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PubMedDate not supplied

[The development of public health education: the Mauritius experience].

A public course has been initiated in 1990 in Mauritius for covering the national growing needs of public health specialists. This training course was organized jointly by the Ministry of Health, the University of Bordeaux II and the French Cooperation. After 3 sessions dedicated specifically to the Mauritian physicians, the course has been re-designed for the needs of the other countries of the region. A feasibility study performed in 1994 in the countries of the Indian ocean region showed that during the past decade, the district level had become the focus point to integrate the health programs. This process has progressively transferred a wider and stronger part of the responsibilities from the central level to the district level and the survey showed that most of the health district managers were physicians that did not have the proper background for carrying such responsibilities. According to these results, a course curriculum was created by the Mauritian Ministry of Health and the University of Bordeaux II and submitted to various organisms supporting health program development in the region. This proposal was strongly supported by several agencies (the french Cooperation, Unicef, WHO, World Bank...) who agreed to sponsor candidates for that training course. The first session was organized in 1995, a second one in 1996. This training course is targeted to the medical doctors who are in charge of the management of health services at the district level. It is divided in two parts: A six-weeks intensive training course performed in Mauritius that include formal teaching and practical exercises in small groups for a total of 210 hours. The curriculum is mainly targeted on the various aspects of management as the management of health information (biostatistics epidemiology and computing), the management of human resources, financial resources and material resources. In addition to these main topics, there is an introduction to pedagogy, communication skills and applied research methodology. Following this six-weeks, training the students come back to work in their country and have 8 months to perform a thesis supervised by a local public health specialist. The subject of the thesis has to be closely related with one of the topic taught and should provide an obvious improvement for the public health situation in the district where this physician is acting. In 1995, 22 candidates attend to the course (13 from Madagascar, 4 from Mauritius, 3 from Comoros, 1 from Angola, 1 from Equatorial Guinea and 1 from Tchad), 19 had successively completed all the modules and got the diploma of public health delivered by the University of Bordeaux II. This diploma has been recognized as an equivalent to a master in public health in Mauritius. The evaluation of the courses-performed by the students, the teachers and the financial agencies gave a very positive results although the workload was considered as too important for a six-weeks training course. The recommendations of the 1995 session were included in the 1996 programs which is still on going for 23 candidates. The 97 session will probably extend the number of students up to 40, divided in 4 subgroups for practical exercises. In parallel to the course, a quarterly bulletin will be created and sent to the present and past candidates of this course in order to support a continuous medical education training program targeted to the district physicians.

Communication↗
PubMed2005

Research initiatives in Mauritius.

Mauritius forms part of the Mascarene Islands of the Indian Ocean and is situated ca. 700 km to the east of Madagascar at latitude 20 degrees S and longitude 57.5 degrees E. Mauritius has jurisdiction over a proclaimed Exclusive Economic Zone that stretches over 1,900,000 km2. This extensive area holds an immense potential for exploration and presents a wide range of scientific and industrial challenges and opportunities. At present, ocean-related activities are undertaken by various governmental and para-statal institutions as well as non-governmental organizations. Mauritius recognizes the need to coordinate all efforts in order to eliminate wasteful duplication and focus on potential for development, and this has seen the establishment of different forums and committees. This paper gives a brief overview of the different institutions involved in marine science and oceanography in Mauritius and lists the major projects that are being undertaken as well as some of the projects or new research initiatives that are in the pipeline.

Conservation of Natural Resources↗
PubMed1995

Hb F-Mauritius [A gamma 23 (B5) Ala deleted]: evidence for an identical hotspot for deletions in the various beta-like genes.

Hemoglobin (Hb) F-Mauritius, a new A gamma chain variant, was identified from a dried blood spot collected from a heelprick during neonatal screening for the main hemoglobinopathies. This hemoglobin is the first gamma chain variant having a one residue deletion: it concerns alanine at position gamma 23. Hb F-Mauritius is therefore the counterpart of Hb Freiburg, an unstable variant of the beta chain in which the valine residue that occupies position beta 23 is deleted. The structural modification of Hb F-Mauritius was characterized by miniaturized protein chemistry methods, including sequence determination by mass spectrometry measurements. Hb Freiburg was used as a control in several experimental procedures. The hypothesis that a similar mechanism for deletion has occurred in Hb F-Mauritius and in Hb Freiburg is supported by the high percentage of homology observed between the beta and gamma globin genes. In addition, the first exon of the beta-globin has been recognized as a hotspot for deletion: several beta-thalassemic mutations, or abnormal Hbs, with deletions of short nucleotide sequences map in this region.

