sept-02 by wpr1947

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                                                                                                 English Section

                                                 AIDS/Sexually Transmitted Diseases                            2
                                                 Blood Safety                                                  7
                                                 Cancer                                                        8
                                                 Chemical Safety                                              12
                                                 Chronic Diseases                                             16
                                                 Environment                                                  17
                                                 Family Health                                                18
                                                 Food Safety                                                  19
                                                 Immunization                                                 20
                                                 Laboratories                                                 21
                                                 Nutrition                                                    21
                                                 Health Policy                                                22
                                                 Medical Records                                              24
                                                 Pharmaceuticals                                              24
                                                 Reproductive Health                                          26
                                                 Substance Abuse                                              27
                                                 Statistics                                                   28
                                                 Traditional Medicine                                         31
                                                 World Health Reports                                         33
                                                 The World Health Report 2002                                 34
                                                 World Report on Violence and Health                          36

                                                 Periodicals                                                  38

                                                                                               Section française

                                                 Introduction                                                 40
                                                 Cancer                                                       41
                                                 Médecine traditionnelle                                      41
                                                 Politiques de santé                                          42
                                                 Produits pharmaceutiques                                     42
                                                 Santé maternelle et infantile                                43
                                                 Statistiques                                                 43
                                                 Rapports de l’OMS                                            44
                                                 Rapport mondial sur la violence et la santé                  46
                                                 SIDA                                                         48

                                                 Périodiques                                                  49

                                                                                           Sección en español

                                                 Introducción                                                 51
                                                 Estadísticas                                                 52
                                                 Políticas de salud                                           52
                                                 SIDA/VIH                                                     53
                                                 Informe de la OMS sobre la salud 2002                        54
                                                 Informe Mundial sobre la Violencia y la Salud                56

                                                 Index/Indice                                                 60
                                                 Addresses/Adresses/Direcciones                               63
                                                 Order form/Bon de commande/Formulario de pedido              65
                                                 Sales agents/ Agents de vente/ Agentes de ventas             69 sept-02       7/10/02       7:58       Page 2


           Report on the Global                              Handbook for Legislators                 Young People and HIV/AIDS
           HIV/AIDS Epidemic                                 on HIV/AIDS, Law and                     Opportunity in Crisis
           July 2002                                         Human Rights
                                                             Action to Combat HIV/AIDS in
                                                             View of its Devastating Human,
           This flagship report presents the                 Economic and Social Impact               This report contains important new
           considered views on the state of the                                                       data about why young people are
           HIV/AIDS epidemic of the Joint                    The purpose of this Handbook is to       key to defeating the global HIV/AIDS
           United Nations Programme on                       assist parliamentarians and other        epidemic, including results from
           HIV/AIDS (UNAIDS), which is                       elected officials in promulgating and    more than 60 new national surveys.
           comprised of eight United Nations                 enacting effective legislation and       It reaffirms that we must accord top
           system agencies. It also presents                 undertaking appropriate law reform       priority to making investments in the
           evidence of the responses                         in the fight against AIDS.               well-being of young people and to
           to the epidemic mounted by many                                                            engaging them in the fight against
           partners, including governments,                  A brief outline is given of the          HIV/AIDS.
           the business sector and civil society.            international law basis of the
                                                             International Guidelines on HIV/AIDS     It underscores the urgent need for
           The report provides positive proof                and Human Rights. These Guidelines       governments and civil society
           that HIV, if left to run its natural              require States Parties to human rights   everywhere to work with young
           course, will cause devastation on                 treaties to review, and if necessary     people on effective prevention,
           an unprecedented scale. One by one,               amend their laws, policies and           treatment and care strategies for
           dangerous myths of complacency                    practices to ensure compliance with      them. It calls for unparalleled political
           are being shattered.                              defined norms. Certain rights            commitment to build partnerships
                                                             including health, nondiscrimination,     needed to raise critical financial and
                                                             privacy, education, information,         human resources.
                                                             autonomy, liberty, freedom of
                                                             expression and association, and          “According special priority to
                                                             freedom from inhuman, degrading          young people will change the
                                                             treatment or punishment are then         future course of the epidemic…
                                                             examined specifically in the context     In every country where HIV
                                                             of HIV/AIDS. The Handbook analyses       transmission has been reduced,
                                                             each of the 12 International             it has been among young people
                                                             Guidelines on HIV/AIDS and Human         that the most spectacular
                                                             Rights and gives best practice           reductions have occurred.”
                                                             examples of their implementation,
                                                             in terms of content and/or process,      — Peter Piot, Executive Director,
                                                             at national and sometimes local and      UNAIDS
                                                             regional levels.

           Joint United Nations Programme                    Joint United Nations Programme           Joint United Nations Programme
           on HIV/AIDS                                       on HIV/AIDS                              on HIV/AIDS
           2002, 226 pages [E, F]                            1999, 152 pages [E]                      2002, 48 pages [E]
           ISBN 92 9173 185 4                                ISBN 92 9173 184 6                       Swiss francs 10.–/US $9.00
           Swiss francs 25.–/US $22.50                       Swiss francs 25.–/US $22.50              In developing countries: Sw. fr. 5.–
           In developing countries: Sw. fr. 12.50            In developing countries: Sw. fr. 12.50   Order no. 1880003
           Order no. 1880001                                 Order no. 1880002 sept-02       7/10/02       7:59     Page 3

           AIDS Epidemic Update:                           WHO-UNAIDS Guidelines for                 HIV/AIDS in Asia
           December 2002                                   Standard HIV Isolation and                and the Pacific Region
                                                           Characterization Procedures
                                                           Second Edition

           This is the revised update as on                The human immunodeficiency virus          This book provides details on the
           December 2002 of the global AIDS                (HIV) is characterized by extremely       HIV/AIDS situation for each country
           epidemic estimates. The report                  high variability, resulting in the        in the Asia Pacific region. Countries
           provides the most recent available              emergence of widely divergent viral       are presented in descending order,
           data on the spread of HIV in                    strains in diverse geographical           starting with countries with the
           countries around the world. UNAIDS              locations and different populations.      highest estimated HIV prevalence
           and WHO, together with experts                  HIV strains can also vary significantly   rates to those countries with the
           from national AIDS programmes and               with regard to their biological and       lowest estimated HIV prevalence
           research institutions, regularly review         immunological properties, which may       rates. Also presented is an estimate
           and update the estimates as                     have important implications for           of the annual number of AIDS deaths
           improved knowledge about the                    clinical aspects of HIV infection,        that can be expected in the years
           epidemic becomes available, while               diagnostics, treatment and the            2000 and 2005. In this report,
           also drawing on advances made in                development of effective HIV              annual AIDS deaths are calculated
           the methods for deriving estimates.             vaccines. It is therefore important to    based on a standard median survival
                                                           develop appropriate laboratory            interval for 9 years.
                                                           technologies and capacities for
                                                           systematic collection and detailed
                                                           characterization of globally prevalent
                                                           HIV-1 strains.

                                                           This second edition contains the
                                                           latest information and
                                                           recommendations with regard to
                                                           standard procedures for HIV isolation
                                                           and its genetic, biological and
                                                           immunological characterization with
                                                           a special emphasis on their
                                                           applicability in HIV vaccine-related
                                                           research. The laboratory methods
                                                           described in these guidelines were
                                                           intensively validated through various
                                                           collaborative studies conducted in
                                                           the framework of the WHO-UNAIDS
                                                           Network for HIV Isolation and

           In preparation                                  2002, 146 pages [E]                       WHO Regional Office for the Western Pacific
           Joint United Nations Programme                  ISBN 92 4 159021 1                        2002, 96 pages [E]
           on HIV/AIDS                                     Swiss francs 25.–/US $22.50               ISBN 92 9061 158 8
           2002, 152 pages [E]                             In developing countries: Sw. fr. 17.50    Swiss francs 15.–/US $13.50
           ISBN 92 9173 232 5                              Order no. 1930197                         In developing countries: Sw. fr. 10.50
           Swiss francs 10.–/US $9.00                                                                Order no. 1520009
           In developing countries: Sw. fr. 5.–
           Order no. 1880004 sept-02       7/10/02       7:59      Page 4


           HIV and Infant Feeding Counselling:
           A Training Course

           Trainer’s Guide
           Intended for use by trainers and course directors, this
           manual contains what the trainer needs in order to lead
           participants through the course, including the information
           discussed in each session, detailed instructions on how to
           teach each session, exercises and their answers, checklists,
           forms and stories. Along the course various interactive
           methods of teaching are used.

           2000, 223 pages [E]
           Swiss francs 20.–/US $18.00
           In developing countries: Sw. fr. 14.–
           Order no. 1931198

           Participants Manual
           The participants’ manual contains summaries of the
           information discussed during sessions, copies of
           checklists and worksheets for practical sessions, texts
           for demonstrations that participants help with, and
           exercises (without answers).

           2000, 103 pages [E]
           Swiss francs 10.–/US $9.00
           In developing countries: Sw. fr. 7.–
           Order no. 1933198

           Director’s Guide
           Intended for use by course directors, the Director’s guide
           contains all the information that the course director needs
           to plan and prepare for the course, including lists of the
           materials and equipment required, and copies of the forms
           that should be photocopied for the course. It also describes
           the director's role during the training of trainers and the
           course itself.

           2000, 49 pages [E]
           Swiss francs 10.–/US $9.00
           In developing countries: Sw. fr. 7.–
           Order no. 1932198

           Overhead Figures
           Flipchart with overhead transparencies are intended for use
           by trainers and course directors. Many sessions require the
           presentation and discussion of overhead transparencies. The
           figures for the overhead transparencies are available as a
           flipchart, which can be used to show to participants if an
           overhead projector is not available.

           2000, 30 pages [E]
           Swiss francs 10.–/US $9.00
           In developing countries: Sw. fr. 7.–
           Order no. 1934198 sept-02      7/10/02     7:59     Page 5

           Promoting Condoms                             100% Condom Use                               Training Course for the 100%
           in Clinics for Sexually                       Programme in Entertainment                    Condom Use Programme
           Transmitted Infections                        Establishments
           A Practical Guide for Programme
           Planners and Managers
           This is a guide to help STI                   This guide outlines that 100%                 The training package, consisting
           programme planners and managers               Condom Use Programme is                       of a manual and a CD, is aimed at
           to improve condom promotion                   multisectoral and should involve a            helping programme managers and
           among STI patients. It reviews the            sanction process. It is written for           technical staff to implement the
           major areas in condom promotion               decision-makers and technical staff in        100% condom use programme.
           for STI services, including: creating a       the different departments, including
           favourable environment; training              Ministries of Health. It sets out the         The strategy advocated by this
           service providers; counselling                rationale for the programme and               training package is based on sound
           clients on condom use; managing               describes the steps for its initiation        public health thinking. An experience
           condom supplies; and monitoring               and expansion.                                to date with this programme has
           condom use.                                                                                 demontrated its ability to contribute
                                                                                                       to a remarkable decline in STI/HIV
           Recognizing the significant role that                                                       rates among female sex workers.
           condoms can play as a mean of
           preventing STI (including HIV)
           transmission in risky sexual situations,
           and condom programme activities
           as essential components of public
           health approaches to STI prevention
           and control, the guide urges health
           workers to take responsibility for
           actively promoting condom use on
           a regular basis by STI patients. These
           activities include: educating people
           about the need for condom use;
           ensuring condom availability; and
           providing support for condom use
           and condom programmes. Some
           additional resources and sample
           exercises are also outlined.

           WHO Regional Office for the Western Pacific   WHO Regional Office for the Western Pacific   WHO Regional Office for the Western Pacific
           2001, 28 pages [E]                            2000, 36 pages [E]                            2002, xv + 82 pages + CD [E]
           ISBN 92 9061 155 3                            ISBN 92 9061 153 7                            ISBN 92 9061 016 6
           Swiss francs 10.–/US$9.00            10.–/US $9.00                 10.–/US$9.00
           In developing countries: 7.–           In developing countries: 7.–           In developing countries: 7.–
           Order no. 1520013                             Order no. 1520016                             Order no. 1521016 sept-02      7/10/02     7:59     Page 6


           Monitoring and Evaluation                     Role of Public Policy in                      Sexually Transmitted
           of the 100% Condom Use                        Prevention and Control of                     Infections Prevalence Study
           Programme in Entertainment                    Sexually Transmitted Infections               Methodology
           Establishments                                A Guide to Laws, Regulations                  Guidelines for the Implementation
                                                         and Technical Guidelines                      of STI Prevalence Surveys
           This publication emphasizes                   This publication explores issues              This protocol describes a
           the four main indicators to monitor           related to the role public health             standardized survey methodology.
           and evaluate the 100% condom use              policy serves in the prevention and           It uses a simple, reliable and
           programme in entertainment                    control of sexually transmitted               reproducible study design that can
           establishments. These indicators              infections.                                   be widely used and implemented
           aim to quantify or measure the                                                              at the local level.
           magnitude of progress toward                  The guide is divided in 5 parts.
           achieving the objectives of the               The introduction provides background          The prevalence study is designed
           programme and give an indication              information and explains the                  to collect limited basic demographic
           of magnitude or direction of change           terminology used throughout the               information and clinical specimens
           over time.                                    guide. The second section, on                 for laboratory testing of STI.
                                                         general considerations, discusses a           To simplify the study protocol,
                                                         number of basic principles that               no risk factor or behavioural
                                                         should be considered in approaching           questions have been included.
                                                         public health policies. Operational           The principal investigator in each
                                                         consideration and specific STI policy         setting should modify the protocol
                                                         issues are presented in section three.        to suit local needs and capacity.
                                                         Sections 4 and 5 list relevant
                                                         publications and annexes.                     The data can be used for planning,
                                                                                                       refining STI case management
                                                                                                       programmes, and revising disease
                                                                                                       prevalence estimates for
                                                                                                       population subgroups.

           WHO Regional Office for the Western Pacific   WHO Regional Office for the Western Pacific   WHO Regional Office for the Western
           2002, 57 pages + CD [E]                       1999, iv + 36 pages [E]                       Pacific
           ISBN 92 9061 015 8                            ISBN 92 9061 149 9                            1999, iv + 41 pages [E]
  10.–/US$9.00                  10.–/US$9.00                           ISBN 92 9061 150 2
           In developing countries: 7.–           In developing countries: 7.–  10.–/US$9.00
           Order no. 1522016                             Order no. 1520017                             In developing countries: 7.–
                                                                                                       Order no. 1520019 sept-02      7/10/02     7:59     Page 7

                                                                                                   BLOOD SAFETY

           Sexually Transmitted                          Status and Trends of STI, HIV          Clinical Use of Blood CD-ROM
           Infections: Briefing Kit for                  and AIDS at the End of the             E-learning for Prescribers of Blood
           Teachers                                      Millennium

           This publication is meant for                 The book presents the status and       The Clinical Use of Blood CD-ROM
           secondary and further education               trends of STI, HIV and AIDS in the     consists of an open learning manual
           teachers who work with young                  Western Pacific Region based on the    and pocket handbook which provide
           people. It is a response to a growing         cumulative number of cases of HIV      comprehensive guidance on
           need for accurate information on STI,         diagnoses in all countries of the      transfusion and alternatives to
           aimed at young people, as a first             Region. Analysis of the trend of the   transfusion in the areas of general
           step towards STI prevention.                  relative proportion in HIV risk        medicine, obstetrics, paediatrics and
                                                         exposure suggests that there have      neonatology, surgery and
           Teachers are excellent channels for           been three waves – first, sexual       anaesthesia, trauma and acute
           STI education, and the purpose                contact among men; second,             surgery, and burns.
           of this publication is to inform them         widespread sharing of equipment
           about STI and their consequences              among injecting drug users; and        These materials have been developed
           for the health of young people.               finally, the steady increase in the    for prescribers of blood at all levels
           It aims to improve the capacity of            proportion of reported cases with      of the health system, particularly
           teachers to provide accurate and              heterosexual contact.                  clinicians and senior paramedical
           appropriate information on STI.                                                      staff at the district hospital level in
                                                                                                developing countries. They can be
                                                                                                used in undergraduate and
                                                                                                postgraduate programmes, in-service
                                                                                                training and continuing medical
                                                                                                education programmes, including
                                                                                                independent study. They are
                                                                                                designed to promote wider use of
                                                                                                methods to minimize unnecessary
                                                                                                blood transfusion.

                                                                                                Key points, tables and algorithms are
                                                                                                highlighted for easy reference, and
                                                                                                a comprehensive index and CD-ROM
                                                                                                search engine make researching
                                                                                                topics easy.

           WHO Regional Office for the Western Pacific   WHO Regional Office                    2002, CD-ROM [E, S*]
           2001, 27 pages [E]                            for the Western Pacific                ISBN 92 4 154568 2
           ISBN 92 9061 156 1                            1999, 104 pages [E]                    Swiss francs 40.–/US $36.00
           Swiss francs 10.–/US$9.00                     ISBN 92 9061 151 0                     In developing countries: Sw. fr. 10.–
           In developing countries: 7.–           Swiss francs 10.–/US$9.00              Order no. 1990015
           Order no. 1520012                             In developing countries: 7.–
                                                         Order no. 1520020 sept-02      7/10/02     7:59    Page 8


           National Cancer Control                                                               Population-based Cancer
           Programmes                                                                            Registries and Evaluation
           Policies and Managerial Guidelines                                                    of Clinical Care
           Second Edition

           Each year, cancer affects more than         to legislation, education, and national   This report introduces the
           10 million people worldwide, and kills      and international collaboration           framework, subject matter, methods,
           6 million. Without effective control of     in support of cancer control.             study designs and problems in the
           the disease, these figures will increase                                              assessment of quality of clinical care.
           significantly, with the most marked rise    This monograph provides guidance          So far, many population-based
           occurring in the developing countries.      for policy-makers and others on the       cancer registries do not have much
                                                       establishment of national cancer          experience in this field. Thus,
           Although much remains to be learned         control programmes. It outlines the       potential data sources are described
           about the etiology of cancer, enough        scientific basis of feasible approaches   and practical examples of successful
           is now known about the causes of            to the control of cancer, and considers   studies are given to encourage
           cancer and means of control for             possibilities for prevention, early       further work and studies, especially
           suitable interventions to have a            detection, cure, and care. It discusses   international collaborations.
           significant impact. At least one-third      the appropriateness of particular
           of cases are preventable by such means      technologies, and describes how to        The publication is aimed at cancer
           as controlling tobacco and alcohol use,     manage national programmes tailored       registry staff, clinical epidemiologists
           moderating diet, and immunizing             to different resource settings.           and auditors, health care planners as
           against viral hepatitis B. Early                                                      well as clinicians with special interest
           detection, and therefore prompt             “While many Member States                 in collaborating with population-
           treatment, of a further one-third of        recognize the need to develop             based cancer registries.
           cases is possible where resources allow.    national cancer control
           Effective techniques for pain relief are    programmes, few in the
           sufficiently well established to permit     industrialized world and even
           comprehensive palliative care for the       fewer in developing countries
           remaining, more advanced, cases.            have yet done so. As a result many
           The establishment of a national cancer      people die from preventable
           control programme, tailored to the          cancers and suffer unnecessarily
           socioeconomic and cultural context,         from pain and anguish at the end
           should allow countries to effectively       of their lives... This edition
           and efficiently translate the present       provides the information needed to
           knowledge into action.                      guide the development of feasible,
                                                       equitable, sustainable,
           Implementation of the necessary             and effective national cancer
           measures requires the formulation           control programmes.”
           of evidence-based policies,
           the mobilization and appropriate            — Dr Gro Harlem Brundtland, Director-
           allocation of resources, the active         General, World Health Organization
           participation of all stakeholders and –
           above all – government commitment

                                                       2002, 152 pages [E, F*, S*]               International Agency for Research on Cancer
                                                       ISBN 92 4 154557 7                        Edited by R. Sankila, J.W.C. Coebergh,
                                                       Swiss francs 42.–/US $ 37.80              E. Démaret, R. Black, D. Forman,
                                                       In developing countries: 29.40     G. Gatta and D.M. Parkin
                                                       Order no. 1152422                         IARC Technical Reports, Volume 37
                                                                                                 2002, 200 pages [E]
                                                                                                 ISBN 92 832 2419 1
                                                                                                 Swiss francs 29.–/US $26.00
                                                                                                 In developing countries: 20.30
                                                                                                 Order no.1770037 sept-02      7/10/02      7:59    Page 9

           Pathology and Genetics of                      Pathology and Genetics                         WHO Classification
           Tumours of the Breast and                      of Tumours of Soft Tissues                     of Tumours
           Female Genital Organs                          and Bones
                                                                                                         The new series WHO Classification
                                                                                                         of Tumours, published by the
           This WHO classification covers                 This WHO classification covers                 International Agency for Research on
           the female and male breast, ovaries,           tumours of soft tissue and bone                Cancer (IARC), provides standardized
           fallopian tumours, uterine cervix,             including inherited tumour                     guidelines on the histological and
           uterine corpus, vulva, vagina and              syndromes. Each entity is extensively          genetic typing of human tumours.
           inherited tumour syndromes.                    discussed with information on
           It includes a comprehensive                    clinicopathological,                           Diagnostic criteria, pathological
           classification of benign and                   immunophenotypic and genetic                   features and associated genetic
           malignant neoplasms.                           aspects of these diseases.                     alterations are described in a strictly
                                                                                                         disease-oriented manner.
           Targeted readership includes
           pathologists, gynaecologists,                                                                 Profiles of all recognized neoplasms
           surgeons, oncologists,                                                                        and their variants include new ICD-O
           and basic scientists.                                                                         codes, incidence, age and sex
                                                                                                         distribution, location, clinical signs
           Similar to the previous volumes                                                               and symptoms, pathology,
           of the series, the book includes                                                              genetics and predictive factors.
           numerous colour photographs,
           magnetic resonance images, CT                                                                 Each book contain more than 500
           scans and charts. In addition to its                                                          colour photographs, MRIs, CT scans,
           pathology and genetics, each lesion                                                           charts and an up-to-date reference
           is described with its epidemiology,                                                           list. The series will cover all
           etiology, clinical features, as well as                                                       human tumours.
           prognosis and predictive factors.

