National Nurses United

Registered Nurse April 2007

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Developing nations are quickly losing their nurses to higher-paying jobs in other countries when they can least afford to. What's the solution to the global crisis of nurse migration? By Carl Bloice and Conn Hallinan Moving Out Chad, according to the World Health Organization (WHO), has the worst public health infrastructure of any country in sub-Saharan Africa— maybe in the world. Life expectancy is estimated to be 45 years, and more than a third of Chadians are malnourished. The population is plagued by infectious and parasitic diseases, respiratory afflictions, and nervous disorders, mainly from poor sanitation and limited access to potable water. In 2001, the country's HIV infection rate was 3.6 percent of HOWARD DAVIES/CORBIS the sexually active population. To make matters worse, the country must deal with more than 200,000 refugees from the ongoing civil conflict in neighboring Sudan, many of whom arrive afflicted with chronic diarrhea, fever, and respiratory infections. 12 REGISTERED NURSE W W W. C A L N U R S E S . O R G APRIL 2007

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