Prevention Founders Nairobi Lagos Kampala - Prevention Economy Book

Two things are true at once. 𝗧𝗵𝗲 𝗳𝗶𝗿𝘀𝘁 𝗶𝘀 𝘁𝗵𝗮𝘁 𝗽𝗿𝗲𝘃𝗲𝗻𝘁𝗶𝗼𝗻 𝗶𝘀 𝘁𝗵𝗲 𝗺𝗼𝘀𝘁 𝗱𝗶𝘀𝗰𝘂𝘀𝘀𝗲𝗱 𝘂𝗻𝗱𝗲𝗿-𝗳𝘂𝗻𝗱𝗲𝗱 𝗰𝗮𝘁𝗲𝗴𝗼𝗿𝘆 𝗶𝗻 𝗵𝗲𝗮𝗹𝘁𝗵. Every conference, every investor letter, every white paper agrees we should be investing more upstream. The numbers are not in dispute. 𝗧𝗵𝗲 𝘀𝗲𝗰𝗼𝗻𝗱 𝗶𝘀 𝘁𝗵𝗮𝘁 𝗮𝗹𝗺𝗼𝘀𝘁 𝗻𝗼𝘁𝗵𝗶𝗻𝗴 𝘀𝘁𝗿𝘂𝗰𝘁𝘂𝗿𝗮𝗹 𝗵𝗮𝘀 𝗰𝗵𝗮𝗻𝗴𝗲𝗱. Forty years of consensus, and the prevention share of UK and US health spending has barely moved. Meanwhile chronic disease keeps growing as a share of total cost, and the founders building real prevention infrastructure are still operating in the most capital-constrained markets - Nairobi, Lagos, Kampala - where there was never any treatment-first model to retrofit. That gap between consensus and movement is what I've been writing about for the last six months. I'm writing a book about the prevention economy. Not a book about wellness or longevity. A book about the economics - fiscal, political, commercial, of who pays for prevention, who is allowed to provide it, and why a category everyone agrees with structurally has so few defenders inside the rooms where the money actually moves. The book draws on over a decade of building and advising at the edge of health systems, food, and AI-driven personalised health. Healthy Nibbles from kitchen to £10m ARR. Dsions. And now Well Purposed, where I work with HealthTech founders trying to commercialise prevention into systems that have spent forty years optimising for treatment. I've updated my LinkedIn header to reflect that this is now a public commitment. The book is being written through 2026. Publication is targeted for 2027. Two requests, while the structure is still flexible. If you're building prevention infrastructure, particularly in markets where the funding conversation is still treatment-first, I'd like to hear from you. Some of the most useful conversations of the last six months have come from quiet messages. If you know an agent or publisher who is genuinely passionate about prevention, public health, or the structural economics of healthcare - I'd value an introduction. Publication is targeted for 2027; the right editorial partner matters more than the fastest one. --- I'm Sara. I advise HealthTech founders on the gap between clinical credibility and commercial scale, through Well Purposed. Previously founded Healthy Nibbles (kitchen to £10M ARR, Queen's Award, B Corp) and Dsions. Writing 𝘛𝘩𝘦 𝘗𝘳𝘦𝘷𝘦𝘯𝘵𝘪𝘰𝘯 𝘌𝘤𝘰𝘯𝘰𝘮𝘺 - publication 2027.