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Updated: Jul 24, 2025

Perspectives on Neuroscience
Published on: July 31, 2007
Global Neurology: The Good, the Bad, and the Ugly
James C Johnston1, Thomas P Sartwelle2, Mehila Zebenigus3
1Auckland, New Zealand and San Antonio, TX, USA; Department of Neurology, Addis Ababa University School of Medicine, Ethiopia.
Abstract:
Global health programs engaging in isolated or short-term medical missions can and do cause harm, reinforce health care disparities, and impede medical care in the regions where it is so desperately needed. Related ethical, medical, and legal concerns are reviewed in this article. The authors recommend abandoning these ill-considered missions and focusing attention and resources on advancing neurology through ethically congruent, multisectoral, collaborative partnerships to establish sustainable, self-sufficient training programs within low- and middle-income countries.
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