This paper considers the elements that determine the health situation in any country: the specific hazards to health, the health services, and the general determinants which influence both the hazards and the services. The expectation of life--the best single measure of the health situation--is presented for each country of the Americas as representing the resultant of these determinants. The changing pattern of disease in the Americas--the emergence of noninfectious diseases as the major problems--is documented, and the need for epidemiologically oriented health planning is stressed. Data are presented to indicate that medical care is the least significant of the basic triad of public health, and that primary attention must be paid to both disease prevention and living standards.

译文

本文考虑了决定任何国家健康状况的要素: 对健康的具体危害,卫生服务以及影响危害和服务的一般决定因素。对生命的期望-衡量健康状况的最佳单一指标-为美洲每个国家/地区提供了这些决定因素的结果。记录了美洲疾病模式的变化-非传染病的出现是主要问题-并强调了以流行病学为导向的健康计划的必要性。提供的数据表明,医疗保健是公共卫生基本三合会中最不重要的,必须首先注意疾病预防和生活水平。

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