           International Agency for Research on Cancer    In preparation
           Edited by F.A. Tavassoli,                      International Agency for Research on Cancer
           A. Fattaneh and P. Devilee                     Edited by C.D.M. Fletcher and K. Unni
           2002, 400 pages [E]                            2002, 300 pages [E]
           800 colour photographs, MRIs, CTs and charts   600 colour photographs, MRIs, CTs and charts
           ISBN 92 8322412 4                              ISBN 92 8322413 2
  84.–/US $75.00                 84.–/US $75.00
           In developing countries: 58.–           In developing countries: 58.–
           Order no. 1700004                              Order no. 1700005 sept-02      7/10/02     7:59     Page 10


           Cancer in Portugal                            Man-made Vitreous Fibres                      Some Traditional Herbal
                                                                                                       Medicines, Some Mycotoxins,
                                                                                                       Naphthalene and Styrene

           Cancer in Portugal provides estimates         Reports the conclusions of a scientific       Traditional herbal medicines
           for national cancer incidence in              working group of 19 experts from 11           encompass an extremely diverse
           1996-1998 and predicts numbers                countries convened by the                     group of preparations that originate
           of cancer cases in year 2000 based,           Monographs Programme of the                   from many different cultures.
           in whole or in part, on Portuguese            International Agency for Research on          In recent years, such products have
           incidence and mortality data and              Cancer (IARC) on the re-evaluation            become widely available commercially
           population projections for year 2000.         of the carcinogenic risk of airborne          in developed countries, where
                                                         man-made vitreous fibres.                     mixtures prepared from medicinal
           The aim of the report is to assess                                                          plants have been marketed or used in
           the quality (completeness and validity)                                                     ways that were never contemplated
           of the data of the Portuguese                                                               in the traditional healing systems
           Registries, and to interpret cancer                                                         from which they emerged.
           mortality trends in the period 1988-
           1998, in the light of the most recent                                                       In many countries, herbal medicines
           epidemiological research and risk                                                           are not subject to rigorous standards
           factor patterns.                                                                            with respect to manufacturing,
                                                                                                       efficacy, quality and safety.
                                                                                                       For example, herbal remedies
                                                                                                       containing plant species of the genus
                                                                                                       Aristolochia and used in Europe
                                                                                                       for body weight loss have caused
                                                                                                       kidney disease and urothelial cancers
                                                                                                       and are now classified as carcinogenic
                                                                                                       to humans.

                                                                                                       This monograph evaluates the
                                                                                                       carcinogenic risks to humans posed
                                                                                                       by the use of some traditional herbal
                                                                                                       medicines, Fumonisin B1,
                                                                                                       and the industrial organic chemicals
                                                                                                       naphthalene and styrene, and
                                                                                                       provides an update of the data on
                                                                                                       the carcinogenicity of aflatoxins.
                                                                                                       An Annex to the volume describes
                                                                                                       fungal sources and formation
                                                                                                       of aflatoxins in foods and feeds,
                                                                                                       and discusses practical strategies
                                                                                                       for reduction of aflatoxin levels.
           In preparation
           International Agency for Research on Cancer
           Edited by P.S. Pinheiro, J.E. Tyczynski ,     International Agency for Research on Cancer   International Agency for Research on Cancer
           F. Bray, J. Amado , E. Limbert ,              IARC Monographs on the Evaluation             IARC Monographs on the Evaluation of
           E. Matos and A.C. Miranda                     of Carcinogenic Risks to Humans, Volume 81    Carcinogenic Risks to Humans, Volume 82
           IARC Technical Reports, Volume 38             2002, 500 pages [E]                           2002, 500 pages [E]
           2002, 100 pages [E]                           ISBN 92 832 1281 1                            ISBN 92 832 1282 7
           ISBN 92 832 2420 5                            Swiss francs 55.–/US $49.50                   Swiss francs 55.–/US $49.50
           Swiss francs 29.–/US $26.00                   In developing countries: 38.50         In developing countries: 38.50
           In developing countries: 20.30         Order no.1720081                              Order no.1720082
           Order no. 1770038 sept-02      7/10/02     8:00     Page 11

           Breast Cancer Screening

           One million women develop breast
           cancer each year world-wide. Early
           detection and screening are
           considered a promising approach to
           reduce breast cancer mortality.

           Since the first screening trial of
           mammography initiated in 1963,
           a substantial volume of information
           on breast cancer screening has
           become available, and regional and
           national screening programmes have
           been established in a number of
           countries. However, controversy has
           recently arisen around the benefits of
           mammography screening.

           In this authoritative book, the
           benefits and risks of population
           screening are critically discussed and
           evaluated in a balanced manner.

           In preparation
           International Agency for Research on Cancer
           Edited by H. Vainio and F. Bianchini
           IARC Handbook on Cancer Prevention,
           Volume 7
           2002, 300 pages [E]
           ISBN 92 832 3007 8
           Swiss francs 55.–/US $49.50
           In developing countries: 38.50
           Order no.1760013 sept-02       7/10/02      8:00     Page 12

              CHEMICAL SAFETY

           Palladium                                       Fluorides                                       Principles and Methods for
                                                                                                           the Assessment of Risk from
                                                                                                           Essential Trace Elements

           Palladium is a steel-white, ductile             This book evaluates the risk to                 The risk assessment approach described
           metallic element resembling and                 human health and the environment                in this monograph applies only to
           occurring with the other platinum               posed by exposures to fluorides.                essential trace elements (ETEs) involved in
           group metals and nickel. Palladium              It is widely known that fluoride has            human health and not to non-essential
           and its alloys are used in the                  both positive and negative effects              elements. The purpose of this
           (petro)chemical and the automotive              on human health, and there is a                 monograph is to provide the scientific
           industries as catalysts, in dentistry,          narrow range between intakes that               principles that support the concept of an
           and in electronics and the                      are associated with these effects.              “acceptable range of oral intake” (AROI),
           electrical industry.                            Cases of skeletal fluorosis associated          which uses a “homeostatic model” for
                                                           with the consumption of drinking                determining the range of dietary intakes
           This book evaluates the risks to                water containing elevated levels of             for essential trace elements (ETEs) that
           human health and the environment                fluoride are reported.                          meet the nutritional requirements of
           posed by exposures to palladium.                                                                a healthy population and avoid excess
           The general population is primarily             This document focuses on                        intakes. To facilitate comparisons,
           exposed to palladium through dental             environmental exposure to fluoride              AROIs are discussed in relation to other
           alloys or jewellery. There were case            derived mostly from inorganic sources           risk assessment approaches.
           reports referring to palladium                  and its effects on humans, animals
           sensitivity associated with exposure            and other biota. Data on hydrogen               Described in the book is the process of
           to palladium-containing dental                  fluoride, calcium fluoride,                     risk assessment which begins with the
           restorations, the symptoms being                sodium fluoride, sulfur hexafluoride            selection of the database for a particular
           contact dermatitis, stomatitis or               and silicofluorides are covered,                ETE. A weight-of-evidence approach is
           mucositis and oral lichen planus.               as these compounds are considered to            then used for hazard identification,
                                                           be the most relevant of the inorganic           selecting relevant end-point of deficient
           Palladium ions are considered to be             fluorides on the basis of quantities            and excess exposures. Next, the
           highly toxic to aquatic organisms.              released to the environment,                    probability of risk and the severity of
           However, due to palladium’s high                environmental concentrations                    various effects are quantified and critical
           economic value, emissions of                    and toxicological effects on living             effects are selected. The AROI is then
           palladium from point sources are                organisms. A review of studies                  established by balancing end-points of
           currently minimal. Increased use                on the environmental fate                       comparable health significance. At this
           of catalytic converters may increase            and concentration of fluorides                  time, the exposure assessment is
           palladium emissions from diffuse                is also presented in this document.             conducted. Finally, a risk characterization
           sources. It was recommended that                                                                enumerating the strengths and
           these emissions should be controlled                                                            weaknesses of the databases is
           to be as low as possible.                                                                       performed, integrating the AROI
                                                                                                           and exposure assessment.

           Environmental Health Criteria Series, No. 226   Environmental Health Criteria Series, No. 227   Environmental Health Criteria Series, No. 228
           2002, 201 pages [E]                             2002, 294 pages [E]                             2002, xviii + 70 pages [E]
           ISBN 92 4 157226 4                              ISBN 92 4 157227 2                              ISBN 92 4 157228 0
           Swiss francs 36.–/US $32.40                     Swiss francs 60.–/US $54.00                     Swiss francs 26.–/US $23.40
           In developing countries: 25.20           In developing countries: 42.–            In developing countries: 18.20
           Order no. 1160226                               Order no. 1160227                               Order no. 1160228 sept-02      7/10/02      8:00     Page 13

           Barium and Barium Compounds                                          for the general population. Insoluble barium sulfate has
                                                                                been extensively used at large doses (450 g) as an oral
           This book is an update of the WHO environmental Health               radiocontrast medium, but no adverse systemic effects
           criteria monograph on barium (IPCS 1990) , which                     have been reported.
           evaluates the risks to human health and the environment
           posed by exposures to barium. Barite, the mineral from
           which barium sulfate is produced, is used as a constituent
           in drillling muds in the oil industry. It is also used as a filler
           in a range of industrial coatings, as a dense filler in some         Concise International Chemical Assessment Document, No. 33
           plastics and rubber products, in brake linings, and in some          2001, 52 pages [E]
           sealants and adhesives.                                              ISBN 92 4 153033 2
                                                                                Swiss francs 21.–/US $18.90
           Oral intake from drinking-water and food is the most                 In developing countries: Swiss francs 14.70
           prevalent route of exposure to soluble barium compounds              Order no. 1380033


           Chlorinated Naphthalenes                                             All of chlorinated naphthalenes tested are skin irritants.
                                                                                They can be absorbed with oral, inhalative and dermal
           This book evaluates the risks to human health and the                routes, with a high retention in liver and fat tissue. They
           environment posed by exposures to chlorinated                        have been shown to be highly bioaccumulative in fish
           naphthalenes. They are a group of com-pounds based on                and appear to be of moderate to high acute toxicity to
           the naphthalene ring system, but where one or more                   aquatic organisms.
           hydrogen atoms have been replaced by chlorine. There are
           75 possible congeners of chlorinated naphthalenes.
           Commercial products are generally mix-tures of several
           congeners and range from thin liquids to hard waxes to               Concise International Chemical Assessment Document, No. 34
           high melting point solids. Their main uses have been in              2001, 57 pages [E]
           cable insulation, wood preservation, engine oil additives,           ISBN 92 4 153034 0
           electroplating masking compounds, capaci-tors,                       Swiss francs 21.–/US $18.90
           and refractive index testing oils and as a feedstock                 In developing countries: Swiss francs 14.70
           for dye production.                                                  Order no. 1380034


           This book evaluates the risks to human health and the
           environment posed by exposures to N-Methyl-2-
           pyrrolidone (NMP). NMP is a water-miscible organic solvent
           and is used in the petrochemical industry, in the
           microelectronics fabrication industry, and in the                    Concise International Chemical Assessment Document, No. 35
           manufacture of various compounds, including cosmetics,               2001, 34 pages [E]
           drugs, insecticides. An increasing use of NMP is as a                ISBN 92 4 153035 9
           substitute for chlorinated hydro-carbons.                            Swiss francs 21.–/US $18.90
                                                                                In developing countries: Swiss francs 14.70
                                                                                Order no. 1380035 sept-02     7/10/02    8:00    Page 14

             CHEMICAL SAFETY

           Methyl Cyanoacrylate and Ethyl Cyanoacrylate                   data gaps and uncertainties in the present hazard and risk
                                                                          characterizations because of the widespread and
           This book evaluates the risks to human health and the          uncontrolled exposure of the general public. It was
           environment posed by exposures to methyl cyanoacrylate         concluded that in order to arrive at a meaningful risk
           and ethyl cyanoacrylate. Both substances are clear,            assessment for methyl and ethyl cyanoacrylate, it would
           colourless liquieds that react readily with water to form      be useful to obtain toxicokinetics, toxicological
           solid polymers. The main applications for cyanocacrylates      information including genotoxicity, carcinogenicity and
           are as adhesives domestically and in a wide range of           reproductive toxicity.
           industrial environments.
                                                                          Concise International Chemical Assessment Document, No. 36
           Only limited information was retrieved on the health           2001, 28 pages [E]
           effects of these cyanoacrylates. Also the mode of action of    ISBN 92 4 153036 7
           cyanoacrylates for the key end-point, bronchoconstriction,     Swiss francs 21.–/US $18.90
           after inhalation exposure could not be determined.             In developing countries: Swiss francs 14.70
           However, this CICAD was produced to indicate the large         Order no. 1380036

           Chlorine Dioxide (Gas)                                         covered in a recent Environmental Health Criteria
                                                                          publication (EHC No. 216, 2000) and are not dealt with
           Chlorine dioxide (ClO2) exists as a greenish yellow to         in detail here.
           orange gas at room temperature. It is used in the paper
           and pulp bleaching industries, as a sterilizing agent in       Chlorine dioxide is an irritant and it seems likely that
           hospitals, as a biocide in water treatment, and as an          health effects would be restricted to local responses. The
           improving agent in flour.                                      few ecotoxicity data available show that chlorine dioxide
                                                                          can be highly toxic to aquatic organisms.
           This document focuses on exposures via routes relevant to
           occupational settings, principally related to the production
           of chlorine dioxide, but also contains environmental           Concise International Chemical Assessment Document, No. 37
           information. The health effects and environmental fate         2002, 26 pages [E]
           and effects of chlorine dioxide used in the treatment of       ISBN 92 4 153037 5
           drinking-water, together with those of halogenated             Swiss francs 13.–/US $11.70
           organics produced by the interaction between the               In developing countries: Swiss francs 9.10
           disinfectant and other materials present in the water, are     Order no. 1380037

           N-Nitrosodimethylamine                                         studies in which tumours have been induced in all
                                                                          species examined at relatively low doses, NDMA is clearly
           N-Nitrosodimethylamine (NDMA) is the simplest                  carcinogenic. It is concluded that NDMA is a genotoxic
           dialkylnitrosamine, with a molecular formula of C2H6N2O        carcinogen, and exposure should be reduced to the
           and a relative molecular mass of 74.08. It is no longer        extent possible.
           used industrially or commercially in Canada or the USA
           but continues to be released as a by-product and               Concise International Chemical Assessment Document, No. 38
           contaminant from various industries and from municipal         2002, 45 pages [E]
           wastewater treatment plants.                                   ISBN 92 4 153038 3
                                                                          Swiss francs 13.–/US $11.70
           In this volume are assessed the risks to human health and      In developing countries: Swiss francs 9.10
           the environment of this chemical. Based upon laboratory        Order no. 1380038 sept-02      7/10/02     8:00     Page 15

           Acrylonitrile                                                     Increases in cancer incidence have not been consistently
                                                                             observed in available human epidemiological studies. A
           This book evaluates the risk to human health and the              range of tumours in rats studies are evaluated for
           environment posed by exposures to acrylonitrile.                  carcinogenic potency of acrylonitrile on human.
           Acrylonitrile is a volatile, flammable, water-soluble liquid at
           room temperature. The large majority of acrylonitrile in
           Canada is used as a feedstock or chemical aid in the              Concise International Chemical Assessment Document, No. 39
           production of nitrilebutadiene rubber and in acrylonitrile-       2002, 51 pages [E]
           butadiene-styrene and styrene-acrylonitrile polymers.             ISBN 92 4 153039 1
                                                                             Swiss francs 13.–/US $11.70
           Available data from studies in animals indicate that              In developing countries: Swiss francs 9.10
           acrylonitrile is a skin, respiratory, and severe eye irritant.    Order no. 1380039

           Formaldehyde                                                      direct human source of formaldehyde in the environment
                                                                             is the combustion of organic materials. Releases from
           This book evaluates the risks to human health and the             industrial processes are considerably less.
           environment of formaldehyde.
           Formaldehyde is a colourless highly reactive gas with a
           pungent, irritating odour at room temperature. Sensory
           irritation of the eyes and respiratory tract by formaldehyde
           has been observed consistently in clinical studies and            Concise International Chemical Assessment Document, No. 40
           epidemiological surveys in occupational and residential           2002, 75 pages [E]
           environments.                                                     ISBN 92 4 153040 5
                                                                             Swiss francs 21.–/US $18.90
           Formaldehyde is produced commercially and used                    In developing countries: Swiss francs 14.70
           predominantly in the synthesis of resins, but the largest         Order no. 1380040

           Diethylene Glycol Dimethyl Ether                                  readily absorbed by any route of exposure, metabolized,
                                                                             and excreted mainly in the urine. The main targets of
           Diethylene glycol dimethyl ether (in the following called         diglyme toxicity are reported to be the reproductive
           diglyme) is a colourless liquid with a slight, pleasant           organs.
           odour. Due to its dipolar aprotic properties, diglyme is
           used mainly as a solvent (semiconductor industry, chemical
           synthesis, lacquers), as an inert reaction medium in              Concise International Chemical Assessment Document, No. 41
           chemical synthesis, and as a separating agent in                  2002, 33 pages [E]
           distillations.                                                    ISBN 92 4 153041 3
                                                                             Swiss francs 13.–/US $11.70
           This book evaluates the risks to human health and the             In developing countries: Swiss francs 9.10
           environment of this chemical. Diglyme liquid or vapour is         Order no. 1380041 sept-02     7/10/02    8:00    Page 16


           Innovative Care for Chronic                manage chronic conditions, feel
           Conditions: Building Blocks                overwhelmed and ineffectual.
           for Action                                 Governments and health care
           Global Report                              systems are also facing an inability to
                                                      cope with this escalating disease
           Innovative Care for Chronic                burden and increasing costs.
           Conditions: Building Blocks for
           Action reports that health care            The report presents a “road map”
           systems around the world must              for countries and health systems to
           reorganize their health care to meet       update their health care to meet the
           the rising burden of chronic               needs of chronic conditions. The
           conditions. It alerts decision-makers      proposed building blocks and overall
           throughout the world about these           framework are relevant for both
           important changes in global health,        prevention and disease-management
           and presents health care solutions for     in health care settings.
           managing this rising burden.
                                                      Recommendations are given for
           Due to public health successes,            improving the quality of patient
           populations are ageing and                 interactions, organization of health
           increasingly patients are living with      care, community involvement, and
           one or more chronic conditions for         policies and financing structures.
           decades. Urbanization, adoption of         Examples of real world successes are
           unhealthy lifestyles, and the global       also provided.
           marketing of health risks such as
           tobacco are other factors                  “This report represents an
           contributing to an increase. This          important step towards
           places new, long-term demands on           preparing policy-makers, health
           health care systems. Yet, around the       service planners, and other
           world, health systems do not have a        relevant parties to take action
           plan for managing chronic                  that will reduce the threats
           conditions, and simply treat               chronic conditions pose to the
           symptoms when they occur. The              health of their citizens, their
           results of this poor organization are      health care systems, and their
           taxing to patients and families, who       economies.”
           must shoulder the burden of
           coordinating medical information           — Dr Derek Yach, Executive Director,
           and treatment across a lifetime.           WHO’s Noncommunicable Diseases
           Health care workers, who are               and Mental Health Cluster
           typically ill-equipped to effectively

                                                      2002, 112 pages [E, F*,S*,Ar*]
                                                      ISBN 92 4 159017 3
                                                      Swiss francs 20.–/US $18.00
                                                      In developing countries: Sw. fr. 14.–
                                                      Order no. 1150500 sept-02       7/10/02       8:01      Page 17


           Children in the New                               Healthy Villages                             Local Environmental
           Millennium                                        A Guide for Communities and                  Health Planning
           Environmental Impact on Health                    Community Health Workers                     Guidance for Local and
                                                                                                          National Authorities

           In the context of examining progress              Health is determined by many factors,        This book provides an analysis of
           made since the 1990 World Summit                  including income, environmental              existing local planning processes
           for Children and the 1992 United                  conditions – such as access to               and initiatives in the WHO European
           Nations Conference on Environment                 adequate sanitation and safe water           Region, identifies their common
           and Development, this book                        supplies – individual behaviour, and         features and describes how they
           provides an overview of key                       health services. More than half of the       interrelate with and support NEHAPs.
           environmental risks to children’s                 world's population lives in villages and     Based on a two-year project carried
           health and the underlying causes.                 rural areas and most of those without        out in the eastern half of the Region,
                                                             access to safe water sources or basic        this book also provides guidance and
           Highlighted are children’s special                sanitation are rural dwellers.               options for the development of
           vulnerability and susceptibility                                                               LEHAPs that give the levels of
           to environmental threats at each                  Enabling rural populations to protect        flexibility necessary to ensure that a
           developmental stage, during                       and improve their health is a major          bottom-up planning process can
           pregnancy, infancy and early                      challenge worldwide. In response to          occur. This publication addresses
           childhood, through to school age                  this, an informal "healthy villages"         both local and national policy-makers
           and adolescence. Specific                         movement has evolved. A healthy              and professionals in the
           environmental threats of major                    villages project promotes local actions      environmental, health and other
           importance to children are described,             by community members, mobilizing             sectors. It provides valuable reading
           including lack of safe water and                  human and financial resources to build       for anyone interested in integrated
           sanitation, chemical pollution and                healthy environments and promote             action to improve and protect the
           radiation, indoor and outdoor air                 healthy behaviours.                          environment and health.
           pollution and natural resource
           degradation.                                      This guide is intended to provide
                                                             community leaders with information to
           The book also addresses the impacts               assist them in implementing and
           of global environmental problems                  sustaining a healthy villages project. It
           on children and future generations,               covers topics such as water
           including climate change,                         and sanitation, drainage, waste
           desertification, deforestation and                management, housing quality,
           the loss of biodiversity. A series of             domestic and community hygiene, and
           recommendations are proposed for                  provision of health services, providing
           action at the local, national, regional           extensive source materials for
           and international levels to improve               adaptation to local needs
           children’s environmental health.                  and conditions.

