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ID:
183947
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| Summary/Abstract |
Cairo’s Qasr El Aini Hospital regularly received opiate addicts in poor health, but a startling new development in April 1929 captured the attention of Dr. Alexander Gordon Biggam, Director of the Medical Unit. Patients with a history of injecting heroin were being admitted with high fevers, and diagnored with falciparum malaria. Shocked by the prevalence of the disease, which appeared confined to networks of injection drug users, Dr. Biggam hypothesized—correctly—that the disease was being spread through contamined blood in shared syringes. “If the theory of the production of this malignant malarial infection amongst the heroin addicts is correct,” he concluded, “we are faced with a problem of considerable importance to the inhabitants of Cairo.”1 In the winter of 1932, a similar novel outbreak of malaria among injecting heroin users occupied Dr. Guy Henry Faget, an Assistant Surgeon at the United States Marine Hospital in New Orleans, a facility serving primarily merchant seamen. “If the hypodermic syringe must be accepted as a means of conveying malaria among narcotic addicts,” Dr. Faget warned, “then a new chapter in the epidemiology of this disease has been opened.
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| 2 |
ID:
140327
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| Summary/Abstract |
Aid to fragile states is a major topic for international development. This article explores how unpacking fragility and studying its dimensions and forms can help to develop policy-relevant understandings of how states become more resilient and the role of aid therein. It highlights the particular challenges for donors in dealing with chronically fragile states and those with weak legitimacy, as well as how unpacking fragility can provide traction on how to take ‘local context’ into account. It draws in particular on the contributions to this special issue to provide examples from new analysis of particular fragile state transitions and cross-national perspectives.
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