The Environment for Children: Understanding and Acting on the Environmental Hazards that Threaten Children and Their ParentsBMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7081.687 (Published 01 March 1997) Cite this as: BMJ 1997;314:687
- Manuel Carballo
- coordinator, International Centre for Migration and Health, Geneva, Switzerland
David Satterthwaite, Roger Hart, Caren Levy, Diana Mitlin, David Ross, Jac Smit, Carolyn Stephens Earthscan, £13.95, pp 30 ISBN 1 85383 326 6
The 20th century has seen remarkable progress in medical science. This, together with years of social and economic growth, has resulted in major improvements in public health. Even though the situation in most developing countries has lagged behind that of Western countries, infant mortality has nevertheless fallen almost everywhere and people are living longer than ever before.
To what extent the improvements experienced to date will continue, and whether they will be sustainable over a substantial period, is unclear. In most countries, but especially in many of the poorer ones, the past two decades have been years of economic crisis, and the task of maintaining and expanding health services has become increasingly difficult. Investments in health are decreasing just at a time when demands and needs are growing. Meanwhile, in …