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Endemics and the environment in the 21st century

In the introduction the autor defines health as the "adaptation of man to environment, preserving his physical, functional, mental and social integrity". He extends the concept of development to "good living conditions, including food, housing, education, health care, social welfare, security, recreation, safety, and freedom". The relationship between development and health is associated with natural and artificial resources and environments and with human behaviours such as population growth, crowding and migrations. Man is "Nature's host and his own victim". Although the 1978 Alma-Ata Conference predicted "Health for all by the year 2000", the world's health deteriorated in the last decade because of the economic crisis and a population increase of about one billion persons that could not be matched by sendees such as health, education, transportation, food, housing and social security. Infectious diseases are responsible for 34% of deaths in the developing world and only 1% in developed countries. Yearly, 15 million children die from infectious diseases and/or malnutrition and 93% of avoidable deaths occur in the developing countries. There is no direct correlation between economic development and health quality; it depends on health and social organization.

Health; Development; Environment; Endemic Diseases; Morbi-Mortality


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