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Opinion: The resurgence of tuberculosis is behavioral, not medical. Nudges can fix it

Nancy had been coughing for months. When she started experiencing chest pain, this bubbly mother of three and very proud grandmother went to see a doctor at her local clinic in Thika, about 20 miles northeast of Nairobi. He delivered a crushing diagnosis: She had contracted a drug-resistant strain of tuberculosis. That was in June 2016.

For the next eight months, Nancy went to the clinic daily to receive an injection of a strong antibiotic and take a cocktail of 15 pills that were also antibiotics. She became so weakened by the disease and her medications that she couldn’t walk. Her children carried her to the clinic for her daily visits and provided constant support and encouragement, but she still felt she was alone — she wasn’t working, and her friends avoided her out of fear of being infected by the disease.

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