The atypical reaction of a patient to the news of her terminal illness raises a number of questions about care for the dying.
The atypical reaction of a patient to the news of her terminal illness raises a number of questions about care for the dying.
The intensity of disease transmission by insect vectors may be influenced by developments in agriculture and forestry. The author illustrates what can happen with special reference to projects in Thailand and Ethiopia which increased the incidence of malaria, and to the introduction of a new variety of coffee in Colombia, as a result of which the incidence of leishmaniasis among plantation workers decreased. Development programmes need to take predictable disease outcomes fully into account.
The author reflects on 24 years of involvement in WHO activities, and their effect on her own life and on the maternal and child health services in Malaysia.
International approaches are indispensable in the management of foodborne risks to health. The contributions made by WHO and the World Trade Organization to achieving food safety are discussed below, and particular reference is made to the Agreement on the Application of Sanitary and Phytosanitary Measures and to the work of the Codex Alimentarius Commission.
The health of people in developing countries is threatened by the importation of hazardous products, wastes and industrial processes from the developed world. Combating this menace is a facet of environmental protection and management of the planet's resources.
A training module is described in which experienced health care managers from developing countries explore the challenges to be faced when attempting to use the results of systematic reviews of scientific studies on health care interventions in policy and practice.
The ideal of universal access to the best possible health is being replaced by questions of how best to distribute limited health resources. Epidemiology can help to answer these questions by combining its functions of investigation and target-setting. Thus studies on health differences should be aimed at reducing unjust inequalities.
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