{"id":164,"date":"2012-02-29T12:06:34","date_gmt":"2012-02-29T12:06:34","guid":{"rendered":"http:\/\/www.iceh.net\/?p=164"},"modified":"2016-04-29T14:23:47","modified_gmt":"2016-04-29T14:23:47","slug":"systems-theory-and-environmental-health-management","status":"publish","type":"post","link":"https:\/\/www.iceh.net\/?p=164","title":{"rendered":"Systems Theory and Environmental Health Management"},"content":{"rendered":"<div style=text-align:right;><a class=\"wpptopdfenh\" target=\"_blank\" rel=\"noindex,nofollow\" href=\"https:\/\/www.iceh.net\/?p=164&#038;format=pdf\" title=\"Download PDF\"><img decoding=\"async\" alt=\"Download PDF\" src=\"http:\/\/www.iceh.net\/wp-content\/plugins\/wp-post-to-pdf-enhanced\/asset\/images\/pdf.png\"><\/a><\/div><p><strong>Paper given at the Inaugural World Congress of Environmental Health, Sydney, Australia, 27 September 1988 at which meeting Policy 1 of IFEH, endorsing Alma Ata, was passed. <a href=\"http:\/\/www.ifeh2012.org\/welcome\">Click for Link<\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>FRED O\u201dBRIEN<\/strong> &#8211; Lecturer in Environmental Health, Dublin Institute of Technology.\u00a0 Former Consultant in Public Health Inspection, Ontario Ministry of Health and past Chairman of the Irish Environmental Health Officers\u2019 Association.\u00a0 Professionally qualified in both Ireland and Canada as an Environmental Health Officer. B.A. (Philosophy) University of Waterloo; M.B.A., University College, Galway.<\/p>\n<p><!--more--><\/p>\n<p><strong>Ronald Spratt (Australia), President IFEH and Fred O\u2019Brien (Ireland), Editor, at the launch of IJEH in Sydney, Australia 1988<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Abstract<\/strong><\/p>\n<p>The paper explores systems theory as it relates to environmental health management and explains how a systems approach facilitates recognition of the context within which organizations and governments operate, and emphasizes the interrelations among the various activities that are required to accomplish goals.<\/p>\n<p>It argues that managers must design and develop their organizational structure to fit the tasks to be carried out, and that the organizational arrangements for delivery of environmental health services should not be of a <em>mechanistic<\/em> mode, where highly formalized procedures prevail, but should be <em>organic<\/em> in character, with the emphasis on group participation.<\/p>\n<p>The paper makes recommendations in relation to national and international strategies for environmental health that rely on collaboration, coordination and input from the social partners and are selected on the basis of their contribution to to human wellbeing in its fullest sense.<\/p>\n<p><strong>Mechanistic Strategies and Fragmentation<\/strong><\/p>\n<p>Modern man is suffering from a severe fragmentation of his world picture which leads directly to an obsession with isolated parts segmented approaches to problem solving.\u00a0 Increasingly health aspects are being excluded from environmental, agriculture, food, industrial and energy policy decisions and, in many countries, environmental priorities tend to ignore health goals.\u00a0 Ideas have consequences, and, when we pursue the idea that the organization and distribution of business among the various departments of state can be implemented in a sectoral mechanistic fashion the consequences come back to haunt us.<\/p>\n<p>&nbsp;<\/p>\n<p>In its Sixth Report on the World Health Situation the World Health Organization (WHO) highlighted the lack of coordination among ministries and among the various levels of government around the world which frequently gives rise to environmental investments with insufficient consideration being taken for their health consequences.\u00a0 It lists the lack of collaboration and coordination at national level as a cause for establishing environmental priorities that tend to ignore health goals.<\/p>\n<p>&nbsp;<\/p>\n<p>A recently conducted survey, by WHO Euro, of new and extended hazardous chemical manufacturing facilities in the U.S.A., Canada and Scotland exposed serious deficiencies in the health and safety component of the Environmental Impact Assessments (EIAs) carried out on these plants.\u00a0 None of the EIAs examined assessed the health effects of the atmospheric emissions, or of their combined impact with each other, or with other emissions; and the overall conclusion was that consideration of environmental health effects in these high risk industries was weak.<\/p>\n<p>&nbsp;<\/p>\n<p>Subsequent to the showing of the program &#8220;Windscale &#8211; the Nuclear Laundry&#8221; by Yorkshire Television in November 1983 the U.K. Minister for Health established an advisory group, chaired by Sir Douglas Black, to inquire into the possible increased incidence of cancer in the area adjacent to the nuclear reprocessing plant at Windscale (Sellafield).\u00a0 The Advisory Group Report &#8220;Investigation of the Possible Increased Incidence of Cancer in West Cumbria&#8221;, noting the lack of health input, indicated surprise at &#8220;the lack of co-ordination in the assessment of the overall impact of the discharges on the population.\u00a0 Each organization we spoke to had considerable expertise in their particular area of environmental monitoring, but we were unable to identify any organization that had the responsibility for assessing all of the information available and deciding on the overall implication of the discharges with regard to the health of the community.