Page:Brundtland Report.djvu/113

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A/42/427
English
Page 113


Demographic phenomena constitute the heart of the African Development problematique. They are the data that lead most analysts to project a continuing and deepening crisis in Africa. There is no doubt of the imperative and urgent need for a far reaching population policy to be adopted and vigorously implemented by African governments.

One issue of relevance that requires further research is the use of the tax system as a means for controlling population growth and discouraging rural-urban migration.

To slow down population growth, should families without children be given a tax incentive or tax break? Should a tax penalty be imposed for each child after a fixed number of children, considering that the tax system has not solved the population migration problem?

Adebayo Adsdemi
Executive Director, Economic
Commission for Africa
WCED Public Hearing
Harare, 18 Sept 1986

3. From Liability to Asset

47. When a population exceeds the carrying capacity of the available resources, it can become a liability in efforts to improve people's welfare. But talking of population just as numbers glosses over an important point: People are also a creative resource, and this creativity is an asset societies must tap. To nurture and enhance that asset, people's physical well-being must be improved through better nutrition, health care, and so on. And education must be provided to help them become more capable and creative, skilful, productive, and better able to deal with day-to-day problems. All this has to be achieved through access to and participation in the processes of sustainable development.

3.1 Improving Health

48. Good health is the foundation of human welfare and productivity. Hence a broad-based health policy is essential for sustainable development. In the developing world, the critical problems of ill health are closely related to environmental conditions and development problems.

49. Malaria is the most important parasitic disease in the tropics, and its prevalence is closely related to wastewater disposal and drainage. Large dams and irrigation systems have led to sharp increases in the incidence of schistosomiasis (snail fever) in many areas. Inadequacies in water supply and sanitation are direct causes of other widespread and debilitating diseases such as diarrhoeas and various worm infestations.

50. Though much has been achieved in recent years, 1,7 billion people lack access to clean water, and 1.2 billion to adequate sanitation.[1] Many diseases can be controlled not just

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  1. UNEP, The State of the Environment: Environment and Health (Nairobi: 1986).