           2002, vi + 142 pages [E]                          In preparation. Expected October 2002        By Ian D. MacArthur
           ISBN 92 4 159016 5                                by G. Howard with C. Bogh, G. Goldstein,     WHO Regional Office for Europe
           Swiss francs 15.–/US $13.50                       J. Morgan, A. Prüss, R. Shaw and J. Teuton   WHO Regional Publications, European
           In developing countries: Sw. fr. 10.–             2002, ix + 109 pages [E]                     Series, No. 95
           Order no. 1150501                                 ISBN 92 4 154553 4                           2002, x + 112 pages [E]
                                                             Swiss francs 22.–/US $19.80                  ISBN 92 890 1362 1
                                                             In developing countries: 15.40        Swiss francs 30.–/US $27.00
                                                             Order no.1150494                             In developing countries: Swiss francs 21.–
                                                                                                          Order no. 1310095 sept-02      7/10/02       8:01    Page 18

              ENVIRONMENT                                    FAMILY HEALTH

           Water and Health in Europe                     Towards Healthier Mothers,
           A Joint Report from the European               Children and Families
           Environment Agency and the WHO                 A Nutrition Guide for
           Regional Office for Europe                     Community Health Workers

           Although some aspects of water                 This manual is primarily aimed at
           quality and supply have improved in            community health and/or nutrition
           some countries over the last decade,           workers. It offers practical
           progress has been variable. Renewed            information and simple ways to
           emphasis is being placed on                    encourage mothers, caregivers,
           microbial quality and the                      children and families to adopt good
           acknowledgement of previously                  nutrition practices for health.
           unrecognized and re-emerging                   Primary and secondary school
           microbial and other hazards.                   teachers may also find this book
                                                          useful for disseminating information
           To this end the WHO Regional Office            on nutrition for better health.
           for Europe, in partnership with the
           United Nations Economic                        The manual is divided into three
           Commission for Europe, prepared a              parts. Part 1 is concerned with
           new Protocol on Water and Health to            nutrition for the family and outlines
           the 1992 Convention on the                     the nutritional and care needs of the
           Protection and Use of Transboundary            different stages in the life cycle. Part
           Watercourses and International                 2 deals with the needs of individuals
           Lakes. This publication provides               with nutritional problems. It covers
           information on many of the issues              the signs and symptoms, risk factors,
           covered by the Protocol, such as               prevention and recommended
           adequate supplies of drinking-water            actions for each condition. Part 3
           and sanitation, water for irrigation           covers food and nutrients. It includes
           and recreational use, monitoring of            basic nutrition knowledge such as
           hazards, and public participation in           nutrients in food, food properties
           decision-making. The evidence                  and micronutrient supplementation.
           presented was collected through an             Community health and nutrition
           extensive coordinated data-gathering           workers are encouraged to read this
           process, in which many organizations           part before using the manual.
           and individuals throughout the
           European Region have cooperated.

           Edited by J. Bartram, N. Thyssen, A. Gowers,
           K. Pond and T. Lack                            WHO Regional Office for the Western Pacific
           WHO Regional Office for Europe                 2002, 87 pages [E]
           WHO Regional Publications, European            ISBN 92 9061 009 3
           Series, No. 93                                 Swiss francs 10.–/US$9.00
           2002, xxiii + 222 pages [E]                    In developing countries: 7.–
           ISBN 92 890 1360 5                             Order no. 1520011
           Swiss francs 50.–/US $45.00
           In developing countries: Swiss francs 35.–
           Order no. 1310093 sept-02      7/10/02      8:01        Page 19


           Evaluation of Certain Food                        Safety Evaluation of Certain             Toxicological Evaluation
           Additives and Contaminants                        Food Additives and                       of Certain Veterinary Drug
           Fifty-seventh Report of the Joint                 Contaminants                             Residues in Food
           FAO/WHO Expert Committee on                       Prepared by the fifty-seventh            Prepared by the fifty-eighth meeting
           Food Additives                                    meeting of the Joint FAO/WHO Expert      of the Joint FAO/WHO Expert
                                                             Committee on Food Additives (JECFA)      Committee on Food Additives (JECFA)

           This report represents the conclusions            This volume contains monographs          This volume contains monographs
           of a Joint FAO/WHO Expert                         prepared at the fifty-seventh meeting    prepared at the fifty-eighth meeting
           Committee convened to evaluate the                of the Joint FAO/WHO Expert              of the Joint FAO/WHO Expert
           safety of various food additives and              Committee on Food Additives (JECFA),     Committee on Food Additives
           contaminants, with a view to                      which met in Rome, Italy, from 5         (JECFA), which met in Rome, Italy,
           recommending Acceptable Daily                     to 14 June 2001. The monographs          from 21 to 27 February 2002.
           Intakes (ADIs) and tolerable intakes,             summarize data on the safety of          The toxicological monographs in this
           respectively, and to prepare                      a number of food additives, including    volume summarize the safety data
           specifications for the identity                   the emulsifiers diacetyltartaric and     on the veterinary drug residues that
           and purity of food additives.                     fatty acid esters of glycerol and        were evaluated toxicologically by the
                                                             quillaia extracts, the food colour _-    Committee, which included two
           The first part of the report contains             carotene from Blakeslea trispora, the    anthelminthic agents (doramectin
           a general discussion of the principles            glazing agent hydrogenated poly-1-       and tiabendazole) and one
           governing the toxicological                       decene, the preservative natamycin,      antimicrobial agent (cefuroxime).
           evaluation of food additives                      the sweetening agent D-tagatose, the     The data summarized in these
           (including flavouring agents) and                 thickening agents carrageenan and        monographs served as the basis for
           contaminants, assessments of intake,              processed Eucheuma seaweed,              the evaluations performed
           and the establishment and revision                and the miscellaneous substances         by the Committee.
           of specifications of food additives.              acetylated oxidized starch and _-
           A summary follows of the                          cyclodextrin. Monographs on six          This volume and others in the WHO
           Committee’s evaluations of                        groups of related flavouring agents      Food Additives Series contain
           toxicological and intake data on                  evaluated by the Procedure for the       information that is useful to those
           various specific food additives,                  Safety Evaluation of Flavouring Agents   who produce and use veterinary
           flavouring agents, and contaminants.              are also included. This volume also      drugs and food additives and those
           Annexed to the report are tables                  contains monographs summarizing          involved with controlling
           summarizing the Committee’s                       the toxicological and intake data on     contaminants in food, government
           recommendations for ADIs of the                   two chloropropanols (3-chloro-1,2-       and food regulatory officers,
           food additives and tolerable intakes              propanediol and 1,3-dichloro-2-          industrial testing laboratories,
           of the contaminants considered,                   propanol) and on polychlorinated         toxicological laboratories,
           changes in the status of                          dibenzodioxins, polychlorinated          and universities.
           specifications of these food additives            dibenzofurans, and coplanar
           and specific flavouring agents, and               polychlorinated biphenyls.
           further information required
           or desired.

           WHO Technical Report Series, No. 909              WHO Food Additives Series, No. 48        WHO Food Additives Series, No. 49
           2002, 170 pages [E, F*, S*]                       2002, vi + 692 pages [E]                 2002, v + 86 pages [E]
           ISBN 92 4 120909 7                                ISBN 92 4 166048 1                       ISBN 92 4 166049 X
           Swiss francs 35.–/US $31.50                       Swiss francs 100.–/US $90.00             Swiss francs 25.–/US $22.50
           In developing countries: 24.50             In developing countries: 70.–     In developing countries: 17.50
           Order no. 1100909                                 Order no. 1270048                        Order no. 1270049 sept-02      7/10/02     8:01     Page 20

              FOOD SAFETY                                   IMMUNIZATION

           WHO Pesticide Residues                        Assessing New Vaccines
           in Food 2001                                  for National Immunization
                                                         A Framework to Assist Decision-makers

           This volume contains toxicological            This book aims to help policy analysts
           monographs that were prepared by              and decision-makers when
           the 2001 Joint FAO/WHO Meeting                considering the addition of new
           on Pesticide Residues (JMPR), which           vaccines to national immunization
           met in Geneva from 17 to 26                   programmes. It reflects the growing
           September 2001.                               international concerns that all
                                                         children of the world should have
           The monographs in this volume                 access to life-saving vaccines
           summarize the safety data on 11               wherever they happen to live,
           pesticides that have the potential to         and provides a set of questions to
           leave residues in food commodities.           work through the technical issues for
           These pesticides are carbaryl,                adding a new vaccine to the national
           diazinon, diflubenzuron,                      immunization schedule.
           fenpropimorph, imazalil,
           imidacloprid, methomyl,
           methoprene, phosalone, prochloraz,
           and spinosad. The data summarized
           in the toxicological monographs
           served as the basis for the acceptable
           daily intakes (ADIs) and acute
           reference doses (acute RfDs) that
           were established at the Meeting.

           This volume and previous editions of
           the JMPR toxicological evaluations
           contain information that is useful to
           those who produce pesticides,
           government and food regulatory
           officers, industrial testing
           laboratories, toxicological
           laboratories, and universities.

           WHO Pesticide Residues Series, No. 17         WHO Regional Office for the Western Pacific
           2002, viii + 232 pages [E]                    2000, v + 32 pages [E]
           ISBN 92 4 166517 3                            ISBN 92 9061 154 5
           Swiss francs 60.–/US $54.00                   Swiss francs 10.–/US$9.00
           In developing countries: 42.–          In developing countries: 7.–
           Order no. 1280017                             Order no. 1520015 sept-02      7/10/02     8:01     Page 21

    LABORATORIES                                             NUTRITION

           Laboratory Tests for the                      Keep Fit for Life:
           Detection of Reproductive                     Meeting the Nutritional
           Tract Infections                              Needs of Older Persons

           This publication discusses state-of-          Given the impact that good nutrition      nutrient intakes, food-based dietary
           the-art methods to detect eleven RTI.         and keeping fit have on health and        guidelines, and exercise and physical
           The types of assay presented fall into        well-being in later life, WHO,            activity should also interest a larger
           several categories and include                in collaboration with the Tufts           audience, including the general reader.
           detection of the organism by direct           University USDA Human Nutrition
           microscopy, detection of metabolic            Research Center on Aging, organized       The main body of the report
           products, culture, and the detection          a consultation to review the scientific   discusses the epidemiological and
           of specific antibodies, antigens,             evidence linking diet and other           social aspects of ageing, health and
           DNA or RNA.                                   factors – especially exercise –           functional changes experienced with
                                                         affecting nutritional status, disease     ageing, the impact of physical
           The methods that are most useful              prevention and health promotion           activity, assessment of the nutritional
           in detecting each organism are                for older persons. The consultation       status of older persons, and
           summarized, as well as their                  focused primarily on practical issues,    nutritional guidelines for healthy
           sampling procedures, sensitivity              including the establishment of            ageing. Additional material covers
           and specificity, the advantages and           explicit recommendations to improve       food-based dietary guidelines for
           disadvantages of laboratory testing,          the health and nutritional status of      older adults – with particular
           the appropriate level of use, the             older persons in a wide variety of        emphasis on healthy ageing and
           training and equipment required,              socioeconomic and cultural settings.      prevention of chronic
           the ease of performance, and the                                                        noncommunicable diseases – and
           indicative cost of reagents.                  During the production of a                guidelines for promoting physical
                                                         comprehensive report, representing        activity among
                                                         the outcome both of the preparatory       older persons.
                                                         work and of the consultation itself,
                                                         it was recognized that new
                                                         information emerging in several key
                                                         areas should also be included. The
                                                         combined results presented here are
                                                         intended as an authoritative source
                                                         of information for nutritionists,
                                                         general practitioners, gerontologists,
                                                         medical faculties, nurses, care
                                                         providers, schools of public health       See also: AIDS section : HIV and
                                                         and social workers. The specific          Infant Feeding Counselling:
                                                         recommendations concerning                A Training Course, page 4

           WHO Regional Office for the Western Pacific                                             2002, 128 pages [E]
           1999, iv + 36 pages [E]                                                                 ISBN 92 4 156210 2
           ISBN 92 9061 148 0                                                                      Swiss francs 30.–/US $27.00
           Swiss francs 10.–/US$9.00                                                               In developing countries: 21.–
           In developing countries: 7.–                                                     Order no. 1150504
           Order no. 1520018 sept-02     7/10/02     8:01    Page 22

             HEALTH POLICY

           WTO Agreements and                                                                   Health Systems Performance
           Public Health                                                                        Assessment and Improvement
           A Joint Study by the WHO                                                             in the Region of the Americas
           and the WTO Secretariat

           This study deals with the relevant          WTO principles of non-discrimination     The publication The World Health
           WTO Agreements and the way they             and national treatment, which guide      Report 2000- Health Systems:
           may influence health and health             the actual implementation of the         Improving Performance,
           policies. At the national level,            Agreements as they relate to health      which compared the performance
           health policy makers are increasingly       issues. In subsequent chapters, the      of the health systems in 191 Member
           interested in the two-way connection        report focuses on eight health issues:   States, created an unprecedented
           between trade and health. The               infectious disease control, food         level of interest and debate within
           principle objective of this study is to     safety, tobacco, environment, access     countries, international
           describe the actual and potential           to drugs, health services, food          organizations, and research
           linkages between relevant WTO               security and nutrition, and emerging     institutions. Much of the report
           agreements and health so as to              issues, such as biotechnology.           focused on various measurements of
           enable both trade and health officials      It also illustrates key areas where      performance, and created a debate
           to better understand, and monitor           trade rules may either complement        on the description of the nature of
           the effects of, these linkages.             or conflict with national                the systems, their organization,
                                                       health policies.                         their financing and the important
           The study examines the main WTO                                                      role of the State in guiding or
           Agreements to health and health             To conclude, the study emphasises        steering the manner in which they
           policies namely the Agreements on           the need for policy coherence            are organized.
           Technical Barriers to Trade (TBT),          between health and trade at the
           Sanitary and Phytosanitary Measures         national and international level         This debate led the Pan American
           (SPS), Trade-related Intellectual           and identifies opportunities to          Health Organization (PAHO) to
           Property Rights (TRIPS),                    achieve greater coherence in health      develop a series of events at the
           and Trade in Services (GATS).               and trade policies in support of         regional level so that our Member
           It also refers to the fundamental           health and development goals.            States could examine in more detail

                                                       2002, 171 pages [E,F,S]
                                                       ISBN 92 4 156214 5
                                                       Swiss francs 30.–/US $27.00
                                                       In developing countries: 21.–
                                                       Order no. 1150507 sept-02       7/10/02       8:02      Page 23

                                                             Social Determinants of
                                                             Health: The Solid Facts

           the issues involved and discuss                   Policy and action for health need
           the approaches to assess the                      to be geared towards addressing the
           performance of their health systems.              social determinants of health in order
           Perhaps, it was equally important                 to attack the cases of ill health
           that they should indicate the kind of             before they can lead to problems.
           technical cooperation that they                   This is a challenging task for both
           would expect from PAHO                            decision-makers and public health
           in this area.                                     actors and advocates. The scientific
                                                             evidence on social determinants is
           This collection of papers represents              strong but is discussed mainly by
           the result of the discussions held in             researchers. This booklet is part of
           the Region as well as in PAHO’s                   a WHO Regional Office for Europe
           Governing Bodies. It is presented                 campaign to present the evidence
           as a matter of record, and also to                on social determinants in a clear and
           provide some input into the ongoing               understandable form. The booklet
           important debate on the best                      identifies the broad implications for
           manner to evaluate the performance                policy in ten selected areas.
           of health systems and the steps                   The campaign is meant to broaden
           needed to improve them.                           awareness, stimulate and
                                                             promote action.

           Pan American Health Organization                  Edited by R.Wilkinson and M. Marmot
           2001, 154 pages [E/S]                             WHO Regional Office for Europe
           ISBN 92 75 07387 2                                1998, 27 pages [E, F]
           Swiss francs: 28.–/US $14.00                      ISBN 92 890 1287 0
           In developing countries: 19.60             Swiss francs 10.–/US $9.00
           Order no. 1630147                                 In developing countries: 7.–
                                                             Order no. 1340046 sept-02      7/10/02     8:02     Page 24

              MEDICAL RECORDS                               PHARMACEUTICALS

           Medical Records Manual                        Effective Drug Regulation                Practical Guidelines on
           A Guide for Developing Countries              A Multicountry Study                     Pharmaceutical Procurement
                                                                                                  for Countries with Small
                                                                                                  Procurement Agencies

           This manual is aimed at helping               Drugs play a crucial role in saving      This publication is aimed at countries
           medical record workers in the                 lives, restoring health, and             with small procurement agencies
           development and management of                 preventing diseases and epidemics.       and provides practical and simple
           medical records services of health            But they need to be safe, efficacious,   guidelines for the purchase of
           care facilities in developing countries       of good quality, and used rationally.    pharmaceutical products. Various
           in an effective and efficient manner.         This means that their production,        types of tender mechanisms are
           It has not been designed as an                import/export, storage, supply and       described, as is direct procurement.
           introductory text to medical record           distribution should be subject to        Emphasis is given to the importance
           management, but rather as an aid to           government control through               of pre-qualifying suppliers to ensure
           medical record officers (MROs) and            prescribed norms and standards           purchase of good quality products.
           medical record clerks by describing           and an effective regulatory system.
           appropriate systems for Medical               Substandard and counterfeit drugs        This book does not cover all aspects
           Records Departments in                        proliferate primarily in an              of the drug management cycle,
           developing countries.                         environment where drug regulation        but it does describe the core
                                                         has proved ineffective.                  principles of procurement and
           It covers manual procedures                                                            various methods of tendering for
           and may be used as an adjunct to              This publication presents a synthesis    drug procurement. It discusses the
           computerized systems. It does not             of studies on drug regulation carried    advantages and disadvantages of
           provide all of the options for medical        out in 10 countries: Australia, Cuba,    these methods as well as the tender
           record management, but it does                Cyprus, Estonia, Malaysia, the           process itself. Model questionnaires
           provide one option in each area for           Netherlands, Tunisia, Uganda,            for prequalification of suppliers,
           the management of medical records             Venezuela, and Zimbabwe                  model tender invitations and an
           in developing countries.                      in 1998-1999. It gives an overview of    inspection checklist for drug receipts
                                                         the development of drug regulation       that can be modified and extended
           A list of textbooks that provide              in these countries as well as the        to meet local requirements
           detailed information on medical               resources available and the strategies   are enclosed.
           record management is also provided.           applied in drug regulation
                                                         implementation at the time the
                                                         studies were conducted. An analysis
                                                         of the strengths and weaknesses in
                                                         drug regulation in these countries
                                                         is also provided.

