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The first sections outline some of the problems facing host governments and communities in Africa and discuss the changing rhetoric between the first and second International Conferences for Assistance to Refugees in Africa. A number of possible ways in which refugees could affect the individual, agent and environmental causes of disease are considered, as are the characteristics of the refugees, the host communities and the response which may all modify this impact.
Policy implications of the impact of the refugees, both negative and positive, are discussed, and detailed consideration is given to the pros and cons of integrated and parallel approaches to health care provision. The need to monitor carefully the health status and services of host communities is emphasized and recommendations are made for this and other essential developments relating to training and research. 相似文献
The review highlights the need to reallocate resources away from high visibility emergency aid to development activities, such as training, that will create an infrastructure for primary health care and promote self-reliance. 相似文献
This article aims to evaluate municipal solid waste (MSW) management schemes in order to promote sustainability and eco-efficiency, core elements in global mitigation strategies in both public and private policies. A discrete event simulation (DES) approach was used to integrate the economic, environmental, and social aspects related to aseptic carton packages (ACP) in Itajuba, Brazil. The simulated scenarios consider three alternatives for disposing ACP: landfills, recycling, and incineration with energy recovery. According to our findings, incineration alternatives are preferred from an eco-efficiency perspective, given the potential greenhouse gas (GHG) emissions reductions and due to the possibility of energy recover, which reinforces the contribution of this technology to promote sustainability as largely found in the international literature. Given the context of MSW management in Brazil, this represents a significant opportunity to increase the effectiveness of mitigation strategies adopted in the country. Taking into account that this is by far the least applied technology, the authors strongly advocate that global strategies for mitigation consider different approaches to integrate carbon dioxide (CO2) emission reductions related to the entire MSW management system and its alternatives, thus advancing from a waste disposal-oriented system to a life cycle–oriented system.
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