Bulletin of the World Health Organization

Articles from Vol. 79, No. 8, August

A Donor Perspective
Public-private partnerships in health have to be seen in wider economic and political contexts, usually set by domestic agendas in the West. These agendas have frequently been driven by ideology, but more recently the debate has centred on exploring...
A Landscape in Rapid Transition
The product development landscape for important diseases in developing countries is in rapid transition. Unacceptably empty pipelines are complemented by new scientific and technological possibilities. These two phenomena have led many people from...
A Role for Public-Private Partnerships in Controlling Neglected Diseases?
Public-private partnerships mean different things to different people, depending on the values of the individuals and organizations concerned. They raise numerous political, social, public health, economic and commercial issues. Partnerships formed...
Building Local Research and Development Capacity for the Prevention and Cure of Neglected Diseases: The Case of India
Voir page 746 le resume en francais. En la pagina 746 figura un resumen en espanol. Introduction Health and economic development are positively linked, and external investment is needed to break the vicious cycle of poor health and poverty that...
Disease Management: Definitions, Difficulties and Future Directions
Voir page 762 le resume en francais. En la pagina 762 fiqura un resumen en espanol. Introduction Public policy initiatives aimed at containing costs are redefining the boundaries and economics of medical care in most member countries of the Organisation...
Evaluation of Efficacy of School-Based Anthelmintic Treatments against Anaemia in Children in the United Republic of Tanzania
Voir page 701 le resume en francais. En la pagina 702 figura un resumen en espanol. Introduction Iron-deficiency anaemia can affect the mental and motor development of children (1, 2) with potential long-term consequences for productivity and...
Infotech and Biotech: Learning the Lessons
The development of the World Wide Web has arguably had a profound influence on many facets of life in almost every country over the past decade. The pace of innovation, in both hardware and software, has not slackened and equally momentous changes...
Inherited Haemoglobin Disorders: An Increasing Global Health Problem
Voir page 711 resume en francais. En la pagina 712 figura un resumen en espanol. Introduction As a result of heterozygote advantage against malaria, the inherited haemoglobin disorders are the commonest monogenic disease (1, 2). It has been estimated...
Initial Lessons from Public-Private Partnerships in Drug and Vaccine Development
Voir page 733 le resume en francais. En la pagina 733 figura un resumen en espanol. Introduction Today's technology boom presents a paradox. Armed with an understanding of genomics and increasingly sophisticated research tools made possible by...
Making a Public-Private Partnership Work -- an Insider's View
In November 199g, Dr Amadou Diarra was appointed senior director of Bristol-Myers Squibb's Secure the Future initiative. Launched 18 months ago, this public-private partnership is seeking, together with the governments of nine African countries, innovative...
Market Enticements Are Not Enough
In theory, public-private partnerships begin to tackle both market failure and what has to date been public policy failure in the area of drugs for neglected diseases. They are a hopeful experiment but their potential is as yet unproven. While the...
Mass Psychogenic Illness Following Tetanus-Diphtheria Toxoid Vaccination in Jordan
Voir page 769 le resume en francais. En la pagina 770 figura un resumen en espanol. Introduction The Expanded Programme on Immunization in Jordan was founded in 1979 and has developed into a mature and sophisticated immunization service. Coverage...
Near Halving of Some Populations Likely in Next 50 Years
A total of 39 industrialized countries will probably see their populations shrink by the year 2050, even as the world's population is predicted to grow from the current 6.1 billion to between 7.9 and 10.9 billion, according to new data issued by the...
On the Antibacterial Action of Cultures of a Penicillium, with Special Reference to Their Use in the Isolation of B. Influenzae
WHILE working with staphylococcus variants a number of culture-plates were set aside on the laboratory bench and examined from time to time. In the examinations these plates were necessarily exposed to the air and they became contaminated with various...
Partnerships Need Principles
Public-private partnerships are becoming increasingly common in many fields, including health. For WHO, the critical objective of any partnership should be a health gain for the population WHO serves. In the field of medicines this could mean improved...
Penicillin: From Discovery to Product
This section looks back to some ground-breaking contributors to public health, reproducing them in their original form and adding a commentary on their significance from a modern-day perspective. To complement the theme of this month's Bulletin, Sir...
Perspectives on Stimulating Industrial Research and Development for Neglected Infectious Diseases
Voir page 740 le resume en francais. En la pagina 740 figura un resumen en espanol. Introduction While 50% of global health research and development (R&D) in 1992 was undertaken by private industry, less than 5% of the money was spent on...
Poor Countries Get Free Online Access to Medical Journals
The six publishers of about 1500 of the world's leading medical journals have agreed to provide online access to their journals free or almost free to developing country institutions. At a press conference in London on 9 July, the publishers said the...
Private Investment in AIDS Vaccine Development: Obstacles and Solutions
Voir page 726 le resume en francais. En la pagina 726 figura un resumen en espanol. Background Global investment in the development of preventive AIDS vaccines has been quite limited (1, 2). In 1999 only US$ 350 million were spent by the public...
Public-Private Health Partnerships: A Strategy for WHO
Voir page 753 le resume en francais. En la pagina 753 figura un resumen en espanol. Introduction In 1993 the World Health Assembly called on WHO to mobilize and encourage the support of all partners in health development, including nongovernmental...
Public-Private Partnerships for Health: Their Main Targets, Their Diversity, and Their Future Directions
Voir page 719 le resume en francais. En la pagina 720 figura un resumen en espanol. Introduction The disparities in health between rich and poor populations are, in a significant measure, attributable to a lack of access to drugs and vaccines...
Putting the Partnership into Public-Private Partnerships
The theme section of issue of the Bulletin brings into focus public-private partnerships (PPPs) with the pharmaceutical industry. The term public-private partnerships is currently receiving unprecedented exposure in international public health. However,...
Resistance of Sandflies to DDT in Kala-Azar Endemic Districts of Bihar, India
Editor -- Vector resistance to insecticides has been highlighted by Kasap et al. in their comparative study relating to malaria in Turkey (1). In India, phlebotomine sandflies used to be considered highly susceptible to all insecticides; but indiscriminate...
Reversing Failure
Partnerships in global health care involving government institutions and industry -- particularly research-oriented pharmaceutical industry -- are relevant to at least three challenges: development of new medicines for certain diseases such as malaria;...
Sponging Cattle with Insecticide Halves Malaria Incidence in Study
Malaria is endemic in much of southern Asia, and current methods for controlling the disease are limited by cost considerations. But a study published 9 June in The Lancet shows, for what is believed to be the first time, that sponging livestock with...
The Mwanza Trial: Dr Hudson Replies
Editor -- In January 2001 the Bulletin published my review of the Mwanza and Rakai community-based trials of sexually transmitted disease (STD) interventions, highlighting the role of behavioural factors in the effectiveness of STD treatment (1). My...
The Promise of Stem Cells
Scarcely a month goes by without a significant piece of research into stem cells being published in a scientific journal. Each finding brings new insight into cell and tissue development and tantalizes the medical and scientific community with the...
Thinking Boldly
Donor assistance in the order of US$ 20 billion or so per year may be required for sub-Saharan Africa if the vicious cycle of impoverishment and disease is to be broken. The vast bulk of increased assistance will have to come from governments, but...
Values and Benefits
Since the health problems in question are usually far away from the resources that could solve them, a bridging mechanism is certainly needed. It is for finding and transferring such resources that innovative partnerships hold most promise, especially...

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