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Canadian HIV / AIDS Policy and Law Review. 2002 Dec; 7(2-3):80-84.Health is a fundamental right, not a commodity to be sold at a profit, argues Irene Fernandez in the second Jonathan Mann Memorial Lecture delivered on 8 July 2002 to the XIV International AIDS Conference in Barcelona. Ms Fernandez had to obtain a special permit from the Malaysian government to attend the Conference because she is on trial for having publicly released information about abuse, torture, illness, corruption, and death in Malaysian detention camps for migrants. This article, based on Ms Fernandez presentation, describes how the policies of the rich world have failed the poor world. According to Ms Fernandez, the policies of globalization and privatization of health care have hindered the ability of developing countries to respond to the HIV/AIDS epidemic-The article decries the hypocrisy of the industrialized nations in increasing subsidies to farmers while demanding that the developing world open its doors to Western goods. It points out that the rich nations have failed to live up their foreign aid commitments. The article concludes that these commitments - and the other promises made in the last few years, such as those in the United Nations' Declaration of Commitment on HIV/AIDS - can only become a reality if they are translated into action. (author's)
[New York, New York], United Nations, 1992.  p.Drafts of Agenda 21 of the Rio Declaration on Forest Principles is a massive and detailed account in 4 parts: 1) the preamble and the social and economic dimensions, 2) conservation and management of resources for development, 3) strengthening the role of major groups, and 4) means of implementation. There are 40 chapters largely devoted to issues concerning management of water resources. The Appendix includes the Adoption of Agreements on Environment and Development note by the Secretary General of the Conference and the Proposal by the Chairman of the Preparatory Committee of May 7, 1992; 27 principles were agreed upon. Also included is the nonlegal binding authoritative statement of principles for a global consensus on the management, conservation, and sustainable development of all types of forests by the Secretary General and the preamble and principles. Part I is concerned with international cooperation in increasing sustainable development in developing countries, the reduction of poverty, the change in consumption patterns, demographic dynamics, the protection and promotion of human health conditions, the promotion of sustainable human settlement development, and the integration of the environment and development in decision making. Part II includes atmosphere protection, integration of planning and management of land resources, deforestation, managing fragile ecosystems, conservation of biological diversity, protection of the oceans, seas, and coastal areas as well as a rational use of resources, protection of freshwater resources, environmental sound management of hazardous wastes and solid wastes and sewage, and safe and environmentally sound management of radioactive wastes. Part III is devoted to the preamble, global action for women, children and youth in sustainable development, recognition and strengthening of the role of indigenous people and communities, strengthening nongovernmental organizations, local authorities initiatives in support of Agenda 21, strengthening workers and trade unions, the scientific and technological community, and strengthening the role of farmers. Part IV identifies financial resources and mechanisms, environmentally sound technology transfer, science, promotion of education and public awareness, international institutional arrangements, international legal instruments and mechanisms, and information for decision making.
New York, New York, Oxford University Press, 1992. xiv, 385 p.The World Resources Institute, the UN Environment Programme, and the UN Development Programme collaborate to produce the World Resources series to provide organizations and individuals with accessible and accurate information on the trends and conditions of natural resources and protection of the environment. This information is needed to reach sustainable development, eliminate poverty, improve the standard of living, and preserve biological life-sustaining systems. This 5th volume stresses sustainable development as does the 1992 UN Conference on Environment and Development. Part I, entitled Sustainable Development, includes an overview chapter and 3 case studies of possible means to achieve sustainable development in industrialized countries, low income countries, and rapidly industrializing countries. Part II focuses on one region of the world, Central Europe, to discuss how it was able to degrade the environment, the magnitude of the damage, and what possible steps to take to ameliorate the situation. Part III addresses basic conditions and trends, key issues, major problems and efforts to resolve them, and recent developments in population and human development, food and agriculture, forests and rangelands, wildlife and habitat, energy, freshwater, oceans and coasts, atmosphere and climate, and policies and institutions (governmental and nongovernmental organizations). Part IV lists core and supporting data from the World Resources Data Base. This volume contains an index and a World Resources Data Base index.
