The Foreign Service Journal, December 2004

D E C E M B E R 2 0 0 4 / F O R E I G N S E R V I C E J O U R N A L 3 T HE M AGAZINE F OR F OREIGN A FFAIRS P ROFESSIONALS Foreign Service Journal (ISSN 0146-3543), 2101 E Street, N.W., Washington, D.C. 20037-2990 is published monthly with a combined July/August issue by the American Foreign Service Association, a private, non-profit organization. Material appearing herein represents the opinions of the writers and does not necessarily represent the views of the Journal, the Editorial Board or AFSA. Writer queries and submissions are invited, preferably by e-mail. Journal subscription: AFSAMembers - $13 included in annual dues; others - $40. For foreign surface mail, add $18 per year; foreign airmail, $36 per year. Periodical postage paid at Washington, D.C., and at additional mail- ing offices. Postmaster: Send address changes to Foreign Service Journal , 2101 E Street N.W., Washington, D.C. 20037-2990. Indexed by Public Affairs Information Service (PAIS). The Journal is not responsible for unsolicited manuscripts, photos or illustrations. Advertising inquiries are invited. The appearance of advertisements herein does not imply the endorsement of the services or goods offered. FAX: (202) 338-8244 or (202) 338-6820. E- MAIL: journal@afsa.org. W EB: www.afsa.org. TE LEPHONE: (202) 338-4045. © American Foreign Service Association, 2004. Printed in the U.S.A. Send address changes to AFSA Membership, 2101 E Street N.W., Washington, D.C. 20037-2990. Printed on 50 percent recycled paper, of which 10 percent is post-consumer waste. J O U R N A L OREIGN ERVICE S F Editor S TEVEN A LAN H ONLEY Senior Editor S USAN B. M AITRA Associate Editor S HAWN D ORMAN Ad & Circulation Manager E D M ILTENBERGER Business Manager M IKKELA V. T HOMPSON Art Director C ARYN S UKO S MITH Editorial Intern D AVID C ODDON Advertising Interns V IVIAN Z HANG , L ULWA B ORDCOSH Editorial Board H OLLIS S UMMERS , C HAIRMAN K ENT C. B ROKENSHIRE S TEPHEN W. B UCK P ATI C HAPLIN C AROL A. G IACOMO W ILLIAM W. J ORDAN L AURIE K ASSMAN K AY W EBB M AYFIELD V IRGINIA F. S MITH C HRISTOPHER L. T EAL T ED W ILKINSON F O C U S O N M E D I C A L D I P L OM A C Y 20 / E DITOR ’ S I NTRODUCTION By Susan Maitra 22 / P UBLIC H EALTH AS A G LOBAL S ECURITY I SSUE The optimistic talk heard a generation ago predicting the imminent end of infectious diseases has proved naïve and dangerous. But the world community can respond effectively to the global health and security crisis. By Randy Cheek 30 / M EDICINE A S A C URRENCY OF P EACE IN I RAQ American and Iraqi physicians have opened a dialogue to help jump-start a return of Iraq to the modern medical age and rebuild the nation’s health-care infrastructure. By Lousanne Lofgren 37 / A N E XCURSION OF H OPE : F IGHTING HIV/AIDS IN E THIOPIA & D JIBOUTI USAID’s High-Risk Corridor Initiative program operates along a 850-kilometer stretch of highway in between Addis Ababa and Djibouti. It offers valuable lessons for treating and preventing HIV/AIDS. By Jeffrey Ashley 41 / M EDICAL D IPLOMACY AT W ORK IN 1950 S N EPAL An American doctor tells how he and his team brought modern medi- cine to a remote and mysterious country from which outsiders had been barred for 100 years. By George Moore, M.D., M.P.H., and Berwyn Moore C ONTENTS D e c emb e r 2 0 0 4 Vo l ume 8 1 , No . 1 2 F E A T U R E S A FTER A BU G HRAIB : T HE U.S. H UMAN R IGHTS A GENDA / 48 The prisoner abuse scandal hurt America’s reputation. Still, the Bush administration has made some progress. By George Gedda D OES THE U.S. N EED A N ATION -B UILDING A GENCY ? / 56 Post-conflict nation-building will be an important instrument of U.S. foreign policy in the 21st century. By Dennis A. Rondinelli and John D. Montgomery A PPRECIATION : A RCHER K ENT B LOOD / 61 By Douglas Kerr S C H O O L S U P P L E M E N T S TILL H AVEN ’ T F OUND W HAT W E A RE L OOKING F OR / 71 Does an international high school experience make you who you are? Here are some answers to that question. By Mikkela Thompson S CHOOLS A T A G LANCE / 84 Essential data on educational choices. Cover and inside illustrations by Roy Scott C O L U M N S P RESIDENT ’ S V IEWS / 5 Do You Know a Shin-Kicker? By John Limbert S PEAKING O UT / 15 The Lessons of Darfur By Harry C. Blaney III R EFLECTIONS / 104 By William V. Roebuck D E P A R T M E N T S L ETTERS / 7 C YBERNOTES / 12 M ARKETPLACE / 14 B OOKS / 64 I N M EMORY / 66 I NDEX T O A DVERTISERS / 102 AFSA N EWS / C ENTER I NSERT P AGE 20