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Cardiovascular diseases in the eastern Mediterranean region.

Rapid socioeconomic development, urbanization and improved survival have given rise to a progressive increase in the occurrence of noncommunicable diseases in the Eastern Mediterranean Region. Cardiovascular diseases have emerged as a leading cause of morbidity and mortality in many countries. The prevalence of hypertension is already high in many countries of the Region and the number of hypertensives is likely to increase further in the coming years. Although the influence of geographical, ethnic and socioeconomic factors has not been studied adequately, it seems that the epidemiological and clinical patterns of hypertension do not differ markedly from those in developed countries. The growing impact of cardiovascular disease is already understood in most countries. The human and economic costs are enormous, there is a growing demand for medical services, and the need to take action is increasingly acknowledged. Most countries have either initiated or indicated the need to establish programmes in collaboration with WHO on the prevention and control of cardiovascular disease during 1992 and 1993. In view of the scarcity of precise epidemiological information, data collection and the assessment of risk factors for coronary heart disease are expected to form the basis of preliminary activities.

Adolescent↗

Which way for malaria control and epidemiological services?

Historically epidemiological services were intimately linked with malaria control, and both were conceived as an integral part of local public health services. The strategy of malaria eradication between 1956 and 1969 moved malaria activities away from the health services and led to a weakening of epidemiological capacities. The epidemiological requirements of malaria control are now greater than ever. However, the capacity of health services to fulfil these requirements remains seriously weak. Investment in malaria control could provide an important building block for the much-needed strengthening of national public health.

Developing Countries↗

Iraq.

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Agriculture↗

Infant mortality and the economic embargo in Iraq.

"The purpose of this study is to shed light on infant mortality rates in Iraq, including how they differ from place to place, and to identify the variables behind such differences. It also aims at showing the causes of change in the trend since 1991 when the allied forces launched a war against the country and imposed an economic embargo on it....Infant mortality rates can be divided into two main categories: a higher category near the eastern border, probably, owing in part to the Iran-Iraq war, and a lower category in the western part of the country (with the exception of An Najaf) and the extreme north."

Asia↗

A study of hominin dispersal out of Africa using computer simulations.

A study of hominin dispersal out of Africa using computer simulations is presented. Attention is focused on the joint probability of the colonization of Western Europe later than 1 Ma and that of Eastern Asia prior to 1.6 or 1.8 Ma, as current archaeological estimates suggest. We found that the determinant factor to hominin dispersal is the mode of hominin movement. If the movement of all populations is uniform and their number great enough, greater than 300 in our models, then such movement favors the colonization of Eastern Asia and Western Europe at more or less the same time. On the other hand, the colonization acquires prominent probabilistic features if the number of populations migrating is small enough, smaller than 10 in our models, or when all hominin populations may move but there are only a few with much higher mobility. In this case, the joint probability for the earliest dispersals of hominins in Western Europe after 1 Ma and Eastern Asia prior to 1.6 Ma ranges from 0.02 to 0.05. The single probability of colonization of Western Europe after 1 Ma is very high, about 0.5 for the majority of the colonization routes, whereas the corresponding probability of the colonization of Eastern Asia prior to 1.6 Ma is ten times lower, about 0.05. The least probable event is the earliest colonization of Java prior to 1.6 Ma, to which our simulation attributes a probability of ca 0.01. Deserts, mountains, and mountain ranges may delay the arrival at a certain location; nevertheless, their effect on the joint probability is very small.

Africa↗

Migration, urban growth, and development: Pakistan's experience.

The authors "focus primarily on voluntary, peacetime migration [in Pakistan], both internal and international, and attempt to analyze some of its possible socioeconomic consequences." The importance of the role of migration in urban population growth is discussed, with attention to implications for social and economic development. The impact of large-scale emigration of workers to the Middle East is also assessed. The analysis is based on data from the 1951, 1961, 1972, and 1981 censuses as well as from secondary sources.

Africa, Northern↗