Bulletin of the World Health Organization

Articles from Vol. 79, No. 4, April

A Flowchart for Managing Sexually Transmitted Infections among Nigerian Adolescent Females
Voir page 304 le resume en francais. En la pagina 305 figura un resumen en espanol. Introduction Sexually transmitted infections (STIs) constitute a major health problem for women worldwide, especially adolescents, among whom Chlamydia trachomatis...
Alcohol Takes Its Toll on Europe's Youth
Whether it is drinks or drugs -- getting high seems to be increasingly popular among European teenagers. In most European countries, today's 16-year-olds consume more alcohol, cannabis and other drugs than ever. And they're paying a price. Alcohol...
Environmental Pesticide Exposure in Honduras Following Hurricane Mitch
Voir page 293 le resume en francais. En la pagina 294 figura un resumen en espanol. Introduction On 24 October 1998, the Atlantic tropical storm Mitch was upgraded to a hurricane that quickly developed into one of the strongest and most damaging...
Ethical Principles for the Guidance of Physicians in Medical Research -- the Declaration of Helsinki
Advances in medicine depend on innovative and bold clinical research. Much of the progress we have seen in the effectiveness and safety of disease treatment, diagnosis and prevention is the result of intensive research involving human subjects. This...
Ethics and Clinical Research(*)
HUMAN experimentation since World War II has created some difficult problems with the increasing employment of patients as-experimental subjects when it must be apparent that they would not have been available if they had been truly aware of the uses...
Family History: An Opportunity for Early Interventions and Improved Control of Hypertension, Obesity and Diabetes
Voir page 326 le resume en francais. En la pagina 327 figura un resumen en espanol. Introduction Noncommunicable diseases (NCD), particularly cardiovascular diseases, are an important determinant of morbidity and mortality of people all over...
Health Services under the General Agreement on Trade in Services(1)
Voir page 364 le resume en francais. En la pagina 364 figura un resumen en espanol. Introduction The concept of international trade in services is relatively new. Unlike the bulk of agricultural and industrial production, services have long been...
HIV/AIDS Control Needs a Clear Plan of Action
Editor -- Nelson Mandela's call for unity at the XIIIth International AIDS Conference (1) highlighted the need for all countries to combine their efforts in the fight against the HIV/AIDS epidemic, particularly in the developing world where HIV infection...
Improving Antibiotic Prescribing in Hai Phong Province, Viet Nam: The "Antibiotic-Dose" Indicator
Voir page 319 le resume en francais. En la pagina 319 figura un resumen en espanol. Introduction Arguably the greatest threat to the availability of affordable and appropriate medicine for people of low income is the rise of bacterial resistance...
In Brief
New partnership boosts work on malaria vaccine for children The pharmaceutical giant GlaxoSmithKline (GSK) has teamed up with the US-based Program for Appropriate Technology in Health (PATH) to develop a malaria vaccine for use in children. PATH...
Keeping Clean Water Clean in a Malawi Refugee Camp: A Randomized Intervention Trial
Voir page 286 le resume en francais. En la pagina 286 figura un resumen en espanol. Background Considerable efforts have been made to compare the benefits of providing increased quantities of water to impoverished populations with providing better...
Laying Ethical Foundations for Clinical Research
Progress in international health will require further research involving human subjects, and this may often take place in developing countries. In recent years, human experimentation has been dogged by controversy. Scientists from industrialized countries,...
Leprosy in China: Epidemiological Trends between 1949 and 1998
Voir page 311 le resume en francais. En la pagina 311 figura un resumen en espanol. Introduction The largest share of the estimated total number of cases of leprosy, a chronic infectious disease caused by Mycobacterium leprae, which essentially...
Lifestyle and Alzheimer Disease -- Study Strengthens Link
African-Americans living in an industrialized US city are more than twice as likely to develop Alzheimer disease and other dementias than are Africans living in Nigeria, according to a study published in the 14 February Journal of the American Medical...
Mass Measles Vaccination in Urban Burkina Faso, 1998
Voir page 299 le resume en francais. En la pagina 300 figura un resumen en espanol. Introduction Supplemental measles vaccination campaigns are a key component of the WHO strategy to eliminate measles. In the Americas most countries have successfully...
Medicines for All, Not Just the Rich
March brought bad news for the HIV virus, but good news for HIV/AIDS patients, particularly those in poor countries. In the second week of the month, Merck and Co., a leading US pharmaceutical manufacturer, announced it would slash the prices of two...
Relationship between Malaria Endemicity and Acute Febrile Illness Mortality in Children
Editor -- The relationship between the intensity of malaria transmission and the degree of malaria risk was discussed recently in the Bulletin's theme section on malaria (1). In their study in the Lancet of hospital admissions in Kenya and the Gambia,...
Resources for Controlling Tuberculosis in Malawi
Voir page 335 le resume en francais. En la pagina 335 figura un resumen en espanol. Introduction In sub-Saharan Africa there has been an upsurge in the number of patients with tuberculosis (TB) in the past 10 years, mainly because of coinfection...
Safety of the Intradermal Copenhagen 1331 BCG Vaccine in Neonates in Durban, South Africa
Voir page 342 le resume en francais. En la pagina 342 figura un resumen en espanol. Introduction Tuberculosis (TB) is one of the most important public health issues worldwide. It is thought that in the 1990s there were 90 million new cases of...
The Treatment of Epilepsy in Developing Countries: Where Do We Go from Here?
Voir page 349 le resume en francais. En la pagina 350 figura un resumen en espanol. Introduction Epilepsy is the most common serious neurological disorder and is one of the world's most prevalent noncommunicable diseases. It is estimated that...
US Health Care Takes a Battering
The United States' health care system fails to deliver consistent, high-quality health care to its citizens, and without a major overhaul the problem will continue, according to a new report from the Institute of Medicine (IOM) of the US National Academies....
World Medical Association Declaration of Helsinki
Ethical Principles for Medical Research Involving Human Subjects Adopted by the 18th WMA General Assembly, Helsinki, Finland, June 1964; amended by the 29th WMA General Assembly, Tokyo, Japan, October 1975; 35th WMA General Assembly, Venice, Italy,...
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