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Cad. Saúde Pública vol.2 número2

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Saúde e doença

A Fundação W. K. Kellogg reuniu nos dias 7 a 9 de maio de 1986, em Battle Creek, Michigan, sede daquela entidade, um comitê Ad-Hoc composto de oito especialistas da América Latina, além de assessores e técnicos da própria fundação.

O objetivo da citada reunião foi o de discutir os progra-mas que vêm sendo desenvolvidos pela Fundação na Amé-rica Latina relacionados com a melhoria da qualidade de vida de seu povo através da introdução de tecnologias reno-vadoras nos campos da agricultura, da saúde e da educação. Durante a reunião, o Prof. Frederico Simões Barbosa apresentou o tema "Health and Disease" cujo resumo é abaixo transcrito:

"Social and economic transformation that have occurred in the world since the advent of industrial era, have focused the relationships between health and disease on a different angle.

The emergence of a new era — the post-industrial era — have solely magnified the problems that I will try to comment as an inhabitant of the southern hemisphere.

As a consequence of the above, the gap between developed and developing countries is becoming each time greater.

Worse than that is the fact that the developing countries are creating two opposite realities inside their own territories: few live in an affluent society, while millions are submitted to the most primitive type of life. I do not believe that developing countries will attain highly developed stages using the same model that the actual northern societies have followed. There are no possible comparisions between such distant historical moments.

In most Latin American countries, we are living a demo-cratic transition phase, full of hope and contradictions.

In Brazil we are facing a strong popular movement towards the dignification of human life. Instead of being the 8th economy in the world or the 4th producers of weapons, Brazilian people would rather have decent houses, adequate nutrition, proper health services and educational opportu-nities.

Health is an unseparable component of the social tissue of the political structure of a country and should be looked upon as a citizen's right under the responsibility of the State. Health is no longer merely absence of disease. The defi-nition of health given by the World Health Organization is vague and superficial.

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matter of the health sector and, consequently, the result of an adequate organization of the medical services. The inte-gration of health measures is commonly admitted as of fundamental importance in solving the health problems.

Although the above points are important and even neces-sary, we need to extend our views to a more complex defi-nition of health policies as part of the specific political process each developing country is undergoing.

The process of democratization which some Latin Ame-rican countries are going through, should review the wrong, old historical concept that distinguishes the "social sector" from the "health sector". The World Health Organization has, in many instances, expressed its views on the need of a harmonic social and economic development.

The comprehension of health implies in considering the political aspect of the problem. Health is the global expres-sion of the real living conditions of a population in a deter-mined place and a historical time. In other words, health is the result of a fair social patterns of life.

In order to overcome the problems, new social and eco-nomic structures and processes are needed".

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