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November 28, 1990

The Only Outlet

Author Affiliations

Durham, NC

Durham, NC

JAMA. 1990;264(20):2689. doi:10.1001/jama.1990.03450200097047

The presentation was the culmination of 2 years' work.

"Diarrheal disease remains the major threat to the life and health of children in the world, especially in developing countries such as this one . . ."

There was no outlet for the overhead projector: the European-type plug with two round pins did not fit the African-type outlets with three square holes. We decided an x-ray viewing box would be adequate to illuminate my carefully prepared transparencies.

". . . Parasitic intestinal infections cause a large proportion of these cases of diarrhea . . ."

Only one electrical outlet worked and it was located in the ward itself, where the light box was already plugged in. My audience was small—only the staff physicians and nurses of ward 17, the pédiatrie diarrhea ward.

". . . Since the advent of this era of HIV infection, the distribution and manifestations of infectious diseases are changing. Certain pathogens are associated with the immunodeficiency state caused by HIV and increasing evidence of the importance of cell-mediated immunity in host defense against others . . ."