Abstract
The problems of health and disease in tropical countries differ from those in the temperate zones in several important respects. It is by no means a question only of climate, nor of the parasitic and vector-borne diseases which are largely confined to the tropics and subtropics because their causative parasites require high ambient temperatures for development or because their vertebrate and/or invertebrate hosts are restricted to warm climates. Equally important are the social, nutritional, educational, and environmental factors characteristic of the poverty—both rural and urban—that afflicts the majority of the peoples of most tropical developing countries—poverty not only of income but also of public services and resources, and increasing in many areas because of galloping population growth in the face of slow and often faltering economic growth. In such circumstances, existing knowledge capable of improving health and controlling diseases cannot be effectively utilized, and further advances in knowledge from research will be equally ineffective unless they can be interpreted into economically feasible and socially, culturally, politically, and ecologically acceptable programs of action.
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References
Abdel-Wahab, K. S. E., El Baz, L. M., El Tayeb, E. M., Omar, H., Ossman, M. A. M., and Yasin, W., 1978, Rift Valley fever virus infections in Egypt: Pathological and virological findings in man, Trans. R. Soc. Trop. Med. Hyg. 72:392–396.
Ashcroft, M. T., and Desai, P., 1978, Blood-pressure and mortality in a rural Jamaican community, Lancet 1:1167–1170.
Berge, T. O. (ed.), 1975, International Catalogue of Arboviruses Including Certain Other Viruses of Vertebrates, 2nd ed., U.S. Department of Health Education and Welfare Publication No. (CDC) 75–8301.
Boshell, M. J., 1969, Kyasanur Forest disease: Ecological considerations, Am. J. Trop. Med. Hyg. 18:67–80.
Bouvier, L. F., 1980, A “numbers” approach to the 1980 data sheet, Intercom 8(4):8–10.
Brandt Commission, 1980, North-South: A Program for Survival, MIT Press, Boston.
Browne, S. G., 1980, Le contrôle de la lèpre. Chimères et possibilités, Bull. Mem. Acad. R. Med. Bel g. 135:208–218.
Catterall, R. D., 1981, Biological effects of sexual freedom, Lancet 1:315–319.
Chambers, R., Longhurst, R., Bradley, D., and Feacham, R., 1979, Seasonal dimensions to rural poverty: Analysis and practical implications, J. Trop. Med. Hyg. 82:156–172.
Cockburn, W. C., 1971, World health importance of certain infectious diseases, in: Proceedings, International Conference on the Application of Vaccines against Viral, Rickettsial and Bacterial Diseases of Man, Pan American Health Organization Scientific Publication No. 226, PAHO, Washington, pp. 3–11.
Costa, M. F. F. de L., Katz, N., and Dias, J. C. P., 1980, Reinfecção de pacientes em áreas de esquistossomose mansoni após tratamento especifico. IV. Observações em Belo Horizonte, Rev. Inst. Med. Trop. Sao Paulo 22:97–107.
Davidson, G., Herath, P. R. J. and Hemingway, J., 1980, Recent trends in insecticide resistance shown by anopheline mosquitoes, in: 10th International Congress on Tropical Medicine and Malaria. Manila, Philippines, November 9–15, 1980. Abstracts, Quezon City: International Congress on Tropical Medicine and Malaria, 1980, pp. 68–69.
Davidson, G., Herath, P. R. J., and Hemingway, J., 1980, Recent trends in insecticide resistance shown by anopheline mosquitoes, in: Abstracts 10th International Congress on Tropical Medicine Mai. Manila, pp. 101–102.
Echeverria, P., Verhaert, L., Ulyangco, C. V., Komalarini, S., Ho, M. T., Orskov, F., and Orskov, I., 1978, Antimicrobial resistance and enterotoxin production among isolates of Escherichia coli in the Far East, Lancet 2:589–592.
Fattorusso, V., 1979, Problems of distribution, availability and utilization of agents in developing countries. D. Developing country perspectives—an overview, in: Pharmaceuticals for Developing Countries, National Academy of Sciences. Washington, pp. 250–259.
Feachem, R. G., 1978, Domestic water supplies, health and poverty: A brief review, Water Supply Manage. 2:351–362.
Fendall, N. R. E., 1965, Medical planning and the training of personnel in Kenya, J. Trop. Med. Hyg. 68:12–20.