           WHO Regional Office for the Western Pacific   by S. Ratanawijitrasin                   WHO Regional Office for the Western Pacific
           2002, 90 pages [E]                            and E. Wondemagegnehu                    2002, 56 pages [E]
           ISBN 92 9061 005 0                            2002, ix + 189 pages [E]                 ISBN 92 9061 014 X
           Swiss francs 10.–/US$9.00                     ISBN 92 4 156206 4                       Swiss francs 10.–/US$9.00
           In developing countries: 7.–           Swiss francs 20.–/US $18.00              In developing countries: 7.–
           Order no. 1520014                             In developing countries: 14.–     Order no. 1520010
                                                         Order no. 1150503 sept-02   7/10/02     8:02   Page 25

                                          WHO Model Formulary                           products and plasma substitutes,
                                                                                        cardiovascular drugs, dermatological
                                          The WHO Model Formulary presents              drugs, diagnostics, disinfectants and
                                          formulary information on over 300             antiseptics, diuretics, gastrointestinal
                                          medicines included on the WHO Model           drugs, hormones and contraceptives,
                                          List of Essential Drugs, as a reference for   immunologicals, muscle relaxants and
                                          national and institutional drugs and          cholinesterase inhibitors,
                                          therapeutic committees. It is also a          ophthalmological preparations, drugs
                                          valuable source of independent and            used in obstetrics, peritoneal dialysis
                                          unbiased information for students and         solution, psychotherapeutic drugs, drugs
                                          prescribers who are interested in             acting on the respiratory tract, solutions
                                          focusing their prescribing on those           correcting water, electrolyte and acid-
                                          medicines which are globally recognized       base disturbances, vitamins and
                                          as essential.                                 minerals. The four successive annexes
                                                                                        include information on drug interactions,
                                          This pocket-sized book contains 27            pregnancy, breast-feeding, renal and
                                          sections covering anaesthetics,               liver impairments.
                                          analgesics, antiallergics, antidotes,
                                          anticonvulsants, anti-infective drugs,        2002 , 500 pages [E]
                                          antimigraine drugs, antineoplastic and        ISBN 92 4 154559 3
                                          immunosuppressives drugs and drugs   40.–/US $36.00
                                          used in palliative care, antiparkinson        In developing countries: 20.–
                                          drugs, drugs affecting the blood, blood       Order no.1150499


            Table of Contents

            Section 1: Drugs used
            in Anaesthesia
            Section 2: Analgesics,        Section 9:
            antipyretics,                 Antiparkinson drugs
            nonsteroidal anti-            Section 10: Drugs
            inflammatory drugs,           affecting the blood              Section 20: Muscle
            drugs used to treat gout      Section 11: Blood                relaxants (peripherally
            and disease-modifying         products and plasma              acting) and
            antirheumatic drugs           substitutes                      cholinesterase inhibitors
            Section 3: Antiallergics      Section 12:                      Section 21:
            and drugs used in             Cardiovascular drugs             Ophthalmological
            anaphylaxis                   Section 13:                      preparations
            Section 4: Antidotes          Dermatological drugs             Section 22: Drugs used
            and other substances          (topical)                        in Obstetrics
            used in poisonings            Section 14: Diagnostics          Section 23: Peritoneal
            Section 5:                    Section 15:                      dialysis solution
            Anticonvulsants/antiepi-      Disinfectants and                Section 24:
            leptics                       Antiseptics                      Psychotherapeutic drugs             Appendix I:
            Section 6: Anti-              Section 16: Diuretics            Section 25: Drugs                   Interactions
            infective drugs               Section 17:                      acting on the                       Appendix II:
            Section 7: Antimigraine       Gastrointestinal drugs           Respiratory tract                   Pregnancy
            drugs                         Section 18: Hormones             Section 26: Solutions               Appendix III: Breast
            Section 8:                    and other endocrine              correcting water,                   Feeding
            Antineoplastic and            drugs and                        electrolyte and acid-base           Appendix IV: Renal
            immunosuppressive             contraceptives                   disturbances                        impairment
            drugs and drugs used in       Section 19:                      Section 27: Vitamins                Appendix V: Liver
            palliative care               Immunologicals                   and minerals                        impairment sept-02      7/10/02      8:02     Page 26

              PHARMACEUTICALS                                                                           REPRODUCTIVE HEALTH

           Guidelines for ATC                             ATC Index with DDDs                        Research on Reproductive
           Classification and DDD                                                                    Health at WHO
           Assignment                                                                                Biennial Report 2000-2001
           5th Edition

           The Guidelines for ATC classification          This ATC Index with DDDs                   Much of the UNDP/UNFPA/WHO/World
           and DDD assignment (version 2002)              (version 2002) includes all medicines      Bank Special Programme of Research,
           describes the structure of the                 with a final ATC code and a final          Development and Research Training
           Anatomical Therapeutic Chemical                DDD assigned at the time of issuing.       in Human Reproduction’s (HRP)
           (ATC) classification system and the            The list includes nonproprietary drug      comparative advantage in the
           main principles and procedures for             names and no brand names.                  reproductive health community
           assigning ATC codes for medicines.             The index comprises two lists:             springs from the global research
                                                          - List A: This list is sorted according    network it has built up.
           The concept of the Defined Daily               to ATC code, and gives the complete
           Dose (DDD) is explained as well as             ATC classification, i.e. all ATC levels.   This report describes studies
           principles and procedures for                  All final DDDs, which are established      conceived and coordinated by HRP
           assigning DDDs for medicines.                  for single substances, are included        and carried out during the
           Different uses of the ATC/DDD                  in this list. DDDs for combination         2000–2001 biennium by research
           methodology are described. The                 products are not included.                 groups belonging to the HRP
           book includes all ATC headings                 - List B: The alphabetical index,          network. The work covers a wide
           down to the ATC 4th level assigned             sorted according to nonproprietary         range of reproductive health issues:
           by the WHO Collaborating Centre in             drug names, should be used to look         the safety and effectiveness
           Oslo. Comments regarding specific              up the ATC code for a substance.           of existing, and the promise of new,
           ATC and DDD assignments are                    This list includes ATC 5th levels only.    family planning methods; how to
           included for most of the ATC levels.                                                      make pregnancy and childbirth less
           The comments describe particular               The Guidelines for ATC Classification      life-threatening; preventing
           issues that have been discussed and            and DDD Assignment and the ATC             reproductive tract infections,
           resolved by consensus of the WHO               Index with DDDs are updated                including HIV infection; doing away
           International Working Group for                annually (in January).                     with unsafe abortion; and,
           Drug Statistics Methodology during                                                        as the threat of HIV/AIDS looms ever-
           deliberation while establishing                                                           larger over the planet, how to make
           ATC/DDDs. Guidelines on how to                                                            adolescent sexual behaviour less
           assign DDDs for combination                                                               hazardous. The report introduces
           products are added under the                                                              each issue with basic facts and an
           respective ATC levels.                                                                    outline of the main questions that
                                                                                                     HRP-backed research sets
                                                                                                     out to answer.

           To order these two books, please contact:                                                 2002, 67 pages [E]
           WHO Collaborating Centre                                                                  ISBN 92 4 156208 0
           for Drug Statistics Methodology                                                           Swiss francs 30.–/US $27.00
           P.O. Box 183, Kalbakken, N-0903 Oslo, Norway                                              In developing countries: 15.–
           Email:                                                                       Order no. 1150502
           Tel: +47 22 16 98 11 – Fax +47 22 16 98 18
           Both publications are available in English, Spanish and German versions
           Price for the set: US $90.00
           Separate edition: US $50.00 sept-02   7/10/02   8:03   Page 27

                                                  SUBSTANCE ABUSE

                                                           The Tobacco Atlas
                                                             The Tobacco Atlas is intended for anyone concerned
                                                             with personal or political health, governance,
                                                              politics, economics, big business, corporate
                                                              behaviour, smuggling, tax, religion, internet,
                                                               allocation of resources, human development and
                                                               the future. It will be useful for UN agencies,
                                                                governments and politicians, health officials, the
                                                                 media, researchers, universities, schools, and the
                                                                  general public.

                                                                   The atlas includes full-colour world maps and
                                                                   graphics, revealing similarities and differences
                                                                    between countries, on the history of tobacco,
                                                                    different types of tobacco use, prevalence and
                                                                     consumption, youth smoking, the economics
                                                                     of tobacco, farming and manufacturing,
                                                                      smuggling, the tobacco industry, promotion,
                                                                       profits, trade, smokers’ rights, legislative
                                                                       action such as smoke-free areas, bans on
                                                                        tobacco advertising, health warnings,
                                                                         quitting, the effect of price and taxation,
                                                                         litigation and the future of the epidemic.
                                                        This book illustrates, in an accessible and creative
                                                  format, how tobacco is not just a simple health issue, but
                                                  involves economics, big business, politics, trade, litigation,
                                                  deceit and crimes such as smuggling. The atlas also shows the
                                                  importance of a multifaceted approach to reducing the
                                                  epidemic by WHO, other UN agencies, NGOs, the private
                                                  sector and, in fact, the whole of civil society.

              "The Tobacco Atlas highlights,
              in an educational and creative
             fashion, diverse features of this
                important global epidemic"
                 — Dr Gro Harlem Brundtland,
                  World Health Organization       by J. Mackay and M. Eriksen
                                                  2002, 130 pages [E]
                                                  ISBN 92 4 156209 9
                                                  Swiss francs 30.–/US $27.00
                                                  In developing countries: 21.–
                                                  Order no. 1150512 sept-02   7/10/02   8:03   Page 28

                                                  Health in the Americas,

                                                  2002 Edition
                                                  Volumes I and II

                                                   “The complete story of public health progress
                                                   in the Americas found in only one source”

                                                     Health in the Americas is considered the most
                                                     important and most consulted work of all the
                                                      publications produced by PAHO. This edition consists
                                                      of 2 volumes and covers the period 1997-2000.

                                                        Volume I describes the health situation from a
                                                        regional perspective and contains a series of
                                                         chapters that identify and analyse the most
                                                         important general, demographic, and mortality
                                                          trends of the period; major determinants of health
                                                           as seen from a variety of political, social,
                                                           economic, and financial standpoints; principal
                                                            trends and characteristics of the ongoing health
                                                             sector reform movement; the role of individuals
                                                              and communities in promoting health; the
                                                              association between the physical environment
                                                               and human living conditions; principal diseases
                                                        and health problems; the extent of human and
                                                  technological resources available to address health issues
                                                  today; and the status and achievements of international
                                                  and bilateral cooperation within the context of the
              "As with previous editions          growing tendency toward trade globalization. Volume II
           of this report, PAHO hopes that        consists of a breakdown of these same topics by country
              Health in the Americas will         and covers the 45 nations and territories of the Americas.
                                                  This new edition includes a discussion of the search for
             fulfil the function of keeping       health inequalities and how we might reduce them, as
              the Member Governments              well as a greater emphasis on the importance of
            informed, and that it also will       disaggregating demographical information by sex and
           serve as a reference and source        incorporating a gender perspective in its analysis.

           of information for national and        Health in the Americas, 2002 edition is indisputably a
              international agencies and          valuable reference tool for health authorities, public
                   institutions and for           health and medical professionals, students, social
                                                  researchers and all others interested in health in human
              investigators and to other          development issues, including the public at large.
                 professionals working
                   in the health field."
                  — George A. O. Alleyne
               Director, Pan American Health

                                                  Pan American Health Organization
           “… The special 2002 centennial         PAHO Scientific Publication, No. 587
                edition of Health in the          2002, 1000 pages [E/S]
            Americas celebrates 100 years         ISBN 92 75 11587 7
                                                  Swiss francs: 136.–/US $68.00
            of inter-American cooperation         In developing countries: 95.20
           and progress in public health…”        Order no. 1610587 sept-02    7/10/02     8:03     Page 29

           Volume I
           A Regional Perspective of the Health Situation in the Americas

           The Region’s most significant general, demographic, mortality, and mortality
           trends Major determinants of health and how they are seen from political,
           social, economic, and financial standpoints

              Principal trends and characteristics of the ongoing health sector reform movement
              The role of individuals and communities in promoting health
              The interrelationship between the physical environment and human living conditions
              Principal diseases and health problems
              The extent of human and technological resources available to address today’s health issues
              The status and achievements of international and bilateral cooperation

           Volume II
           Country-by-Country Reports on National Health Situation
           With individual sections on:

           - Socioeconomic, political, and demographic overviews
           - Morbidity and mortality profiles
           - Specific health problems by population groups : Children, Schoolchildren,
             Adolescents, Adults, Older adults, Family health, Workers’ health, Health
             of the disabled, Indigenous groups, Border populations, Other special groups

              Emerging and re-emerging diseases                             Organization of public health care services: Health
              Natural disasters                                             promotion services; Diseases prevention and control
              Vector-borne diseases                                         programs; Health analysis, epidemiological surveillance,
              Diseases preventable by immunization                          and laboratory systems; Water supply, sewerage
              Intestinal infectious diseases                                systems, and municipal solid waste services; Prevention
              Acute respiratory diseases                                    and control of air pollution; Protection and control of
              Zoonoses                                                      food sources
              HIV/AIDS                                                      Organization of individual health care services :
              Sexually transmitted infections                               Ambulatory, emergency, and inpatient services;
              Nutritional and metabolic diseases                            Auxiliary diagnostic services and blood banks;
              Cardiovascular disease                                        Specialized services; Health supplies; Drugs;
              Malignant neoplasms                                           Immunobiologicals; Reagents; Medical equipment
              Accidents and violence                                        Human resources: Availability of health personnel by
              Oral health                                                   type; Public health training; Continuing education;
              The response of the health system: National health            Current status of labour market in the health field
              policies and plans; Health sector reform strategies and       Health research and technology: Organization and
              programs; The health system; Institutional organization       financing of scientific activities; Training for research;
              of the health sector; New developments in national            Health sector expenditure and financing; Preventive
              health legislation; Institutional direction, regulation,      services; Outpatient and hospital care; Drugs,
              health provision, insurance, and financing;                   equipment, and other medical supplies; Health
              Decentralization of health services; Private                  providers; Government resources at central, provincial,
              participation in the health system; Types of health           and local levels; State social security; Private resources
              insurance and what they cover                                 of institutions and corporations; Nongovernmental
              Organization of regulatory actions : Health care              organizations (NGOs) and other community resources
              delivery; Certification and professional health practice;     External technical cooperation and financing:
              Basic health markets; Environmental quality; Food             Development aid; International financing institutions;
              quality; Evaluation of health technologies                    Foundations and corporations; International and
                                                                            regional NGOs sept-02    7/10/02     8:03    Page 30


           World Mortality in 2000                                                             Summary Measures
           Life Tables for 191 Countries                                                       of Population Health
                                                                                               Concepts, Ethics, Measurement
                                                                                               and Application

           Reliable information on the numbers        expectancy in the year 2000 for all      With increasing life expectancy,
           of people who die in various               191 Member States of WHO, and for        measuring population health levels
           countries according to age and             14 sub-regions. Details on the data      on the basis of mortality rates alone
           sex is a fundamental requirement           sources available and how they have      has become less and less relevant in
           for setting health priorities and          been evaluated and adjusted to           many populations. At the same
           evaluating health programmes.              produce the best possible estimates      time, societies invest substantial
           Mortality levels and trends have           of mortality are provided, along with    resources in promoting healthy life,
           been monitored in some countries           a comprehensive analysis and             in addition to preventing premature
           for centuries, while in others,            presentation of all-known census,        death. But how effective have these
           particularly in Sub-Saharan Africa,        survey and vital registration data on    efforts been? What is the
           little is currently known about adult      child mortality since the 1960s.         appropriate metric to measure
           mortality. This uncertainty has                                                     healthy life expectancy, or, for that
           increased in the 1990s due to the          The book will serve as a key             matter, the contribution of different
           HIV/AIDS epidemic, precisely at the        reference on mortality conditions        diseases and injuries to potential
           time when priority setting in health       worldwide at the start of the new        years of healthy life that are lost due
           requires reliable information on           millennium and should be an              to their occurrence?
           mortality levels in countries              invaluable source against which to
           and regions.                               monitor the success of disease and       This book addresses the various
                                                      injury prevention programmes.            approaches and viewpoints as to
           This book provides detailed country,       The text is trilingual, English,         how mortality and ill-health might
           regional and global estimates of age-      French and Spanish.                      be combined into a single index to
           specific mortality rates and life                                                   measure overall population health.
                                                                                               The various uses of such summary
                                                                                               measures of population health are
                                                                                               described, and the appropriate
                                                                                               measurement framework and specific
                                                                                               ethical and social value choices are
                                                                                               discussed and debated.

                                                                                               The contributors include leading
                                                                                               experts in epidemiological methods,
                                                                                               ethics, health economics, health

                                                      by A.D. Lopez, O.B. Ahmad, M. Guillot,
                                                      B.D. Ferguson, J.A. Salomon,
                                                      C.J.L. Murray, and K.H. Hill
                                                       2002, 800 pages [E/F/S]
                                                      ISBN 92 4 156204 8
                                                      Swiss francs 100.–/US $ 90.00
                                                      In developing countries: Sw. fr. 35.–
                                                      Order no. 0150498 sept-02       7/10/02       8:04     Page 31

                                                                 TRADITIONAL MEDICINE

                                                            Acupuncture: Review and                  Guidelines on Basic Training
                                                            Analysis of Reports on                   and Safety in Acupuncture
                                                            Controlled Clinical Trials

           status measurement and the                       The therapy of acupuncture has a         This document comprises guidelines
           valuation of health states. Summary              long history. In its 2500 years of       on basic training and safety in
           measures of population health are                development, a wealth of experience      acupuncture. The guidelines on basic
           likely to become increasingly topical            has been accumulated, attesting to       training cover basic requirements for
           and debated and this volume will                 the wide range of diseases and           training non-physician acupuncturists
           serve as the fundamental reference               conditions that can effectively be       and physicians wishing to use
           for their construction and use                   treated with its approach. In the        acupuncture in their clinical work
           for scholars across all public                   past two decades, there have been        and include a core syllabus. These
           health disciplines.                              extensive studies on acupuncture and     are intended to assist national health
                                                            great efforts have been undertaken       authorities in setting standards and
           “…The development of summary                     to conduct controlled clinical trials,   establishing official examinations
           measures of population health is                 including the use of “sham”              as well as medical schools and
           of utmost importance .... they                   acupuncture or “placebo”                 institutions wishing to arrange
           force us to define exactly the                   acupuncture controls. This document      training programmes.
           required epidemiological input on                is a brief review of the current
           mortality and disability, to                     literature on acupuncture practice,      The guidelines on safety in
           stimulate the application of                     which may provide information            acupuncture are intended for
           uniform classifications and the                  about the effectiveness of different     hospitals, clinics, and practitioners
           collection of missing information,               aspects of acupuncture therapy.          and provide standards for safety in
           and to systematically check the                                                           the clinical practice of acupuncture.
           internal consistency of the                      In order to promote the appropriate
           epidemiological information on                   use of acupuncture in those Member
           specific diseases. Thus, apart from              States where acupuncture has not
           setting health and research                      been widely used, this document is
           agendas they also set agendas                    annexed with a brief abstract of each
           for international comparative                    relevant reference for the assessment
           data collection and                              of acupuncture practice. The clinical
           epidemiological research.”                       conditions covered in the existing
                                                            data are also included.
           — Dr Paul van der Maas
           Department of Public Health,
           Erasmus University

           Edited by C. J. L. Murray, A. Lopez,             2002, 90 pages [E]                       2002, 30 pages [E, F]
           C. Mathers and J. Salomon                        ISBN 92 4 154543 7                       WHO/EDM/TRM/99.1
           2002, 800 pages [E, F*,S*]                       Swiss francs 35.–/US $31.50              Swiss francs 14.–/US $12.60
           ISBN 92 4 154551 8                               In developing countries: 24.50    In developing countries: 9.80
           Swiss francs 50.–/US $45.00                      Order no. 1930196                        Order no. 1930194
           In developing countries: 15.–
           Order no. 1150492 sept-02       7/10/02       8:04       Page 32


           Legal Status of Traditional                        Regulatory Situation                     Traditional Medicine in Asia
           Medicine and Complementary/                        of Herbal Medicines
           Alternative Medicine                               A Worldwide Review
           A Worldwide Review

           Various types of traditional medicine and          The increasing demand for medicinal      This unique book provides a
           other medical practices referred to as             plants and the products derived from     comprehensive picture of the vivid
           complementary or alternative medicine              them has led to concerns over their      kaleidoscope of traditional medicine in
           are increasingly used in both developing           safety and efficacy. The evaluation of   Asia presented by 34 eminent authors
           and developed countries. In order to               herbal medicines and the use of          from 15 countries, belonging to the
           promote safe and appropriate use of                registration and regulation to ensure    different systems like Ayurveda and
           these medicines and practices, as well as          their safety and efficacy present        Chinese Traditional Medicine.
           to ensure the quality of service and               important challenges.
           practitioners, national regulations are                                                     Important emerging areas such as
           vital. Establishing national policies on           This document describes experiences      harmonization of the traditional
           traditional medicine, and/or                       from 52 countries in formulating         systems with modern medicine and the
           complementary/alternative medicine and             policies on herbal medicines and         growing role of these systems in the
           their medical practices, should therefore          introducing measures for their           health care structure of countries are
           include creation of legal frameworks.              regulation and registration.             also dealt with. Legislation and
                                                                                                       regulation of these systems and
           This review summarizes the legal status                                                     practitioners, an area of growing
           of several major practices in traditional                                                   concern, the need for good preclinical
           medicine and complementary/alternative                                                      toxicology studies and scientific clinical
           medicine in 123 countries. It includes                                                      evaluation of the products and
           data on: the use of traditional                                                             medicinal plants used for therapy are
           and complementary/alternative medicine;                                                     exhaustingly dealt with. The vital issue
           the regulatory situation of traditional                                                     of protection of traditional systems of
           and complementary/alternative remedies                                                      medicine and patenting of medicinal
           and practitioners; health insurance                                                         plants is discussed in detail.
           coverage of traditional and
           complementary/alternative medicine;                                                         The book is replete with suggestions
           education and training of practitioners of                                                  and ideas aimed at making traditional
           traditional and complementary/alternative                                                   systems more effectively and more
           medicine. Information provided in this                                                      widely used for health care. The book
           review will be useful not only to policy                                                    also covers the prevailing situation
           makers, but also to researchers,                                                            regarding the use and other aspects
           universities, the public, insurance                                                         of traditional medicine in the 10
           companies and pharmaceutical industries.                                                    Member countries of the South-East
                                                                                                       Asia Region of the World
                                                                                                       Health Organization.

           2001, ix + 189 pages [E]                           1998, 45 pages [ E, F, S]                Edited by R.R. Chaudhury and Uton M. Rafei
            ISBN 92 4 154548 8                                WHO/TRM/98.1                             WHO Regional Office for South-East Asia
           Swiss francs: 35.–/US $31.50              14.–/US $12.60                    WHO Regional Publications, South-East Asia
           In developing countries: Sw. Fr. 24.50             In developing countries: 9.80     Series, No. 39
           Order no. 1930190                                  Order no. 1930193                        2002, vii + 309 pages [E]
                                                                                                       ISBN 92 9022 224 7
                                                                                              20.–/US $18.00
                                                                                                       In developing countries: 14.–
                                                                                                       Order no. 1560039 sept-02   7/10/02   8:04   Page 33

                                                      WORLD HEATH REPORTS

                                                  The European Health Report 2002

                                                  Governments and policy-makers are increasingly aware that access to
                                                  knowledge enables better policy-making practice. The policy-makers of the
                                                  various Member States are also more and more aware that they face common
                                                  challenges and can learn useful lessons from across national boundaries that
                                                  shed light on their own specific national situation. The challenge for the
                                                  Regional Office is to build on the existing data and experience, to facilitate the
                                                  sharing of this experience and, ultimately, to make those data and indicators
                                                  practically comparable across the countries.

                                                  The European Health Report responds to the statutory requirement to provide
                                                  the Member States with essential public health information. It provides a broad
                                                  but concise picture of the health status and health determinants in the Region,
                                                  and identifies areas for public health action for the Member States and the
                                                  European public health community. The report focuses on concrete evidence
                                                  useful for decision-makers in public health. Its role is to summarize and feed
                                                  back to Member States the information created, deposited and “accredited”
                                                  during the Regional Office’s work with Member States on key topics and issues
                                                  in public health in Europe, in the context of the values and principles of WHO
                                                  as “one Organization”.

