"GLOBAL health campaigns like grand goals. On January 30th Bill Gates joined the head of the World Health Organisation (WHO), 13 drug-company executives and others in pledging to eradicate or control by 2020 ten of the world’s nastiest diseases, which afflict more than a billion people. Guinea worm, sleeping sickness, bilharzia (which doctors call schistosomiasis) and the others rot tissue and cripple the organs. Even if they do not kill, they stunt children and sap adults’ energies.
The new push comes as a bolder set of ambitions hits trouble. As part of the Millennium Development Goals, world leaders promised in 2000 to curb the toll of HIV, malaria and tuberculosis by 2015. That brought a spending splurge—donations for health projects in poor countries more than doubled between 2001 and 2008 (see chart). The death rate for malaria dropped by more than a quarter. But the economic crisis has tightened fists. Christopher Murray of the University of Washington reckons annual spending-growth from 2009 to 2011 was only 4%. Excluding the World Bank’s money, mostly loans to middle-income countries, giving is nearly flat."
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