The League of Nations Health Organisation 1921-1946
III. The Social Determinanas of Health
III. THE SOCIAL DETERMINANTS OF HEALTH 1. Establishing Health Systems One major reason for a change of direction in the LNHO agenda was that national administrations asked for it. As mentioned, governments had for some years re quested advice about suitable policies diseases such as tuberculosis or malaria or regarding overriding issues like infant welfare. This demand for LNHO support gained a new quality when some governments asked for general help for the fun damental reformation or their existing public health system. Greece Greece was first. Maybe it was Greek memories of the work of the Epidemic Commission in 1923 which made the Minister of Public Health ask for LNHO aid when Greece faced two major health problems in 1928, one long-term and the other acute. As an endemic problem, tuberculosis thrived in the overcrowded con ditions, in which most refugees still lived, and Greek authorities first appealed to the LNHO to help the Greek Administration organize an efficient anti-Tb cam paign among the refugee population and in the country at large.1 In the summer of 1928, conditions were exacerbated by an acute epidemic of dengue fever, which kept parts of the country in brutal grip: During August and September 1928, some 86 per cent of the total population in Athens and the Piraeus suffered from dengue, includ ing 90 per cent of the personnel of the public health services, 83.5 per cent of the staff of the banks, 82.5 per cent of the employees of factories and business firms...
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