The impact of the AIDS pandemic on health systems and entire societies in the 1990s will be much more severe than it was in the last decade; up-to-date information about the disease is now crucial. Yet even though readers are deluged by technical publications and popularizations, no single book tracks, on an annual basis, the evolution of the pandemic, its effects, and the worldwide response.

To fill this gap, Jonathan Mann, founding director of the World Health Organization's Global Progam on AIDS and currently director of the International AIDS Center at Harvard University, has assembled a team of experts to produce an unprecedented document for our time. AIDS in the World will synthesize the best possible information, data, and thinking about AIDS into a volume that is destined to become a landmark publication. AIDS in the World will provide a vital guide to rekindling the worldwide assault on AIDS. To ensure that AIDS in the World 1992 is both timely and authoritative, the editors have enlisted the support of an extensive team of researchers, specialists, scientists, writers, and experts to provide a solid basis for new and original thinking on a wide range of topics.

This book reviews the status of the disease, including numbers of AIDS cases and deaths; AIDS and HIV prevalence; mortality rates; links between other infections and HlV breakthroughs in biomedical, clinical, and behavioral areas; prevention and care; legislation and human rights issues; and economic and demographic aspects. AIDS in the World 1992 provides a global assessment for where we are now and where we are headed; it spotlights critical issues and highlights communities and countries that may be especially vulnerable to the dissemination of HIV. With publication scheduled before the VIIIth International Conference on AIDS in July 1992, this work will be indispensable for governments, policymakers, scientists, health care workers, and journalists around the world who will rely on this book to make the crucial decisions of this decade and the next.

The Global Burden of Disease and Injury Series details and analyzes global patterns of death and disability, providing a bold, comprehensive examination of the state of the world's health.

The Global Burden of Disease (GBD) provides systematic epidemiological estimates for an unprecedented 150 major health conditions. Its methods and results are presented here, including: disaggregated death and disability data; projections to the year 2020; and risk factor evaluations. While it minutely examines causes of death, the GBD is unique in its inclusion of disability. The authors explore the technical bases and moral implications of incorporating social, physical, and mental disabilities in health assessments, explicating the indicator they have developed, the disability-adjusted life-year (DALY). The GBD provides indispensable global and regional data for health planning, research, and education.

Among the study's results: Depression was the fourth leading cause of disease-burden in 1990 and by 2020 will be the single leading cause. Injuries cause over 15 percent of death and disability. HIV will by 2010 inflict as great a burden as the age-old epidemic tuberculosis. By 2020, tobacco use will account for 9 million deaths annually. Ultimately, pneumonia and diarrhea, both primarily diseases of childhood, will continue to inflict the greatest health burden of all.

The goals of health and human security are fundamentally valued in all societies, yet the breadth of their interconnections are not properly understood. This volume explores the evolving relationship between health and security in today's interdependent world, and offers policy guidelines for global health action.

This volume underscores three basic principles. First, recent developments in the changing security landscape present enormous challenges for human security and global health. Second, although the connections between health and security are long-standing, the current context of new conflicts, pervasive poverty, and accelerating global flows has brought the fields closer together. Finally, a human security approach dependent upon individual and collective action can identify new strategies for meeting the goals of global health and security.

The distinguished contributions to this volume were commissioned by Harvard University's Global Equity Initiative, a research unit supporting the work of the International Commission on Human Security.

With lessons learned from COVID-19, a world-leading expert on pandemic preparedness proposes a pragmatic plan urgently needed for the future of global health security.

The COVID-19 pandemic revealed how unprepared the world was for such an event, as even the most sophisticated public health systems failed to cope. We must have far more investment and preparation, along with better detection, warning, and coordination within and across national boundaries. In an age of global pandemics, no country can achieve public health on its own. Health security planning is paramount.

Lawrence O. Gostin has spent three decades designing resilient health systems and governance that take account of our interconnected world, as a close advisor to the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and many public health agencies globally. Global Health Security addresses the borderless dangers societies now face, including infectious diseases and bioterrorism, and examines the political, environmental, and socioeconomic factors exacerbating these threats. Weak governance, ineffective health systems, and lack of preparedness are key sources of risk, and all of them came to the fore during the COVID-19 crisis, even—sometimes especially—in wealthy countries like the United States. But the solution is not just to improve national health policy, which can only react after the threat is realized at home. Gostin further proposes robust international institutions, tools for effective cross-border risk communication and action, and research programs targeting the global dimension of public health.

Creating these systems will require not only sustained financial investment but also shared values of cooperation, collective responsibility, and equity. Gostin has witnessed the triumph of these values in national and international forums and has a clear plan to tackle the challenges ahead. Global Health Security therefore offers pragmatic solutions that address the failures of the recent past, while looking toward what we know is coming. Nothing could be more important to the future health of nations.

Health and Social Change in International Perspective brings together an unprecedented interdisciplinary series of approaches to understanding the social dimensions of health change around the world. The seventeen contributors—demographers, epidemiologists, economists, anthropologists, public health scientists—are among the intellectual leaders of efforts to respond to the world’s health challenges.

Moving beyond the limits of established theories about demographic and epidemiologic transition, this book offers broad explorations of the social causes and consequences of health change. Consensus is reached on some matters, but critical debate and controversy predominate in others. The authors address several critical questions: What are the forms and structures of health transitions? Do these changes assume universally consistent patterns, or are health transitions particularistic, reflecting space, time, and community? What are the methodological issues in definition and measurement? And how can understanding improve health policy, interventions, and the research agenda?

Exploring new frontiers of a vital topic, Health and Social Change in International Perspective is an invaluable resource for social and health scientists working to understand world health change.

From the health risks of sexual activity to those of pregnancy, abortion, and childbirth, reproduction constitutes enormous risks to a woman’s health. Ill-health conditions related to sex and reproduction account for 25 percent of the global disease burden in adult women. In sub-Saharan Africa, they account for over 40 percent. The catastrophic effects of reproductive ill-health, however, are not limited to women; for infants and adult men, they inflict 25 percent and 1 percent respectively of the global burden.

This volume offers comprehensive data and detailed discussions of the epidemiologies of three sexually transmitted diseases, HIV, and five specific maternal conditions, as well as those of congenital anomalies and perinatal conditions. Projections of the HIV epidemic are provided: by 2020 HIV is projected to double to 2.5 percent of the global disease burden.

Health Dimensions of Sex and Reproduction will serve as a comprehensive reference for epidemiologists, public health specialists, practitioners and advocates of STD and HIV prevention, and reproductive and neonatal health.

The decade of the 1990s witnessed enormous changes in the international environment. The Cold War conclusively ended. Biotechnology and communications technology made rapid advances. Barriers to international trade and investment declined. Taken together, these developments created many opportunities for peace and prosperity.

At the same time, with the end of superpower domination, ethnically based intranational conflicts brought on widespread suffering. And while globalization expanded opportunity, growth, and incomes, it increased inequality of incomes and decreased human security. Moreover, as countries have become more closely linked, insecurity in one country has affected security in other countries.