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[Nairobi, Kenya], United Nations Environment Programme [UNEP], 1990. , 42 p. (UNEP Regional Seas Reports and Studies No. 123)The UN Environment Programme (UNEP) ocean program is studying global marine environments to form a policy to protect the oceans. This report examines the marine environment of the Indian Ocean, Bay of Bengal, the Arabian Sea, and the Andaman Sea. Bacteria and viruses comprise the most important contaminants in the South Asia seas. They enter marine life which humans eat and then develop diarrhea. Pathogens enter the seas through untreated sewage which causes much eutrophication. Zooplankton contain considerable concentrations of heavy metals and pesticides. None of the zooplankton samples drawn from seas around India in 1978, 1981, 1983, and 1985 contained mercury, however. Yet mercury and other heavy metals are present in fish species in at least the Ganges River estuary, Andaman Sea, the Karachi harbor in Pakistan, and seas around Bangladesh. Common chlorinated pesticides found off the coast of India include DDT, aldrin, dieldrin, and BHC. Industrial development is increasing the levels of other contaminants such as solid waste and synthetic detergents. Coastal erosion is common in South Asia. Considerable siltation occurs at the head of the Bay of Bengal. Several urban areas are reclaiming the sea using materials from solid wastes and garbage, but these materials leach which causes public health problems. In India, nuclear power plants operate near the coast where they release 50% of the generated heat to the coastal environment. Dredge materials from harbors in India are dumped offshore which resulted in almost complete depletion of fisheries near these harbors. Tourism poses a threat to coastal environments due to the increase in nonbiodegradable solid waste such as cans, plastics, and empty bottles. Oil tanker disasters, bilge washings, and discharge of ballast water contribute to the sizable amount of oil pollution in the Indian ocean. Exploitation damages coral reefs, mineral deposits, mangroves, and marine life.
Alternative approaches to meeting basic health needs in developing countries: a joint UNICEF/WHO study.
Geneva, World Health Organization, 1975. 116 p.Based on the failure of conventional health services and approaches to make any appreciable impact on the health problems of developing populations, this study examined successful or promising systems of delivery of primary health care to identify the key factors in their success and the effect of some of these factors in the development of primary health care within various political, economic, and administrative frameworks. In the selection of new approaches for detailed study, emphasis was placed on actual programs that are potentially applicable in different sociopolitical settings and on programs explicitly recognizing the influence of other social and economic sectors such as agriculture and education on health. Information was gathered from a wide range of sources; including members, meeting reports, and publications of international organizations and agencies, gathered country representatives, and field staff. The 1st section, world poverty and health, focuses on the underprivileged, the glaring contrasts in health, and the obstacles to be overcome--problems of broad choices and approaches, resources, general structure of health services, and technical weasknesses. The main purpose of the case studies described in the 2nd part was to single out, describe, and discuss their most interesting characteristics. The cases comprised 2 major categories: programs adopted nationally in China, Cuba, Tanzania, and, to a certain extent, Venezuela, and schemes covering limited areas in Bangladesh, India, Niger, and Yugoslavia. Successful national programs are characterized by a strong political will that has transformed a practicable methodology into a national endeavor. In all countries where this has happened, health has been given a high priority in the government's general development program. Enterprise and leadership are also found in the 2nd group of more limited schemes. Valuable lessons, both technical and operational, can be derived from this type of effort. In all cases, the leading role of a dedicated individual can be clearly identified. There is also evidence that community leaders and organizations have given considerable support to these projects. External aid has played a part and apparently been well used. Every effort should be made to determine the driving forces behind promising progams and help harness them to national plans.
New York, UNICEF, 1984 May. 280 p.The data in this set of 135 country profiles for 1981 are made up from 9 major sources and cover the countries and territories with which the UN International Children's Emergency Fund (UNICEF) cooperates. In terms of infant morttality, countries are divided into 5 infant mortality groups: a very high infant mortality (a) group of countries, with a 1981 infant mortality rate (IMR) estimate of 150 (rounded) or more deaths per 1000 live births; a very high infant mortality (b) group of countries with a 1981 IMR estimate between 110 (rounded) and 140 (rounded); a high infant mortality group of a middle infant mortality group of countries, with a 1981 IMR estimate of between 26 and 50 (rounded); and a low infnat mortality group of countries, with a 1981 IMR estimate of 25 or less. For each country data are also presented on nutrition, demographic, education, and economic indicators.
Economic and Political Weekly. 1983 Dec 10; 18(50):2099.This article summarizes World Health Organization (WHO) guidelines on breastfeeding issued in 1982 and discusses their policy implications for India. The WHO document notes that early use of combined oral contraceptives (OCs) after childbirth may both decrease breast milk production and cause women to abandon the pill, denying them the contraceptive protection they would have had if lactation had proceeded uninterrupted. The WHO paper further notes the possible adverse effects on infants exposed to synthetic sex steroids secreted in the breast milk of users of hormonal contraception. This suggests that family planning programs should consider the special needs of breastfeeding women in determining the contraceptive methods to be promoted. Grassroots family planning wokers are in special need of intensive instruction in this area. WHO additionally calls for social and health support systems which encourage breastfeeding and urges that such initiatives form an integral component of family planning programs. WHO's emphasis on breastfeeding as a means of averting births rather than strictly as a means of improving child health is expected to attract the interest of policymakers.