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Reproductive tract infections (RTis) have become a silent epidemic
that is devastating women's lives. Each year, thousands of women
die needlessly from the consequences of these infections, including
cervical cancer, ectopic pregnancy, acute and chronic infections of
the uterus and the fallopian tubes, and puerperal infections. For
many women, this happens because they receive medical attention too
late, if at all. The terrible irony of this tragedy is that early
diagnosis of and treatment for many RTis do not require
high-technology health care. For the hundreds of millions of women
with chronic RTis acquired from their sexual partners, life can
become a living hell. Infection is a major cause of infertility,
and it leads to scorn and rejection in many countries. These women
may experience constant pain, have festering lesions of the genital
tract, be at enhanced risk of second ary diseases, and endure
social ostracism. The problems associated with RT s have grown even
greater in the past decade with the emergence of human
immunodeficiency virus (HIV) and AIDS. Preexisting sexually
transmitted disease, particularly when associated with genital
tract ulcers, raises women's vulnerability to the transmission of
HIV 3-5 fold."
When Peter Piot was in medical school, a professor warned, "There's
no future in infectious diseases. They've all been solved."
Fortunately, Piot ignored him, and the result has been an
exceptional, adventure-filled career. In the 1970s, as a young man,
Piot was sent to Central Africa as part of a team tasked with
identifying a grisly new virus. Crossing into the quarantine zone
on the most dangerous missions, he studied local customs to
determine how this disease-the Ebola virus-was spreading. Later,
Piot found himself in the field again when another mysterious
epidemic broke out: AIDS. He traveled throughout Africa, leading
the first international AIDS initiatives there. Then, as founder
and director of UNAIDS, he negotiated policies with leaders from
Fidel Castro to Thabo Mbeki and helped turn the tide of the
epidemic. Candid and engrossing, No Time to Lose captures the
urgency and excitement of being on the front lines in the fight
against today's deadliest diseases.
Unlike some other reproductions of classic texts (1) We have not
used OCR(Optical Character Recognition), as this leads to bad
quality books with introduced typos. (2) In books where there are
images such as portraits, maps, sketches etc We have endeavoured to
keep the quality of these images, so they represent accurately the
original artefact. Although occasionally there may be certain
imperfections with these old texts, we feel they deserve to be made
available for future generations to enjoy.
Nutrition and Health in Developing Countries, Second Edition was
written with the underlying conviction that global health and
nutrition problems can only be solved through a firm understanding
of the different levels of causality and the interactions between
the various determinants. This volume provides policy makers,
nutritionists, students, scientists, and professionals with the
most recent and up-to-date knowledge regarding major health and
nutritional problems in developing countries. This greatly expanded
second edition has new chapters relevant to humanitarian
emergencies, including a case study of the Indian Ocean tsunami in
2004, food in humanitarian relief, food policy, the emerging role
of supermarkets in developing countries, homestead food production,
aging, ethics, and the adverse impact of parental tobacco use on
child health in poor families. These new chapters reflect the
increasing complexity and changes that are occurring in developing
countries.
This book examines the issue of price volatility in agricultural
commodities markets and how this phenomenon has evolved in recent
years. The factors underlying the price spike of 2007-08 appear to
be global and macroeconomic in nature, including the rapid growth
in demand by developing countries, the international financial
crisis, and exchange rate movements. Some of these factors are new,
appearing as influences on price volatility only in the last
decade. Although volatility has always been a feature of
agricultural commodity markets, the evidence suggests that
volatility has increased in certain commodity markets. A growing
problem is that agricultural price shocks and volatility disrupt
agricultural markets, economic incentives and incomes. With
increased globalization and integration of financial and energy
markets with agricultural commodity markets, the relationships
between markets are expanding and becoming more complex. When a
crisis such as a regional drought, food safety scare or a financial
crisis hits a particular market, policy-makers often do not know
the extent to which it will impact on other markets and affect
producer, consumer and trader decisions. Including contributions
from experts at the World Bank, the Food and Agriculture
Organization of the United Nations, the USDA, and the European
Commission, the research developed throughout the chapters of this
book is based on current methodologies that can be used to analyze
price volatility and provide directions for understanding this
volatility and the development of new agricultural policies. The
book highlights the challenges facing policy makers in dealing with
the changing nature of agricultural commodities markets, and offers
recommendations for anticipating price movements and managing their
consequences. It will be a practical guide for both present and
future policy-makers in deciding on potential price-stabilizing
interventions, and will also serve as a useful resource for
researchers and students in agricultural economics.
