The biggest public health challenge is rebuilding health systems. In other words if you look at cholera or maternal mortality or tuberculosis in Haiti they're major problems in Haiti but the biggest problem is rebuilding systems.
We've taken on the major health problems of the poorest – tuberculosis maternal mortality AIDS malaria – in four countries. We've scored some victories in the sense that we've cured or treated thousands and changed the discourse about what is possible.
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Once brave politicians and others explain the war on drugs' true cost the American people will scream for a cease-fire. Bring the troops home people will urge. Treat drugs as a health problem not as a matter for the criminal justice system.