In his excellent Comment summarising the 2015 Countdown process (April 12, p 1237), 1 Richard Horton expresses “concern for a stronger and more just society, one that values every life…”. How will this be seen from an African point of view?

Horton has previously demonstrated that his concern is genuine, but some Africans are still wary of other types of “concern” from developed countries—eg, the paradoxical interest in malaria control at the same time as curtailing population growth.

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