Reproductive tract infections (RTis) have become a silent epidemic
that is devastating women's lives. Each year, thousands of women
die needlessly from the consequences of these infections, including
cervical cancer, ectopic pregnancy, acute and chronic infections of
the uterus and the fallopian tubes, and puerperal infections. For
many women, this happens because they receive medical attention too
late, if at all. The terrible irony of this tragedy is that early
diagnosis of and treatment for many RTis do not require
high-technology health care. For the hundreds of millions of women
with chronic RTis acquired from their sexual partners, life can
become a living hell. Infection is a major cause of infertility,
and it leads to scorn and rejection in many countries. These women
may experience constant pain, have festering lesions of the genital
tract, be at enhanced risk of second ary diseases, and endure
social ostracism. The problems associated with RT s have grown even
greater in the past decade with the emergence of human
immunodeficiency virus (HIV) and AIDS. Preexisting sexually
transmitted disease, particularly when associated with genital
tract ulcers, raises women's vulnerability to the transmission of
HIV 3-5 fold."
Peter Piot, founding executive director of the Joint United
Nations Programme on HIV/AIDS (UNAIDS), recounts his experience as
a clinician, scientist, and activist fighting the disease from its
earliest manifestation to today. The AIDS pandemic was not only
disruptive to the health of millions worldwide but also fractured
international relations, global access to new technologies, and
public health policies in nations across the globe. As he struggled
to get ahead of the disease, Piot found science does little good
when it operates independently of politics and economics, and
politics is worthless if it rejects scientific evidence and respect
for human rights.
Piot describes how the epidemic altered global attitudes toward
sexuality, the character of the doctor-patient relationship, the
influence of civil society in international relations, and
traditional partisan divides. AIDS thrust health into national and
international politics where, he argues, it rightly belongs. The
global reaction to AIDS over the past decade is the positive result
of this partnership, showing what can be acheved when science,
politics, and policy converge on the ground. Yet it remains a
fragile achievement, and Piot warns against complacency and the
consequences of reduced investments. He refuses to accept a world
in which high levels of HIV infection are the norm. Instead, he
explains how to continue to reduce the incidence of the disease to
minute levels through both prevention and treatment, until a
vaccine is discovered.
In recent years the popularity of service learning and study abroad
programs that bring students to the global South has soared, thanks
to this generation of college students' desire to make a positive
difference in the world. This collection contains essays by
undergraduates who recount their experiences in Togo working on
projects that established health insurance at a local clinic, built
a cyber cafe, created a microlending program for teens, and started
a local writers' group. The essays show students putting their
optimism to work while learning that paying attention to local
knowledge can make all the difference in a project's success.
Students also conducted research on global health topics by
examining the complex relationships between traditional healing
practices and biomedicine. Charles Piot's introduction
contextualizes student-initiated development within the history of
development work in West Africa since 1960, while his epilogue
provides an update on the projects, compiles an inventory of best
practices, and describes the type of projects that are likely to
succeed. Doing Development in West Africa provides a relatable and
intimate look into the range of challenges, successes, and failures
that come with studying abroad in the global South. Contributors.
