ABSTRACT
According to WHO: "As long as one child is infected all countries are at risk to get 200,000 new cases per year" [6, 7]. * TB claims 1.5 million lives each year. Three million cases were missed by the detection systems and the funding to combat the disease was back to the 2016 level that year [8-10]. * The number of cholera cases remains high and many are not reported. [...]it can be re-introduced into many countries like it was in Haiti in the 2010 [11-13]. * Due to the sylvatic cycle in Africa yellow fever cannot be realistically eradicated [14-17]. * Because of the cattle and wild animal reservoirs of Trypanosoma rhodesiense in East Africa, sleeping sickness cannot be practically eradicated. * In 2007, WHO announced a renewed strategy to eliminate Chagas' disease by 2010. The main problems linked to the elimination of malaria have not been tackled like: deforestation, agricultural expansion, infrastructure development, the biological differences in Anopheles species adapted to different landscapes, human and mosquito migrations, travelers, climate change [24-26]. * The discovery of a dog-fish cycle in Chad renders a lasting elimination of dracunculiasis improbable [27-28]. Most worrisome are the trends for the diseases mentioned above and there is no sign of imminent or short term eradication. [...]lack of capacity is the main obstacle to adequate healthcare in developing countries [30]. * Quantitatively, data are dismal [31]. * Quality wise, the gap is huge and increasing [32]. * Unfortunately, the evolution in various places is not toward improvement particularly in Sub-Saharan Africa. * Questions have not been raised on the unreliable origin and misutilization of resources.