Lecture 11 Notes

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University of Toronto Scarborough
International Development Studies
Anne- Emanuelle Birn

IDSB04- Lecture 11 Chp, 13 November 232010 Toward healthy societies Key questions: o What makes for a healthy society? Disease control as international health Legacy (in part) of colonial tropical medicine and Rockefeller Foundation mous operandi Examples of disease controleradication campaigns: o Hookworm o Yellow fever o Malaria o Smallpox Child survival campaigns Smallpox eradication Malaria eradication failed Lessons learned plus favorable conditions helped in smallpox eradication effort o Long experience with smallpox control o Lack of non-human animal host o Availability of effective vaccine o Global campaign strategically divided into tree comprehensive phases: attack, consolidation, maintenance. o Despite limited financial support, plenty of institutional and scientific support, but Very expensive for developing countries (although savings after eradication) Issues of coercion and divisions over approach and type of vaccine used What about other health issues that may have been more pressing? Child survival campaigns Throw-back to great disease campaigns of 1950s [in which] UNICEF proposed to vanquish common infections of early childhood using simple medical technologies GOBI: G rowth monitoring, Oral hydration therapy, breast feeding, and immunization against six childhood diseases (TB< diphtheria, whooping cough, tetanus, polio, and measles) GOBI-FFF: Above plus family planning, female education, and food supplementation Limitation included: o Ritualistic growth monitoring wo addressing reason for poor nutrition o Oral rehydration wo addressing reason for childhood diarrhea www.notesolution.com
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