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Health and health services in Judaea, Samaria and Gaza 1983-1984: a report by the Ministry of Health of Israel to the Thirty-Seventh world Health Assembly, Geneva, May 1984.
Jerusalem, Israel, Ministry of Health, 1984 Mar. 195 p.Health conditions and health services in Judea, Samaria, and Gaza during the 1967-83 period are discussed. Health-related activities and changes in the social and economic environment are assessed and their impact on health is evaluated. Specific activities performed during the current year are outlined. The following are specific facets of the health care system that are the focus of many current projects in these districts; the development of a comprehensive network of primary care programs and centers for preventive and curative services has been given high priority and is continuing; renovation and expansion of hospital facilities, along with improved staffing, equipment, and supplies for basic and specialty health services increase local capabilities for increasingly sophisticated health care, and consequently there is a decreasing need to send patients requiring specialized care to supraregional referral hospitals, except for highly specialized services; inadequacies in the preexisting reporting system have necessitated a continuting process of development for the gathering and publication of general and specific statistical and demographic data; stress has been placed on provision of safe drinking water, development of sewage and solid waste collection and disposal systems, as well as food control and other environmental sanitation activities; major progress has been made in the establishment of a funding system that elicits the participation and financial support of the health care consumer through volunary health insurance, covering large proportions of the population in the few years since its inception; the continuing building room in residential housing along with the continuous development of essential community sanitation infrastructure services are important factors in improved living and health conditions for the people; and the health system's growth must continue to be accompanied by planning, evaluation, and research atall levels. Specific topics covered include: demography and vital statistics; socioeconomic conditions; morbidity and mortality; hospital services; maternal and child health; nutrition; health education; expanded program immunization; environmental health; mental health; problems of special groups; health insurance; community and voluntary agency participation; international agencies; manpower and training; and planning and evaluation. Over the past 17 years, Judea, Samaria, and Gaza have been areas of rapid population growth and atthe same time of rapid socioeconomic development. In addition there have been basic changes in the social and health environment. As measured by socioeconomic indicators, much progress has been achieved for and by the people. As measured by health status evaluation indicators, the people benefit from an incresing quantity and quality of primary care and specialty services. The expansion of the public health infrastructure, combined with growing access to and utilization of personal preventive services, has been a key contributor to this process.
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.