Infectious disease clinics of North America
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Infect. Dis. Clin. North Am. · Jun 1995
Mass population displacement. A global public health challenge.
Since the end of the Cold War, there has been a dramatic increase in civil conflicts resulting in approximately 50 million refugees and internally displaced civilians. The public health impact of these situations has been immense, comprising high rates of communicable diseases, elevated prevalence of acute malnutrition, and high excess mortality rates. The prevention of these adverse public health effects includes early warning and intervention; prompt supply of adequate food, water, and sanitation; measles immunization; effective management of epidemic communicable diseases; and simple and timely information systems.
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Infect. Dis. Clin. North Am. · Jun 1995
International health: beyond the year 2000. Project selection. Many needs, few resources.
With the tightening of health budgets in developing countries and aid donor allocations, the question of setting priorities is again at the forefront of policy issues. The luxury of letting a free market in health projects flourish cannot be afforded. This article reviews some of the major proposals for setting such priorities set out in recent years and argues for additional criteria to be applied, as well as the essential role of a new international mechanism to bridge the gap between the world of health research and service needs in the field. With some modest leadership in this area, the 1990s could be a time of major broad-based achievements in international health.
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Although women live longer than men, new evidence indicates women bear a disproportionately heavy burden of disease. The effect of disease on economic productivity of women in developing countries has been largely ignored. ⋯ Although men and women usually experience similar rates of many diseases, rates of exposure and treatment vary between men and women. If untreated, factors adversely affecting women's health in one stage compound women's ill health in succeeding stages.
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Infect. Dis. Clin. North Am. · Jun 1995
Some international efforts of medical schools to improve health care systems.
With growing frequency, medical schools are challenged to redirect their educational and research programs to better respond to the inadequacies of healthcare delivery systems. Some of the accomplishments and difficulties that may arise when this is attempted can be found in the experience of three new schools linked to large healthcare systems in different areas of the world.