Alanine↗
PubMed1993

The inequalities of morbidity and mortality in Mauritius--its ethnic [correction of ethic] and geographic dimension.

This overview of the changing patterns of morbidity and mortality on the one hand and ethnicity and geographic variables on the other is an attempt to understand the changes which are taking place in the economic and social geography of Mauritius. Recently in the economic literature, there has been constant reference to the changes taking place in Mauritius. This article explores the changing patterns of morbidity and mortality based on official censuses, reports and studies. It further seeks to relate these to the geography of Mauritius.

Adult↗
PubMed2006

Six year incidence and progression of diabetic retinopathy: results from the Mauritius diabetes complication study.

AIMS: To determine the incidence, progression and risk factors for diabetic retinopathy in the multiethnic population of Mauritius. METHOD: A longitudinal, population-based study was conducted in Mauritius, during 1987, 1992 and 1998. Participants identified through the study as having diabetes (both known and newly diagnosed, by self-report and oral glucose tolerance test) and one in four participants with impaired glucose tolerance (IGT) underwent complications screening in 1992 and 1998. Retinal photographs were taken using a TRC-50VT retinal camera in three fields of the right eye (centred on the optic disc; macula (temporal to the optic disc); and nasal to disc). Photographs were graded according to a simplified version of the Wisconsin grading system. RESULTS: The 6-year incidence of diabetic retinopathy was 23.8% (sight-threatening in 0.4%). Among those with known diabetes mellitus (KDM) and free of retinopathy at baseline the incidence of non-proliferative diabetic retinopathy (NPDR) was 29.2% and proliferative diabetic retinopathy (PDR) was 1.0%. Among those with newly diagnosed diabetes mellitus (NDM) at baseline the incidence of NPDR was 19.1% (no incident cases of PDR were found). Independent risk factors for retinopathy using the baseline population characteristics were duration of diabetes and fasting plasma glucose. CONCLUSIONS: This is one of the few recent population-based studies of diabetic retinopathy undertaken in a developing nation. The incidence of retinopathy in Mauritius was high among those with NDM at baseline, with one in five developing retinopathy over 6 years. These results support the concept that screening for diabetes is important.

Adult↗
PubMed2004

Statistical comparison and correlation of zinc and lead in estuarine sediments along the western coast of Mauritius.

Cr, Zn and Pb were quantified using atomic absorption spectrometry (AAS) from urban and rural estuarine sediments collected along the western coast of Mauritius during the period July 2002-January 2003. The mean concentration of Cr (225.4 mg kg(-1)), Zn (107.0 mg kg(-1)) and Pb (27.0 mg kg(-1)) in sediments along the six estuaries can be considered below those from contaminated estuarine sediments. Zn and Pb were significantly higher in urban sediments downstream St. Louis River compared to a rural estuary at Tamarin at 5% significance level. Zn was also significantly lower in Tamarin compared to Petite Riviere Noire estuary. Cr was however not significantly different in sediments from the six estuaries and could be considered of basaltic origin and were correlated to neither lead nor zinc. The concentration of Zn and Pb were greatest in the more urbanised upper and lower reaches of the St. Louis estuary during the period of study and were also significantly positively correlated in the estuarine sediments indicating that the cycling of Pb and Zn were linked indicating a common source for Pb and Zn. The potential sources of Pb and Zn in the urban estuarine sediments were considered to arise from road runoff causing significant quantities to be trapped. At present, compared to contaminant levels found in the UK and elsewhere, Mauritius still looks relatively uncontaminated but there is growing concern about heavy metal contamination in urban estuaries. There is therefore a need for long-term studies in estuarine management to involve integrated strategies in which water-sediment interactions in estuaries need to be considered and international standards for sediment quality developed. Such studies undertaken in the future would further the understanding of the biogeochemical processes of estuarine systems in Mauritius which could then be used in environmental development schemes and effective coastal zone management.

Ecosystem↗
PubMed2005

Genetic variants of Banana streak virus in Mauritius.

