Outdated drug policies leave millions of Africans in agony

ANNA HAS just hit puberty and she can barely move. She has late-stage cancer and a tumour protrudes from her neck. As a nurse walks in, Anna (not her real name) slowly covers her face with a veil. She is dying in agony in Dantec, one of Senegal’s main hospitals. But the doctors don’t have enough morphine to give her.

In west Africa there are just 52 palliative-care centres such as hospices for about 360m people. Many of these do not have enough drugs. In Senegal the average patient who needs it gets 13mg of morphine a year, compared with 55,704mg in America. Across sub-Saharan Africa nine-tenths of cancer sufferers in moderate or severe pain die without the relief granted by opioids.