I indicated that... that Paul and Jim started in Haiti, that the Haitian program has grown greatly. In Peru, the goal of the program, as the goal of the program in Haiti, is ultimately, after training local people, to leave and in Peru Jaime Bayona, Dr Jaime Bayona, the head of the program there, has a group of people who are every bit as skilled now as the people in the program in Boston, and we are really remaining in a collegial relationship with Dr Bayona and his group, but there's very little, much, much less in the way of traffic between our program here and the program in Peru.

In Haiti, too, Haitian doctors, Haitian nurses and community health workers are trained and they're taking over more and more of the responsibility as the program grows there. Indeed, just over a year ago we were invited to set up a program in Rwanda, and Paul started the program there with Michael Rich, one of the young physicians who has been with Partners in Health for some years, and the first step that Paul took was to persuade some of his Haitian colleagues, doctors and nurses and community health workers, to come to Rwanda to help train local people, and what was a hospital that had been abandoned during the genocide 20 years earlier, has, within... within two months, was restored to function, and now is the base from which a second hospital is in the process of being outfitted and a major program in management of HIV/AIDS is underway.

The program that Paul and Jim began using community health workers for, the management of AIDS, is one that more and more people are turning to as the way in which AIDS should be treated with community health workers ensuring that there's no interruption of treatment, that patients who need help are identified at once and that help is recruited for them, and that program has become well known. We're working in Rwanda with the Clinton Foundation and when President Clinton visited the program a couple of months ago, he said to Paul that he hoped that he, the President, could persuade Paul and Partners in Health and our division, to work with the Clinton Foundation in the several places where they propose to go in Africa.