Taylor C E, Hall M F
Science. 1967 Aug 11;157(3789):651-7. doi: 10.1126/science.157.3789.651.
Health as a basic human value is particularly important to people in the developing world. Rates of economic development lower than had been hoped for and ever more steeply rising population growth have precipitated a reaction against public health programs. Among economists, agriculturalists, and even health professionals the philosophy arose that one should "hold back" on using modern weapons against disease because they are "too effective." To satisfy the recognized popular demand, simple and relatively ineffective measures of curative medicine could be substituted. It was said that the emphasis should be, instead, on agriculture, community development, education, and industrialization and that family planning should be pushed as a separate program. Documentation presented here sharply challenges such a point of view. No segment of the total development process can be effective without the other sectors.
健康作为一项基本的人类价值,对发展中世界的人们尤为重要。经济发展速度低于预期,人口增长却日益迅猛,这引发了对公共卫生项目的抵制。在经济学家、农学家乃至卫生专业人员中,出现了一种观点,即人们应该“克制”使用现代抗病手段,因为这些手段“效果太好”。为了满足公认的大众需求,可以用简单且效果相对较差的治疗医学措施取而代之。有人认为,重点应该放在农业、社区发展、教育和工业化上,而且计划生育应该作为一个单独的项目大力推行。本文所提供的资料对这种观点提出了尖锐挑战。整个发展进程中的任何一个部分如果没有其他部门的配合都无法发挥作用。