All my career years in WHO (over 29 years) I always believed that the electronic publishing should not replace paper based publishing. They should complement each other. Publishers who think that electronic publishing should replace paper publishing are wrong. I made this position very clear and implemented it when I was director in WHO. The very simple reason is that Internet penetration rate worldwide is 51.7%, while shame on this world, it is 31.2% in Africa (https://internetworldstats.com/stats.htm). Note www.itu.int website is not working for the last few days. This is the lowest penetration rate among all regions of the world. Now back to what Bryan said QUOTE “Paper remains the medium of choice for most health professionals. Digital access is growing, but as we all know there remain constraints particularly outside the big cities.” UNQUOTE. If only 31.2% of the population in Africa has access to the Internet, the legitimate question is how many healthcare workers and the percentage of them who have access to the Internet and therefore access to electronic health journals including the African Health Journal?