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  1. 1

    The water crisis and population. [Pamphlet collection].

    Food and Agriculture Organization of the United Nations [FAO]

    [Rome, Italy], FAO, [1986]. vi, [126] p.

    The dimensions of the water crisis and its implications for the population of the world is the subject of a 4-pamphlet packet distributed by the Food and Agriculture Organization of the United Nations. Part 1 relates legends about water and details the role of water in human history. Rapid population growth and its detrimental effects on water conservation and the environmental balance are explained. Recognition of the population growth problem is urged, with government-backed family planning programs recommended. Part 2 gives a detailed explanation of the life cycle and its dependence on soil and water. Climate, vegetation, and types of water are examined in relation to their role in the distribution of available water resources. Future water resources and demand are projected for agriculture, industry, and domestic use. The disruption of the balance between man and water and the problem of water pollution are addressed, as are deforestation, desertification, drought, and the greenhouse effect. Part 3 offers a view of inland waters and agriculture, with a history of irrigation and the role of irrigation today. Rural water, its use, sources, storage, and collection are examined in relation to work distribution, family size, and sanitation. Problems arising from unsafe water supplies, including disease, infection, and malnutrition are discussed, and examples are given of small-scale projects that have successfully addressed these problems. The final section deals with water and the future. A continuing effort at water and land conservation, as well as surface water and ground water management, is urged. Irrigation planning and supporting systems, such as terracing, fallowing, and improved cropping patterns, are presented as further management techniques. Preserving existing resources, lifting, various kinds of wells, new storage methods and purification systems, are suggested to increase domestic water conservation. Examples of water projects in Africa, Asia, and the South Pacific are presented. Finally, population management and its crucial role in future water resources allocation, conservation, and distribution, is provided.
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  2. 2

    International regulation of the supply and use of pharmaceuticals.

    Medawar C

    DEVELOPMENT DIALOGUE. 1985; (2):15-37.

    This paper discusses the principles involved in formulating international standards to regulate the appropriate use of drugs. It focuses particular attention on the role of the World Health Organization (WHO) in organizing this. The following questions are addressed: What is meant by the appropriate use of drugs? What are the main determinants of appropriate drug use that all the main actors agree on? How appropriately are drugs used today? To what extent are the standards agreed on in principle actually observed in practice? Is regulation called for? What kind of regulation is appropriate? What standards would meet the needs of all countries? Appropriate drug use is the provision of drugs to people who really need them and restiction of the supply of drugs to those who don't need them. Primary health care requires a continuous supply of essential drugs. As many as 70% of the pharmaceuticals on the market today are inessential and/or undesirable products, and many pharmaceutical products are marketed today with little concern for the differing health needs and priorities of individual countries. Few countries systematically monitor drug prescribing standards and consumption patterns. There is chronic and serious under-reporting of adverse reactions to drugs. Regulation implies control over the activities of the main drug producers. This requires international initiatives, since an essentially transnational industry is involved. Transnational corporations dominate the world market for drugs. All pharmaceutical products must be approved and registered for use by the competent government authority. All pharmaceutical products shall have full regard to the needs of public health.
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  3. 3
    Peer Reviewed

    Assessment and implementation of health care priorities in developing countries: incompatible paradigms and competing social systems.

    Makhoul N

    Social Science and Medicine. 1984; 19(4):373-84.

    This paper addresses conceptual issues underlying the assessment and implementation of health care priorities in developing countries as practiced by foreign development agencies coping with a potentially destabilizing unmet social demand. As such, these agencies mediate the gap between existing health care structures patterned around the narrow needs of the ruling classes and the magnitude of public ill-health which mass movements strive to eradicate with implications for capitalism at large. It is in this context that foreign agencies are shown to intervene for the reassessment and implementation of health care priorities in developing countires with the objective of defending capitalism against the delegitimizing effects of its own development, specifically the persistence of mass disease. Constrained by this objective, the interpretations they offer of the miserable state of health prevailing in developing countries and how it could be improved remains ideological: it ranges between "stage theory" and modern consumption-production Malthusiansim. Developing countries are entering into a new pattern of public health which derives from their unique location in the development of capitalism, more specifically in the new international division of labor. Their present position affects not only the pattern and magnitude of disease formation but also the effective alleviation of mass disease without an alteration in the mode of production itself. In the context of underdevelopment, increased productivity is at the necessary cost of public health. Public health improvement is basically incompatible with production-consumption Malthusianism from which the leading "Basic Needs" orientation in the assessment and implementation of health care priorities derives. Marx said that "countries of developing capitalism suffer not only from its development but also from its underdevelopment." (author's modified)
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