In: The population debate: dimensions and perspectives. Papers of the World Population Conference, Bucharest, 1974. Volume II, compiled by United Nations. Department of Economic and Social Affairs. New York, New York, United Nations, 1975. 105-9. (Population Studies No. 57; ST/ESA/SER.A/57)In 1974 World Population Conference in Bucharest, romania, WHO discusses degradation of the environment and population. In developing countries, poor sanitary conditions and communicable diseases are responsible for most illnesses and deaths. Physical, chemical, and psychosocial factors, as well as pathogenic organisms, cause disease and death in developing countries. Variations in individuals and between individuals present problems in determining universally valid norms relating to environment and health. Researchers must use epidemiological and toxicological methods to identify sensitive indicators of environmental deterioration among vulnerable groups, e.g., children and the aged. Changes in demographics and psychosocial, climatic, geographical, geological, and hydrologic factors may influence the health and welfare of entire populations. Air pollution appears to adversely affect the respiratory tract. In fact, 3 striking events (Meuse valley in France , Donora valley in Pennsylvania [US], and London  show that air pollution can directly cause morbidity, especially bronchitis and heart disease, and mortality. Exposure to lead causes irreparable brain damage. Water pollution has risen with industrialization. Use of agricultural chemicals also contribute to water pollution. Repeated exposure to high noise levels can result in deafness. Occupational diseases occur among people exposed to physical, chemical, or biological pollutants at work which tend to be at higher levels than in the environment. Migrant workers from developing countries in Europe live in unsafe and unhygienic conditions. Further, they do not have access to adequate health services. Nevertheless, life expectancy has increased greatly along with urbanization and industrialization. A longer life span and environmental changes are linked with increased chronic diseases and diseases of the aged.
Social Science and Medicine. 1992 Apr; 34(8):837-42.Researchers analyzed data from 117 countries taken from 2 1988 World Bank publications to determine the relative importance of health care resources in predicting infant mortality within developed, developing and underdeveloped countries. Overall the variance of infant mortality, accounted by only socioeconomic resources, was 32.8% in underdeveloped (p<.01), 34.3% in developing countries (p<.05), and 60.6% in developed countries (p<.1). Further almost all these variables had constant directions of relationship with infant mortality across the 3 subgroups. For example, GNP and education were always negatively associated with infant mortality and urbanization and water were always positively associated with infant mortality. In fact, water had the greatest effect in developing countries and the smallest in underdeveloped countries. Further education was the only statistically significant socioeconomic variable in underdeveloped and developing countries (p<.05). Energy was inversely related with infant mortality in underdeveloped and developing countries, but positively related with it in industrialized countries. Further calorie had an inverse relationship with infant mortality in underdeveloped countries, but a positive relationship in developing and developed countries. In terms of health resources, the variance of infant mortality was not significant and was only an additional 8.6% of that above the variance explained by socioeconomic resources in underdeveloped countries, 5.6% in developing countries, and 3.3% in industrialized countries. Yet the association between inhabitants/ physician was consistent across all subgroups. Further the physician's role in reducing infant mortality was greatest in developing countries. The other 2 health care variables were inhabitants/nurse and inhabitants/hospital bed. In addition, as life expectancy increased, the effects of health care resources on infant mortality fell.
AMERICAN JOURNAL OF PUBLIC HEALTH. 1990 Oct; 80(10):1188-92.Health trends since 1950 in both developed and developing countries are classified and discussed in terms of causative factors: socioeconomic development, cross-national influences and growth of national health systems. Despite the vast differences in scale of health statistics between developed and developing countries, economic hardships and high military expenditures, all nations have demonstrated significant declines in life expectancy and infant mortality rates. Social and economic factors that influenced changes included independence from colonial rule in Africa and Asia and emergence from feudalism in China, industrialization, rising gross domestic product per capita and urbanization. An example of economic development is doubling to tripling of commercial energy consumption per capita. Social advancement is evidenced by higher literacy rates, school enrollments and education of women. Cross-national influences that improved overall health include international trade, spread of technology, and the universal acceptance of the idea that health is a human right. National health systems in developing countries are receiving increasing shares of the GNP. Total health expenditure by government is highly correlated with life expectancy. The view of the World Bank and the International Monetary Fund that health care should be privatized is a step backward with anti-egalitarian consequences. The UN Economic Commission for Africa attacked the IMF and the World Bank for promoting private sector funding of health care stating that this leads to lower standards of living and poorer health among the disadvantaged. Suggested health strategies for the future should involve effective action in the public sector: adequate financial support of national health systems; political commitment to health as the basis of national security; citizen involvement in policy and planning; curtailing of smoking, alcohol, drugs and violence; elimination of environmental and toxic hazards; and maximum international collaboration.
