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Pages 227-230

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From page 227...
... AIDS is out of control in much of sub-Saharan Africa, India, China, and elsewhere; bioterrorism has become a reality; the relentless rise of antimicrobial resistance continues; we have no viable strategy or acceptance of responsibility for the replacement of obsolescing antibiotics; many disappointments surround efforts to develop vaccines for diseases such as malaria and HIV, as well as the range of new vaccines that may be needed for natural and manmade threats; in some countries a poorly informed popular movement against vaccination has led to a resurgence of common childhood infections; and cholera, drug-resistant malaria, and dengue fever continue to spread to new areas. Moreover, microbial threats .
From page 228...
... Such political turbulence is paralleled by the state of the global economy, including the massive burden of third-worId debt, currency and banking crises, and the cycling of economic bubbles and collapses all of which have eroded the resources available for public health and for entrepreneurial investment in antimicrobials and vaccines to counter the microbial threats identified in this report. Not surprisingly, the interdependence of health status and economic and social development is also interwoven with issues of leadership, whether at critical health institutions or in various national regimes.
From page 229...
... We have not done enough in our own defense or in the defense of others. As we take stock of our prospects with respect to microbial threats in the years ahead, we must recognize the need for a new level of attention, dedication, and sustained resources to ensure the health and safety of the United States and of the world.
From page 230...
... 230 MICROBIAL THREATS TO HEALTH tenng the field, many of whom are now assuming faculty positions in universities. Perhaps as the public health importance of vector-bone and zoonotic disease control is better recognized, student demand will grow, and previously lost positions in much-needed related areas of science will be regained.

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