Starting from Year One: The Politics of Health in Nicaragua

1980 ◽  
Vol 10 (4) ◽  
pp. 647-656 ◽  
Author(s):  
José Carlos Escudero

The triumphant Sandinista revolution inherited a health situation characterized by high mortality, low life expectancy, widespread malnutrition, and a medical system limited in scope. The extent of these problems can only be estimated as a result of the somocista government's failure to develop an accurate system of vital statistics. While there are many options available for rapidly decreasing the high levels of mortality and morbidity in Nicaragua, the revolutionary government has chosen a strategy which fuses public health and politics. A health network based on popular participation and control is being formed which should not only decrease the high rates of malnutrition and infectious diseases in a cost-efficient manner, but should increase the strength of the revolution as well.

1974 ◽  
Vol 14 (3) ◽  
pp. 168-179 ◽  
Author(s):  
J. D. J. Havard

The importance to public health authorities of the mortality and morbidity from child pedestrian accidents is reviewed and attention is drawn to the inadequate state of the available information on morbidity from such accidents. The need to improve the existing statistics is emphasized and the contribution which can be made by epidemiological studies is discussed in the light of the available evidence concerning the human and environmental factors influencing the risk of mortality and morbidity from such accidents. Attention is drawn to the need for public health authorities to become more actively involved in the prevention and control of child pedestrian accidents. The importance of countermeasures being based on proven epidemiological studies is emphasized and it is suggested that countermeasures should be subjected to the same degree of preparation and evaluation as is accorded by public health authorities to other high-risk groups in the population.


2020 ◽  
Vol 32 (3) ◽  
pp. 402-411
Author(s):  
Eung Tae Kim ◽  
Sungmin Kim

Purpose The purpose of this paper is to develop a framework for an interactive clothing that offers a self-directed learning environment in which learners can practice exercises in a time and cost-efficient manner. Design/methodology/approach To verify the validity of the framework, an interactive shirt has been developed that can help its wearer practicing certain motor skills in a self-directed manner. This shirt enables the wearer to set reference body postures and to compare current posture with them and can notify whether its wearer repeats them correctly or not through vibrotactile feedback. Findings The interactive shirt prototype developed in this study will offer an environment in which learners can practice exercises in a time and cost-efficient manner. Originality/value The smart garment framework developed in this study consists of sensor-actuator module, switch device and control software. As this framework is easily scalable, it is expected that it can be used for various smart garment projects where an interaction between the garment and its wearer is needed.


2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
P. Bhatter ◽  
A. Chatterjee ◽  
N. Mistry

India and China are two Asian super-powers with developing economies carried on the shoulders of their booming populations. This growth can only be sustained by nurturing their “human resource”. However increasing reports of insufficient public health (PH) initiatives in India when compared to the aggressive PH system of China may prove to be the Achilles’ heels for India. This review compares the PH system in India and China for combating Tuberculosis (TB), the disease responsible for maximum mortality and morbidity by a single infectious agent. While China has acknowledged the disease load and thereafter has methodically improved its reporting, detection, diagnosis and treatment, India is still in denial of the imminent health risk. The Indian PH system still considers TB as a “facultative” disease for which the required control measures are already in place and functioning. Globally, India and China recorded the highest Multi-Drug Resistant TB (MDR) cases notified in 2010 (64000 and 63000, respectively). Additionally non-government sources reported extremely high proportions of MDR in India. Here we have compared the medical, social and economic approaches of the two nations towards better management and control of TB. Does India have lessons to learn from China?


