Views & Reviews Medical Classics

African Highway: The Battle for Health in Central Africa

BMJ 2008; 337 doi: (Published 23 December 2008) Cite this as: BMJ 2008;337:a2940
  1. Douglas J Buchanan, formerly surgeon and medical services adviser, Consolidated Copper Mines, Zambia
  1. djbuchanan{at}

    For most of the period from 1970 to 1986 I worked as a surgeon and health service manager in Zambia and in particular for the mining industry from 1975. In common with most of the residents of the Copperbelt mining district I rather took for granted the fact that we had no need to take malaria prophylaxis. On reflection this was not something we could have expected. My interest in the history of malaria control on the Copperbelt was first raised by sight of correspondence in 1936 from the directors of the Beatty’s mining company in London urging the chief medical officer at the Roan Antelope mine to put more effort into …

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