Cheyenne Allenby, Kelly Andrejko, Connor Cotton, Allie Middleton,
Caitlin Moyles, Charles Piot, Benjamin Ramsey, Maria Cecilia
Romano, Stephanie Rotolo, Emma Smith, Sarah Zimmerman
As we approach the 25th anniversary of the first recognition of
HIV/AIDS in 1981, this book reflects on the international impact of
the disease. It has persistently remained a global issue, with more
than 50 million people worldwide estimated to have been infected
since that date. This ambitious book, written by 165 authors from
30 countries, offers a multi-country comparative study that
examines how the response to the common, global threat of HIV is
shaped by the history, culture, institutions and health systems of
the individual countries affected. Increasingly the shift of health
systems has been from prevention only as the main containment
strategy, to a strategy that includes scaling up HIV treatment, and
care and prevention services, including antiretroviral therapy.
Thus, all parts of the health system must be involved; policy
makers, healthcare professionals and users of the services have
been forced to think differently about how services are financed,
how resources are allocated, how systems are structured and
organized, how services are delivered to patients, and how the
resulting activity is monitored and evaluated in order to improve
the effectiveness, efficiency, equity and acceptability of the
response. This book is unique in attempting to describe and assess
a range of responses across the globe by situating them within the
characteristics of each country and its health system. Most
chapters combine a health policy expert with an HIV specialist,
allowing both a 'top down' health system approach and a 'bottom up'
HIV-specific perspective. There are thematic and analytical
sections, which provide an overview and some suggestions for
solutions to the most serious outstanding issues, and chapters
which analyse specific country and organisational responses. There
is no perfect health system, but the evidence provided here allows
the sharing of knowledge, and a opportunity to assess the impact
and reactions, to an epidemic that must be considered a long term
issue.
This updated and expanded book was written with the underlying
conviction that global health and nutrition problems can only be
solved through a firm understanding of the different levels of
causality and the interactions between the various determinants.
This volume provides policy makers, nutritionists, students,
scientists, and professionals with the most recent and up-to-date
knowledge regarding major health and nutritional problems in
developing countries.
In recent years the popularity of service learning and study abroad
programs that bring students to the global South has soared, thanks
to this generation of college students' desire to make a positive
difference in the world. This collection contains essays by
undergraduates who recount their experiences in Togo working on
projects that established health insurance at a local clinic, built
a cyber cafe, created a microlending program for teens, and started
a local writers' group. The essays show students putting their
optimism to work while learning that paying attention to local
knowledge can make all the difference in a project's success.
Students also conducted research on global health topics by
examining the complex relationships between traditional healing
practices and biomedicine. Charles Piot's introduction
contextualizes student-initiated development within the history of
development work in West Africa since 1960, while his epilogue
provides an update on the projects, compiles an inventory of best
practices, and describes the type of projects that are likely to
succeed. Doing Development in West Africa provides a relatable and
intimate look into the range of challenges, successes, and failures
that come with studying abroad in the global South. Contributors.
Cheyenne Allenby, Kelly Andrejko, Connor Cotton, Allie Middleton,
Caitlin Moyles, Charles Piot, Benjamin Ramsey, Maria Cecilia
Romano, Stephanie Rotolo, Emma Smith, Sarah Zimmerman
"University endowment managers have generally outperformed the
market benchmarks. However, their knowledge has not been well
documented in any book. This book fills that gap and should be of
significant help to all those who want to learn from extensive
interviews with a number of endowment managers."--PREM JAIN,
McDonough Professor of Accounting and Finance, Georgetown
University
Learn how higher education's largest endowments consistently
achieve higher investment returns than the overall market.
The Chief Investment Officers who oversee the top academic
endowment funds manage over $400 billion in total assets. Over the
last ten years (1999-2009), large endowments returned an average of
6.1%, compared to the S&P 500 index average of -2.22%, an
outperformance difference of over 8%. With the recent sharp
economic downturn, and a decade of inflation-adjusted flat returns
in the overall equities market, institutional and individual
investors alike are looking to endowments for proven strategies for
improving the performance of their portfolios. "Outperform: Inside
the Investment Strategy of Billion Dollar Endowments" interviews
top CIOs from leading endowments, to detail how they consistently
outperform the market, what they predict for the coming years, and
how small investors can employ their investment philosophies.
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