                                                                                             WHO Regional Office for Europe
                                                                                             WHO Regional Publications, European
                                                                                             Series, No. 97
                                                                                             2002, vi + 166 pages [E, F*, R*, G*]
                                                                                             ISBN 92 890 1365 6
                                                                                             Swiss francs 42.–/US $37.80
                                                                                             In developing countries: 29.40
                                                                                             Order no. 1310097 sept-02   7/10/02   8:04   Page 34

                                                  The World Health Report
                                                      Reducing Risks, Promoting Healthy Life

                                                       The World Health Report 2002 measures the
                                                       amount of disease, disability and death in the
                                                        world today that can be attributed to some of
                                                        the most important risks to human health. Even
                                                         more importantly, it also calculates how much
                                                         of this present burden could be avoided in the
                                                          next decades.

                                                            The World Health Report 2002 represents one of
                                                            the largest research projects ever undertaken by
                                                             WHO, in collaboration with experts worldwide.
                                                             Dr Gro Harlem Brundtland, Director-General of
                                                              WHO, describes this report as "a wake up call
                                                              to the global community".

                                                  The report quantifies some of the most important risks to
                                                  human health, and examines a range of methods to
                                                  reduce them. The ultimate goal is to help governments of
                                                  all countries to lower major risks to health, and thereby
                                                  raise the healthy life expectancy of their populations.

                                                  The risk factors range from underweight and unsafe
                                                  water, sanitation and hygiene to high blood pressure,
                                                  raised cholesterol and obesity.
                  "The world is living
           dangerously - either because it        The report's findings give an intriguing – and alarming –
           has little choice, or because it is    insight into not just the current causes of disease and
                                                  death and the factors underlying them, but also into
             making the wrong choices"            human patterns of living and how some may be
                                                  changing around the world while others remain
                                                  dangerously unchanged.
                "This report helps every
              country in the world to see
           what are the most appropriate,
           most cost-effective measures it
             can take to reduce risks and
           promote healthy life for its own
             population. Reducing risks to
            health is the responsibility not
            only of governments. It rightly
            remains a vital preoccupation
           of all people, in all populations.
             In this World Health Report,
               there is a message - and a
                 potential benefit - for          2002, approx. 250 pages [E, F, S*, Ar*, C*, R*]
                       everybody."                ISBN 92 4 156207 2
                                                  Swiss francs 15.–/US $13.50
               — Dr Gro Harlem Brundtland,        In developing countries: 10.50
                 Director-General, WHO            Order no. 1242002 sept-02     7/10/02     8:04    Page 35

           Enemies of health                                     Globally, indoor air pollution is estimated to cause
           According to the report, at the same time that        36% of all lower respiratory infections, 28% of
           there are 170 million children in poor countries      chronic obstructive pulmonary disease, 22% of
           who are underweight – and up to six million of        tuberculosis, 11% of asthma and about 3% of
           them die each year as a result – there are more       lung cancers.
           than one billion adults worldwide who are
           overweight, and at least 300 million who are          The report shows that obesity is killing about
           clinically obese.                                     220 000 men and women a year in the United
                                                                 States of America and Canada alone, and about
           Underweight is most prevalent among children          320 000 in 20 countries of Western Europe.
           under five years of age, and WHO estimates that
           approximately 27% of children in this age group       The report traces the rapid evolution of the
           are underweight. It was a contributing factor in      tobacco epidemic by showing that the estimated
           60% of all child deaths in developing countries.      number of attributable deaths in the year 2000 –
                                                                 4.2 million - is about 45% greater than what it
           The report says HIV/AIDS is now the world’s           was in 1990, with the increase being most
           fourth biggest cause of death. Current estimates      marked in developing countries. Worldwide,
           suggest that more than 99% of the HIV infections      alcohol caused 1.7 million deaths and loss of 56
           prevalent in Africa in 2001 are attributable to       million disability-adjusted life years. Alcohol is
           unsafe sex. In the rest of the world, the 2001        estimated to cause globally, 20-30% of
           estimates for the proportion of HIV/AIDS deaths       oesophageal cancer, liver cancer, cirrhosis of the
           attributable to unsafe sex range from 13% in East     liver, homicide, epilepsy, motor vehicle accidents,
           Asia and the Pacific to 94% of the deaths in          and other intentional injuries.
           Central America.

           About two million deaths a
           year worldwide are
           attributed to unsafe water,         Recommended actions
           sanitation and hygiene,
           mainly through infectious               Focusing on major risk factors.                 connection with HIV/AIDS, and in
           diarrhoea. Nine out of 10                                                               some populations unhealthy diet
           such deaths are in children,            Formulating risk prevention policies,           and obesity.
           and virtually all the deaths            including more support for scientific
                                                   research, improved surveillance                 Strengthening international and
           are in developing countries.
                                                   systems and better access to global             intersectoral collaboration to improve
                                                   information.                                    risk management and increase public
           Iron deficiency is one of the                                                           awareness and understanding of risks
           most prevalent nutrient                                                                 to health.
           deficiencies in the world,              Giving top priority to developing
           affecting an estimated two              effective, committed policies for the
           billion people, and causing             prevention of globally increasing high          Ensuring a balance in action
           almost a million deaths                 risks to health, such as tobacco                between government, community
                                                   consumption, unsafe sex in                      and individual.
           a year.

             The top 10 selected risks to health

             1.   Underweight                         6.   Unsafe water, sanitation
                                                           and hygiene
             2.   Unsafe sex
                                                      7.   Iron deficinecy
             3.   High blood pressure
                                                      8.   Indoor smoke from solid fuels
             4.   Tobacco consumption
                                                      9.   High cholesterol
             5.   Alcohol consumption
                                                      10. Obesity sept-02    7/10/02   8:05   Page 36

                                                         World report on
                                                         violence and health
                                                             Violence is a major public health problem
                                                             worldwide. Each year, over 1.6 million people
                                                              lose their lives to violence. Violence is among
                                                               the leading causes of death for people aged
                                                                15–44 years of age worldwide, accounting for
                                                                14% of deaths among males and 7% of
                                                                 deaths among females. For every person who
                                                                 dies as a result of violence, many millions
                                                                  more are injured and suffer from a range of
                                                                  physical, sexual, reproductive and mental
                                                                   health problems.

                                                                  The World report on violence and health,
                                                                   which will be released by WHO on 3
                                                                   October 2002, is the first comprehensive
                                                                    review of the problem of violence on a
                                                                    global scale - what it is, who it affects
                                                          and what can be done about it. The report
                                                   attempts to dispel the hopelessness that often
                                                   accompanies any discussion on violence. Violence is
                                                   preventable – it is not an intractable social problem or an
                                                   inevitable part of the human condition. It is a
                                                   multifaceted problem with biological, psychological, social
                                                   and environmental roots. There is no simple or single
                                                   solution to the problem. Violence must therefore be
                                                   addressed on multiple levels and in multiple sectors of
                                                   society simultaneously

               “… Many who live with               This report illustrates not only the human toll of violence
             violence day in and day out           but also exposes the many faces of interpersonal,
                                                   collective and self-directed violence. Far from being a
             assume it is an intrinsic part        well-reported phenomenon that unfolds in the limelight
             of the human condition. But           of front-page stories, many acts of violence, as the report
            this is not so. Violence can be        shows, are in fact hidden from public view and go
             prevented. Violent cultures           unreported.
               can be turned around...”            The report describes the magnitude and impact of
                       — Nelson Mandela            violence throughout the world; examines the key risk
                                                   factors for violence; gives an account of the types of
                                                   intervention and policy responses that have been tried,
             “….saving our children from           and summarizes what is known about their effectiveness;
              (childhood) diseases only            and makes recommendations for action at local, national,
               to let them fall victim to          and international levels.
            violence or lose them later to
               acts of violence between
               intimate partners, to the
           savagery of war and conflict, or
              to self-inflicted injuries or
            suicide, would be a failure of         2002, 340 pages [E, F, S*, Ar*, C*, R*]
                     public health.”               ISBN 92 4 154561 5
                                                   Swiss francs 30.–/US $27.00
               — Dr Gro Harlem Brundtland,         In developing countries: 15.–
                 Director-General, WHO             Order no. 1150505 sept-02   7/10/02   8:05   Page 37

                Some facts from the report...                        5.   There is now evidence that major adult
           1.   Each year, over 1.6 million people lose their             forms of illness – including ischaemic heart
                lives to violence. On an average day:                     disease, cancer, chronic lung disease,
                1424 people are killed in acts of                         irritable bowel syndrome and fibromyalgia
                interpersonal violence – almost one person                – are related to experiences of abuse
                every minute                                              during childhood.
                2233 people commit suicide – roughly one
                person every 26 seconds                              6.   Violence is preventable. Examples of
                849 people are killed as a result of armed                successful approaches and initiatives can be
                conflict – about 35 people every hour                     found around the world.

           2.   Rates of violent death in low- to middle-            7.   Investing in primary prevention – especially
                income countries are more than twice as                   primary prevention activities that operate
                high as those in high-income countries.                   “upstream” of problems – may be more
                                                                          cost-effective and have large and long-
           3.   Violence puts a massive burden on national                lasting benefits than acting only after
                economies, costing countries billions in US               violence has occurred.
                dollars each year in health care, law
                enforcement and lost productivity.                   8.   Political commitment to tackling violence is
                                                                          vital to the public health effort. While
           4.   For every person who dies as a result of                  much can be achieved by grassroots             37
                violence, many millions more are injured                  organizations, individuals and institutions,
                and suffer from a range of physical, sexual,              the success of public health efforts
                reproductive and mental health problems.                  ultimately depends on political commitment.

           “…Violence cuts short the lives of millions of people
           across the world each year, and damages the lives of
           millions more. Men and women everywhere have the
            right to live their lives and raise their children free
           from the fear of violence. We must help them enjoy
               that right by making it clearly understood that
           violence is preventable, and by working together to
                 identify and address its underlying causes.”
                  — Kofi Annan, Secretary-General, United Nations,
                            Nobel Peace Laureate 2001

                                “As long as humanity continues to rely on violence to resolve conflicts,
                                  the world will enjoy neither peace nor security, and our health will
                                continue to suffer. This report is an important resource for opening our
                                   eyes to the reality of violence as a public health problem, and for
                               providing a source of hope for the future. Perhaps only when we realize
                              that violence is destroying both our bodies and our souls will we begin to
                                    collectively address its roots and consequences. This report is an
                                                    important step in that direction.”
                                    — Oscar Arias, Former President of Costa Rica, Nobel Peace Laureate, 1987 sept-02         7/10/02         8:05       Page 38

             PERIODICALS 2003

           Periodicals from the World Health Organization
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           Bulletin of the World Health                           WHO Drug Information                                      Weekly Epidemiological
           Organization                                                                                                     Record

           Expanded in 1999 by placing research                   Launched in 1987, WHO Drug                                For more than seven decades, the
           findings and policy-relevant discussions               Information communicates                                  Weekly Epidemiological Record has
           side by side, the Bulletin aims to give                pharmaceutical information that is                        served as an essential instrument for
           public health policy and practice                      either developed and issued by WHO                        the collation and dissemination of
           guidance based on the best evidence                    or transmitted to WHO by research                         epidemiological data useful in disease
           available, while also encouraging                      and regulatory agencies throughout                        surveillance on a global level. Priority is
           closer links between scientific                        the world. The journal also includes                      given to diseases or risk factors known
           investigation and the art of helping                   regular presentations of newly                            to threaten international health.
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                                                                                                  Email: sept-02   7/10/02   8:05    Page 40


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    CANCER                                                    MÉDECINE TRADITIONNELLE

           Centre international de                         Principes directeurs pour               Réglementation des
           Recherche sur le Cancer                         la formation de base et                 médicaments à base
           Rapport biennal 2000-2001                       la sécurité dans la pratique            de plantes
                                                           de l’acupuncture                        La situation dans le monde

           Ce rapport biennal décrit les projets           Ce document contient des directives     La demande croissante de plantes
           actuels et récemment lancés par le              relatives à la formation de base et à   médicinales et des produits dérivés
           Centre international de Recherche               la sécurité dans la pratique de         pose la question de leur innocuité et
           sur le Cancer. La plupart de ces                l’acupuncture. Les Principes            de leur efficacité. L’évaluation des
           projets engagent la collaboration de            directeurs pour la formation de base    médicaments à base de plantes et le
           chercheurs d’instituts à travers le             décrivent les conditions minimales      recours à l’homologation et à la
           monde et couvrent des sujets allant             requises pour la formation des          réglementation pour garantir leur
           du soutien aux registres du cancer              acupuncteurs non médicaux et des        innocuité et leur efficacité soulèvent
           à l’analyse des données sur leur                médecins qui souhaitent utiliser        d’importantes difficultés.
           incidence en passant par les                    l’acupuncture dans le cadre de leur
           mécanismes de la cancérogenèse.                 pratique et contiennent un              Ce document décrit l’expérience de
           Largement illustré, le rapport                  programme de base. Ils s’adressent      52 pays qui ont formulé des politiques
           contient également des détails sur le           aux autorités sanitaires nationales     relatives aux médicaments à base de
           personnel et l’organisation du Centre           qui veulent établir des normes et       plantes et adopté des mesures
           et de ses activités, ainsi qu’une liste         instaurer des examens officiels ainsi   concernant la réglementation et
           complète de plus de 500 publications            qu’aux écoles de médecine et aux        l’homologation de ces produits.
           et articles parus durant cette période.         établissements qui souhaitent
                                                           organiser des programmes
                                                           de formation.

                                                           Les Principes directeurs pour la
                                                           sécurité dans la pratique de
                                                           l’acupuncture sont destinés aux
                                                           hôpitaux, aux dispensaires et aux
                                                           praticiens et ils énoncent des normes
                                                           de sécurité pour la pratique clinique
                                                           de l’acupuncture.

           Centre international de Recherche               2002, 39 pages [F, E]                   2002, 57 pages [F, E]
           sur le Cancer                                   WHO/EDM/TRM/99.1                        WHO/EDM/TRM/98.1
           2002, xi + 175 pages [F, E]                     Francs suisses: 14.–                    Francs suisses: 14.–
           ISBN 92 832 2099 4                              Pays en développement : Fr.s. 9.80      Pays en développement : Fr.s. 9.80
           Francs suisses: 25.–                            No. de commande 2930194                 No. de commande 2930193
           Pays en développement : Fr.s. 17.50
           No. de commande 2750001 sept-02      7/10/02     8:06     Page 42

              POLITIQUES DE SANTÉ                                                                             PRODUITS PHARMACEUTIQUES

           Les déterminants sociaux de                   Les accords de l'OMC                              Dénominations communes
           la santé: Les Faits                           et la santé publique                              internationales (DCI)
                                                         Etude conjointe de l'OMS                          pour les substances
                                                         et du Secrétariat de l'OMC                        pharmaceutiques CD-ROM
                                                                                                           Listes 1-85 de DCI proposées et
           Les politiques et l'action pour la            Le présent rapport traite des Accords             Listes 1-45 de DCI recommandées
           santé doivent s'orienter vers une             pertinents de l'OMC et de la manière              Liste récapitulative No. 10
           prise en compte des déterminants              dont ils peuvent influencer la santé et les
           sociaux de la santé afin de s'attaquer        politiques de santé. Au niveau national,          Cette dixième liste récapitulative
           aux causes de la mauvaise santé               les responsables des politiques de santé          sur CD-ROM est destinée à servir
           avant que celles-ci ne créent des             s'intéressent de plus en plus aux liens           de référence aux autorités nationales
           problèmes. Cette approche est un              réciproques entre le commerce et la santé.        de réglementation pharmaceutique,
           défi aussi bien pour les décideurs que        L'objectif principal du présent rapport est       à l’industrie pharmaceutique et aux
           pour les acteurs de la santé publique.        de décrire les liaisons réelles et potentielles   professionnels de santé. Elle remplace
           Les faits scientifiques concernant            entre les Accords pertinents de l'OMC et la       la neuvième liste publiée en 1996 et
           les déterminants sociaux sont                 santé, afin de permettre aux responsables         contient plus de 7100 DCI pour
           solidement établis, mais sont pris            du commerce comme à ceux de la santé              des substances pharmaceutiques
           en compte surtout par les                     de mieux les comprendre et                        déterminées, dont près de 760 nouveaux
           chercheurs. Cette brochure s'inscrit          d'en suivre les effets.                           noms proposés depuis la publication de
           dans une campagne du Bureau                                                                     la précédente liste. Elle est proposée en
           régional de l'OMS pour l'Europe               Le rapport examine les principaux Accords         format multilingue : textes d’introduction
           visant à présenter la réalité des             de l'OMC qui ont un rapport avec la santé         en anglais et en français, avec liste
           déterminants sociaux sous une forme           et les politiques de santé. Il met l'accent       des DCI en latin, anglais, français,
           claire et compréhensible.                     sur huit aspects de la santé : la lutte           russe et espagnol.
           Les grands domaines d'action des              contres le maladies infectieuses ; la sécurité
           pouvoirs publics sont présentés dans          sanitaire des produits alimentaires ;
           dix chapitres. La campagne a pour             le tabac ; l'environnement ; l'accès aux           Tableau des prix pour
           objectif de développer la prise de            médicaments ; les services de santé ;              utilisateurs multiples:
           conscience, stimuler le débat                 la sécurité alimentaire et la nutrition ;
                                                                                                            2-10 utilisateurs: Fr.s. 350.–/US $315.00
           et promouvoir l'action.                       et les questions émergentes (telles que les
                                                                                                            /Pays en développement : Fr.s. 175.–,
                                                         biotechnologies). Dans d'autres chapitres
                                                                                                            No. de commande 0991010
                                                         il illustre les domaines essentiels dans
                                                         lesquels les règles commerciales peuvent           11-99 utilisateurs: Frs.s. 450.–/US $405.00
                                                         compléter ou contrarier les politiques             /Pays en développement: Fr.s. 225.–,
                                                         nationales de santé publique.                      No. de commande 0992010

                                                         En conclusion, le rapport met en évidence          100 ou plus: Fr.s. 600.–/US $540.00
                                                         les possibilités de renforcer la cohérence en      /Pays en développement : Fr.s. 300.–,
                                                         matière de politique de santé et de                No. de commande 0993010
                                                         politique commerciale, au service des
                                                         objectifs de santé et de développement.

           Bureau régional de l’OMS pour l’Europe        2002, 195 pages [F, E, S]                         2002, CD-ROM [E/F]
           2000, 27 pages [F, E]                         ISBN 92 4 256214 9                                ISBN 92 4 056019 X
           ISBN 92 890 1189 0                            Francs suisses: 30.–                              Francs suisses 290.–
           Francs suisses: 10.–                          Pays en développement : Fr.s. 21.–                Pays en développement: Fr.s. 100.–
           Pays en développement : Fr.s. 7.–             No. de commande 2150507                           No. de commande 0990010
           No. de commande 2340046 sept-02     7/10/02     8:06    Page 43

    SANTÉ MATERNELLE ET INFANTILE                                                                   STATISTIQUES

           Prise en charge de l'enfant                                                           Mortalité mondiale en 2000
           atteint d'infection grave ou                                                          Tables de mortalité pour 191 pays
           de malnutrition sévère
           Directives pour les soins au
           premier niveau de recours dans
           les pays en développement                   expérience pratique des meilleures        L’établissement des priorités en
                                                       solutions retenues compte tenu des        matière de santé et l’évaluation des
           Ce manuel contient des                      ressources, des médicaments et du         programmes de santé d’un pays
           recommandations à l’intention               matériel disponibles. Des graphiques,     nécessitent des données fiables sur la
           des petits hôpitaux des pays en             des tableaux, des formulaires             mortalité par tranche d’âge
           développement en ce qui concerne            modèles, des mises en garde par           et par sexe.
           la prise en charge des jeunes enfants       rapport aux erreurs les plus
           souffrant d’infections graves ou de         répandues et des instructions             Cet ouvrage donne des estimations
           malnutrition sévère. S’adressant aux        détaillées sont systématiquement          nationales, régionales et mondiales
           médecins et aux infirmières                 donnés, ce qui renforce l’utilité du      détaillées des taux de mortalité par
           principales, il a pour but de fournir       manuel en tant qu’outil pratique.         tranche d’âge et de l’espérance de
           toutes les indications pratiques et                                                   vie en 2000 pour les 191 Etats
           techniques nécessaires pour faciliter       D’autres conseils pratiques figurent      Membres de l’OMS et pour 14 sous-
           la prise de décisions rapide et des         dans cinq appendices, qui proposent       régions. Il donne également des
           interventions qui permettront de            un guide illustré de la réalisation des   précisions sur les sources de données
           sauver des vies. S’il comporte aussi        actes médicaux, contiennent une liste     disponibles et le mode d’évaluation
           des conseils sur les soins                  des posologies et schémas                 et d’ajustement utilisé pour obtenir
           ambulatoires, il se concentre               thérapeutiques recommandés pour           les meilleures estimations possibles
           essentiellement sur le traitement à         57 médicaments, des formules et           de la mortalité, tout en analysant de
           l’hôpital des maladies ou problèmes         plans de traitement pour les enfants      façon approfondie et en présentant
           de santé dont on sait qu’ils sont les       souffrant de malnutrition sévère et       toutes les données connues de
           plus mortels pour les enfants des           en outre des tableaux et graphiques       recensement, d’enquête et d’état
           pays en développement, à savoir             pour l’évaluation de l’état               civil sur la mortalité infantile depuis
           la pneumonie, la diarrhée,                  nutritionnel et de la récupération. On    les années 60.
           le paludisme, la méningite ou               y trouvera également des conseils sur
           la rougeole, en passant par la              les thérapies par le jeu et la            Ces données constitueront un
           malnutrition sévère.                        construction de jouets simples. Le        ouvrage de référence essentiel sur la
                                                       manuel fait partie d’une série d’outils   mortalité en ce début de millénaire
           Il a été rédigé dans l’ordre logique de     élaborés dans le cadre de l’initiative    et elles serviront à mesurer la réussite
           la prise en charge, celle-ci reposant       OMS pour la prise en charge intégrée      des programmes de prévention des
           sur un nombre restreint de                  des maladies de l’enfant.                 maladies et des traumatismes.
           médicaments, d’analyses de                                                            L’ouvrage est rédigé en anglais, en
           laboratoire et d’actes médicaux. Les                                                  espagnol et en français.
           recommandations s’appuient à la fois
           sur les connaissances cliniques
           les plus récentes et sur une vaste

                                                       2001, xxiii + 162 pages [F, E, R]         Édité par A.D. Lopez, O.B. Ahmad, M. Guillot,
                                                       ISBN 92 4 254531 7                        B.D. Ferguson, J.A. Salomon,
                                                       Francs suisses 15.–                       C.J.L. Murray, et K.H. Hill
                                                       Pays en développement : Fr.s. 10.50       2002, 800 pages [F/E/S]
                                                       N° de commande 2150481                    ISBN 92 4 156204 8
                                                                                                 Francs suisses: 100.–
                                                                                                 Pays en développement : Fr.s. 35.–
                                                                                                 No. de commande 0150498 sept-02   7/10/02   8:06   Page 44

                                                  Rapport sur la Santé
                                                  dans le monde
                                                       Réduire les risques et promouvoir
                                                       une vie saine

                                                          Le Rapport sur la santé dans le monde, 2002
                                                          mesure la charge de morbidité, d’incapacités et de
                                                           mortalité pouvant être attribuée dans le monde
                                                           d’aujourd’hui à quelques-uns des principaux
                                                            facteurs de risque pour la santé humaine. Mais
                                                             surtout, il calcule aussi la part de cette charge
                                                              qui pourrait être évitée au cours des 10
                                                              prochaines décennies.