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p>In her Editorial in the November\/December 1987 issue of the Journal of Environmental Health, Sarah Kotchian deals with the tendency in the USA to downgrade the health element in environmental programs and argues for the reintroduction of health into environmental health.<\/p>\n<p>&nbsp;<\/p>\n<p>The Irish Department of Health&#8217;s 1987 Consultative Statement on Health Policy &#8220;Health &#8211; the Wider Dimensions&#8221; acknowledges that there is no greater example of a lack of coordination in public administration than that found in the area of environmental health.\u00a0 Having outlined weaknesses in the existing system the report proposes going above departmental level of agreed policy to better provide for the public good.<\/p>\n<p>&nbsp;<\/p>\n<p>Sectoral strategies spawn shallow evaluations, ambiguities, overlaps, lack of coordination and blatant failures to assign overall responsibility for the provision of basic services.\u00a0 In the area of health and the environment, in addition to the references and observations listed above, examples of a serious disregard for the public good abound.<\/p>\n<p>&nbsp;<\/p>\n<p>While this disregard may be unintentional, an explanation for its cause may be suggested by the late Marshall McLuhan&#8217;s thesis that, since the invention of movable type, humankind has received a great proportion of its information from print and has become eye orientated, and distorted in its perception of reality.\u00a0 Nature tends to be viewed as linear and sequential, as made up of separate parts, as fragmented and mechanical.\u00a0 According to McLuhan, were we ear orientated our apprehensive faculties would be more true to nature and we would perceive reality as orchestrated and ecological, which is in keeping with a systems perspective.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Systems Theory and a Systems Approach<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>While the biologist von Bertalanffy (1952)1\u00a0is considered the originator of the general systems theory, elements of the approach can be found in sources going back to ancient times.<\/p>\n<p>&nbsp;<\/p>\n<p>Thucydides (c460-c400 BC) interest in science was much encouraged by the new methods instituted by Hippocrates.\u00a0 From him he learned to treat the body politic as analogous to the human body and to accept the corollary that it is impossible to understand the parts without understanding the whole.<\/p>\n<p>&nbsp;<\/p>\n<p>Aristotle, in his Nicomachean Ethics, proposes an interlinked hierarchy of means and ends leading to human wellbeing; and again, in the beginning of his &#8220;on the Parts of Animals&#8221; deals with the nature of specialist and generalist knowledge, referring to the benefits of an overall perspective in judging well in any situation.<\/p>\n<p>&nbsp;<\/p>\n<p>For a useful overview of systems theory, a systems approach to management by objectives, and the systems outlook generally refer to Katz and Kahn (1970)2, Mockler ((1968)3, and Weihrich (1977)4.<\/p>\n<p>&nbsp;<\/p>\n<p>I intend in my paper to:<\/p>\n<p>&nbsp;<\/p>\n<p>1.\u00a0 Briefly introduce the open systems concept;<\/p>\n<p>2.\u00a0 Look at some of the findings in the area of sociotechnical systems and how these may relate to the work of environmental health professionals; and<\/p>\n<p>3.\u00a0 Make some recommendations in relation to international strategies for environmental health that rely on collaboration, coordination and input from the social partners bearing a responsibility in this area.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Technology and Social Structure<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>In public administration an increasing emphasis on the relationship between the organizational structure and the &#8220;technology&#8221; or nature of the work being carried out is in evidence.\u00a0 Research findings in this area suggest improved management strategies that have particular relevance to the field of environmental health.<\/p>\n<p>&nbsp;<\/p>\n<p>Should work methods and activities be prescribed in detail, or, alternatively, should staff be assigned objectives to be attained?\u00a0 The choice between prescription and discretion will determine the ability of central and local government departments to cater to the needs of their public.\u00a0 Where duties are prescribed the staff are not free to devise new and\/or novel techniques and methods.\u00a0 Where objectives are assigned and discretion as to means is the rule then new approaches, methods and techniques can be selected to cater to changing circumstances.\u00a0 How should government services be organized?<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>The Organization as a System<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>The concept of the organization as a system has become an important approach in the study of management. \u00a0A systems philosophy is a way of thinking about complex human endeavors.\u00a0 It facilitates recognition of the context within which organizations operate.\u00a0 It emphasizes understanding the interrelationships among the various activities that are required to accomplish goals.\u00a0 The &#8220;open systems&#8221; model is a useful framework for understanding organizations and their management and is depicted in Figure 1.