Food and Agriculture Organization, 1979, Nutrition in Agriculture, Committee on Agriculture Vth Session, FAO, Rome.
Georghiou, G. P., 1972, Studies on resistance to carbamate and organophosphorus insecticides in Anopheles albimanus, Am. J. Trop. Med. Hyg. 21:797–806.
Golliday, F. L., and Koch-Waser, C. K., 1977, The new politics for rural health: Institutional, social and financial challenges to large scale implementation, in: Technologies for Rural Health, Proceedings B, Vol. 199, The Royal Society, London, pp. 169–178.
Guillet, P., Escaffre, H., Ouedraogo, M., and Quillévéré, D., 1980, Note Préliminaire sur une Resistance au Temephos dans le Complexe Simulium damnosum (S. sanctipauli et S. soubrense) en Côte d’Ivoire (Zone du Programme de Lutte Contre l’Onchocercose dans la Région du Bassin de la Volta), WH03VBC380.784, World Health Organization, Geneva.
Halstead, S. B., 1966, Mosquito-borne haemorrhagic fevers in south and southeast Asia, Bull. WHO 35:3–15.
Halstead, S. B., 1970, Observations related to pathogenesis of dengue haemorrhagic fever. VI. Hypotheses and discussion, Yale J. Biol. Med. 42:350–362.
Hamilton, P., and Diggory, P., 1979, The Caribbean Epidemiology Centre (CAREC), Bull. Pan Am. Health Org. 13:187–194.
Haub, C., 1980, World population: The next 20 years, Intercom 7(10):8–9.
Herath, P. R. J., and Davidson, G., 1981, Studies on the nature of malathion resistance in a population of Anopheles culicifacies Giles, Bull. WHO, 59(3):383–386.
Joshua, G. E., Ratnaike, N., and Benjamin, V., 1971, Lead poisoning in a family of 18 members in Vellore town, Indian J. Med. Res. 59:1496–1507.
Lancet, 1981, International Drinking Water Supply and Sanitation Decade, Lancet 1:321.
Longhurst, R., and Payne, P. R., 1981, Seasonal aspects of nutrition, in: Seasonal Dimensions of Rural Poverty: Analysis and Practical Implications (R. Chambers, R. Longhurst, D. Bradley, and R. Feachem, eds.), Frances Pinter Ltd., pp. 45–52.
Lovemore, D. F., and Bax, P. N., 1972, An isolated outbreak of cattle trypanosomiasis near the Victoria Falls, Rhodesia, Rhodes. Sci. News 6:14–17.
Mara, D., and Feachem, R., 1980, Technical and public health aspects of low cost sanitation programme planning, J. Trop. Med. Hyg. 83:229–240.
Marques, A. C., 1979, Migrates internas e as grandes endemias, Rev. Bras. Malariol Doengas Trop. 31:137–158.
Menon, P. K. B., and Rajagopalan, P. K., 1980, Relative importance of different types of breeding habitats in contributing to the population of Culex pipiens fatigans in Pondicherry, Indian J. Med. Res. 71:725–733.
Monath, T. P., 1975, Lassa fever: Review of epidemiology and epizootology, Bull. WHO 52:577–592.
Puffer, R. R., and Serrano, C. V., 1973, Patterns of Mortality in Childhood, Pan American Health Organization Scientific Publication No. 262, PAHO, Washington.
Ramsdale, C. D., Herath, P. R. J., and Davidson, G., 1980, Recent developments of insecticide resistance in some Turkish anophelines, J.Trop. Med. Hyg. 83:11–19.
Retel-Laurenten, A., 1967, Influence de certaines maladies sur la fécondité: Un example africain, Population 22:841.
Ripert, C., Carteret, P., and Gayte, M. J., 1969, Étude épidémiologique des bilharzioses intestinals et urinaire dans la région du lac de retenue de la Lufira (Katanga), Bull. Soc. Pathol. Exot. 62:571–581.
Rosen, L., 1977, The emperor’s clothes revisited, or reflections on the pathogenesis of dengue hemorrhagic fever, Am. J. Trop. Med. Hyg. 26:337–343.
Ross, R., 1909, Presidential address: The future of tropical medicine, Trans. R. Soc. Trop. Med. Hyg. 2:272–285.
Schenone, H., 1971, Estado de los estudios epidemiológicos sobre la enfermedad de Chagas en Chile, Bol. Of. Sanit. Panam. 70:250–255.
