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One of the things Gates' money pays for is Guinea Worm Eradication.

Guinea Worm is literally a parasitic worm. The eradication programme isn't about injecting people with a vaccination, building modern water treatment plants or deploying sophisticated drone technology, it's stuff like:

- Here are some free water filters. Filter the water from that murky pond before you drink it.

- When you have a worm, don't go in the water. Yes it feels cooler, that's because the worm wants you to go to the water, go to a free treatment clinic instead.

- If your neighbour has a worm, go to the clinic, tell them who the neighbour is, you both get cash money and the clinic will treat the worm. Hooray.

The biggest obstacles to Guinea Worm Eradication are not about Africa's lack of technology or its corruption.

The big obstacles are "insecurity" (ie civil wars or just violent criminals who control outlying areas) and "inaccessibility".

Inaccessibility is hard to comprehend for most of us, we're not used to truly being far from civilisation. People who live two days walk from anything resembling a road may have only heard rumours of the existence of the Guinea Worm clinics - for them a parasitic worm chewing its way out of your leg is just a routine hazard of normal rural living.

But yeah, Gates is already investing in the very lowest technology fixes, he isn't some tech nutjob who thinks we're going to solve desperate poverty with a Docker image.




"The biggest obstacles to Guinea Worm Eradication are not about Africa's lack of technology or its corruption.

The big obstacles are "insecurity" (ie civil wars or just violent criminals who control outlying areas) and "inaccessibility".

"

This is a contradiction.

My grandparents grew up on farms way in the back country of Canada, in ruthlessly inhospitable weather, on not exactly fertile soil. When my ancestors landed there they were 'many days walk' from anything remotely resembling civilization.

And yet there were no 'civil gang wars' etc..

If there were civility and rule of law, there wouldn't be gangs controlling territory willy nilly, and the term 'two days walk' wouldn't exist because there would at least be some form of basic transport, however crude.

I do accept that there might be some specific problems (i.e. diseases) that make it much more difficult, and I don't think Gates is wasting everyone's time - however - he's not after root causes, which are civic.


I googled Guinea Worms and was pleasantly surprised to see Jimmy Carter working on the problem. Supposedly, the worm is 99.9% eradicated and is on its way to be completely wiped off the face of the earth. Jimmy Carter and the people involved int his are awesome!




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