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Ignorance
Ignorance can be a dangerous and sometimes deadly thing. I heard of this same technique used in southwest Sudan to "share" everything from antibiotics to quinine.
Dan Pitzer, God rest his soul, used to speak about the injections to treat his beri beri he received while being held in North Vietnam. The “doctor” used to insert the empty syringe and draw fluid from his butt. Only then would the doc fill the medicine in the syringe and inject it. After weeks of this he finally asked him why he would always pull fluid out of his butt before injecting the arsenic solution? The doctor’s answer was “to make room for the fluid”.
Even today there's quite a lack of understanding of shared fluids and basic sanitation in the world's garden spots.
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