Technical conferences as a technique of internationalism.

This paper looks at a genre of meetings that, while neither purely 'scientific' nor 'diplomatic', drew on elements from both professional spheres and gained prominence in the interwar decades and during the Second World War. It proposes to make sense of 'technical conferences' as a phenomenon that was made by and through scientific experts and politicians championing the organizing power of rationality, science and liberal internationalism. Against the background of swelling ranks of state-employed scientists, this paper documents the emergence of technical conferences as the forums where they got down to work. To make this case the paper traces the influence of a new way of thinking about the function and organization of conferences, originating in the time around the First World War, on one international organization in particular: the United Nations Relief and Rehabilitation Administration (UNRRA), as a new hub of scientists and technicians.

Gap or prehistoric monster? A history of the humanitarian-development nexus at UNICEF.

Why has bridging the humanitarian-development divide been such a long-running endeavour, and why have so many frameworks to do so been proposed and picked apart over the years? Rather than contributing yet another 'mind the gap' approach, this paper seeks to articulate why such a lacuna emerged in the first place, and to explore how to exit a debate that has grown increasingly circular. To provide one possible answer to the questions above, the paper draws on the history of UNICEF (United Nations Children's Fund) in working across the 'humanitarian-development' nexus. Suggesting that the gap is more artefact than fact, derived from the institutionalisation of aid, the paper argues that focusing on the challenges and the concepts that inherently transcend humanitarian-development silos may enhance understanding of what it means-and what is needed-to operate at the intersection of humanitarian and development action on behalf of children.

Conservation Compromises: The MAB and the Legacy of the International Biological Program, 1964-1974.

This article looks at the International Biological Program (IBP) as the predecessor of UNESCO's well-known and highly successful Man and the Biosphere Programme (MAB). It argues that international conservation efforts of the 1970s, such as the MAB, must in fact be understood as a compound of two opposing attempts to reform international conservation in the 1960s. The scientific framework of the MAB has its origins in disputes between high-level conservationists affiliated with the International Union for the Conservation of Nature and Natural Resources (IUCN) about what the IBP meant for the future of conservation. Their respective visions entailed different ecological philosophies as much as diverging sets of political ideologies regarding the global implementation of conservation. Within the IBP's Conservation Section, one group propagated a universal systems approach to conservation with a centralized, technocratic management of nature and society by an elite group of independent scientific experts. Within IUCN, a second group based their notion of environmental expert roles on a more descriptive and local ecology of resource mapping as practiced by UNESCO. When the IBP came to an end in 1974, both groups' ecological philosophies played into the scientific framework underlying the MAB's World Network or Biosphere Reserves. The article argues that it is impossible to understand the course of conservation within the MAB without studying the dynamics and discourses between the two underlying expert groups and their respective visions for reforming conservation.

"A Cold Spring Harbor in Europe." EURATOM, UNESCO and the Foundation of EMBO.

This article explores the problem of the foundation of the European Molecular Biology Organization (EMBO), by reconstructing a broader institutional framework, which includes other international actors--EURATOM, UNESCO and the International Laboratory of Genetics and Biophysics (ILGB) in Naples--and a relevant, but still neglected figure, the Italian geneticist Adriano Buzzati-Traverso (1913-1983). The article considers the tension between centralized and federal models of organization in the field of life sciences not just as an EMBO internal controversy, but rather as a structural issue of European scientific cooperation in fundamental biology in the early 1960s. Along with EMBO, the article analyzes in particular the EURATOM Biology Division Program and the constitution of UNESCO International Cell Research Organization (ICRO). Adriano Buzzati-Traverso, as founder of ILGB and scientific consultant of EURATOM and UNESCO, played a crucial role in the complex negotiation which ultimately led to the foundation of EMBO. A synchronic treatment of ILGB, EURATOM, UNESCO-ICRO and EMBO opens a window on the early 1960s institutional configuration of molecular biology in Europe, showing how it basically incorporated the "Cold Spring Harbor" decentralized model rather than reproducing the "CERN" centralized model.

In memory of Giovanni Berlinguer. The Man, the Scientist, the Politician.

