Page:Brundtland Report.djvu/114

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A/42/427
English
Page 114

We in Asia, I feel, want to have an equilibrium between the spiritual and material life. I noticed that you have tried to separate religion from the technological side of life. Is that not exactly, the mistake in the West in developing technology, without ethics, without religion? If that is the case, and we have the chance to develop a new direction, should we not advise the group on technology to pursue a different kind of technology which has as its base not only the rationality. but also the spiritual aspect? Is this a dream or is this something we cannot avoid?

Speaker from the floor
WCED Public Hearing
Jakarta, 26 March 1985

through therapeutic interventions but also through improvements in rural water supply, sanitation, and health education. In this sense, they really require a developmental solution. In the developing world, the number of water taps nearby is a better indication of the health of a community than is the number of hospital beds.

51. Other examples of links between development, environmental conditions, and health include air pollution and the respiratory illnesses it brings, the impact of housing conditions on the spread of tuberculosis, the effects of carcinogens and toxic substances, and the exposure to hazards in the workplace and elsewhere.

52. Many health problems arise from the nutritional deficiencies that occur in virtually all developing countries, but most acutely in low-income areas. Most malnutrition is related to a shortage of calories or protein or both, but some diets also lack specific elements and compounds, such as iron and iodine. Health will be greatly improved in low-income areas by policies that lead to the production of more of the cheap foods the poor traditionally eat – coarse grains and root crops.

53. These health, nutrition, environment, and development links imply that health policy cannot be conceived of purely in terms of curative or preventive medicine, or even in terms of greater attention to public health. Integrated approaches are needed that reflect key health objectives in areas such as food production; water supply and sanitation; industrial policy, particularly with regard to safety and pollution; and the planning of human settlements. Beyond this, it is necessary to identify vulnerable groups and their health risks and to ensure that the socio-economic factors that underlie these risks are taken into account in other areas of development policy.

54. Hence, WHO's 'Health for All' strategy should be broadened far beyond the provision of medical workers and clinics, to cover health-related interventions in all development activities.[1] Moreover, this broader approach must be reflected in

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  1. WHO, Global Strategy for Health for All by the Year 2000 (Geneva: 1981).