Genetic variations among isolates of Banana streak virus (BSV) were assessed using two sets of primers. The virus, found in banana accessions in Mauritius, was compared to a Nigerian isolate from cultivar Obino l'Ewai (BSOEV). On the basis of the observed size of amplicons, some Mauritius strains were different from l'Ewai BSOEV. Both Southern blot hybridization and the nucleotide sequences of the PCR products confirmed that they were of episomal BSV origin. An isolate of sugarcane bacilliform virus (SCBV) was found to be also very similar to the BSV isolated from banana samples. Nucleotide sequence analysis showed that even the same size PCR products had differing sequences. The dendrogram placed the isolates from Mauritius in a cluster separate from BSV and SCBV from other geographical locations.

Badnavirus↗
PubMed2002

Microbial and nutrient pollution of coastal bathing waters in Mauritius.

The coastal pollution problem in Mauritius is exacerbated by the hydrogeology of the volcanic substratum. Bacterial contamination of bathing waters and nutrients, water temperature, salinity, and dissolved oxygen (DO) were monitored at three different spatial and temporal scales along the coastline of Mauritius during 1997-1998. Standard techniques for water sample collection and analysis set by the American Public Health Association [APHA. Standard methods for the examination of water and wastewater. 19th ed. Washington, DC: APHA, 1995.] were used at: (a) 16 sites around the island over a period of 7 months; (b) 12 stations along a recreational beach over an 18-month period; and (c) at an underground freshwater seepage point over 1 day. Total coliform (TC), faecal coliform (FC), and faecal streptococci (FS) contamination reported during all surveys varied randomly (e.g., with maximum densities in the ranges of 346-2020 TC, 130-2000 FC, and 180-1040 FS at one site) and at times exceeded the established EEC and Environment Protection Agency (EPA) standards for bathing water (e.g., in >90% of samples) to qualify for beach closure. Computed FC:FS ratios were used to pinpoint human faecal matter as the main source of contamination. Nitrate, phosphate, and silicate concentrations in seepage water were high (3600-9485, 38-105, and 9950-24,775 microg l(-1), respectively) and a cause for concern when compared with levels (5-845, 5-72, and 35-6570 microg l(-1), respectively) in cleaner lagoon water samples. Statistical analysis showed significant correlations (for TC and NO3: r=.75, P<.02; for TC and PO4: r=.779, P<.02; for TC and SiO4: r=.731, P<.05; for FC and NO3: r=.773, P<.02; for FC and SiO4: r=.727, P<.05; for FS and SiO4: r=.801 P<.01) between microbial densities and nutrients recorded, confirming the pathogen-contaminated water to be highly eutrophic. There is an urgency for Mauritius to properly address the issue of sewage treatment and wastewater discharge to safeguard its coastal environment, public health, and tourism expansion.

Enterobacteriaceae↗
PubMed1998

Diabetic neuropathy in Mauritius: prevalence and risk factors.

The study of diabetic neuropathy has been primarily in Europids, despite the high prevalence of diabetes in other populations. We set out to ascertain the prevalence of diabetic neuropathy and its risk factors in the island nation of Mauritius. Population surveys were carried out in 1987 and 1992 in Mauritius to establish the prevalence of Type 2 diabetes. In the second survey, vibration perception threshold (VPT) was also measured at the great toe in 847 subjects with diabetes, 204 subjects with impaired glucose tolerance and 127 subjects with normal glucose tolerance. Neuropathy was defined as levels of VPT exceeding the mean plus 2 standard deviations defined separately for three age groups of Mauritian non-diabetic subjects. Risk factors for neuropathy were identified cross sectionally from the 1992 data, and longitudinally from the 1987 data. Neuropathy was detected in 8.3% of the 847 diabetic subjects (12.7%) of those with known diabetes, and 3.6% of those with newly diagnosed diabetes). Logistic regression identified diabetes duration (odds ratio [95% CI]; 1.08 [1.04-1.13] per year, P=0.0002), treatment with insulin or oral hypoglycaemic agents (2.63 [1.36-5.09], P=0.004) and greater height (1.36 [1.19-1.57] per 5 cm, P < 0.001) as risk factors for neuropathy, in the cross sectional analysis. In the longitudinal analysis, diabetes duration (1.11 [1.05-1.18] per year, P=0.001), fasting glucose (1.12 [1.03-1.22] per mmol/l, P=0.01) and height (1.23 [1.03-1.45] per 5 cm, P=0.02) were associated with neuropathy. A lower 2-h plasma insulin was also associated with neuropathy in the longitudinal analysis. The prevalence of diabetic neuropathy in Mauritius is the lowest reported for any population, but the risk factors associated with it are similar to those previously found.