On this occasion I am very grateful to the Academic Authorities for having asked me to illustrate the life of Giovanni Berlinguer as a Researcher, a Professor and a Doctor of Public Health. I will try to fulfill this duty, perhaps with some reservations, because I find it almost impossible to think of Giovanni as a researcher and a professor separately from his complex personality and his role as a politician and a brilliant and prolific writer. This is because Giovanni was an inextricable combination of all these roles, which cannot be described separately.

Global health and development: conceptualizing health between economic growth and environmental sustainability.

After World War II, health was firmly integrated into the discourse about national development. Transition theories portrayed health improvements as part of an overall development pattern based on economic growth as modeled by the recent history of industrialization in high-income countries. In the 1970s, an increasing awareness of the environmental degradation caused by industrialization challenged the conventional model of development. Gradually, it became clear that health improvements depended on poverty-reduction strategies including industrialization. Industrialization, in turn, risked aggravating environmental degradation with its negative effects on public health. Thus, public health in low-income countries threatened to suffer from lack of economic development as well as from the results of global economic development. Similarly, demands of developing countries risked being trapped between calls for global wealth redistribution, a political impossibility, and calls for unrestricted material development, which, in a world of finite land, water, air, energy, and resources, increasingly looked like a physical impossibility, too. Various international bodies, including the WHO, the Brundtland Commission, and the World Bank, tried to capture the problem and solution strategies in development theories. Broadly conceived, two models have emerged: a "localist model," which analyzes national health data and advocates growth policies with a strong focus on poverty reduction, and a "globalist" model, based on global health data, which calls for growth optimization, rather than maximization. Both models have focused on different types of health burdens and have received support from different institutions. In a nutshell, the health discourse epitomized a larger controversy regarding competing visions of development.

The human rights context for ethical requirements for involving people with intellectual disability in medical research.

BACKGROUND: The history of ethical guidelines addresses protection of human rights in the face of violations. Examples of such violations in research involving people with intellectual disabilities (ID) abound. We explore this history in an effort to understand the apparently stringent criteria for the inclusion of people with ID in research, and differences between medical and other research within a single jurisdiction. METHOD: The history of the Helsinki Declaration and informed consent within medical research, and high-profile examples of ethical misconduct involving people with ID and other groups are reviewed. The UN Convention on the Rights of Persons with Disabilities is then examined for its research implications. This background is used to examine a current anomaly within an Australian context for the inclusion of people with ID without decisional capacity in medical versus other types of research. RESULTS: Ethical guidelines have often failed to protect the human rights of people with ID and other vulnerable groups. Contrasting requirements within an Australian jurisdiction for medical and other research would seem to have originated in early deference to medical authority for making decisions on behalf of patients. CONCLUSIONS: Stringent ethical requirements are likely to continue to challenge researchers in ID. A human rights perspective provides a framework for engaging both researchers and vulnerable participant groups.

The "contaminating agent" UNRRA, displaced persons, and venereal disease in Germany, 1945-1947.

World War II created a large group of persecuted, homeless or stateless people who came to be united under the term "displaced persons" (DPs). The United Nations Relief and Rehabilitation Administration (UNRRA) was charged with the care of these individuals in various camps in Germany, although the military governments of the respective zones of occupation had ultimate authority over them. Among the various public health efforts directed toward DPs was a campaign against venereal disease during which compulsory examinations were particularly stressed by the military governments. The controversy resulting from this campaign opens a new window on the complex context of an international organization working under the roof of a national authority to achieve common-or differing-public health goals.

The birth of UNSCEAR--the midwife's tale.

The creation in 1955 of the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) was driven by the potential dangers of worldwide radioactive fall-out from the testing of nuclear bombs: both a cold war political issue and a complex radiological problem. Sir Raymond Appleyard was Secretary of the UNSCEAR Committee from 1956 to 1961, linking the Committee and its delegations with the UN as host institution and with the other members of the Committee's scientific staff. The present reflections are his purely personal views and memories of incidents and people during the Committee's formative years. They complement Dr David Sowby's earlier recollections (Sowby 2008 J. Radiol. Prot. 28 271-6).

Governing chronic poverty under inclusive liberalism: the case of the Northern Uganda Social Action Fund.

