Biomedical subjects
M C Thuriaux
Publications and source records attributed to M C Thuriaux.
[Monitoring progress towards health for all in the European region of WHO IV. Changes in health systems].
This review deals with recent changes in health services development and support among the Member States of the European Region in response to changes in health indicators in the framework of the Regional targets for Health for all. Developments in research, in health legislation and in training which take into account the targets of Health for all represent long-term actions; several countries mention efforts to increase community participation in the development and evaluation of health programmes, efforts which must be actively pursued. Changes are perforce slow, and economic pressure represents both a challenge and a constraint.
[Monitoring progress towards health for all in the European region of WHO. III. Life style and physical environment].
A review of recent progress towards the Regional targets set for Health for all in the European Region of WHO, as regards lifestyle and environmental factors. Tobacco consumption (in most countries), and alcohol drinking (mainly in countries with previous high consumption) show some improvement. Illicit drug use is emerging in new countries, although it appears to stabilise in previously affected areas. Despite considerable efforts on environmental factors, there remains a serious problem of communication with the public, and action is poorly coordinated; indicators for environmental health show little progress.
[Toward health for all in the European region of the WHO. Survey of progress accomplished. II. Preliminary conditions: demographic and health status].
A review of recent progress towards the regional targets set for health for all by the Member States of the European Region of WHO, as regards preliminary conditions for health, and for indicators of mortality, morbidity and disability. Life expectancy, infant and maternal mortality, and mortality from ischaemic heart disease and from traffic accidents show an improvement, as does the incidence of several infectious diseases, but the situation has worsened or stagnated as regards suicide and cancer, and there is a lack of information on disability and chronic morbidity. Despite some progress, the goal of equity in health is still very far from being attained.
[Consequences of disease and their measurement: introduction].
The measurement of the long-term consequences of disease, which are said to affect 7-10% of the world population in both developing and developed areas, presents both technical and conceptual problems. The development of classification schemes, foremost among which is the International Classification of Impairments, Disabilities, and Handicaps (ICIDH), has considerably changed our perception of these consequences, and has influenced the areas of rehabilitation, social insurance and legislation, disability surveys and health planning. More indirect applications have been the use of classifications in identifying, at local level, disadvantages in everyday life and ways to mitigate these disadvantages; at the macroplanning level, the concept of disability-free life expectancy is gaining increasing recognition. There is an increasing call for revising and updating ICIDH, particularly in the area of handicap, where societal and environmental factors have to be more explicitly taken into account. The operationalization of proposed modifications will require considerable thought and discussion in which persons with disabilities and their representatives will have an important role to play.
Wilson's disease in the Arabian Peninsula.
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Maternal mortality in developing countries.
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Use of indicators for health-for-all strategies: experience from the WHO European Region.
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Maternal mortality in developing countries.
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Maternal mortality in developing countries: a note on the choice of denominator.
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Positive health indicators.
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A prevalence survey of lower limb motor disorders in school-age children in Niger and an estimation of poliomyelitis incidence.
An investigation of lower limb motor disorders among school-age children in Niger has shown a prevalence rate of seven per thousand in this age group. Sequelae of poliomyelitis, the major group among these disorders, show no significant difference according to sex or to school attendance status. Eight per cent of children suffering from poliomyelitis sequelae are unable to work and a further eight per cent need crutches or other aids. Patient histories indicate that over 90% of cases occurred before the child's fourth birthday. Extrapolation from the observed data indicate a tentative annual incidence rate for paralytic poliomyelitis in the order of 45 per 100,000, a figure seven to ten times higher than the figures gathered from routine notifications of poliomyelitis in Niger. The total number of those unable to walk unaided among children under 15 can be estimated in 1981 at 1600, half of whom are unable to walk at all. Trauma to peripheral nerves after intramuscular injections, usually of quinine salts, is second only to poliomyelitis as a cause of lower limb motor disorders.
Urolithiasis in Sahelian Africa.
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Health statistics in developing countries.
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Training of doctors in developing countries.
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Distribution of intestinal helminths in children in the Yemen Arab Republic.
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The nephrotic syndrome and Plasmodium malariae in the Yemen Arab Republic.
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