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[Poliomyelitis--Challenges for the Last Mile of the Eradication Programme] Poliomyelitis--Herausforderungen in der Endphase des globalen Eradikationsprogramms.
Gesundheitswesen). 2016 Apr; 78(4):227-9.The World Health Organisation initiated the Global Polio Eradication Initiative in the year 1988. With the large-scale application of routine and mass vaccinations in children under the age of 5 years, polio disease has become restricted to only 3 endemic countries (Afghanistan, Pakistan and Nigeria) by today. However, since the beginning of the 21st century, increasing numbers of secondary polio epidemics have been observed which were triggered through migration, political turmoil and weak health systems. In addition, there emerged serious technical (e. g., back-mutations of oral vaccine virus to wild virus) and socio-political (refusal of vaccinations in Muslim populations of Nigeria and Pakistan) problems with the vaccination in the remaining endemic countries. It thus appears questionable if the current eradiation initiative will reach its goal in the foreseeable future. (c) Georg Thieme Verlag KG Stuttgart . New York.
[Population growth, development work, and family planning (the church's experience in the third world)] Bevolkerungswachstum, Entwicklungsarbeit und Familienplanung (kirchliche Erfahrung in der Dritten Welt).
In: Probleme und Chancen demographischer Entwicklung in der dritten Welt, edited by Gunter Steinmann, Klaus F. Zimmermann, and Gerhard Heilig. New York, New York/Berlin, Germany, Federal Republic of, Springer-Verlag, 1988. 308-15.This paper approaches the problem of population growth, development and family planning from the point of view of Christian church activities in the 3rd World. It is an oversimplification of the situation to believe that development policy in a country can be guided only by population considerations. The challenge of population growth must be seen in the context of many barriers to development in the 3rd World which are closely associated with population trends. Thus, birth control measures will succeed only when they are part of a unified multi-sector development aid that is integrated into the life of the country taking into consideration cultural and ecological factors. The author traces the evolution of viewpoints among development specialists since the Bucharest conference of 1974 in which contraception was no longer accepted as the basic principle in development aid, unless it is integrated into a complete system of satisfying the basic needs of a population. The target group for this strategy is primarily the family, representing as it does the smallest unit of human society in village and urban communities. The author lists and discusses a number of general criteria for acceptability of methods of contraception. Development leaders trained in the western churches can accept methods of natural family planning (NFP) such as rhythm methods but in many societies local cultures unquestionably accept richness in children as a blessing. The use of NFP requires the acceptance of a new life style by both husband and wife.