Where There Is No Doctor 2011
THANKS
This revision of Where There Is No Doctor has been a cooperative effort. We thank the
many users of the book around the world who have written us over the years with comments and
suggestions—these have guided us in updating this information.
David Werner is the author of the original Spanish and English versions of the book. His vision,
caring, and commitment are present on every page. Carol Thuman and Jane Maxwell share credit
for most of the research, writing, and preparation of this revised version. We are deeply grateful for
their excellent and very careful work.
Thanks also to other researchers of this revised edition: Suellen Miller, Susan Klein, Ronnie
Lovich, Mary Ellen Guroy, Shelley Kahane, Paula Elster, and George Kent. For information from the
African edition, our thanks to Andrew Pearson and the other authors at Macmillan Publishers.
Many doctors and health care specialists from around the world generously reviewed portions
of the book. We cannot list them all here, but the help of the following was exceptional: David
Sanders, Richard Laing, Bill Bower, Greg Troll, Deborah Bickel, Tom Frieden, Jane Zucker, David
Morley, Frank Catchpool, Lonny Shavelson, Rudolph Bock, Joseph Cook, Sadja Greenwood,
Victoria Sheffield, Sherry Hilaski, Pam Zinkin, Fernando Viteri, Jordan Tapero, Robert Gelber, Ted
Greiner, Stephen Gloyd, Barbara Mintzes, Rainer Arnhold, Michael Tan, Brian Linde, Davida Coady,
and Alejandro de Avila. Their expert advice and help have been of great value.
We warmly thank the dedicated members of Hesperian for their help in preparing the manuscript:
Kyle Craven for computer graphic arts and layout, Stephen Babb and Cynthia Roat for computer
graphics, and Lisa de Avila for editorial assistance. We are also grateful to many others who helped
in this book’s preparation: Kathy Alberts, Mary Klein, Evan Winslow-Smith, Jane Bavelas, Kim
Gannon, Heidi Park, Laura Gibney, Nancy Ogaz, Martín Bustos, Karen Woodbury, and Trude Bock.
Our special thanks to Keith and Luella McFarland for being there when we needed them most.
For help updating this book, we thank Manisha Aryal, Elizabeth Babu, Kristen Cashmore,
Kathy DeRemier, Marcos Burgos, Dan Eisenberg, Pam Fadem, Iñaki Fernández de Retana, Jacob
Goolkasian, Lisa Keller, Erika Leemann, Malcolm Lowe, Malini Mahendra, Susan McCallister, Gail
McSweeney, Elena Metcalf, Leana Rosetti, C. Sienkiewicz, Lora Santiago, Maia Small, Peter Small,
Melissa Smith, Fred Strauss, Michael Terry, Leah Uberseder, Kathleen Vickery, Lily Walkover, Sarah
Wallis, and Curt Wands. Dorothy Tegeler coordinated this 2011 reprint with help from Lynne Coen,
Gopal Dabade, George Feldman, Virginia Feldman, Shu Ping Guan, Todd Jailer, Sunil Kaul, Jane
Maxwell, Carrie Milnes, Syema Muzaffar, David Scollard, Linda Spangler, Kathleen Tandy, and
Fiona Thomson.
Artwork for this book was created by David Werner, Kyle Craven, Shu Ping Guan, Susan Klein,
Regina Faul-Doyle, Sandy Frank, Fiona Thomson, and Lihua Wang. We also thank the following
persons and groups for permission to use their artwork: Dale Crosby, Carl Werner, Macmillan
Publishers (for some of Felicity Shepherd’s drawings in the African edition of this book), the “New
Internationalist” (for the picture of the VIP latrine), James Ogwang (for the drawings on page
417), and McGraw-Hill Book Company (for drawings appearing on pages 85 and 104 taken from
Emergency Medical Guide by John Henderson, illustrated by Niel Hardy).
The fine work of those who helped create the original version is still reflected on nearly every page.
Our thanks to Val Price, Al Hotti, Rodney Kendall, Max Capestany, Rudolf Bock, Kent Benedict, Alfonzo
Darricades, Carlos Felipe Soto Miller, Paul Quintana, David Morley, Bill Bower, Allison Orozco,
Susan Klein, Greg Troll, Carol Westburg, Lynn Gordon, Myra Polinger, Trude Bock, Roger Buch,
Lynne Coen, George Kent, Jack May, Oliver Bock, Bill Gonda, Ray Bleicher, and Jesús Manjárrez.
For this 1992 edition, we are grateful for financial support from the Carnegie Corporation,
Gladys and Merrill Muttart Foundation, Myra Polinger, the Public Welfare Foundation, Misereor, the
W.K. Kellogg Foundation, the Sunflower Foundation, and the Edna McConnell Clark Foundation.
For this 2009 printing, thanks to Flora Family Foundation, Ford Foundation, Grousebeck Family
Foundation, Moriah Fund, and West Foundation.
Finally, our warm thanks to the village health workers of Project Piaxtla in rural Mexico—
especially Martín Reyes, Miguel Angel Manjárrez, Miguel Angel Alvarez, and Roberto Fajardo
whose experience and commitment have provided the foundation for this book.