Annals of Burns and Fire Disasters - vol. XI - n. 1 - March 1998

THE WH

PAGES

As convinced supporters of the ideals and work of the World Health Organization, and as the WHO Collaborating Centre for Prevention and Treatment of Burns and Fire Disasters, the Mediterranean Club for Burns and Fire Disasters and its scientific publication, the Annals, begin a new feature with this issue. The WHO Page will regularly bring relevant information on WHO in general and on its work in humanitarian emergencies in particular.
1998 marks the 50th Anniversary of this great Organization, with which MBC is proud to be affiliated. It is appropriate that we begin our 1998 volume and this Page with an introductory tribute to WHO.

THE WORLD HEALTH ORGANIZATION

Basic Principle
"The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition."

WHO's mandate
WHO is a specialized agency within the Charter of the United Nations and was established in 1984 by 61 Governments "for the purpose of co-operation among themselves and with others to promote the health of all people." The number of Member States has now grown to 191.

The origins of WHO
WHO represents the culmination of efforts at international health cooperation that started almost 150 years ago. In 1851, the first International Sanitary Conference was initiated to discuss measures against the importation of plague into Europe. Later on, nations joined forces to combat common threats such as yellow fever, cholera, smallpox and typhus. Other landmarks were the establishment of the Pan American Sanitary Bureau in 1902, the Office International d'Hygi~ne Publique (01HP) in 1907, and the Health Organization of the League of Nations in 1919. In 1945, Brazil and China suggested the establishment of an international health organization leading to the Constitution of WHO, which was approved in 1946. The Constitution came into force on 7 April 1948, when the 26th of the 61 Member States who signed ratified its signature, 50 years ago.

The WHO definition of health
"Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity."

WHO's main functions

  • to give worldwide guidance in the field of health;
  • to cooperate with governments to strengthen the planning, management and evaluation of national health programmes;
  • to develop and transfer appropriate health technology, information and standards for human health;
  • to assist in health emergencies.

WHO structure
WHO performs through three principal bodies:

  • the World Health Assembly
  • the Executive Board
  • the Secretaria.

WHO has its headquarters in Geneva, Switzerland. The Organization also has six regional offices:

  • Africa (AFRO) - Brazzaville, Congo
  • The Americas (AMRO) - Washington, USA
  • Eastern Mediterranean (EMRO) - Alexandria, Egypt
  • Europe (EURO) - Copenhagen, Denmark
  • South-East Asia (SEARO) - New Delhi, India
  • Western Pacific (WPRO) - Manila, Philippines

WHO works closely with other Organizations in the UN System and collaborates with:

  • countries
  • bilateral agencies
  • intergovernmental agencies
  • governmental organization (NG0s)
  • collaborating centres, such as the Mediterranean Club for Burns and Fire Disasters

Achievements and challenges
Since the creation of WHO there have been major accomplishments in global health.
Among these are:

  • fighting infectious diseases. For example, millions of children have been saved annually from death and disability, in part due to global immunization programmes
  • providing health services
  • reducing death, increasing life
  • delivering essential drugs
  • making cities healthier
  • strengthening response to health disasters

Just as WHO eradicated smallpox in 1980, it is at the threshold of eliminating other major diseases in the next few years, such as poliomyelitis, guinea-wonn disease and leprosy.

The challenges WHO still faces are:

  • achieving health for all
  • controlling old and new diseases
  • achieving reproductive health for all
  • building partnerships for health
  • promoting health lifestyles and environments rendering natural and complex emergencies less damaging to health

CONGRATULATIONS ON EMERGENCY NEWSLETTER

The Division of Emergency and Humanitarian Action of WHO has started a new quarterly newsletter entitled Health in Emergencies.
As stated in the editorial of Dr. F. Bassani, Director, the purpose of the newsletter is twofold: to keep the emergency health community informed of the rapid developments and achievements of the Division in WHO, and to create reciprocal communication with the many institutions worldwide cooperating with the Division. Congratulations on this first issue which fully meets its declared purpose. The MBC will gladly collaborate with this welcome publication, whose Chief Editor is Dr. LP. Menu.

WHO DEEPLY CONCERNED BY THE HEALTH EFFECTS OF FOREST FIRES

According to information received by the World Health Organization, the air pollution caused by the forest fires in Indonesia reached emergency levels and serious health problems are affecting and will continue to affect a large number of people in the region if the fires are not extinguished soon and current meteorological conditions prevail.
The longer the exposure to the air pollution, which is mainly caused by the accumulation of fine particles, the more serious the effects will be, particularly for vulnerable groups of the population, like people with chronic respiratory problems, infants and the elderly. In September 1997 only, the number of additional hospital admissions in Sarawak, Malaysia, alone were more than 26000. (At present Brazil and Venezuela are suffering similar fire emergencies.)
From the beginning of this environmental disaster, WHO has been concerned by its potential health impact and has been in touch with the health ministries of the countries involved. Through its regional and country offices, the Organization is providing technical services and equipment to cope with the worsening situation, as well as experts to advise the national and local health authorities on the measures to be taken, particularly if the fires persist.
WHO endorses the recommendations to lessen the health effects of air pollution. These include wearing respiratory masks, staying indoors as much as possible, keeping windows and doors closed, and seeking medical advice when called for. It should be noted, however, that in view of the small size of the particles, homemade or other commonly available masks do not ensure complete health protection.
High concentrations of suspended particulate matter with aerometric below 10 micrometres can readily enter the lower respiratory tract. The health effects of this type of acute pollution include exacerbations of cough and lower respiratory symptoms with resulting increased use of bronchodilatators by asthmatic patients and increases in hospital admissions and daily mortality. In addition to these acute effects, chronic effects such as increased incidence of chronic bronchitis are likely to follow. Incomplete combustion of wood is associated also with the emission of other compounds which exacerbate the health effects of suspended particulate matter. WHO urges the international community and the affected countries to utilize all possible measures to extinguish the fire.

N.B. As the WHO Collaborating Centre on Prevention and Treat~ ment of Burns and Fire Disasters, the MBC has put its expertise at the disposal of WHO in this extensive humanitarian emergency.




 

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