Page:Brundtland Report.djvu/115

 institutional arrangements to coordinate all such activities effectively.

55. Within the narrower area of health care, providing primary health care facilities and making sure that everyone has the opportunity to use them are appropriate starting points. Maternal and child health care are also particularly important. The critical elements here are relatively inexpensive and can have a profound impact on health and well-being. An organized system of trained birth attendants, protection against tetanus and other childbirth infections, and supplemental feeding can dramatically reduce maternal mortality. Similarly, low-cost programmes to assure immunization, teach and supply oral dehydration therapy against diarrhoeas, and encourage breast-feeding (which in turn can reduce fertility) can increase child survival rates dramatically.

56. Health care must be supplemented by effective health education. Some parts of the Third World may soon face growing numbers of the illnesses associated with life-styles in industrial nations – cancer and heart disease especially. Few developing nations can afford the expensive treatment required for the latter diseases, and should begin efforts now to educate their citizens on the dangers of smoking and of high-fat diets.

57. A rapid spread of acquired immune deficiency syndrome (AIDS) in bot developed and developing nations could drastically alter all countries' health priorities. AIDS is threatening to kill millions of people and disrupt the economies of many countries. Governments should overcome any lingering shyness and rapidly educate their people about this syndrome and about the ways in which it is spread. International cooperation on research and the handling of the disease is essential.

58. Another major health problem with international ramifications is the increase in drug addiction. It is a problem closely linked to organized crime in the production of drugs, in large-scale international traffic in these drugs, and in the networks for distribution, It distorts the economy in many poor producing areas and destroys people the world over. International cooperation is essential in tackling this scourge, Some countries have to deploy considerable financial resources to halt the production and traffic in narcotics and to promote crop diversification and rehabilitation schemes in the producing areas, which are generally impoverished. To sustain their efforts, greater international assistance is essential.

59. Most medical research focuses on pharmaceuticals, vaccines, and other technological interventions for disease management. Much of this research is directed at the diseases of industrialized countries, as their treatment accounts for a substantial part of the sales of pharmaceutical companies. More research is urgently needed on the environmentally related tropical diseases that are the major health problem in the Third World. This research should focus not merely on new medicines, but also on public health measures to control these diseases. Existing arrangements for international collaboration on tropical disease research should be greatly strengthened. /…