Singh, D., 1967, The Culex pipiens fatigans problem in South-East Asia: With special reference to urbanization, Bull. WHO 37:239–243.
Smith, C. E. G., 1964, Factors in the transmission of virus infections from animals to man, in: Scientific Basis of Medicine, Annual Reviews, Athlone Press, London, pp. 125–150.
Smith, C. E. G., 1975, Changing patterns of disease in the tropics, in:Man-Made Lakes and Human Health (N. F. Stanley and M. P. Alpers, eds.), Academic Press, London, pp. 345–362.
Smith, C. E. G., 1978, “New” viral zoonoses: Past, present and future, in: Microbial Ecology (M. W. Loutit and J. A. R. Miles, eds.), Springer-Verlag, Berlin, pp. 170–174.
Sofoluwe, G. S., Adegbola, A., and Akinyaniu, P. A., 1971, Urinary delta-aminolevulinic acid: Determinations among workers charging lead accumulator batteries in Lagos, Nigeria, Arch. Environ. Health 23:18–22.
Stocking, B., and Smith, C. E. G., 1981, National policies and national experts: Basic requirements in developing countries, Lancet 1:144–145.
Tayo, M. A., Pugh, R. N. H., and Bradley, A. K., 1980, Malumfashi Endemic Diseases Research Project, XI. Water contact activities in the schistosomiasis study area, Ann. Trop. Med. Parasitol. 74:347–354.
Thiruvengadam, K. V., Kalyanasundaram, V., and Rajagopal, J., 1965, Clinical and pathological studies on chikungunja fever in Madras City, Indian J. Med. Res. 53:729–744.
Thylefors, B., and TØnjum, A. M., 1980, A three-year follow-up of ocular onchocerciasis in an area of vector control, Bull. WHO 58:107–112.
United Nations, 1980, World Population Trends and Policies, 1979 Monitoring Report, Volume 1, Population Trends, United Nations, New York.
UNDP/World Bank/WHO, 1979, UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases, Third Annual Report, 1 July 1978–30 June 1979, WHO, Geneva.
Valverde, V., Vargas, W., Payne, P., and Thomson, A., 1981, Data requirements and use in nutrition planning in Costa Rica, Food Policy 6:19.
Vaughan, J. P., 1980, Barefoot or professional? Community health workers in the Third World, J. Trop. Med. Hyg. 83:3–10.
Walsh, J. F., 1972, Blackflies entering vehicles in northern Nigeria, Trans. R. Soc. Trop. Med. Hyg. 66:803–805.
Walsh, J. F., Davies, J. B., and La Berre, R., 1979, Entomological aspects of the first five years of the Onchocerciasis Control Programme in the Volta River basin, Tropenmed. Parasitol. 30:328–344.
Waterlow, J. C., and Payne, P. R., 1975, The protein gap, Nature 258:113–117.
World Bank, 1975, Health, Sector Policy Paper (Health Budgets), World Bank, Washington.
World Bank, 1979, World Development Report, 1979, World Bank, Washington.
World Bank, 1980, Water Supply and Waste Disposal, Poverty and Basic Needs Series 1980, World Bank, Washington.
World Health Organization, 1972, Occupational health programmes, WHO Chron. 26:537–546.
World Health Organization, 1975, Control of nutritional anaemia with special reference to iron deficiency, WHO Tech. Rep. Ser. No. 580.
World Health Organization, 1978a, The Work of WHO 1976–1977, Biennial Report of the Director General, WHO Official Record No. 243, WHO, Geneva.
World Health Organization, 1978b, Primary Health Care, WHO, Geneva.
World Health Organization, 1979a, Advisory group on the prevention of blindness: Data on blindness throughout the world, WHO Chron. 33:275–283.
World Health Organization, 1979b, Diarrhoeal Diseases Control Programme, Weekly Epidemiol. Rec. 54:393–395.
World Health Organization, 1980a, Resistance of vectors of disease to pesticides, fifth report of the WHO Expert Committee on Vector Biology and Control, WHO Tech. Rep. Ser. No. 655.
World Health Organization, 1980b, Viral respiratory diseases, report of a WHO scientific group, WHO Tech. Rep. Ser. No. 642.
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Smith, C.E.G. (1982). Priorities for Medicine and Health in the Tropics. In: Chandra, R.K. (eds) Critical Reviews in Tropical Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3424-8_1
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