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II INVITED COMMENTS
Pages 85-96

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From page 85...
... , Recognizing the weaknesses of governments, we must help them to identify the major issues, to recognize available and potential resources, and to bring the resources together into clear-cut objectives and programs. Governments also have a role in coordinating international efforts, rather than in being coordinated by them.
From page 86...
... Waterlow has noted, the concept of standard nutritional requirements has been challenged. I have taken that challenge seriously, because in essence it says, "markedly low food energy intakes seem to allow normal activity" and people can lead healthy lives.
From page 87...
... me s~gn~'cance or one Idea of the primary health care center is that it is a way of organizing a community; it is not the only way, but it is one way to start the process. Primary health care will not solve all the problems of development, but it will demonstrate, as I have witnessed in the United States, how a health approach or a nutrition approach can be the most effective way of organizing a community.
From page 88...
... The Ethiopian famine emergency can be compared with what happens every day in a disaster household to a child who is at risk all the time and whose mother is at risk all the time and unable to function effectively. There is a need for a safety net or food security or some other kind of protection that uses existing food resources, whether from overseas food aid or from local products.
From page 89...
... That is certainly true of Africa and most of Latin America and increasingly true in the United States, in Britain, and probably (if one had the data) in the Middle East.
From page 90...
... struggle of World War II in Europe and I think to some extent in the United States, the economic priority was clearly to use economic resources for the effort. There was no problem at all in incorporating human nutrition concerns into that national strategy.
From page 91...
... Fifth, I would like to expand on the need for support for nutrition research institutions in industrial and developing countries. In particular, I point to the problems in Africa.
From page 92...
... In developing countries in the last year and one-half, there have been some very important points of hope, despite all the pressures. When political leaders become aware of what can be done, they can respond.
From page 93...
... The striking fact is that in the 1980s in a number of towns in developing countries, street riots were triggered by changes in food prices; this happened in Brazil, Tunisia, Morocco, Peru, and many other places according to United Nations population statistics. Between 1980 and 2000, the world urban population will rise from 31% of the total population to 44%.
From page 94...
... In addition, special nutrition programs are needed for deprived urban population groups. A major task for governments and international agencies is to formulate strategies and policies that will enable the world of the l990s to cope with this fundamental issue.


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