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Conclusions: the Future Relevance of Medical Geography in the Third World This article has deliberately ranged widely and suggested various research themes to which medical geographers interested in health and development might turn their attention. The International Geographical Union Commission on Health and Development established in 1988 suggested a research agenda which includes many of them (see IGU Commission on Health and Development, Circular Letter No. 1 published in GeoJournal 17, 4, 659–660 (1988)). The achievement of even part of such an agenda will call for close international collaboration in research amongst medical geographers and allied disciplines.Increasingly, medical geographers are gaining applied experience in health and health care in the developing world. They are obtaining breadth and depth of knowledge and are now, for example, cogniscant of financial matters such as those involved in the cost explosion in health care worlwide which has particularly sinister implications for the health of Third World countries (Josephg and Phillips 1984). They, too, are now increasingly comfortable in dealing with epidemiological and demographic data. Geographers now no longer focus solely on phenomena such as distance decay or environments for disease. They are aware that human resources, intelligence, aspirations, attitudes and finance are all potent variables influencing successful health care and health in populations.In the future, therefore, the wide-ranging ambit of medical geography will increasingly become relevant to health and health care research in the Third World. Contributions of value will emerge both from those geographers adopting more socio-political stances and those adopting a more empiricist approach. However, it is the holistic nature of geography, with its wide academic links, and the courage of geographers to research in new topics and gain sound understanding of them which will increasingly be recognized. The days of extempore contributions to political, policy and practical debates on health and development are now largely past. Well researched, solid and sound medical geography contributions will, it is hoped, forge ahead. 相似文献
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The study quantifies the environmental risk factors for two diseases with different vectors and cycles of transmission: malaria
and Chagas' disease in N.W. Argentina near the Bolivian border. This is the area within Argentina where malaria is still a
serious health problem. Chagas' disease is to some extent present in many parts of the country. The field work for the study
concerned 5903 people in 1466 dwellings. The study resulted in detailed maps of risk factors: particularly water quality and
contacts with migrants from Bolivia in the case of malaria; and thatched roofs and dogs in the case of Chagas' disease.
This revised version was published online in August 2006 with corrections to the Cover Date. 相似文献
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