Martin J
Service de la santé publique, Lausanne.
Soz Praventivmed. 1995;40(5):270-4. doi: 10.1007/BF01299194.
Current global developments as regards demographic growth and resource utilization represent one issue most difficult to tackle, in terms of (general and health) policy as well as in human terms. In the 1960s-1970s, the debate was active and led, among other things, to an expansion of technical cooperation programs aiming at fertility reduction. The 1974 World Population Conference in Bucharest saw controversy about the respective importance of family planning services, on the one hand, and overall development on the other. The debate was then less visible but has recently been given new impetus, in particular at the September 1994 Cairo International Conference on Population and Development. We have a serious, and in some ways seemingly unmanageable problem, marked by the political difficulties and social constraints which are bound to result from effective actions leading to reduction of resource consumption, or to fertility decrease. Public health professionals may make a significant contribution in promoting better information and dialogue and the view that health has to be an ecosustainable state.
当前全球在人口增长和资源利用方面的发展态势，无论从（总体和健康）政策角度还是从人文角度来看，都是最难应对的问题之一。在20世纪60年代至70年代，相关辩论十分活跃，除其他方面外，还促成了旨在降低生育率的技术合作项目的扩展。1974年在布加勒斯特召开的世界人口会议上，围绕计划生育服务与整体发展各自的重要性产生了争议。之后这场辩论不太引人注目了，但最近又有了新的推动力，特别是在1994年9月召开的开罗国际人口与发展会议上。我们面临一个严重且在某些方面看似难以解决的问题，其特点是有效行动导致资源消耗减少或生育率下降必然会带来政治困难和社会限制。公共卫生专业人员可以在促进更好的信息交流与对话以及秉持健康必须是一种生态可持续状态的观点方面做出重大贡献。
