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life coaching tools free consequence. It is the water companies. Solutions to public health problems may not necessarily be found within health systems. Infrastructure, housing, sanitation, cross sectoral collaboration, sensible policies, accountability, and good governance all those things easily found in rhetoric, but less so in practice really are essential in this particular battle. I hope that with tomorrow's rising sun the bright grace of water will return to Santiago.Suchita Shah is a general practitioner in Oxford, UK. She is currently living in Boston and is a student at the Harvard School of Public Health, Boston. She is in Chile for January looking at primary healthcare reform.BMJ Blog Archive Louise KennyBefore I arrived here, I was concerned about quite how bad my first on call could be given the new environment, the language, and the vastly different presentations that I could see. I'd done my homework, I knew that Guatemala ranked highly in both maternal and infant mortality rates, but I'm not sure I'd taken the time to consider how I might personally react to an horrific on call. The transfer of a numerical statistic to human contact is a difficult step to take.I'm struggling today, after my 4th on call, as the last 24 hours have been both eye opening and devastating. Emily, a 4th year medical student, and I, were on shift from 7.30 yesterday morning until this morning. The day started badly when I put a carton of milk in my bag. Never put milk in your handbag.We spent the day calmly seeing a few minor ailments, playing scrabble and repairing my milk sodden ipod. Until about 7 in the evening when a family turned