                                                             Le Rapport sur la santé dans le monde,
                                                   2002 est l’un des plus vastes projets de recherche jamais
                                                  entrepris par l’OMS qui a fait appel pour le mener à bien
                                                  à des experts du monde entier. Le Dr Gro Harlem
                                                  Brundtland, Directeur général de l’OMS, y voit un appel
                                                  à la communauté mondiale pour qu’elle sorte
                                                  de sa léthargie.

                                                  Le rapport quantifie certains des risques les plus
                                                  importants pour la santé humaine et passe en revue une
                                                  série de moyens propres à les réduire. Le but ultime est
                                                  d’aider les gouvernements de tous les pays à abaisser les
           « Le monde vit dangereusement          risques majeurs pour la santé et à augmenter ainsi
             – soit parce qu’il n’a guère le      l’espérance de vie en bonne santé dans leurs populations.
             choix, soit parce qu’il fait les
                                                  Les facteurs de risque considérés vont de l’insuffisance
                    mauvais choix »               pondérale et de l’usage d’eau non potable à
                                                  l’hypertension artérielle, l’hypercholestérolémie et
           « Ce rapport aidera chaque pays
                                                  l’obésité en passant par le défaut d’assainissement
            du monde à choisir les mesures        et d’hygiène.
             les plus appropriées et les plus
              rentables pouvant être prises       Les conclusions du rapport présentent sous un jour
                                                  singulier et inquiétant non seulement les causes actuelles
            pour réduire les risques et pro-      de maladie et de décès et les facteurs sous-jacents, mais
             mouvoir une vie saine dans sa        aussi les modes de vie et la manière dont certains
             propre population. Réduire les       évoluent dans le monde alors que d'autres demeurent
           risques pour la santé relève de la     dangereusement inchangés.
             compétence de l’Etat mais doit
           aussi demeurer la préoccupation
             essentielle de chaque individu
               dans toutes les populations.
           Chacun trouvera dans ce Rapport
              sur la santé dans le monde un       2002, approx. 270 pages [E, F, S*, Ar*, C*, R*]
            message et des conseils utiles »      ISBN 92 4 256207 6
                                                  Francs suisses 15.–/US $13.50
                — Dr Gro Harlem Brundtland,       Pays en développement : 10.50
                 Directeur général de l’OMS       No. de commande 2242002 sept-02     7/10/02     8:06    Page 45

           Ennemis de la santé                                             On estime que la pollution de l’air des habitations
           On lit dans le rapport que si 170 millions d’enfants des        provoque dans le monde 36% de toutes les infections des
           pays pauvres souffrent d’insuffisance pondérale et jusqu’à      voies respiratoires inférieures, 28% des
           six millions en meurent chaque année, plus d’un milliard        bronchopneumopathies chroniques obstructives, 22% des
           d’adultes dans le monde ont un poids corporel excessif et       cas de tuberculose, 11% des asthmes, et environ 3% des
           300 millions au moins sont cliniquement obèses.                 cancer du poumon.

           L’insuffisance pondérale est surtout répandue chez les          Il est dit dans le rapport que rien qu’aux Etats-Unis
           enfants de moins de cinq ans et l’OMS estime qu’environ         d’Amérique et au Canada, l’obésité tue environ 220 000
           27% des enfants de ce groupe d’âge ont un poids                 hommes et femmes par an et qu’elle est responsable de
           corporel insuffisant. Ce facteur intervient dans 60% de         320 000 décès environ dans 20 pays d’Europe occidentale.
           tous les décès d’enfants dans les pays en développement.
                                                                           Le rapport décrit l’évolution rapide de l’épidémie de
           Le rapport précise que le VIH/SIDA se situe désormais au        tabagisme en montrant que le nombre estimatif des décès
           quatrième rang des principales causes de mortalité dans le      attribuables en 2000, soit 4,2 millions, est supérieur
           monde. Les estimations actuelles donnent à penser que           d’environ 45% à ce qu’il était en 1990, l’augmentation la
           plus de 99% des infections à VIH enregistrées en Afrique        plus forte se situant dans les pays en développement.
           en 2001 sont dues à des pratiques sexuelles dangereuses.        Dans l’ensemble du monde, l’abus d’alcool a causé 1,7
           Dans le reste du monde, les estimations de la proportion        million de décès et la perte de 56 millions d’années de vie
           des décès par VIH/SIDA attribuables, en 2001, à des pratiques   corrigées de l’incapacité. On estime que ce facteur est
           sexuelles dangereuses vont de 13% en Asie orientale et          responsable à l’échelle mondiale de 20 à 30 % des
           dans le Pacifique à 94% en Amérique centrale.                   cancers de l’oesophage, des cancers du foie, des cirrhoses
                                                                           du foie, des homicides, des épilepsies, des accidents de
           Environ deux millions de décès dans le monde sont               véhicules à moteur, et des traumatismes volontaires.
           imputés à l’usage d’eau non potable et au défaut
           d’assainissement et
           d’hygiène, et résultent
           principalement de diarrhées        Mesures recommandées
           infectieuses. Neuf de ces
           décès sur dix concernent des            S’attacher à lutter contre les                   tabagisme, les pratiques sexuelles
           enfants et presque tous ont             facteurs de risque majeurs.                      dangereuses créant un risque de
           lieu dans des pays en                   Formuler des politiques de                       VIH/SIDA, et, dans certaines
           développement.                          prévention des risques en soutenant              populations, les habitudes
                                                   davantage la recherche scientifique,             alimentaires malsaines et l’obésité.
           La carence en fer est l’une
                                                   en améliorant les systèmes de                    Renforcer la collaboration
           des carences les plus                   surveillance et en facilitant l’accès            internationale et intersectorielle pour
           répandues dans le monde et              à l’information disponible dans                  améliorer la gestion des risques et
           touche un total estimatif de            le monde.                                        faire en sorte que le public soit plus
           deux milliards de personnes,            Donner la priorité absolue à                     conscient et mieux informé des
           ce qui entraîne près d’un               l’élaboration de politiques énergiques           risques pour la santé.
           million de décès par an.                et efficaces pour la prévention des              Garantir un bon équilibre entre
                                                   risques majeurs pour la santé dont               les mesures gouvernementales,
                                                   l’importance va croissant dans                   communautaires et individuelles.
                                                   l’ensemble du monde, comme le

             Les 10 principaux facteurs de risque dans le monde

             1.   Insuffisance pondérale               7.   Carence en fer

             2.   Pratiques sexuelles                  8.   Fumées de combustibles
                  dangereuses                               solides à l’intérieur des
             3.   Hypertension artérielle
                                                       9.   Hypercholestérolémie
             4.   Tabagisme
                                                       10. Obésité
             5.   Abus d’alcool

             6.   Usage d’eau non potable ;
                  défaut d’assainissement
                  et d’hygiène sept-02   7/10/02   8:07   Page 46

                                                        Rapport mondial
                                                        sur la violence
                                                         et la santé
                                                            La violence est un grand problème de santé
                                                            publique partout dans le monde. Plus d’un
                                                             million de personnes meurent chaque année des
                                                             suites d’actes de violence. La violence,
                                                              responsable de 14 % des décès chez les
                                                               hommes et de 7 % des décès chez les
                                                               femmes, figure parmi les principales causes de
                                                                mortalité chez les personnes de 15 à 44 ans.
                                                                Pour une personne qui décède à la suite d’un
                                                                 acte de violence, des millions de personnes
                                                                  sont blessées ou atteintes de problèmes
                                                                   physiques, sexuels ou génésiques et de
                                                                   troubles mentaux.

                                                                  Le Rapport mondial sur la violence et la
                                                                   santé constitue le premier bilan complet
                                                                   du problème de la violence à l’échelle du
                                                         monde – ce qu’elle est, les personnes qui en sont
                                                  victimes et les moyens de la combattre. Les auteurs du
                                                  rapport veulent aider à surmonter le découragement
                                                  qu’engendrent la plupart des discussions sur le thème de
                                                  la violence. Loin d’être un problème social irréductible ou
                                                  un élément inéluctable de la condition humaine, la
               « …Ceux dont l’existence           violence est évitable. C’est un problème aux nombreuses
                                                  facettes qui a des racines biologiques, psychologiques,
              est marquée jour après jour         sociales et environnementales. Il n’existe pas de solution
            par la violence finissent souvent     simple ou unique à la violence. C’est pourquoi il faut la
             par penser qu’elle fait partie       combattre sur plusieurs niveaux, et intervenir
               intégrante de la condition         simultanément auprès de plusieurs secteurs de la société.
            humaine. En réalité, la violence      Ce rapport illustre le tribut humain de la violence et met
              peut être évitée. Dans une          aussi en évidence les nombreux visages de la violence, qui
               culture caractérisée par la        peut être interpersonnelle, collective ou dirigée contre soi.
                                                  Il montre que les actes de violence, loin de faire l’objet
                  violence, la situation          d’articles à la une des médias, sont souvent cachés et
                 peut être redressée… »           passés sous silence.
                       — Nelson Mandela
                                                  Le rapport décrit l’ampleur et les effets de la violence
                                                  dans le monde ; il examine les principaux facteurs de
               « … notre action en faveur         risque, décrit les types d’interventions et les politiques
           de la santé publique échouerait si     qu’on a tenté d’appliquer, et il fait le point des
                                                  connaissances concernant leur efficacité ; enfin, il
             nous sauvions nos enfants des        recommande diverses mesures à prendre aux niveaux
              maladies (de l’enfance) pour        local, national et international.
            qu’ils soient victimes d’actes de
               violence ou pour les perdre
              ensuite à cause de relations
           intimes marquées par la violence,
           de la sauvagerie d’une guerre ou
                                                  2002, 350 pages [F, E, S, Ar*, C*, R*]
              d’un conflit, ou de blessures       ISBN 92 4 254561 9
            auto-infligées ou d’un suicide. »     Francs suisses: 30.–
                — Dr Gro Harlem Brundtland,       Pays en développement : Fr.s. 15.–
                 Directeur général de l’OMS       No. de commande 2150505 sept-02   7/10/02   8:07   Page 47

                Quelques faits tirés du rapport...                  5.   Il est désormais établi que des états
           1.   Plus d’un million de personnes perdent la                pathologiques importants chez l’adulte –
                vie chaque année du fait d’actes de                      cardiopathies ischémiques, cancers,
                violence. Dans une journée moyenne :                     affections pulmonaires chroniques, côlon
                1424 personnes sont tuées dans des actes                 irritable et fibromyalgie, notamment – sont
                de violence interpersonnelle – soit près                 liés à des sévices subis pendant l’enfance.
                d’une personne par minute
                2233 personnes se suicident – soit environ          6.   La violence est évitable. Des approches et
                une personne toutes les 40 secondes                      des initiatives menées à bien partout dans
                849 personnes sont tuées dans des conflits               le monde en témoignent.
                armés – soit 35 personnes l’heure environ
                                                                    7.   Investir dans la prévention -
           2.   Les cas de mort violente dans les pays au                particulièrement dans des activités de
                revenu bas ou moyen sont plus de deux                    prévention primaire qui agissent « en
                fois plus nombreux que dans les pays au                  amont » des problèmes - pourrait bien
                revenu élevé.                                            avoir d'importantes retombées à long
                                                                         terme et être d'un meilleur rapport
           3.   La violence fait peser un énorme fardeau                 coût/efficacité qu'une intervention après
                sur les économies nationales, entraînant                 que la violence s'est manifestée.
                chaque année des milliards de dollars de
                dépenses pour les pays - soins de santé,            8.   La volonté politique de s'attaquer au
                réglementation et perte de productivité.                 problème de la violence est essentielle à
                                                                         l'action de santé publique. Les               47
           4.   Pour une personne qui meurt des suites                   organisations, les individus et les
                d’un acte de violence, des millions d’autres             institutions à la base peuvent certes faire
                personnes sont blessées et atteintes de                  beaucoup, mais, en dernière analyse, c'est
                divers problèmes physiques, sexuels ou                   de l'engagement des autorités politiques
                génésiques et de troubles mentaux.                       que dépend le succès de cette action.

             « La violence écourte la vie de millions de personnes dans le monde chaque année et
           gâche celle de millions d'autres. Elle ignore les frontières géographiques ou raciales ou
           encore celles de l'âge ou du revenu. Elle frappe aussi bien les enfants et les adolescents
           que les femmes et les personnes âgées. Elle s'insinue dans les foyers, dans les écoles et
            dans les lieux de travail. Les hommes et les femmes, où qu'ils résident, ont le droit de
            vivre leur propre vie et d'élever leurs enfants à l'abri de la crainte de la violence. Nous
             devons les aider à jouir de ce droit en faisant clairement comprendre que la violence
               est évitable et en nous attachant ensemble à en définir les causes profondes et à
                                      prendre les mesures qui s'imposent. »
                         — Kofi Annan, Secrétaire général de l'Organisation des Nations Unies,
                                        Lauréat du Prix Nobel de la Paix 2001

                            « Aussi longtemps que l'humanité continue de recourir à la violence pour
                          résoudre les conflits, notre planète ne connaîtra ni la paix ni la sécurité et la
                         santé continuera à en pâtir. Le présent rapport nous aide à regarder en face la
                           réalité de la violence en tant que problème de santé publique, mais il nous
                         apporte aussi un message d'espoir pour l'avenir. Ce n'est peut-être que lorsque
                            nous aurons compris que la violence nous détruit corps et âme que nous
                             commencerons collectivement à agir contre ses causes profondes et ses
                                conséquences. Ce rapport est un grand pas dans cette direction. »
                            — Oscar Arias, ancien Président du Costa Rica, Lauréat du Prix Nobel de la Paix, 1987 sept-02      7/10/02    8:07    Page 48


           Rapport sur l’épidémie                      Les jeunes et le VIH/SIDA                  Le point sur l’épidémie
           mondiale de VIH/SIDA                        Une solution à la crise                    de SIDA
           Juillet 2002                                                                           Décembre 2002

           Ce rapport présente les réflexions sur      Le présent rapport contient des            Edition 2002 des estimations sur
           l’état de l’épidémie de VIH/SIDA du         données importantes qui mettent en         l’èpidémie mondiale de SIDA. Les
           Programme commun des Nations                lumière le rôle clé des jeunes pour        estimations de l’ONUSIDA/OMS
           Unies sur le VIH/SIDA (ONUSIDA),            vaincre l’épidémie mondiale de             fournies dans le présent document
           qui comprend huit organismes du             VIH/SIDA, notamment les résultats          sont fondées sur les données les plus
           système des Nations Unies.                  de plus de 60 nouvelles enquêtes           récentes dont on dispose sur la
           Il présente également des exemples          nationales. Il souligne une fois de plus   propagation du VIH dans les pays de
           de ripostes à l’épidémie mises en           que nous devons accorder la plus           monde. L’ONUSIDA et l’OMS,
           oeuvre par de nombreux partenaires,         haute priorité aux investissements         conjointement avec des experts
           notamment par des gouvernements,            en faveur des jeunes et s’en faire des     de programmes nationaux de lutte
           par le secteur des affaires et par          partenaires dans la lutte contre           contre le SIDA et d’institutions de
           la société civile.                          la maladies.                               recherche, revoient constamment
                                                                                                  ces estimations afin de les mettre
           Ce rapport fournit la preuve                Le rapport souligne que les                à jour à mesure qu’ils disposent de
           éclatante que le VIH, laissé à son          gouvernements et la société civile         meilleures connaissances concernant
           cours naturel, sera à l’origine d’une       partout dans le monde doivent de           l’épidémie, tout en s’appuyant sur
           catastrophe sans précédent.                 toute urgence collaborer avec les          les progrès réalisés dans
           Un par un, de dangereux mythes              jeunes sur des stratégies efficaces de     les méthodes d’estimation.
           d’autosatisfaction volent en éclats.        prévention, de traitement et de prise
                                                       en charge. Il préconise un engagement
                                                       politique sans précédent pour forger
                                                       les partenariats nécessaires et obtenir
                                                       les ressources financières
                                                       et humaines essentielles.

                                                       « C’est en accordant une priorité
                                                       spéciale aux jeunes que l’on
                                                       parviendra à influer sur le cours de
                                                       l’épidémie… Dans tous les pays où
                                                       la transmission de VIH a reculé,
                                                       c’est parmi les jeunes que les
                                                       progrès les plus spectaculaires
                                                       ont été enregistrés. »

                                                       — Peter Piot, Directeur général,

           Programme commun des Nations Unies          Programme commun des Nations Unies         En préparation
           sur le VIH/SIDA                             sur le VIH/SIDA                            Programme commun des Nations Unies
           2002, 232 pages [F, E, S]                   2002, 48 pages [F, E, S]                   sur le VIH/SIDA
           ISBN 92 9173 186 2                          Francs suisses: 10.–                       2002, 29 pages [F, E, S]
           Francs suisses: 25.–                        Pays en développement : Fr.s. 5.–          ISBN 92 9173 233 8
           Pays en développement : Fr.s. 12.50         No. de commande 2880003                    Francs suisses: 10.–
           No. de commande 2880001                                                                Pays en développement : Fr.s. 5.–
                                                                                                  No. de commande 2880004 sept-02           7/10/02           8:07        Page 49


           Périodiques de l’Organisation mondiale de la Santé
           Tarifs Abonnements 2003

           Bulletin de l’Organisation                                   WHO Drug Information                                         Relevé épidémiologique
           Mondiale de la Santé                                                                                                      hebdomadaire

           Elargi en 1999 en rendant compte des                         Lancé en 1987, WHO Drug Information,                         Depuis plus de 70 ans le Relevé
           travaux de recherche et en débattant                         publié en anglais, communique des                            épidémiologique hebdomadaire a
           parallèlement des grandes                                    informations pharmaceutiques établies et                     servi comme instrument essentiel de
           orientations, le Bulletin entend                             diffusées par l'OMS ou transmises à                          collecte et de diffusion de données
           apporter des conseils sur la politique                       l'OMS par des instituts de recherche et                      épidémiologiques utiles pour la
           et l’action de santé publique fondés                         des organismes de réglementation du                          surveillance des maladies sur le plan
           sur les meilleures bases factuelles                          monde entier. Le journal présente                            mondial. La priorité est donnée aux
           possibles, tout en s’attachant à                             également les dénominations communes                         maladies ou facteurs de risque qui
           promouvoir des liens plus étroits entre                      internationales (DCI) de substances                          menacent la santé sur le plan
           la recherche scientifique et les efforts                     pharmaceutiques nouvellement                                 international. Comprend également
           pratiques pour aider les populations à                       proposées et recommandées.                                   un exemplaire de Voyages
           mener une vie plus saine.                                                                                                 internationaux et santé 2003.
           ISSN 0042-9686; mensuel (environ 100                         ISSN 1010-9609; trimestriel (environ 60
           pages par numéro); 2003: Vol. 81                             pages par numéro); 2003: Vol. 17                             ISSN 0049-8114; hebdomadaire; 2003:
           Anglais avec résumés en français et espagnol                 Anglais seulement                                            78e année
                Fr.s.** 300.–/US$240.– courrier économique                   Fr.s. 75.–/US$60.– courrier économique                     Fr.s. 299.–/US $239.– courrier économique
                Fr.s. 349.–/US$280.– courrier prioritaire Europe*            Fr.s. 87.–/US $70.– courrier prioritaire Europe*           Fr.s. 324.–/US $259.– courrier prioritaire Europe*
                Fr.s. 361.–/US$289.– courrier prioritaire hors Europe        Fr.s. 91.–/US $73.– courrier prioritaire hors Europe       Fr.s. 334.–/US $267.– courrier prioritaire hors Europe

                                                                        Pan American Journal                                         La Revue de Santé de la
                                                                        of Public Health                                             Méditerranée orientale