Adult↗
PubMed2001

Sustaining genetic variation in a small population: evidence from the Mauritius kestrel.

We obtained measures of genetic diversity in 10 kestrel species at a suite of 12 microsatellite loci. We estimated the relative effective size (Ne) of the species using a Markov chain Monte Carlo (MCMC) approach, which jointly estimated the locus specific mutation rates as nuisance parameters. There was surprisingly high genetic diversity found in museum specimens of the Mauritius kestrel. Being an endemic species on a small island, it is known to have a long history of small population size. Conversely, kestrels with a continental distribution had Ne estimates that were only one order of magnitude larger and similar to each other, despite having current population sizes that were between one and three orders of magnitude larger than the Mauritius kestrel. We show how many of the theoretical results describing the effective size of a subdivided population can be captured in terms of three rates which describe the branching pattern of the gene genealogy, and that they are useful in estimating the time to migration-drift and mutation-drift equilibrium. We use this approach to argue that population subdivision has helped retain genetic diversity in the Mauritius kestrel, and that the continental species' genetic diversity has yet to reach equilibrium after the range changes following the last ice age. We draw parallels with Hewitt's observation that genetic variation seems to survive species' range compression and is rather vulnerable to range expansion.

Animals↗
PubMed2003

Gender differences in the prevalence of impaired fasting glycaemia and impaired glucose tolerance in Mauritius. Does sex matter?

OBJECTIVE: To examine gender differences in the characteristics and prevalence of various categories of glucose tolerance in a population study in Mauritius. RESEARCH DESIGN AND METHODS: In 1998, a community-based cross-sectional survey was conducted in Mauritius. Categories of glucose metabolism were determined in 5388 adults, with an oral glucose tolerance test given to those who did not have previously diagnosed diabetes (n=4036). Other cardiovascular risk factors were assessed among those without known diabetes. RESULTS: For men and women the prevalence of diabetes (22.0 vs. 21.8%, respectively) and the prevalence of coexisting impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) (3.2 vs. 2.9%) were similar. However, men were twice as likely as women to have isolated IFG [5.1% (4.2-6.0) vs. 2.9% (2.3-3.5)], despite being younger, thinner and with lower plasma insulin but higher lipids. Conversely, the prevalence of isolated IGT was lower in men [9.0% (7.9-10.2) vs. 13.9% (12.6-15.1)]. Among non-diabetic individuals, fasting glucose was higher in men than women, whereas 2-h glucose was higher in women. In people without diabetes, women had significantly higher body mass index, beta cell function (HOMA-B), fasting and 2-h insulin than men and significantly lower waist-hip ratios, waist circumference, insulin sensitivity (HOMA-S) and triglycerides. CONCLUSION: In Mauritius, the distribution of impaired glucose metabolism differs by sex. The observation that IFG is more prevalent in men and IGT more prevalent in women raises important questions about their underlying aetiology and the ability of the current glucose thresholds to equally identify men and women at high-risk of developing diabetes. IFG should be seen as a complimentary category of abnormal glucose tolerance, rather than a replacement for IGT.

Adult↗
PubMed1993

The prevalence of coronary heart disease in the multi-ethnic and high diabetes prevalence population of Mauritius.

The prevalence of coronary heart disease (CHD) was determined in a population survey in Mauritius where the prevalence of non-insulin dependent diabetes and mortality from CHD are amongst the highest in the world. Men and women aged 35-74 years of all major ethnic groups were included: Asian Indians (Hindus and Muslims), Creoles and Chinese. ECG abnormalities suggesting either 'probable CHD' or 'possible CHD' were defined using standard criteria. The overall prevalence of probable CHD was 2.7% in men and 0.9% in women, and that of probable or possible CHD together 17.8% in men and 33.3% in women. The prevalence of CHD did not vary significantly between the four ethnic groups. In the multivariate analyses, age and high blood pressure were the most important independent predictors of ECG abnormalities. Neither diabetes nor serum insulin seemed to contribute independently to the prevalence of CHD. This survey confirmed the high ranking of Mauritius in international mortality statistics. The high rates of CHD seen in Asian Indians, African-origin Creoles and Chinese in the rapidly developing country of Mauritius may be a pointer to future problems in their regions of origin.