2004 ◽  
Author(s):  
Parsa Mirhaji ◽  
S. Lillibridge ◽  
R. Richesson ◽  
J. Zhang ◽  
J. Smith

Author(s):  
Diana Hart

All countries are faced with the problem of the prevention and control of non-communicable diseases (NCD): implement prevention strategies eff ectively, keep up the momentum with long term benefi ts at the individual and the population level, at the same time tackling hea lth inequalities. Th e aff ordability of therapy and care including innovative therapies is going to be one of the key public health priorities in the years to come. Germany has taken in the prevention and control of NCDs. Germany’s health system has a long history of guaranteeing access to high-quality treatment through universal health care coverage. Th r ough their membership people are entitled to prevention and care services maintaining and restoring their health as well as long term follow-up. Like in many other countries general life expectancy has been increasing steadily in Germany. Currently, the average life expectancy is 83 and 79 years in women and men, respectively. Th e other side of the coin is that population aging is strongly associated with a growing burden of disease from NCDs. Already over 70 percent of all deaths in Germany are caused by four disease entities: cardiovascular disease, cancer, chronic respiratory disease and diabetes. Th ese diseases all share four common risk factors: smoking, alcohol abuse, lack of physical activity and overweight. At the same time, more and more people become long term survivors of disease due to improved therapy and care. Th e German Government and public health decision makers are aware of the need for action and have responded by initiating and implementing a wide spectrum of activities. One instrument by strengthening primary prevention is the Prevention Health Care Act. Its overarching aim is to prevent NCDs before they can manifest themselves by strengthening primary prevention and health promotion in diff erent sett ings. One of the main emphasis of the Prevention Health Care Act is the occupational health promotion at the workplace.


Author(s):  
Adnan A. Hyder

This chapter briefly introduces ethics issues in injury prevention and control in low- and middle-income countries (LMICs), using a series of examples that prompt attention to the ethical principles of autonomy and justice. The chapter also introduces the section of The Oxford Handbook of Public Health Ethics dedicated to an examination of injury and public health ethics, with attention given to the complex ethical challenges arising in injury prevention and control in LMICs. The section’s two chapters discuss public health ethics issues arising in the prevention and control of unintentional injuries and intentional injuries, respectively. Those chapters define a set of ethics issues within international injury work and provide an initial analysis of the nature of those ethics issues, their specificity, and potential pathways for addressing them.


Author(s):  
Markus Frischhut

This chapter discusses the most important features of EU law on infectious diseases. Communicable diseases not only cross borders, they also often require measures that cross different areas of policy because of different vectors for disease transmission. The relevant EU law cannot be attributed to one sectoral policy only, and thus various EU agencies participate in protecting public health. The key agency is the European Centre for Disease Prevention and Control. Other important agencies include the European Environment Agency; European Food Safety Authority; and the Consumers, Health, Agriculture and Food Executive Agency. However, while integration at the EU level has facilitated protection of the public's health, it also has created potential conflicts among the different objectives of the European Union. The internal market promotes the free movement of products, but public health measures can require restrictions of trade. Other conflicts can arise if protective public health measures conflict with individual human rights. The chapter then considers risk assessment and the different tools of risk management used in dealing with the challenges of infectious diseases. It also turns to the external and ethical perspective and the role the European Union takes in global health.


2021 ◽  
Vol 13 (8) ◽  
pp. 4208
Author(s):  
Jun Zhang ◽  
Xiaodie Yuan

As the most infectious disease in 2020, COVID-19 is an enormous shock to urban public health security and to urban sustainable development. Although the epidemic in China has been brought into control at present, the prevention and control of it is still the top priority of maintaining public health security. Therefore, the accurate assessment of epidemic risk is of great importance to the prevention and control even to overcoming of COVID-19. Using the fused data obtained from fusing multi-source big data such as POI (Point of Interest) data and Tencent-Yichuxing data, this study assesses and analyzes the epidemic risk and main factors that affect the distribution of COVID-19 on the basis of combining with logistic regression model and geodetector model. What’s more, the following main conclusions are obtained: the high-risk areas of the epidemic are mainly concentrated in the areas with relatively dense permanent population and floating population, which means that the permanent population and floating population are the main factors affecting the risk level of the epidemic. In other words, the reasonable control of population density is greatly conducive to reducing the risk level of the epidemic. Therefore, the control of regional population density remains the key to epidemic prevention and control, and home isolation is also the best means of prevention and control. The precise assessment and analysis of the epidemic conducts by this study is of great significance to maintain urban public health security and achieve the sustainable urban development.


Sign in / Sign up

Export Citation Format

Share Document