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Implementing National Diabetes Programmes
Report of a WHO Meeting
edited by H. King, W. Gruber and T. Lander
1995, x + 78 pages [E]
Sw.fr. 10.-/US $9.00; in developing countries: Sw.fr. 7.-
Order no. 1930064
Summarizes the outcome of the first WHO meeting, at the global level, convened specifically to address the topic of national diabetes programmes. Throughout, the book emphasizes the practical aspects of programme implementation. The book has six sections. The first examines the mandate for national diabetes programmes which was provided by the World Health Assembly resolution on prevention and control of diabetes in 1989. Since economic considerations are paramount to health planners, these are also addressed in this section, as are the different approaches to implementation.
The second section focuses on community-based aspects of primary, secondary and tertiary prevention. Diabetes is recognized as a model for the development of broader-based noncommunicable disease control programmes. The principles of implementation are considered in the next section, which explains the setting of goals and targets, situation analysis, planning and evaluation, the role of the patient, standards of care, and responsibilities of the health care team.
The fourth and most extensive section summarizes the actual deliberations of the three working groups during the meeting. These groups considered people with diabetes and their primary medical advisers, secondary and tertiary health care providers and allied agencies, and national and international administrative structures. In each case, the groups addressed issues relating to perceived needs and constraints, strategies and tactics to address them, and actions and recommendations for overcoming barriers to better care.
Metabolic, Nutritional, and Endocrine Disorders
International Nomenclature of Diseases
CIOMS/WHO 1991, xxiii + 464 pages [E]
ISBN 92 4 154432 5
Sw.fr. 25.-/US $22.50; in developing countries: Sw.fr. 17.50
Order no. 1820006
A dictionary of over 750 metabolic, nutritional, and endocrine disorders, each entered under a single recommended name, concisely defined, and accompanied by a comprehensive list of synonyms. Diseases are defined on the basis of their cause or pathogenesis, an approach which posed particular problems in view of the many newly detected metabolic disorders whose underlying biochemical or genetic defect remains to be elucidated.
Nineteen of the volume's 27 chapters are devoted to metabolic disorders. These are restricted to genetic disorders in which a local or generalized biochemical defect is known to exist or in which there is good evidence of such a defect. Virtually all confirmed defects, recognized as diseases in current medical practice, are named and defined, including a large number of extremely rare disorders. Disorders arising from nutritional deficiencies are also covered. The remaining chapters provide recommended names and definitions for a large number of endocrine disorders, including diabetes mellitus and diabetic syndromes.
Pan American Journal of Public Health. Special Issue on Diabetes
This special issue of the Revista Panamericana de Salud Publica/Pan American Journal of Public
Health includes articles about the incidence and prevalence of diabetes in the Americas, quality of care for diabetic patients, and special country cases.
Diabetes is reaching epidemic proportions around the world. It is estimated that the number of people with diabetes in the Region of the Americas will increase by 83% over the next 25 years. In the Region approximately one-third of the people with diabetes are undiagnosed, and half of the people newly diagnosed with diabetes are already affected by chronic complications at the time of their diagnosis.
Pan American Health Organization
2001, 70 pages [E/S/P]
Swiss francs 50.--/US $25.00
In developing countries: Sw.fr. 35.-
Order no. 1630144
Prevention of Diabetes Mellitus
Report of a WHO Study Group
Technical Report Series, No. 844
1994, viii + 100 pages [C, E, F, R, S]
ISBN 92 4 120844 9
Sw.fr. 15.-/US $13.50; in developing countries: Sw.fr. 10.50
Order no. 1100844
Reviews current and potential opportunities for the prevention of diabetes mellitus and the improvement of prognosis through the early detection and treatment of complications. Drawing on striking recent progress in knowledge about the disease, the report aims to identify specific preventive interventions, at primary, secondary, and tertiary levels, that have been shown to be feasible, effective, ethical, and thus most likely to represent a wise investment of resources.
Opportunities for primary prevention are considered in separate sections devoted to insulin-dependent and non-insulin-dependent forms of the disease. Secondary prevention is covered in the next section, which discusses the factors to be considered when planning screening programmes to detect asymptomatic individuals who have the disease or are at high risk of developing it. Guidance on the appropriate use of screening programmes is given for three approaches: population, selective, and opportunistic.
The most extensive section, on tertiary prevention, provides a detailed guide to the many actions that can help to prevent or delay the development of complications and thus improve prognosis considerably. Each of the main acute and chronic complications of diabetes is discussed in terms of predisposing factors, early warning signs, methods of diagnosis, interpretation of findings, and appropriate preventive interventions. Since many of these disorders are asymptomatic in their early stages, the report gives particular attention to the need for better education of patients and physicians.