Adult↗
PubMed2005

Increasing prevalence of Type 2 diabetes mellitus in all ethnic groups in Mauritius.

AIMS: To describe the prevalence of different stages of glucose intolerance in a population from Mauritius followed over 11 years. METHODS: Population-based surveys were undertaken in the multiethnic nation of Mauritius in 1987, 1992 and 1998, with 5083, 6616, and 6291 participants, respectively. Questionnaires, anthropometric measurements, and a 2-h 75-g oral glucose tolerance test were included. Subjects aged between 25 and 75 years with classifiable data were identified; 4991, 6463 and 5392 from 1987, 1992 and 1998, respectively. Glucose tolerance was classified according to WHO 1999 criteria. RESULTS: The prevalence of Type 2 diabetes increased significantly during the period studied, from 12.8% in 1987, to 15.2% in 1992, and 17.9% in 1998. The increasing prevalence was seen in both men and women, and in all age groups. The prevalence of known diabetes (KDM) increased progressively, and more markedly than the increase in newly diagnosed diabetes (NDM). A diagnosis of impaired glucose tolerance (IGT) was more prevalent amongst women whereas impaired fasting glucose (IFG) was more common amongst men. The prevalences of IGT and IFG did not change markedly during the period. The prevalence of diabetes and IGT was similar for participants of Indian, Creole and Chinese background in each survey, and the increasing prevalence of diabetes was seen in all ethnic groups. CONCLUSION: In this study, we report an increasing prevalence of diabetes over an 11-year period in Mauritius. This increase was seen in both sexes, and in all age and ethnic groups, and was mainly due to an increase in the numbers of those with known diabetes.

Adult↗
PubMed1987

A demographic-economic explanation of political stability: Mauritius as a microcosm.

"This paper examines current models of economic and political development--social modernization theory, political and economic characteristics of stable regimes, and cross country analysis of political stability--and tests them on the Indian Ocean Island of Mauritius. The analysis continues with a causal explanation for political stability in Mauritius' recent history, derived from an examination of economic policies and demographic patterns. Political change in Mauritius over the past sixty years seems to be explained best by a model for political stability which integrates specific economic and demographic factors. The model, applicable to development in other third world nations, revises Malthus' conclusion that population and economic conditions move in an oscillatory relationship and replaces it with a more comprehensive theory, suggesting that political stability is a function of both economic development and a repeating cyclical relationship between economics and population."

Africa↗
PubMed1995

Population and resources in Mauritius.

"The island of Mauritius was facing a crisis by the 1950s as the relationship between its population and resources became unbalanced....A two-pronged strategy was set in place to change the relationship between population and resources. Firstly, an aggressive family-planning policy was established, reducing population growth. Secondly, the economy was diversified with tourism, financial services and, especially, manufacturing in the Mauritius Export Processing Zone, creating extra finance and resources. The changes have not been cost-free but Mauritius ends the century, not as a classic case of overpopulation, but more [as] a model micro-state that has overcome many population and resource problems, largely through its own efforts."

Africa↗
PubMed2003

Reclamation of abandoned shrimp pond soils in southern Thailand for cultivation of Mauritius grass (Brachiaria mutica).

A study on soil reclamation for cultivation of Mauritius grass was conducted on soils obtained from abandoned shrimp ponds at Ranote District, Songkhla Province, southern Thailand. A glass house experiment on the reclamation of the soils included desalination by leaching soils using various amounts of deionised water, rice husk, plant nutrients and gypsum as well as an omission pot trial experiment. The result showed that Mauritius grass survived in the treatment with > or = 15 L of water, > or = 2% of rice husk with gypsum added or > or = 8% of rice husk without gypsum added. The yield of Mauritius grass increased with increases in the amounts of water for desalination and rice husk. Thus, the highest yield of grass with a height of 148.3 cm, 12.7 tillers/pot and dry weight of 46.43 g/pot was observed in the gypsum added treatment with the highest amount of water and rice husk (25 L of water and 8% by weight of rice husk). Therefore, salinity and unfavourable structure of the abandoned pond soils were major factors governing the survival ability and growth of the grass. The omission pot trial experiment revealed that growth of the grass responded to the application of P, Ca, Mg and S, though existing amounts of such plant nutrient elements in the soils were adequate for plant growth. The anomalous characteristics were probably explained by soil pH, salinity and imbalance of plant nutrient elements.

