Report of the commission on health research for development and the countries of the south

Of late, governments of affluent countries have become more brazen in using United Nations organizations and other global commissions as tools to serve their political and economic interests. WHO and UNICEF have been used by these governments to impose technocentric and dependence-promoting programs on countries of the South. The report of the Commission on Health Research for Development is yet another effort in that direction. It advocates international cooperation in health research. It merely adds to the bulk of documents on international health research. It is ahistorical. It does not analyze why WHO and UNICEF and the governments of affluent countries imposed global programs on immunization and diarrheal and respiratory diseases without bothering to gather even the most elementary data about them. There is a method in the brashness. Worse still, it ignores the rich heritage of health research of the past half a century in countries such as India, Indonesia, and Thailand. It is yet another effort to obscure the message of self-reliance contained in the Alma-Ata Declaration on Primary Health Care.

Crash of the immunization program: consequences of a totalitarian approach

India's Universal Immunization Program, which was to cover a population of more than 90 million pregnant mothers and 83 million infants living in more than 575,000 villages during 1986-90, has failed dismally. The coverage has been less than one-fifth of the requirement in more than half of the population. The situation in most third world countries, which have even weaker political clout and weaker health service infrastructures, is even more catastrophic. From a purely public health standpoint, the disaster was inevitable. No efforts were made even to define the problem of the six immunizable diseases; there was no question of understanding their natural history; the efficacy of the vaccines used was not well-known; the cold chain, which is meant to retain the potency of the vaccines at the time of inoculation, frequently broke down; there was confusion about the dosage; and even where the program is most successful, ecological conditions will erode much of the benefits from immunization. That such a technocentric program was imposed on the peoples of the third world by their governments was bad enough; even more frightening is that these countries were persuaded to follow the line developed in affluent countries by influential agencies such as UNICEF, WHO, the World Bank, the Rockefeller Foundation, and Rotary International. This is an awe-inspiring manifestation of the power of the affluent countries to impose their will on the weak and helpless peoples of the world. It is a bitter irony that UNICEF and WHO, which sponsored the famous global conference at Alma-Ata, should have lent their weight to a program that is the very antithesis of the Declaration. To embark on such a venture, the exponents had to ignore weighty scientific evidence that raised serious doubts about the program. They had to stoop to suppression of information, disinformation, and distortion of information. What is even worse, efforts will be made to erase this experience from memory, and similar efforts will again be made to launch such ill-conceived programs in the name of the welfare of the oppressed peoples of the world. Scholars who have concern for the oppressed must remain vigilant.

Place of the indigenous and the western systems of medicine in the health services of India

The interrelationships of the indigenous (traditional and western (modern) systems of medicine are a function of the interplay of social, economic, and political forces in the community. In India, western medicine was used as a political weapon by the colonialists to strengthen the oppressing classes and to weaken the oppressed. Not only were the masses denied access to the western system of medicine, but this system contributed to the decay and degeneration of the preexisting indigenous systems. This western and privileged-class orientation of the health services has been actively perpetuated and promoted by the postcolonial leadership of India. The issue in formulating an alternative health care system for India is essentially that of rectifying the distortions which have been brought about by various forces. The basic premise for such an alternative will be to start with the people. Action in this field will lead to a more harmonious mix between the indigenous and western systems of medicine.

Population planning in India: national and foreign priorities

India depends heavily on foreign experts to formulate its population policy because those domestic political leaders involved in policy making are alienated from the masses—they hold to Western values, lack competence in technical skills, are reluctant to come to grips with urgent social problems, and have given way to pressure from powerful vested interests. National and foreign priorities are closely identified. Policy formulators have sidetracked the fight against the basic social and economic problems of the country and have identified population planning with a birth control that masquerades under the name of family planning. This has been a fundamental and almost fatal mistake. Because of this approach, all attempts at family planning have failed to bring their intended results, and it has not been possible to make a significant dent in India's population problem. A threshold level of social and economic development must be attained before any family planning program can begin to bring about a sustained drop in the birth rate. Family planning should be part of a broadly based integrated plan of social and economic development. This will require changes at the political, administrative, social and economic levels to allow development of suitable plans to effectively and expeditiously implement the social and economic development programs.

Correlative Studies on Plant Growth and Metabolism. III. Metabolic Changes Accompanying Inhibition of the Longitudinal Growth of Stem and Root by Kinetin

Kinetin-induced expansion of lettuce (Lactuca sativa) cotyledons and inhibition of root are accompanied by parallel changes in protein nitrogen. However, during its inhibition of the longitudinal growth and water uptake of hypocotyl and pea (Pisum sativum) epicotyl sections kinetin markedly stimulates protein synthesis. Kinetin seems to separate auxin induced effects on protein synthesis and water uptake and indicates that water uptake and protein synthesis may not necessarily be correlated.In contrast to gibberellic acid, kinetin restricts in lettuce seedlings, the mobilization of nitrogen reserves from the cotyledons, and kinetin induced growth is accompanied by a high protein nitrogen/soluble-nitrogen ratio which is characteristic of growth in light. Growth in light may be under the dominant control of kinins.