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  1. 1

    Demographic change in Europe and its health and social implications: an overview.

    Lopez AD

    In: Demographic trends in the European region: health and social implications, edited by Alan D. Lopez and Robert L. Cliquet. Copenhagen, World Health Organization, Regional Office for Europe, 1984. 5-67. (WHO Regional Publications, European Series No. 17; Project RMI/79/P05)

    This chapter presents an overview of recent demographic trends in Europe and discusses the implications of these trends for health and social services. The discussion is based on reports received from 15 of the 33 Member States of the European Region of the World Health Organization. The components of demographic change analyzed included population growth and structure, family formation, fertility, mortality, and population movement. Increases in the number and proportion of the elderly were noted and the traditional excess of births over deaths is expected to change in future years. Population aging is expected to continue to be a principal concern for the social services sector. The increasing emphasis on caring for rather than attempting to cure chronic illnesses among the aged suggests a need for more nursing homes and home-help services. Anticipation of future morbidity and mortality patterns implies a need to focus on specific risk groups, e.g. migrants, adult males, and those from lower socioeconomic groupings. With regard to fertility, adolescent sexual activity and the low use levels of contraception among teenagers comprise areas where greater service provision is necessary. In addition, there is a need for more vocational training for women, improved child care facilities, and full-time employment opportunities better suited to the needs of workers with dependent children. As a result of smaller families, increased divorce rates, the discrepancy between male and female survival, and greater regional mobility, markedly higher numbers of single individuals can be expected. Rapidly evolving changes in family formation, social norms, and underlying demographic trends will continue to alter European societies in the years ahead. The interrelationships between health and demographic phenomenon must continue to be probed to form a basis for future health and social planning.
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  2. 2

    Reflections on population.

    Salas RM

    New York, Pergamon, 1984. 240 p.

    This book, a sequel to "International Population Assistance: The First Decade," characterizes the work of the UN Fund for Population Activities (UNFPA) with the developing countries up to 1984, relating these experiences to the issues before the 1984 International Conference on Population. The 1st chapter provides an overview of the significant developments in population up to the 1984 International Conference on Population. The next 7 chapters discuss the following main issues before the Conference and generally reflect the arrangement of the document to be brought before the Conference concerning recommendations for further implementation of the World Population Plan of Action: fertility, status of women and the family; morbidity and mortality; population distribution, internal and international migration; population growth and structure; promotion of knowledge and implementation of policies and programs; international cooperation and the role of UNFPA; and the year 2000 and beyond. Within each of these chapters, excerpts have been arranged in an analytic order, with the aim of facilitating the flow of arguments presented. Appendices contain the 5 "State of World Population Reports" issued from 1980-84 and 7 Rafael M. Salas statements which, primarily due to their focus on the population issues of particular importance to the major regions of the globe, are reproduced in their entirety. This volume reflects the process of population policymaking of the UNFPA with the developing countries in support of their population programs in the past 15 years. These policies were sanctioned and validated, both nationally by the countries themselves and globally by UN deliberative bodies and conferences. The experience of UNFPA in policy formulation indicates that an effective population policy must have its proper time perspective and must be scientifically determined in its component elements, normative and applicable at different levels, multisectoral in its emphasis, and measurable in its impact and consequenes.
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  3. 3

    The United Nations Conference on Population.

    Salas RM

    Draper Fund Report. 1984 Jun; (13):1-3.

    The UN International Conference on Population to be held in Mexico City in August 1984, responding to an unprecedented upsurge of interest in population over the last decade, offers developed and developing countries the opportunity to assess current and likely future population trends, to comment on programs and progress during the past 10 years, and to determine desirable future directions. More developing countries are reporting diminished declining fertility and family size in countries of widely varying ethnic, social, and economic makeup. Although it is likely that the future will bring a steadily declining rate of world population growth, culminating in stability, present trends indicate that it will take more than a century for world population to stabilize. Meanwhile growth continues. The developing world's annual average birthrate from1975-80 was twice as high as the developed world's. Also there are large areas, much of Latin America and most of Africa, where growth rates continue very high. Other areas, such as parts of Asia, do not follow the general declining trend despite trend despite, in some instances, a long history of population programs. Interest in population programs and demand for resources to support them are growing, but the population dimension is sometimes unrecognized in development planning. The experience of the last decade illustrates that population assistance can make a uniquely valuable contribution to national development when it is given in accord with national policies, is appropriate to local conditions and needs, and is delivered where it can make the most impact. Substantial evidence exists that women in the developing world undertand the risks of repeated pregrancy and would like to take steps to reduce them. It is evident that providers of family planning services are not yet sufficiently responsive to women's own perceptions of their needs and that the social and economic conditions which make family planning a reasonable option do not yet exist. Influxes of immigrants, short and long term, legal and illegal, create particular problems for receiving countries. It is important for sending countries to know what effect the absence of their nationals is having on the domestic economy and essential for receiving countries to consider the protection of the human rights of international migrants, including settlers, workers, undocumented migrants, and refugees. It is a particular responsibility of the industrialized nations to make careful use of limited resources and to ensure that their comsumption contributes to the overall balance of the environment. In most developing countries infectious and parasitic disease remains the primary cause of death, particularly among the young. Much of this toll is preventable. The International Conference on Population provides an opportunity to establish in broad terms the conditions and directions of future cooperation.
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  4. 4

    World population trends and policies 1983 monitoring report. Part one. Preliminary version.

    United Nations. Department of International Economic and Social Affairs. Population Division

    [Unpublished] 1983 Dec 9. 410 p. (IESA/P/WP.82)

    This report is the 4th in a series prepared pursuant to a recommendation of the World Population Plan of Action that the monitoring of population trends and policies should be undertaken continuously as a specialized activity of the UN and reviewed biennially. Part 1 of the report covers world and regional population growth, fertility, nuptiality, mortality, age structure, international migration, and urbanization. Also included is an overview of the most significant demographic events occurring since 1974. Although the world population is projected to increase from the 1980 level of 4.5 billion to 6.1 billion in 2000 and 8.2 billion in 2025, the growth rate is expected to continue to decline from 1.7% in 1980 to 1.4% in 2000 and 0.9% in 2025. The rate of growth is 2.1% in the developing regions compared with 0.6% in developed regions; however, this gap is expected to be narrowed in the future. The share of the world's population represented by developing countries is projected to increase from the current level of 75% to 79% in 2000 and 85% in 2025. Fertility declined 22% between 1970-75 and 1980-85 worldwide and 26% in the developing regions alone, due mainly to the drastic reduction of fertility in China (54%). 26 other countries with population exceeding 1 billion achieved fertility declines over 20%, but no significant decline has taken place in Africa or certain subregions of Latin America and Southern Asia. In the developed countries, fertility stabilized at very low levels in the 1970s and in some cases a slight recovery was noted in the 1980s. There is a considerable gap in life expectancy between developed countries (73 years) and developing countries (57 years), but by 2000, this statistic is expected to stand at 75.4 years and 63.5 years, respectively. As a consequence of the rapid decline in fertility, the age structure of the world population has been modified, with a decrease in those aged 15 years and under and an increase in those aged 65 years and over. There is an increasing trend of concentration of the population of developing countries in the large metropolitan areas, while a pattern of deconcentration out of the large metropolitan centers is emerging in developed countries.
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