[Unpublished] 1989. Presented at the Conference on Global Environment and Human Response toward Sustainable Development, Tokyo, Japan, September 11, 1989. 11 p.With the installation of Barner B. Conable as President of the World Bank, the Bank began to incorporate the environmental effects of development projects into its loan decisions. It has also augmented loans for environmental, population, and forestry projects. In 1988, >100 projects with important environmental elements (35% of all Bank and IDA projects) were approved, the majority of which were in agriculture. The Bank has expected the percentage of such projects to increase annually. Further, to assist the countries and the Bank in considering environmental concerns in the beginning stage of designing development projects, the Bank has developed Environmental Assessment Guidelines. The Bank has taken on a formidable task, however, since its primary purpose is to reduce poverty which often conflicts with protecting the environment. Its leadership believes that the 2 goals are not necessarily mutually exclusive, and, if they are to be achieved, the problems must be clearly defined and all the countries of the world must work towards solutions to benefit the global community. Additionally, the Bank has begun to encourage developing countries to switch to cleaner fuels, processes, and systems to curtail global warming. It also monitors research on carbon dioxide, methane, and chlorofluorocarbon emissions, all of which contribute to the greenhouse effect, and on climatic change. The Bank has recognized, however, that improvement in the environment cannot occur fast enough, at the rate the earth's population is increasing. Therefore it continues to fund family planning and health projects.
[Unpublished] 1983. Presented to the Atlantik-Brucke and the Deutsche Gesellschaft fur Auswartige Politik, Bonn, Germany, Federal Republic of, April 18, 1983. 13 p.The author discusses how and why the international community must act to restore the momentum of economic development in the developing countries. The global recession has brought development to a stop and developing countries have suffered. A strategy is needed based on faith in the development process itself. Prior development efforts have proven that: 1) the developing countries' own efforts are the decisive factor in achieving success, 2) international development assistance is essential to the attainment of that success, and 3) the development process has been working. 14 of today's industrialized countries achieved during the period 1860-1960 an average annual per capita income growth rate of barely 2% and at the time of their entry into modern economic growth (1830-70) they were economically ahead of the rest of the world. Between 1955-80 many developing countries grew faster than the industrial ones with income rising faster than population in virtually all of them. In addition, industry, agriculture, educational systems, and health and nutrition programs flourished. However there were great fluctuations and not all nations grew as quickly as others; today development has slowed in all nations. Global recession has caused stagnation in international assistance, but funding cannot be halted until the economic situation improves. The key to poverty reduction lies in raising the productivity of the poor themselves; governments have to take measures to ensure that employment opportunities and earning power of the poor are not limited by sickness, insufficient food, and lack of education. The World Bank's practice has been to help increase the productivity of the poor, concentrating on rural and urban development, primary education, population, health and nutrition, small-scale industries and water supply. International private capital is essential to the development process as is the commercial banking system and protectionism must be resisted. The industrial world has everything to gain from economic growth in the developing world.
Aging: a matter of international concern, statement made to the world Assembly on Aging, Vienna, Austria, 27 July 1982.
New York, N.Y., UNFPA, . 9 p. (Speech Series No. 78)This statement discusses the rising proportion of the aged in the total population of both developed and developing countries, causing psychological, economic, social and spiritual needs. The aging of the population is the consequent phenomenon of the demographic transition, that is the reduction of fertility and prolongation of life expectancy. People aged 60 or over constitute 15% of the population of developed nations in 1975. It is expected that by the year 2000, they will constitute 18% of the population. This transition called for programs for the welfare, health and protection of the aged. One of the most important issues facing both developed and developing countries is to insure that, in the process of industrialization, urbanization and social change, the valuable aspects of village and extended family life are not lost. UNFPA's agenda for the aging include data collection, research, support communication, collaboration with concerned institutions, and policy consultations.