• Bernhards Ogutu, a Kenyan pediatrician who went on to found a malaria diagnosis center, says expensive microscopy kits, complex technical training and electrical grid requirements limit how much the nonprofit can do to diagnose malaria in Africa.

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  • Dr. Silvio Inzucchi, director of the Yale Diabetes Center, examined Cecchi and quickly made a new diagnosis.

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  • "The explosive onset of an acute ciguatera illness can be readily identified clinically, but there is no consistent mechanism available to confirm the diagnosis in chronic cases, " said Dr Shoemaker, of the Pfiesteria Illness Center, Maryland.

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