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Neurological letter from... |
Consultant Neurologist, Basildon University Hospital, Nethermayne, Basildon, Essex SS16 5NL, UK; radcliffe.lisk@btuh.nhs.uk
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Sierra Leone is a small country of 5 million inhabitants on the west coast of Africa. It is in the process of recovering from 10 years of a brutal civil war which ended in 2002. This war was about diamonds and the recent Hollywood film Blood Diamond gives an insightalbeit over-dramatisedof events at the time.
I am fortunate to have had the opportunity of working in Sierra Leone before the war started, and to continue working there during the mayhem before finally leaving in 1997. Since the cessation of hostilities I have visited regularly, up to twice a year. I am therefore in a unique position to assess changes in healthcare, with particular reference to neurology, brought about by the civil war.
PRE-WAR NEUROLOGY
Neurology was not practised as a specialty until the mid 1980s. At that time, as a UK trained Sierra Leonean neurologist, I had the opportunity of starting a
Relevant Article
Practical Neurology 2007 7: 139.
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