Technologies for global health

1738 www.thelancet.com Vol 380 November 17, 2012 both surgeons and patients, further careful audit is clearly required. We appreciate that this might be diffi cult to achieve in a rural African setting, but hope that we can continue to rely on the help of profi table commercial companies in high-income countries until local public health-care policies grasp the cost-eff ectiveness of this “fabulously clever, inexpensive and context-appropriate way of treating surgical disease”.