                                                                        Rend compte des travaux de recherche                         Offre une tribune pour la publication
                                                                        originaux relatifs aux problèmes de                          d'articles de recherche sur des sujets
                                                                        santé de l’Hémisphère Sud. Les articles                      médicaux d'une grande diversité et
                                                                        soumis à des analyses rigoureuses                            pour la présentation et la promotion
                                                                        d’experts sont sélectionnés en tenant                        de nouvelles politiques et initiatives
                                                                        compte de leur capacité à améliorer la                       dans le domaine des services de
                                                                        compréhension scientifique et technique                      santé se rapportant plus
                                                                        des maladies et leur prévention.                             particulièrement à la Région de la
                                                                                                                                     Méditerranée orientale.
                                                                        ISSN 1020-4989; mensuel (environ 100
                                                                        pages par numéro); 2003: 82e année                           Ecrire à:
                                                                        Bilingue Anglais/Espagnol                                    ou Bureau régional pour
                                                                        Version papier                                               la Méditerranée orientale
                                                                            Fr.s. 135.–/US $108.– courrier économique                (voir Adresses page 63)
                                                                            Fr.s. 185.–/US $148.– courrier prioritaire Europe*
                                                                            Fr.s. 185.–/US $148.– courrier prioritaire hors Europe
                                                                        Accès direct en ligne
                                                                            Fr.s. 108.–/US $86.–
                                                                        Versions papier + Accès direct en ligne                      ISSN 1020-3397, Bi-mensuel, (200 pages
                                                                            Fr.s. 189.–/US $151.– courrier économique                par numéro); 2003, Vol. 9
                                                                            Fr.s. 239.–/US $191.– courrier prioritaire Europe*          US $90.–
                                                                            Fr.s. 239.–/US $191.– courrier prioritaire hors Europe      US $45.– Pays en développement sept-02           7/10/02           8:07        Page 50


           Séries de livres                                             Abonnements global                                            Abonnements sélectifs
                                                                        et combinés
           Environmental Health                                         Global                                                        Environmental Health
           Criteria Series                                              Pour tous ceux qui souhaitent une                             & Chemical Safety
           Les volumes de cette série sont un                           collection complète de tout ce qui                            Comprend les volumes 2003 de la
           condensé bien ordonné de presque                             est publié par l’OMS en 2003.                                 série Environmental Health Criteria,
           tout ce qui a jamais été écrit sur un                        Comprend les périodiques, les séries                          les Concise International Chemical
           composé chimique donné.                                      de livres et toutes les publications                          Assessment Documents et tous les
           Comprend également la série                                  hors série.                                                   ouvrages relatifs à l’hygiène de
           Concise international chemical                                                                                             l’environnement, la toxicologie et la
           assessment documents (CICADS).                                  Fr.s. 1590.–US $1272.– courrier économique                 sécurité des produits chimiques.
                                                                           Fr.s. 1886.–/US $1509.– courrier prioritaire Europe*       Anglais seulement
           “...sans conteste la source d’infor-                            Fr.s. 1998.–/US $1598.– courrier prioritaire hors Europe
           mation la mieux documentée sur                                                                                                Fr.s. 499.–/US $399.– courrier économique
           une large gamme de polluants de                              Périodiques et choix                                             Fr.s. 608.–/US $486.– courrier prioritaire Europe*
           l’environnement ...”                                         de séries                                                        Fr.s. 636.–/US $509.– courrier prioritaire hors Europe
           — Environmental Health                                       Comprend les 3 périodiques OMS,
                                                                        tous les volumes 2003 de la série des                         Préparations pharmaceutiques
           ISSN 0250-863X; (environ 6 volumes)                          Rapports techniques, le Rapport sur                           et produits biologiques
           Anglais seulement                                            la santé dans le monde 2003 et                                Comprend les abonnements à WHO
               Fr.s. 350.–/US $280.– courrier économique                Voyages internationaux et santé 2003.                         Drug Information, les rapports des
               Fr.s. 401.–/US $321.– courrier prioritaire Europe*                                                                     Comités d’experts sur la
               Fr.s. 415.–/US $332.– courrier prioritaire hors Europe      Fr.s. 700.–/US $560.– courrier économique                  standardisation biologique, les
                                                                           Fr.s. 874.–/US $699.– courrier prioritaire Europe*         spécifications des préparations
           Séries des rapports                                             Fr.s. 917.–/US $734.– courrier prioritaire hors Europe     pharmaceutiques,
           techniques de l’OMS                                                                                                        la pharmacodépendance, plus tous
           Chacun des rapports de cette série,                          Santé publique                                                les livres relatifs à la fabrication des
           qui comprend à l’heure actuelle plus                         Comprend le Bulletin de l’OMS, tous                           médicaments et au contrôle de
           de 900 volumes, est un bilan de                              les volumes 2003 de la série des                              la qualité.
           l’état actuel des connaissances sur un                       Rapports techniques, et le Rapport
           problème de santé donné, et reflète                          sur la santé dans le monde 2003.                                 Fr.s. 240.–/US $192.– courrier économique
           les opinions et expériences de                                                                                                Fr.s. 276.–/US $221.– courrier prioritaire Europe*
           groupes internationaux d’experts.                               Fr.s. 378.–/US $302.– courrier économique                     Fr.s. 285.–/US $228.– courrier prioritaire hors Europe
                                                                           Fr.s. 484.–/US $387.– courrier prioritaire Europe*
           “... Chacun de ces ouvrages est                                 Fr.s. 511.–/US $408.– courrier prioritaire hors Europe     *comprend l’Algérie, l’Egypte, Israël,
           une source inestimable et unique                                                                                           la Jordanie, le Liban, la Libye, le
           de références ...”                                           European Public Health                                        Maroc, la Syrie et la Tunisie
           — Journal of the Royal Society of Health                     Abonnement global à tous les                                  **Francs suisses
                                                                        ouvrages publiés par le Bureau
           ISSN 0512-3054; (environ 6 volumes)                          régional de l’OMS pour l’Europe
               Fr.s. 132.–/US $106.– courrier économique                (EURO).
               Fr.s. 172.–/US $138.– courrier prioritaire Europe*       Anglais seulement
               Fr.s. 182.–/US $146.– courrier prioritaire hors Europe
                                                                           Fr.s. 200.–/US $160.– courrier économique
                                                                           Fr.s. 234.–/US $187.– courrier prioritaire Europe*
                                                                           Fr.s. 243.–/US $195.– courrier prioritaire hors Europe

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           Fax                                                                                         CH - 1211 Genève 27 • Suisse
           Mél                                                                                         Tél +41 22 791 24 76 • Télécopie +41 22 791 48 57
                                                                                                       Mél: sept-02   7/10/02   8:07    Page 51


                                 ORGANIZACIÓN MUNDIAL          DE LA   SALUD – COMERCIALIZACIÓN          Y   DIFUSIÓN

                                 Catálogo de los productos de información de la OMS - Otoño de 2002


                                 En la sección en español se recogen los datos bibliográficos de todos los productos de
                                 información de la sede de la Organización Mundial de la Salud en Ginebra (Suiza) y del
                                 ONUSIDA, publicados en español desde abril de 2002. Para facilitar la búsqueda de información
                                 se incluye en el catálogo un índice (página 60), el formulario de pedido, las direcciones de la
                                 OMS y de sus Oficinas Regionales y la lista de agentes de ventas.


                                 Los pedidos deben dirigirse a Comercialización y Difusión, OMS, CH-1211 Ginebra 27, Suiza, o
                                 a uno de los agentes de ventas consignado en la lista que figura en la contraportada, para lo
                                 cual se ha incluido un formulario de pedido. Los precios de nuestros productos de información
                                 se basan en el precio en francos suizos. Todos los pedidos dirigidos a la sede de la OMS
                                 deberán ir acompañados del pago correspondiente, con tarjeta de crédito o un cheque, a favor
                                 de "OMS, Comercialización y Difusión". El número de cuenta postal es: CH-12-11182-5.
                                 Dirección electrónica para los pedidos:

                                 Países en desarrollo
                                 A los lectores que residen en países en desarrollo se les concede una rebaja mínima del 30%
                                 sobre los precios indicados en este catálogo. Los precios indicados en moneda local por
                                 nuestros agentes de venta en los países en desarrollo deberán expresarse de forma que tengan
                                 en cuenta dicha rebaja.

                                 Catálogo en línea
                                 El presente catálogo puede consultarse asimismo en nuestro sitio web, en la dirección siguiente:
                        Encontrará más datos sobre nuestros productos de
                                 información en nuestro sito web:

                                 Participe en la labor editorial de la OMS

                                 La información sobre la salud es fundamental para salvar vidas y para que todos estemos más
                                 sanos. Con objeto de llevar esta información a más lectores, la OMS está buscando asociados
                                 que reproduzcan y/o traduzcan los libros e informes de este catálogo. Los derechos de autor
                                 son módicos y se puede renunciar a ellos en el caso de ediciones que no persiguen fines de
                                 lucro o están destinadas a los países en desarrollo. Para más información, póngase en contacto
                                 con Gestión y Difusión de la Información Sanitaria, Organización Mundial de la Salud, CH-1211
                                 Ginebra 27, Suiza, teléfono +41 22 7912460, fax +41 22 7914806, correo electrónico

                                 Organización Mundial de la Salud
                                 Comercialización y Difusión
                                 CH-1211 Ginebra 27 - Suiza
                                 Tel.: +41 22 791 24 76                           para los
                                 Fax: +41 22 791 48 57                            http:
                                 correo-e:                   Catálogo: sept-02       7/10/02      8:07     Page 52

              ESTADÍSTICAS                                                                             POLÍTICAS DE SALUD

           Mortalidad Mundial en 2000                                                               Los Acuerdos de la OMC
           Tablas de Mortalidad                                                                      y la salud pública
           en 191 Países                                                                            Un estudio conjunto de la OMS y
                                                                                                    la Secretaría de la OMC

           Disponer de información fiable por              respecto de los 191 Estados              El presente informe trata de los Acuerdos
           edad y por sexo sobre el número de              Miembros de la OMS, repartidos en        pertinentes de la OMC y de la forma en
           personas que mueren en los diversos             14 subregiones. Se facilitan detalles    que pueden influir en la salud y las
           países es un requisito fundamental              sobre las fuentes de los datos           políticas sanitarias. Al emprender este
           para establecer las prioridades                 disponibles y la manera en que éstos     estudio conjunto, la OMS y la Secretaría
           sanitarias y evaluar los programas de           se han evaluado y ajustado para          de la OMC se proponen examinar las
           salud. Los niveles y tendencias de la           obtener las mejores estimaciones         relaciones entre las políticas comerciales
           mortalidad se han seguido de cerca              posibles de la mortalidad, junto con     y las sanitarias, con el fin de permitir a
           durante siglos en algunos países,               la presentación y el análisis            los responsables de ambas comprender
           mientras que en otros,                          exhaustivo de todos los datos            y supervisar mejor los efectos
           particularmente en el África                    conocidos provenientes de censos,        de esas relaciones.
           subsahariana, poco se sabe aún                  encuestas y registros civiles sobre la
           sobre la mortalidad de adultos. Esta            mortalidad infantil desde la década      El informe examina los principales
           incertidumbre aumentó en el decenio             de 1960.                                 Acuerdos de la OMC relacionados con la
           de 1990 como consecuencia de la                                                          salud y las políticas sanitarias. Se centra
           epidemia de VIH/SIDA, precisamente              Fuente de datos inestimable para         la atención en ocho cuestiones
           cuando se necesitaba información                evaluar el éxito de los programas de     relacionadas con la salud: lucha contra
           fiable sobre los niveles de mortalidad          prevención de enfermedades y             las enfermedades infecciosas; inocuidad
           en los distintos países y regiones para         traumatismos, esta obra servirá de       de los alimentos; lucha contra el
           establecer las prioridades de salud.            referencia fundamental para analizar     tabaquismo; medio ambiente; acceso a
                                                           las circunstancias de la mortalidad en   medicamentos; servicios de salud;
           En esta publicación se presentan                todo el mundo al iniciarse el nuevo      seguridad alimentaria y nutrición; y
           estimaciones detalladas, a nivel                milenio. El texto figura en tres         nuevas cuestiones (como la biotecnología).
           nacional, regional y mundial, de las            idiomas: inglés, francés y español.      Se indican esferas fundamentales en las
           tasas de mortalidad y de la esperanza                                                    que las normas comerciales pueden
           de vida por edades en el año 2000                                                        complementar las políticas nacionales
                                                                                                    de salud pública o entrar en conflicto
                                                                                                    con ellas.

                                                                                                    En la conclusión se señalan oportunidades
                                                                                                    de promover una mayor coherencia de
                                                                                                    esas políticas en apoyo de los objetivos
                                                                                                    de salud y de desarrollo.

           por A.D. Lopez, O.B. Ahmad, M. Guillot,                                                  2002, 195 páginas [E, F, S]
           B.D. Ferguson, J.A. Salomon,                                                             ISBN 92 4 356214 2
           C.J.L. Murray, and K.H. Hill                                                             Francos suizos 30,–/US $27,00
           2002, 800 páginas [E/F/S]                                                                Países en desarrollo: Fr.s. 21,00
           ISBN 92 4 156204 8                                                                       N° de pedido: 3150507
           Francos suizos 100,–/US $90,00
           Países en desarrollo: Fr.s. 35,00
           N° de pedido: 0150498 sept-02     7/10/02     8:07     Page 53


           Informe sobre la Epidemia                    Los jóvenes y el VIH/SIDA                  Resumen Mundial de la
           Mundial de VIH/SIDA                          Una oportunidad en un                      Epidemia de VIH/SIDA
           Julio de 2002                                momento crucial                            Diciembre de 2002

           El presente informe expone las               El presente informe contiene datos e       Las estimaciones del ONUSIDA/OMS
           reflexiones del Programa Conjunto            indicios nuevos que demuestran por         presentadas en el presente
           de las Naciones Unidas sobre el              qué los jóvenes son un elemento            documento están basadas en los
           VIH/SIDA (ONUSIDA) – que está                fundamental para derrotar la epidemia      datos disponibles más recientes sobre
           compuesto por ocho organizaciones            mundial de VIH/SIDA, así como los          la propagación del VIH en los países
           del sistema de las Naciones Unidas-          resultados de más de 60 encuestas          de todo el mundo. Estas son
           acerca de a situación de la epidemia         nacionales. Reafirma que debemos           provisionales. El ONUSIDA y la OMS,
           de VIH/SIDA. También presenta                conceder la máxima prioridad a invertir    juntamente con expertos de los
           ejemplos de respuestas a la epidemia         en el bienestar de los jóvenes y a         programas nacionales del SIDA y
           en las que participan muchos                 conseguir su participación en la lucha     con instituciones de investigación,
           asociados, incluidos los gobiernos, el       contra el VIH/SIDA.                        revisa y actualiza periódicamente
           sector empresarial y la sociedad civil.                                                 las estimaciones a medida que están
                                                        El informe subraya la necesidad            disponibles nuevos datos sobre la
           El informe aporta pruebas claras que,        urgente de que los gobiernos y la          epidemia, valiéndose también de los
           si se deja que siga su curso natural,        sociedad civil de todo el mundo            progresos realizados en los métodos
           el VIH causará una devastación de            trabajen con los jóvenes en las            para obtener estimaciones.
           una magnitud sin precedentes. Uno            estrategias de prevención, tratamiento
           a Uno, se van haciendo añicos los            y atención eficaces para ellos. Se insta
           peligrosos mitos nacidos del exceso          a adoptar un compromiso político sin
           de confianza.                                precedentes con miras a desarrollar las
                                                        asociaciones necesarias para obtener
                                                        los recursos financieros y humanos

                                                        « Concediendo una prioridad
                                                        especial a los jóvenes se
                                                        modificará el curso futuro de la
                                                        epidemia… En los países donde
                                                        se ha reducido la transmisión del
                                                        VIH, las reducciones más
                                                        espectaculares se han producido
                                                        entre los jóvenes. »

                                                        — Peter Piot, Director Ejecutivo,

           Programa Conjunto de las Naciones Unidas     Programa Conjunto de las Naciones Unidas   En preparación
           sobre el VIH/SIDA                            sobre el VIH/SIDA                          Programa Conjunto de las Naciones Unidas
           2002, 228 páginas [E, F, S, R]               2002, 48 páginas [E, F, S]                 sobre el VIH/SIDA
           ISBN 92 9173 187 0                           Francos suizos 10,–/US $9,00               2002, 48 páginas [E, F, S]
           Francos suizos 25,–/US $22,50                Países en desarrollo: Fr.s. 5,00           ISBN 92 9173 234 6
           Países en desarrollo: Fr.s. 12,50            N° de pedido: 3880003                      Francos suizos 10,–/US $9,00
           N° de pedido: 3880001                                                                   Países en desarrollo: Fr.s. 5,00
                                                                                                   N° de pedido: 3880004 sept-02   7/10/02   8:08   Page 54

                                                  Informe sobre la salud
                                                   en el mundo
                                                       Reducir los riesgos y promover
                                                       una vida sana

                                                          En el Informe sobre la salud en el mundo 2002 se
                                                          evalúa en qué grado cabe atribuir las cargas de
                                                           morbilidad, discapacidad y de mortalidad
                                                           actualmente registrados en el mundo a algunos
                                                            de los riesgos más importantes que afectan a la
                                                            salud del ser humano y, lo que es aún más
                                                             importante, se calcula qué parte de esa carga
                                                              actual podría evitarse en los próximos decenios.

                                                             El Informe sobre la salud en el mundo 2002,
                                                   que contó con la colaboración de expertos del mundo
                                                  entero, constituye uno de los proyectos de investigación
                                                  más ambiciosos que jamás haya emprendido la OMS. La
                                                  Dra. Gro Harlem Brundtland, Directora General de la
                                                  Organización, lo describe como una «llamada a la acción
                                                  para la comunidad mundial».

                                                  En el informe se cuantifican algunos de los riesgos más
                                                  importantes para la salud humana y se examinan una
                                                  serie de métodos destinados a reducirlos. El objetivo
                 «El mundo está viviendo          último es ayudar a los gobiernos de todos los países a
            peligrosamente, ya sea porque no      reducir esos riesgos y aumentar la esperanza de vida sana
             le queda otro remedio o porque       de sus poblaciones.
                 está tomando decisiones
                                                  Los factores de riesgo van desde la insuficiencia ponderal,
                       equivocadas»               la insalubridad del agua y la falta de saneamiento e
            «El presente informe ayudará a los    higiene a la hipertensión arterial, la hipercolesterolemia y
           distintos países del mundo a deter-    la obesidad.
           minar en cada caso las medidas que     Las conclusiones del informe, interesantes al tiempo que
           son más apropiadas y costoeficaces     alarmantes, además de identificar las causas actuales de
            para reducir los riesgos y fomentar   morbilidad y muerte y los factores de riesgo subyacentes,
            una vida sana para sus respectivas    profundizan en los modos de vida de las personas y en el
             poblaciones. La reducción de los     cambio que están experimentando en todo el mundo
                                                  algunos de ellos, mientras que otros permanecen
           riesgos para la salud es una respon-   peligrosamente invariables.
           sabilidad que no sólo incumbe a los
               gobiernos: sigue siendo, con
            razón, una preocupación vital para
              todas las personas, en todas las
             poblaciones. El Informe sobre la
           salud en el mundo del presente año
           contiene un mensaje - y un benefi-     2002, aprox. 290 páginas [E, F, S*, Ar*, R*, C*]
                cio potencial - para todos.»      ISBN 92 4 356207 X
                                                  Francos suizos: 15,– / US$ 13,50
               — Dra. Gro Harlem Brundtland,      Países en desarrollo: Fr.S. 10,50
                Directora General de la OMS       N° de pedido 1242002 sept-02     7/10/02    8:08    Page 55

           Los enemigos de la salud                                      Se calcula que en el mundo entero la contaminación del
           Según se desprende del informe, al tiempo que 170             aire en espacios cerrados
           millones de niños de países pobres padecen insuficiencia      es la causante del 36% de las infecciones de las vías
           ponderal (el número de niños que mueren cada año por          respiratorias bajas, del 28% de las enfermedades
           esta causa asciende a seis millones), más de 1000 millones    pulmonares obstructivas crónicas, del 22% de los
           de adultos en el mundo tienen sobrepeso (de éstos al          casos de tuberculosis, del 11% de los casos de asma
           menos 300 millones son clínicamente obesos).                  y de aproximadamente un 3% de los casos de
                                                                         cáncer de pulmón.
           La máxima prevalencia de insuficiencia ponderal se da en
           los niños menores de cinco años; la OMS estima que            El informe muestra que tan sólo en los Estados Unidos de
           aproximadamente un 27% de los niños pertenecientes a          América y el Canadá la obesidad se cobra cada año la vida
           ese grupo de edades tiene un peso insuficiente. La            de 220 000 hombres y mujeres; en Europa Occidental la
           insuficiencia ponderal ha sido un factor contribuyente en     cifra asciende aproximadamente a 320 000 para un
           el 60% del total de defunciones infantiles registradas en     conjunto de 20 países.
           los países en desarrollo.
                                                                         El informe demuestra la rapidez con la que ha
           En el informe se señala que el VIH/SIDA es ahora la cuarta    evolucionado la epidemia de tabaquismo, e indica que,
           causa de muerte en el mundo. A juzgar por las                 según las estimaciones pertinentes, en 2000 la carga de
           estimaciones actuales, más del 99% de las infecciones por     mortalidad atribuible - 4,2 millones - era
           el VIH prevalentes en África en 2001 eran atribuibles a       aproximadamente un 45% superior a la correspondiente
           prácticas sexuales de riesgo. En el resto del mundo, las      en 1990, con un incremento particularmente acentuado
           estimaciones para 2001 relativas a la proporción de           en los países en desarrollo. El alcohol causó en el mundo
           muertes causadas por el VIH/SIDA imputables a dicha           1,7 millones de defunciones y una pérdida de 56 millones
           causa oscilan entre un 13%, en Asia Oriental y el Pacífico,   de años de vida ajustados en función de la discapacidad.
           y un 94% en América Central.                                  Se estima que en términos mundiales el alcohol es
                                                                         responsable de entre el 20% y el 30% de los casos de
           De las muertes registradas cada año en el mundo,              cáncer de esófago, cáncer de hígado, cirrosis hepática,
           aproximadamente dos millones se atribuyen al agua             homicidio, epilepsia, accidentes de tráfico y traumatismos
           insalubre y a un saneamiento y una higiene deficientes;       intencionales de otra índole.
           en la mayoría de los casos, la causa de las defunciones es
           la diarrea infecciosa. Nueve
           de cada diez de esas muertes
           afectan a los niños y              Medidas recomendadas
           prácticamente todas
           ellas se dan en los países               Centrar la atención en los principales        tabaco, las prácticas sexuales de riesgo
           en desarrollo.                           factores de riesgo.                           (en relación con el VIH/SIDA) y, en el
                                                    Formular políticas de prevención de           caso de algunas poblaciones, los
           La carencia de hierro es                 riesgos y, en ese contexto, dar un            hábitos alimentarios poco sanos y la
                                                    mayor respaldo a las investigaciones          obesidad.
           una de las deficiencias
                                                    científicas, mejorar los sistemas de          Reforzar la colaboración internacional
           nutricionales de mayor                   vigilancia, asegurar un mayor acceso a        e intersectorial en aras de mejorar la
           prevalencia en el mundo, pues            la información disponible a escala            gestión del riesgo y lograr que la gente
           se estima que afecta                     mundial, etc.                                 sea más consciente de los riesgos para
           a unos 2000 millones de                  Conferir máxima prioridad a la                la salud y los entienda mejor.
           personas y provoca cada                  elaboración de políticas eficaces y           Asegurar un equilibrio entre las
           año cerca de un millón                   comprometidas destinadas a prevenir           actuaciones emprendidas a nivel
           de muertes.                              riesgos para la salud que incrementan         gubernamental, comunitario e
                                                    a nivel mundial, como el consumo de           individual.