Animals↗
PubMed2002

In- and Y-DOTA-lanreotide: results and implications of the MAURITIUS trial.

The high-level expression of somatostatin receptors (SSTR) on various tumor cells has provided the molecular basis for successful use of radiolabeled peptide analogues as tumor tracers in nuclear medicine. The vast majority of human tumors seem to overexpress one or the other of 5 distinct hSSTR subtype receptors. Whereas neuroendocrine tumors frequently overexpress human(h) SSTR2, intestinal adenocarcinomas frequently express hSSTR3 or hSSTR4, or both of these hSSTRs. In contrast to (111)In-diethylenetriamine pentaacetic acid (DTPA)-(D)he(1)-octreotide (OctreoScan; Mallinckrodt, Petten, NL), which binds to hSSTR2 and 5 with high affinity (K(d)0.1-5 nmol/L), to hSSTR3 with moderate affinity (K(d)10-100 nmol/L), and does not bind to hSSTR1 and hSSTR4, (111)In /(90)Y-DOTA-lanreotide was found to bind to hSSTR2, 3, 4, and 5 with high affinity, and to hSSTR1 with lower affinity (K(d)200 nmol/L). Based on its unique hSSTR binding profile, (111)In-DOTA-lanreotide was suggested to be a potential radioligand for tumor diagnosis, and (90)Y-DOTA-lanreotide suitable for receptor-mediated radionuclide therapy. When directly compared with (111)In-DTPA-(D)he(1)-octreotide and (111)In-DOTA-(D)he(1)-Tyr(3)-octreotide, discrepancies in the scintigraphic imaging pattern are seen in about one third of tumor patients concerning both the tumor uptake as well as the detection of tumor lesions. On a molecular level, these discrepancies seem to be based on a higher high-affinity binding affinity of (111)In-DOTA-(D)he(1)-Tyr(3)-octreotide for hSSTR2 (K(d)0.1-1 nmol/L). Beneficial results of receptor-mediated experimental radionuclide therapy were first reported for high-dose treatment with (111)In-DTPA-(D)he(1)-octreotide, based on the emission of Auger electrons. Phase IIa of the Multicenter Analysis of a Universal Receptor Imaging and Treatment Initiative, a European Study (MAURITIUS), shows in progressive cancer patients (therapy entry criteria) with a calculated tumor dose > 10 Gy/GBq (90)Y-DOTA-lanreotide, the proof-of-principle for treating tumor patients with peptide receptor imaging agents. In the MAURITIUS study, cumulative treatment doses up to 232 mCi (90)Y-DOTA-lanreotide were given as short-term intravenous infusion. Preliminary treatment results in 154 patients indicate stable tumor disease in 41% (63 of 154) of patients and regressive tumor disease in 14% (22 of 154) of tumor patients with different tumor entities expressing hSSTR. No severe acute or chronic hematologic toxicity, change in renal or liver function parameters caused by (90)Y-DOTA-lanreotide treatment were reported for patients in the MAURITIUS trial. In two thirds of patients with neuroendocrine tumor lesions, (90)Y-DOTA-(D)he(1)-Tyr(3)-octreotide showed a higher tumor uptake and should therefore be considered the first choice for experimental receptor-based therapy. Potential indications for (90)Y-DOTA-lanreotide treatment are radioiodine-negative thyroid cancer, hepatocellular cancer, lung cancer, some brain tumors, and possibly melanomas. In conclusion, preclinical data and clinical studies confirm the potential usefulness of radiolabeled lanreotide for tumor diagnosis and therapy. However, careful consideration of the type of radiotracer used for receptor-mediated therapy should be made for the individual patient. Whole-body dosimetry should always be performed to predict doses for tumors and the critical organs, which are kidney and bone marrow.

Heterocyclic Compounds↗
PubMed1991

Did Mauritius really provide a "case study in Malthusian economics"?

"In the early 1960s James Meade visited Mauritius as adviser to a Commission evaluating population structure and growth. Out of that visit emerged two papers which were Malthusian in their prognosis of economic prospects for Mauritius. This paper reconsiders the Meade Evaluation and compares his predictions with actual outcomes. As it turns out, his pessimism was not justified. The factors which led him to reach his set of conclusions, and the factors which explain actual economic performance, are both assessed in detail."

Africa↗