Pharmaceuticals for Developing Countries Conference Proceedings (1979) / Chapter Skim
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INTERNATIONAL HEALTH POLICY INITIATIVES
INTERNATIONAL HEALTH POLICY INITIATIVES
Pages 391-398
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From page 391... ...
I have come to the conclusion that there is no single thing that has a greater benefit to every level of society and that pays off better than health care in developing countries. I might say also that this has been confirmed by the many authorities whom I've talked to and who have helped me to learn this.
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From page 392... ...
I fear that the barrage of staggering statistics of death and disease in far-away places has had such a numbing effect on our sensitivities and awareness that they represent mere numbers rather than a chilling reflection of human tragedy on a global scale. Every year 15.6 million children under the age of five die, almost all of them in the developing countries of the world, most of which are located in the tropics.
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From page 393... ...
In order to effectively control these diseases, it is essential that water supplies be made safe, that there be sanitary waste disposal, that housing be adequate, that nutrition be drastically improved, and that environmental determinants of disease be controlled. Our experience in the western nations has shown conclusively that dramatically improved health status is directly related to such public health measures which are in turn a function of rising overall economic development.
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From page 394... ...
United States aid efforts have adopted a basic human needs approach that focuses on the poorest people and their achievement of self-sufficiency to obtain the necessities of life and to bring them into the market economy. This approach recognizes that developing countries are characterized by dual economies and attempts to involve the poor in movement toward economic development.
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From page 395... ...
This is the kind of imaginative and long-term thinking that I believe would be of immeasurable service to developing countries and to the United States pharmaceutical industry. In addition to acquisition problems -- who pays -- there is the very serious problem of an appropriate delivery system.
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From page 396... ...
I raise this issue to challenge you who are attending this specific Conference to wrestle with the full seriousness and complexity of the problems associated not only with the use of existing drugs to treat patients in developing countries, but also to recognize that the health needs of developing countries require much more than treatment which can be provided by drugs. The second situation I wish to discuss is one in which a clearly needed safe and effective pharmaceutical has not yet been developed.
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From page 397... ...
Unfortunately, as a proportion of gross national product, United States aid has fallen from half of one percent in 1965 to one-fourth of one percent in 1976. The role of the United States in these efforts must be increased but in such a way as to involve more nations, as well as involving private industry and the voluntary sector.
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