The paradigm of 'inclusive neoliberalism' that currently characterises international development places a particular emphasis on community-based responses to the often structural problems of poverty and exclusion. Such approaches have become increasingly controversial: celebrated by optimists as the most empowering way forward for marginal citizens on the one hand, and derided as an abrogation of responsibility by development trustees by sceptics on the other. Uganda provides a particularly interesting context to explore these debates, not least because it has become a standard bearer for inclusive neoliberalism at the same time that regional inequalities within it have become increasingly apparent. Our investigation of the flagship response to deep impoverishment in its northern region, the World Bank-funded Northern Uganda Social Action Fund, offers greater support to the sceptics, not least because of the ways in which the more pernicious tendencies within inclusive neoliberalism have converged with the contemporary politics of development in Uganda.

[Development and popularization of medical breastfeeding recommendations in twentieth-century Germany]. / Entwicklung und Popularisierung ärztlicher Stillempfehlungen in Deutschland im 20. Jahrhundert.

SUMMARY: Breastfeeding is considered to be the key variable for infant health. Consequently, UNICEF and the World Health Organization promote the beginning of breastfeeding within the first hour after birth and recommend to exclusively breastfeed the infant during the first six months. The origins of these modern breastfeeding campaigns can be traced back to the beginning of the twentieth century. Whereas high infant mortality rates traditionally were considered to be a matter of fate, declining birth rates towards the end of the nineteenth century raised fears about the nation's future and led to the emergence of an increasing infant welfare movement in Imperial Germany. As low breastfeeding rates were identified as a key factor behind the high infant mortality rates, the main objective of the infant care movement was to increase breastfeeding. The paper, therefore, focuses on medical breastfeeding recommendations and the attempts to popularize breastfeeding. At first, a sketch of medical doctrines will be presented, followed by a short survey of popular parental guidelines. Finally, two famous manuals of infant raising from the early twentieth century will be analysed in more detail. On the whole, the paper covers the period from the beginnings of social paediatrics at the beginning of the 20th century, the nutrition recommendations embedded into Nazi ideology during the Third Reich, until the declining breastfeeding ratios and the "feeding on demand"-movement in the 1970s as well as the ideological differences between West and East Germany during the Cold War.

Soldiers of Peace: Canadians in UNRRA's German nursing brigade, 1945-1947.

"Soldiers of Peace" examines Canadian nursing experiences with the United Nations Relief and Rehabilitation Administration (UNRRA) in Occupied Germany from 1945 to 1947. Whether their practice setting was in UNRRA hospitals, camps, or as members of the flying squads that dealt with epidemics or accompanied the repatriation trains, Canadian UNRRA nurses forged new professional frontiers and encountered unprecedented nursing challenges, calling for even greater diplomatic acumen than demanded by their previous experience. Giving voice to Canadian UNRRA nurses' stories provides an instructive lens into the history of the first postwar internal organization and into the contemporary challenges presented by the seemingly insatiable demands for nursing services in the wake of war, natural disasters, and epidemics within the global health community.

Water and the death of ambition in global health, c.1970-1990.

Economic development and good health depended on access to clean water and sanitation. Therefore, because economic development and good health depended on access to clean water and sanitation, beginning in the early 1970s the World Bank, the World Health Organization (WHO), and others began a period of sustained interest in developing both for the billions without either. During the 1980s, two massive and wildly ambitious projects showed what was possible. The International Drinking Water Supply and Sanitation Decade and the Blue Nile Health Project aimed for nothing less than the total overhaul of the way water was developed. This was, according to the WHO, "development in the spirit of social justice."

A tale of two global health programs. Smallpox eradication's lessons for the antipolio campaign in India.

India provided one of the most challenging chapters of the worldwide smallpox eradication program. The campaign was converted from a project in which a handful of officials tried to impose their ideas on a complex health bureaucracy to one in which its components were constantly adapted to the requirements of a variety of social, political, and economic contexts. This change, achieved mainly through the active participation of workers drawn from local communities in the 1970s, proved to be a momentous policy adaptation that contributed to certification of smallpox eradication in 1980. However, this lesson appears to have been largely forgotten by those currently managing the Global Polio Eradication Initiative. We hope to show ways in which contemporary efforts to eliminate polio worldwide might profitably draw on historical information, which can indicate meaningful ways in which institutional adaptability is likely to help counter the political and social challenges being encountered in India.