GLOBAL health campaigns like grand goals. On January 30th Bill Gates joined the head of the World Health Organisation (WHO), 13 drug-company executives and others in pledging to eradicate or control by 2020 ten of the world’s nastiest diseases, which afflict more than a billion people. Guinea worm, sleeping sickness, bilharzia (which doctors call schistosomiasis) and the others rot tissue and cripple the organs. Even if they do not kill, they stunt children and sap adults’ energies.