| 1 | Business was dull. | |
| 2 | It was gloomy weather. | |
| 3 | But after a decade of dismal returns it is time for them to act. | |
| 4 | If we continue the current trend of apathy, we are doomed towards a very bleak future. | |
| 5 | Yet despite this bleak picture, Africa' s health leaders are convinced that these obstacles can be overcome. |