             Los diez principales factores de riesgo para la salud en el mundo

             1.   Insuficiencia ponderal             7.   Carencia de hierro

             2.   Prácticas sexuales de riesgo       8.   Humo procedente de
                                                          combustibles sólidos en
             3.   Hipertensión arterial                   espacios cerrados

             4.   Consumo de tabaco                  9.   Hipercolesterolemia

             5.   Consumo de alcohol                 10. Obesidad

             6.   Agua insalubre y saneamiento
                  e higiene deficientes sept-02   7/10/02   8:08   Page 56

                                                      Informe mundial sobre
                                                       la violencia y la salud
                                                           La violencia es uno de los principales problemas
                                                           de salud pública en todo el mundo. Cada año,
                                                            más de 1,6 millones de personas pierden la vida
                                                            violentamente. La violencia es una de las
                                                             principales causas de muerte en la población de
                                                             edad comprendida entre los 15 y los 44 años, y
                                                              la responsable del 14% de las defunciones en
                                                               la población masculina y del 7% en la
                                                                femenina. Por cada persona que muere por
                                                                 causas violentas, muchos millones más
                                                                 resultan heridas y sufren una diversidad de
                                                                  problemas de salud físicos, sexuales,
                                                                  reproductivos y mentales.

                                                                 El Informe mundial sobre la violencia y la
                                                                  salud, que la OMS tiene previsto publicar
                                                                   el 3 de octubre de 2002, constituye el
                                                                   primer estudio exhaustivo del problema
                                                                    de la violencia a escala mundial; en él se
                                                         analiza en qué consiste, a quién afecta y qué cabe
                                                  hacer al respecto. El informe trata de mostrar que el
                                                  problema de la violencia no es algo tan irremediable
                                                  como se suele sobrentender en los debates celebrados
                                                  al respecto. La violencia es evitable, no es un problema
                                                  social sin solución ni un componente ineludible de la
                                                  condición humana. Se trata de un problema
                                                  polifacético, de raíces biológicas, psicológicas, sociales y
                                                  ambientales, para el que no existe una solución sencilla
                                                  o única; al contrario, es una cuestión que debe
               “…Muchas personas que              abordarse a varios niveles y en múltiples sectores de la
            conviven con la violencia casi a      sociedad simultáneamente.
                 diario la asumen como
                                                  Este informe no sólo presenta el tributo humano que la
              consustancial a la condición        violencia se cobra, sino que describe también los muchos
              humana, pero no es así. Es          rostros de la violencia interpersonal, colectiva y
              posible prevenirla, así como        autoinfligida. En él se demuestra que, lejos de constituir
              reorientar por completo las         un fenómeno debidamente documentado que siempre
                                                  aparece en primera plana y acapara la atención de la
             culturas en las que impera...”       gente, muchos actos de violencia en realidad quedan
                       — Nelson Mandela           ocultos a la mirada pública y ocurren sin que quede
                                                  constancia de ellos.

             “…salvar a nuestros niños de         En el informe se describen la magnitud y el impacto de la
            [las] enfermedades [infantiles]       violencia en el mundo entero, se examinan los principales
                                                  factores de riesgo que la causan, se describen las
            para que caigan víctimas de la
                                                  diferentes modalidades de intervención y las respuestas
            violencia, o para perderlos más       de política que se han puesto en práctica, con un
           adelante a manos de sus parejas,       resumen de lo que se sabe acerca de su eficacia, y se
           por la ferocidad de las guerras y      formulan algunas recomendaciones para la adopción de
                                                  medidas en los planos local, nacional e internacional.
              los conflictos, o por lesiones
                autoinfligidas o víctimas
              del suicidio, sería un fracaso      Organización Panamericana de la Salud
                   de la salud pública.”          Publicación Científica, N° 588
                                                  2002, aprox. 390 páginas [S, F, E, AR*, C*, R*]
               — Dra. Gro Harlem Brundtland,      ISBN 92 75 31588 4
                Directora General de la OMS       Francos suizos 30,00 / US$ 27,00
                                                  Países en desarrollo: Fr. s. 15,00
                                                  N° de pedido: 3610588 sept-02   7/10/02   8:08   Page 57

           1.   La violencia se cobra cada año la vida de          5.   Existen ahora pruebas de que muchas de
                1,6 millones de personas. En un día                     las principales enfermedades que se dan en
                promedio mueren:                                        los adultos –por ejemplo, las cardiopatías
                1424 personas a consecuencia de actos de                isquémicas, el cáncer, las neumopatías
                violencia interpersonal, es decir, casi una             crónicas, el síndrome del colon irritable o
                persona por minuto;                                     las fibromialgias– tienen que ver con
                2233 personas por suicidios consumados, es              experiencias de maltrato vividas durante
                decir, aproximadamente una persona cada                 la infancia.
                26 segundos.
                849 personas de resultas de los conflictos         6.   La violencia es evitable. En el mundo
                armados, es decir, unas 35 personas                     entero pueden encontrarse ejemplos de
                cada hora.                                              estrategias e iniciativas que han mostrado
                                                                        ser eficaces.
           2.   La tasa de defunciones debidas a la
                violencia en los países de ingresos bajos a        7.   Invertir en prevención, especialmente en
                medios supera en más del doble a la                     actividades de prevención primaria que
                registrada en los países de ingresos altos.             operan antes de que lleguen a producirse
                                                                        los problemas, puede resultar más eficaz
           3.   La violencia impone a las economías                     con relación al costo y aportar beneficios
                nacionales cada año una ingente carga                   mayores y más duraderos que actuar sólo
                financiera, de miles de millones de dólares             después de que se hayan producido los
                de los Estados Unidos, en atención                      actos violentos.
                sanitaria, gastos judiciales y policiales y                                                             57
                pérdida de productividad.                          8.   El compromiso político de poner coto a la
                                                                        violencia es vital para las iniciativas en el
           4.   Por cada persona que muere por causas                   ámbito de la salud pública. Aunque es
                violentas, muchos millones más resultan                 mucho lo que las organizaciones de base,
                heridas y sufren una diversidad de                      los individuos y las instituciones pueden
                problemas de salud físicos, sexuales,                   lograr, el éxito de las iniciativas
                reproductivos y mentales.                               emprendidas en el ámbito de la salud
                                                                        pública depende del compromiso político.

                  “La violencia siega cada año la vida de millones de personas
            en todo el mundo y daña la de muchos millones más. […] Los hombres y
           mujeres tienen en todas partes el derecho a vivir y a educar a sus hijos sin
            el temor a la violencia. Debemos ayudarles para que puedan disfrutar de
             ese derecho, haciendo que se comprenda claramente que la violencia es
           prevenible y colaborando para determinar y atajar sus causas subyacentes.
                        — Kofi Annan, Secretario General de las Naciones Unidas,
                                    Premio Nobel de la Paz, 2001

                             “Mientras la humanidad siga recurriendo a la violencia para resolver los
                            conflictos, no habrá paz ni seguridad en el mundo y seguirá resintiéndose
                         nuestra salud. Este informe es un importante recurso que nos abre los ojos a la
                            realidad de la violencia como problema de salud pública y permite abrigar
                            esperanzas para el futuro. Quizá sólo cuando nos demos cuenta de que la
                          violencia nos está destruyendo el cuerpo y el alma empezaremos a ocuparnos
                          colectivamente de ella para erradicar sus causas y atenuar sus consecuencias.
                                        Este informe es un paso importante en esa dirección.
                                  — Óscar Arias, ex Presidente de Costa Rica, Premio Nobel de la Paz, 1987 sept-02   7/10/02   8:09   Page 58

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              INDEX/ INDICE

           100% Condom Use Programme in                                   Eastern Mediterranean Journal, 38
               Entertainment Establishments, 5                            Effective Drug Regulation, 24
           Les accords de l’OMC et la santé publique, 42                  Environmental Health Criteria Series
           Los acuerdos de la OMC y la salud pública, 52                      No. 226: Palladium, 12
           Acrylonitrile, 15                                                  No. 227: Fluorides, 12
           Acupuncture: Review and Analysis of Reports                        No. 228: Principles and Methods for the Assessment
               on Controlled Clinical Trials, 31                              of Risk from Essential Trace Elements, 12
           Ahmad, O.B., 30, 43, 52                                        Eriksen, M., 27
           AIDS Epidemic Update, 3                                        European Health Report 2002, 33
           Amado, J., 10                                                  European Series
           Assessing New Vaccines for National                                No. 93: Water and Health in Europe, 18
               Immunization Programmes, 20                                    No. 95: Local Environmental Health Planning, 17
           ATC Index with DDDs, 26                                            No. 97: European Health Report 2002, 33
                                                                          Evaluation of Certain Food Additives and
           Barium and Barium Compounds, 13                                    Contaminants (57th Meeting), 19
           Bartram, J., 18
           Bianchini, F., 11                                              Fattaneh, A., 9
           Black, R., 8                                                   Ferguson, B.D., 30, 43, 52
           Bogh, C., 17                                                   Fletcher, C.D.M., 9
           Bray, F, 10                                                    Fluorides, 12
           Breast Cancer Screening, 11                                    Formaldehyde, 15
           Bulletin of the World Health Organization, 38, 58-59           Forman, D., 8
           Bulletin de l’Organisation mondiale de la Santé, 49            Future Trends in Veterinary Public Health
 60        Bureau régional de l’OMS pour l’Europe
               Les déterminants sociaux de la santé: Les Faits, 42        Gatta, G., 8
                                                                          Goldstein, G., 17
           Cancer in Portugal, 10                                         Gowers, A., 18
           Clinical Use of Blood CD-ROM, 7                                Guidelines for ATC Classification and DDD Assignment, 26
           Centre international de Recherche sur le Cancer,               Guidelines on Basic Training and Safety in Acupuncture, 31
               rapport biennal 2000-2001, 41                              Guillot, M., 30, 43, 52
           Chaudhury, R.R., 32
           Children in the New Millennium, 17                             Handbook for Legislators on HIV/AIDS,
           Chlorinated Naphthalenes, 13                                        Law and Human Rights, 2
           Chlorine Dioxide (Gas), 14                                     Health in the Americas, 2002 Edition, 28
           Coebergh, J.W.C, 8                                             Health Systems Performance Assessment and
           Concise International Chemical Assessment                           Improvement in the Region of the Americas, 22
               Documents Series                                           Healthy Villages, 17
               No. 33: Barium and Barium Compounds, 13                    Hill, K.H., 30, 43, 52
               No. 34: Chlorinated Naphthalenes, 13                       HIV and Infant Feeding Counselling: A Training Course, 4
               No. 35: N-Methyl-2-pyrrolidone, 13                         HIV/AIDS in Asia and the Pacific Region, 3
               No. 36: Methyl Cyanoacrylate and Ethyl Cyanoacrylate, 14   Howard, G, 17
               No. 37: Chlorine Dioxide (Gas), 14
               No. 38: N-Nitrosodimethylamine, 14                         Innovative Care for Chronic Conditions:
               No. 39: Acrylonitrile, 15                                     Building Blocks for Action, 16
               No. 40: Formaldehyde, 15                                   IARC Handbook on Cancer Prevention
               No. 41: Diethylene Glycol Dimethyl Ether, 15                  Volume 7: Breast Cancer Screening, 11
                                                                          IARC Monographs on the Evaluation
           Démaret, E., 8                                                    of Carcinogenic Risks to Humans
           Dénominations communes internationales (DCI)                      Volume 81: Man-made Vitreous Fibres, 10
               pour les substances pharmaceutiques CD-ROM, 42                Volume 82: Some Traditional Herbal Medicines,
           Les déterminants sociaux de la santé: Les faits, 42               Some Mycotoxins, Naphthalene and Styrene, 10
           Devilee, P., 8
           Diethylene Glycol Dimethyl Ether, 15 sept-02      7/10/02   8:09    Page 61

           IARC Technical Reports                                    Murray, C.J.L., 30-31, 43, 52
               Volume 37: Population-based Cancer Registries and     National Cancer Control Programmes, 8
               Evaluation of Clinical Care, 8                        N-Methyl-2-pyrrolidone, 13
               Volume 38: Cancer in Portugal, 10                     N-Nitrosodimethylamine, 14
           Informe de la OMS sobre la salud 2002, 54
           Informe mundial sobre la violencia y la salud, 56         PAHO Scientific Publications
           Informe sobre la epidemia mundial de VIH/SIDA, 53             No. 587: Health in the Americas, 2002 Edition, 28
           International Agency for Research on Cancer (IARC)        Palladium, 12
               Breast Cancer Screening, 11                           Pan American Health Organization
               Cancer in Portugal, 10                                    Health in the Americas, 2002 Edition, 28
               Man-made Vitreous Fibres, 10                              Health Systems Performance Assessment and
               Population-based Cancer Registries                               Improvement in the Region of the Americas, 22
                     and Evaluation of Clinical Care, 8                  Pan American Journal of Public Health, 38
               Pathology and Genetics of Tumours of the Breast       Pan American Journal of Public Health, 38
                     and Female Genital Organs, 9                    Parkin, D.M., 8
               Pathology and Genetics of Tumours of Soft Tissues     Pathology and Genetics of Tumours of the Breast
                     and Bones, 9                                        and Female Genital Organs, 9
               Some Traditional Herbal Medicines, Some Mycotoxins,   Pathology and Genetics of Tumours of Soft Tissues and Bones, 9
                     Naphthalene and Styrene, 10                     Le point sur l’épidémie de SIDA, 48
           Jeunes et le VIH/SIDA (les), 48                           Pinheiro, P.S., 10
           Los jóvenes y el VIH/SIDA, 53                             Pond, K., 18
           Joint United Nations Programme on HIV/AIDS (UNAIDS)       Population-based Cancer Registries and Evaluation
               AIDS Epidemic Update, 3                                   of Clinical Care, 8
               Handbook for Legislators on HIV/AIDS,                 Practical Guidelines on Pharmaceutical Procurement               61

               Law and Human Rights, 2                                   for Countries with Small Procurement Agencies, 24
               Report on the Global HIV/AIDS Epidemic, 2             Principes directeurs pour la formation de base et la sécurité
               Young People and HIV/AIDS, 2                              dans la pratique de l’acupuncture, 41
                                                                     Principles and Methods for the Assessment of Risk
           Keep Fit for Life, 21                                         from Essential Trace Elements, 12
                                                                     Prise en charge de l’enfant atteint d’infection grave
           Laboratory Tests for the Detection                            ou de malnutrition sévère, 43
               of Reproductive Tract Infections, 21                  Programa conjunto de las Naciones Unidas sobre el VIH/SIDA
           Lack, T., 18                                                  Informe sobre la epidemia mundial de VIH/SIDA, 53
           Legal Status of Traditional Medicine and                      Los jóvenes y el VIH/SIDA, 53
               Complementary/Alternative Medicine, 32                    Resumen mundial de la epidemia de VIH/SIDA, 53
           Limbert, E., 10                                           Programme commun des Nations Unies sur le VIH/SIDA
           Local Environmental Health Planning, 17                       Les jeunes et le VIH/SIDA, 48
           Lopez, A.D., 30-31,43, 52                                     Le point sur l’épidémie de SIDA, 48
                                                                         Rapport sur l’épidémie mondiale de VIH/SIDA, 48
           MacArthur, I.D., 17                                       Promoting Condoms in Clinics for Sexually
           Mackay, J., 27                                                Transmitted Infections, 5
           Man-made Vitreous Fibres, 10                              Prüss, A., 17
           Marmot, M., 23
           Mathers, C., 31                                           Rafei, U.M., 32
           Matos, E., 10                                             Rapport mondial sur la violence et la santé, 46
           Medical Records Manual, 24                                Rapport sur la santé dans le monde 2002, 44
           Methyl Cyanoacrylate and Ethyl Cyanoacrylate, 14          Rapport sur l’épidémie mondiale de VIH/SIDA, 48
           Miranda, A.C., 10                                         Ratanawijitrasin, S., 24
           Monitoring and Evaluation of the 100% Condom Use          Réglementation des médicaments à base de plantes, 41
              Programme in Entertainment Establishments, 6           Regulatory Situation of Herbal Medicines, 32
           Morgan, J., 17                                            Relevé épidémiologique hebdomadaire, 49
           Mortalidad mundial en 2000, 52                            Report on the Global HIV/AIDS Epidemic, 2
           Mortalité mondiale en 2000, 43                            Research on Reproductive Health at WHO, 26 sept-02        7/10/02   8:09    Page 62

              INDEX/ INDICE

           Resumen mundial de la epidemia de VIH/SIDA, 53                        Revue de Santé de la Méditerranée orientale, 49
           Revue de Santé de la Méditerranée orientale, 49                   WHO Regional Office for Europe
           Role of Public Policy Prevention and Control                          European Health Report 2002, 33
               of Sexually Transmitted Infections, 6                             Local Environmental Health Planning, 17
                                                                                 Social Determinants of Health: The Solid Facts, 23
           Salomon, J.A., 30-31, 43, 52                                          Water and Health in Europe, 18
           Sankila, R, 8                                                     WHO Regional Office for the Western Pacific
           Safety Evaluation of Certain Food Additives                           100% Condom Use Programme in Entertainment
               and Contaminants (57th Meeting), 19                                      Establishments, 5
           Sexually Transmitted Infections Prevalence Study Methodology, 6       Assessing New Vaccines for National
           Sexually Transmitted Infections. Briefing Kit for Teachers, 7                Immunization Programmes, 20
           Shaw, R., 17                                                          HIV/AIDS in Asia and the Pacific Region, 3
           Social Determinants of Health: The Solid Facts, 23                    Laboratory Tests for the Detection
           Some Traditional Herbal Medicines, Some Mycotoxins,                          of Reproductive Tract Infections, 21
               Naphthalene and Styrene, 10                                       Medical Records Manual, 24
           South-East Asia Series                                                Monitoring and Evaluation of the 100% Condom Use
               No. 39: Traditional Medicine in Asia, 32                                 Programme in Entertainment Establishments, 6
           Status and Trends of STI, HIV and AIDS                                Practical Guidelines on Pharmaceutical Procurement
               at the End of the Millennium, 7                                          for Countries with Small Procurement Agencies, 24
           Summary Measures of Population Health, 30                             Promoting Condoms in Clinics
                                                                                        for Sexually Transmitted Infections, 5
           Tavassoli, F.A., 9                                                    Role of Public Policy Prevention and Control
           Teuton, J., 17                                                               of Sexually Transmitted Infections, 6
 62        Thyssen, N., 18                                                       Sexually Transmitted Infections
           Tyczynski, J.E., 10                                                          Prevalence Study Methodology, 6
           Tobacco Atlas, 27                                                     Sexually Transmitted Infections. Briefing Kit for Teachers, 7
           Towards Healthier Mothers, Children and Families, 18                  Status and Trends of STI, HIV and AIDS at the End
           Toxicological Evaluation of Certain Veterinary Drug                          of the Millennium, 7
               Residues in Food (58th Meeting), 19                               Towards Healthier Mothers, Children and Families, 18
           Traditional Medicine in Asia, 32                                      Training Course for the 100% Condom Use Programme, 5
           Training Course for the 100% Condom Use Programme, 5              WHO Regional Office for South-East Asia
                                                                                 Traditional Medicine in Asia, 32
           Unni, K., 9                                                       WHO Technical Report Series
                                                                                 No. 909: Evaluation of Certain Food Additives
           Vainio, H., 11                                                        and Contaminants (57th Meeting)
                                                                             WHO-UNAIDS Guidelines for Standard HIV Isolation
           Water and Health in Europe, 18                                        and Characterization Procedures, 3
           Weekly Epidemiological Record, 38                                 Wilkinson, R., 23
           WHO Drug Information, 38                                          Wondemagegnehu, E., 24
           WHO Expert Committee on Biological Standardization                World Health Report 2002, 34
           WHO Expert Committee on Specifications                            World Mortality in 2000, 30
             for Pharmaceutical Preparations                                 World Report on Violence and Health, 36
           WHO Food Additives Series                                         WTO Agreements and Public Health, 22
             No. 48: Safety Evaluation of Certain Food Additives
             and Contaminants (57th Meeting), 19                             Young People and HIV/AIDS, 2
             No. 49: Toxicological Evaluation of Certain Veterinary
             Drug Residues in Food (58th Meeting), 19
           WHO Model Formulary, 25
           WHO Pesticides Residues in Food 2001, 20
           WHO Pesticides Residues in Food Series
             No. 17: WHO Pesticides Residues in Food 2001, 20
           WHO Regional Office for the Eastern Mediterranean
             Eastern Mediterranean Journal, 38 sept-02    7/10/02    8:09    Page 63


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