Schoeman J C
South African Military Health Service, Pretoria.
Med Confl Surviv. 2000 Jul-Sep;16(3):302-9. doi: 10.1080/13623690008409527.
This article examines the role of emerging new and re-emerging diseases in the failure of the 'Health for All by 2000' concept. The gap between infection and control has widened instead of closing, which has definite military and security implications. It is argued that there is a direct link between disease and the social order, and that the traditional view of development first, followed by an increase in health status, must change. However, the political will and the necessary resources to combat emerging and re-emerging diseases are still lacking in many countries. Through the improper use of treatments and dosages, most notably antibiotics, new strains of previously eradicated diseases are appearing. Added to this are new patterns of relationships between man, his environment and the occurrence of disease leading to new diseases making their appearance. There is a direct relationship between war and disease, making disease something with political, military and security relevance. The aspect of intelligence which has the task of predicting the future, now has to take note of the occurrence of disease and its effects.
本文探讨了新出现的和重新出现的疾病在“2000年人人享有健康”理念失败中所起的作用。感染与控制之间的差距非但没有缩小，反而扩大了，这具有明确的军事和安全影响。有人认为，疾病与社会秩序之间存在直接联系，传统的先发展、后提高健康水平的观点必须改变。然而，许多国家仍然缺乏应对新出现和重新出现疾病的政治意愿和必要资源。由于治疗方法和剂量的不当使用，最明显的是抗生素，以前已根除疾病的新菌株正在出现。此外，人类、其环境与疾病发生之间新的关系模式导致新疾病出现。战争与疾病之间存在直接关系，使疾病具有政治、军事和安全方面的相关性。负责预测未来的情报部门现在必须关注疾病的发生及其影响。
