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The impact of smoking in developing countries with special reference to Africa.

The health effects of smoking have been well documented in developed countries. This article highlights the impact of smoking and tobacco production on health and agricultural production in Africa. It shows that smoking represents an important current and future health risk to people in Africa, which will place stresses on the development of their health services. Tobacco production is shown to be associated with food imports, deforestation, and an economic dependence on transnational corporations. Possible solutions are proposed.

Adolescent↗

Some implications of a community mental health model for developing countries.

The aim of this paper is to call attention to certain problems facing many developing countries which are bound to lead to further difficulties in psychosocial adjustment. Almost all these problems are inherent in the process of socioeconomic change, urbanization, and industrialization. These changes may not only lead to an increase in the rate of mental illness, but because of their impact on the basic family structure and living conditions, will result in a reduced tolerance of deviation on the part of the community. Moreover, the spread of public education and mass media is also likely to lead to a change in the expectations and attitudes of developing nations making it no longer possible to endure psychological suffering as part of one's destiny. Even the improvement of public health services leading to reduction of infant mortality and a rise in life expectancy may lead to a gross increase in demands for mental health services by the very young and the aged sections of the population. It is the contention of this paper that a community mental health model, with certain modifications to fit the local culture, will best serve the increasing mental health needs of developing nations. Of particular relevance are such aspects of the model as population and prevention orientation, community involvement, extension of prefessional resources through consultation, utilization of non-professional manpower, continuity and comprehensiveness of care as well as an open systems conceptualization of the whole process of the organization and delivery of mental health services. The latter approach will help bring about an integration of mental health services within the wider framework of human service agencies, e.g., public health, general and adult education, family planning, and community development.

Affective Symptoms↗

Specifications for new technologies for female sterilization for use in developing countries.

The difficulties in providing readily accessible sterilization services for women in rural settings in developing countries are described; they include: problems with personnel; problems with training; anesthesia difficulties; and cost. For a new method of sterilization to be useful in such situations several criteria concerned with overcoming the perceived problems must be met. Any new procedure should be simple, easily learned, capable of being completed with a single visit, and should require only local anesthesia.

Developing Countries↗

A new suspension device for laryngeal endoscopy in developing countries.

In view of the various technical and electricity maintainance problems with endoscopes in any developing country, a new suspension device for laryngeal endoscopy with a straight-bladed anaesthetic laryngoscope has been described. The advantages of this system are its small size, cheap cost, lack of a chest piece and the use of a non-failing battery source. It also makes use of bipod stands already available in a tonsillectomy set. It can be used in the countryside, and in out-patient and mobile clinics.

Developing Countries↗