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World Population and Health
Pages 15-23

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From page 15...
... These productive and consumptive patterns have generated remarkable wealth in some countries, although the wealth is concentrated mostly in three major regions-North America, Western Europe, and East Asia. There is a mismatch between wealth and where the worId's people resideoverwhelmingly in the poorer regions of China, South Asia, and parts of Africa and Latin America.
From page 16...
... Slower declines were witnessed in South Asia and the Middle East, while little or no decline has been experienced in sub-Saharan Africa, although there is evidence that fertility has finally begun to decline in about four African countries. Throughout North America and Western, Central, and Eastern Europe, fertility has been near or even below replacement.
From page 17...
... As described later, international migration may develop into a most important demographic feature of the 21st century. DEMOGRAPHY IN THE UNITED STATES High-, medium-, and low-variant projections of the U.S.
From page 18...
... HEALTH: THE WORLD AND THE UNITED STATES Demographic change, worldwide and within the United States, will powerfully affect all aspects of the quality of life-the environment, food, the economy, schools, jobs, and health. In world health, this century has witnessed a remarkable revolution.
From page 19...
... Table 1 shows how the epidemiologic pattern of the causes of death changes as life expectancy improves. At low life expectancies, poverty-linked causes of death due to common childhood infections, malnutrition, and risks associated with childbearing predominate among women and children.
From page 20...
... Acceleration in international trade of goods and services, rapid flows of financial capital through the global private marketplace, the communications and technology revolutions, and migration both temporary and permanent may be generating new transnational health linkages that will create world health interdependence, just like economic interdependence. Transnational connections in health imply that health threats no longer can be contained by national frontiers; most diseases do not require passports to travel.
From page 21...
... The politics of health care access will also be accentuated by immigration and the changing ethnic composition of America's population, as the Anglo majority declines and Hispanic and other minority groups increase. How the poor and disadvantaged in the United States gain access to high-quality services, through programs such as Medicaid, is very much a part of this debate about national priorities and responsibilities.
From page 22...
... in American culture to view civil and political rights as human rights, but do not view socioeconomic matters including health care, in ~.
From page 23...
... The Asians at the Japan conference, for example, were very sensitive to the fact that while something like this was lost in Western culture, it is not something that Asian cultures want to lose. I am a little skeptical, however, as to whether they will be successful with a famiTy-based strategy.


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