less than optimal solution. __It would be better to have dedicated community-based isolation units__, where XDR-TB patients can be treated without putting other members of the local community at risk. Of course, __establishing and maintaining such units will have profound financial and logistic implications and may not be feasible or sustainable in poor countries unless — or even if — they are backed by investment from the international community.__
 * __Singh 07__** (Jerome, head of Ethics and Health Law at the Centre for the AIDS Programme of Research in South Africa, July 4, SciDev Net, “Isolating TB patients: prevention better than cure,” http://www.scidev.net/opinions/index.cfm?fuseaction=readopinions&itemid=637&language=1)

New testing procedures most important to prevent TB
Ria Grant, head of TB Care Association, a non-governmental organisation dealing with TB detection and prevention in Cape Town, South Africa, enthusiastically welcomed the study. "__TB diagnostic tests are terribly important in the entire process of TB control,__" she told SciDev.Net. "__We need something simple, cost-effective and accurate in detecting the disease," she said, adding that giving TB treatment to healthy people can increase drug resistance.__
 * __Ngandwe and Tallaksen 06__** (Talent and Eva, December 8, “Better diagnostics could save thousands of lives,” SciDev Net, http://www.scidev.net/News/index.cfm?fuseaction=readNews&itemid=3274&language=1)

Ebola victims are hard to diagnose and usually die without seeing a doctor
A WHO spokesperson told the BBC the outbreak did not appear to be as virulent as previous ones. Despite earlier reports, it was not thought that a new strain of Ebola was involved. The Ebola virus in its early stages is hard to diagnose because some of the symptoms, like fever and joint pain, mimic malaria. Many people go on to develop internal bleeding, a characteristic typical of Ebola, and without medical attention the prospects are bleak.
 * __BBC News 04__** (“Ebola virus kills four in Sudan,” May 24, http://news.bbc.co.uk/1/hi/world/africa/3741137.stm)

Conflict and lack of infrastructure means international campaigns fail
__Conflict has played an important role in contributing to the incidence and distribution of sleeping sickness in sub-Saharan Africa.__ Regrettably, __the causes of sleeping sickness are also the main constraints to eradication initiatives:__ "virtually by definition, __[sleeping sickness] is a public health problem in places where a research infrastructure can hardly exist__" [[[|60]] p. 147]. __The campaign__ to eliminate the tsetse vector from the African continent [[|12],[|14],[|61]] __will face enormous constraints due to continued conflict.__ Absence of appropriate administrative infrastructures for program implementation in affected countries represents the most acute challenge to such campaigns; this is true even for countries such as Uganda where conflict is only intermittent or regional. In Uganda, administrative capacity and intersectoral cooperation are important constraints to coordination of intervention activities [[|2]]. __While top-down, continent-wide eradication campaigns are ambitious and appealingly goal-oriented, progress to curb sleeping sickness is more likely to come from slow development of national capacity, policy infrastructure, administrative integration and political stabilization in affected countries. In many cases, insecurity due to conflict has constrained international or external intervention and control.__
 * __Ford 07__** (Lea Berrang, Department of Population Medicine, “Civil conflict and sleeping sickness in Africa in general and Uganda in particular,” http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1851948)