<\/p>\n<p><strong>Figure 1\u00a0 The Organization in its Substantial Environment<\/strong><\/p>\n<p><a href=\"http:\/\/www.iceh.net\/wp-content\/uploads\/2012\/02\/Systems-88-Fig11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-175\" title=\"Systems 88 Fig1\" src=\"http:\/\/www.iceh.net\/wp-content\/uploads\/2012\/02\/Systems-88-Fig11-230x300.jpg\" alt=\"\" width=\"230\" height=\"300\" srcset=\"https:\/\/www.iceh.net\/wp-content\/uploads\/2012\/02\/Systems-88-Fig11-230x300.jpg 230w, https:\/\/www.iceh.net\/wp-content\/uploads\/2012\/02\/Systems-88-Fig11-787x1024.jpg 787w\" sizes=\"auto, (max-width: 230px) 100vw, 230px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>The broken line dividing the system from its substantial environment is indicated as being permeable and representing an &#8220;open&#8221; system.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Systems Concept and the Living Organism Analogy<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>The systems concept finds a useful explanation in the living organism analogy.\u00a0 From the most simple one-celled bacterium to more complex living organisms one can observe the creature as an &#8220;open system&#8221; made up of &#8220;subsystems&#8221;.\u00a0 There are inputs in the form of food, water, oxygen and other material and energy sources.\u00a0 There are the transforming processes of metabolism.\u00a0 And there are outputs of energy and waste products.\u00a0 Subsystems in complex organisms can be identified, such as circulatory, respiratory, digestive, etc..<\/p>\n<p>&nbsp;<\/p>\n<p>Human organizations can also be viewed as open systems interacting with their environment.\u00a0 A hospital is an open system made up of subsystems.\u00a0 The patient may be perceived as moving from the community through the hospital and back to the community, with some transforming process taking place within the hospital system.\u00a0 Similarly, student nurses may be viewed as entering the hospital, being transformed by information and practical experience, and leaving the entity as qualified nurses.<\/p>\n<p>&nbsp;<\/p>\n<p>In health, the living organism functions as a unified complex of subsystems to the benefit of the total organism.\u00a0 Should an injury or disease attack any subsystem the result has consequences within all the other subsystems of the organism.\u00a0 If the organism cannot maintain its equilibrium &#8211; homeostasis &#8211; it dies.<\/p>\n<p>&nbsp;<\/p>\n<p>As already outlined, human organizations exhibit certain properties akin to those noted in living organisms.\u00a0 An important consequence of viewing entities in this fashion is that it becomes most significant that no part of the organization be examined in isolation.\u00a0 The organization is a complex of subsystems which are interconnected, interrelated and interdependent.\u00a0 If an adjustment is made to one subsystem repercussions extend throughout the whole organization.\u00a0 If the substantive environment within which the entity operates changes, then the entity is affected and tends to adapt, such that a healthy equilibrium is maintained.\u00a0 To a greater or lesser extent the changes in the entity will affect the substantive environment.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Socio Technical Systems<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Organizations can be perceived as structured socio-technical systems. <em> &#8220;Technology is based upon the tasks to be performed and includes the equipment, tools, facilities, and operating techniques.\u00a0 The social sub-system is the relationship between the participants in the organization.\u00a0 The technological social sub-systems are in interaction with each other and are interdependent.&#8221;<\/em><em>5<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>There are social and psychological determinants involved in the formulation of the social sub-system.\u00a0 The task requirements of the organization determine the technical sub-system.<\/p>\n<p>&nbsp;<\/p>\n<p>Joan Woodward&#8217;s study6\u00a0of classical management theory found that line-staff specialization of functions, span of control, number of levels of hierarchy, and staff-worker ratios in 100 British firms had no particular significance as far as organizational success was concerned.\u00a0 What she did find, though, was that her data made sense when all of the firms studied were classified into three productive system categories, no matter what product was involved.<\/p>\n<p>&nbsp;<\/p>\n<p>The survey disclosed that <em>&#8220;management by committee&#8221;<\/em> was more common in process industry than in the less complex systems.\u00a0 Secondly, &#8220;the small spans of control and the long lines of command characteristic of process industry meant that in this type of industry management structure could be represented by a long and narrowly based pyramid.\u00a0 In unit production the pyramid was short and broadly based.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p>Burns and Stalker&#8217;s study7\u00a0into the organization of the electronics industry in Scotland in the 1950&#8217;sunderlined the importance of the marketing and social environment in which the firm operates.\u00a0 A firm operating in a mechanistic manner had a good chance of remaining stable and successful if its product market also remained stable; but a turbulent economic environment required a far more informal organization that could quickly produce the appropriate multi-disciplinary task orientated work groups to meet the challenge of change (organic structure).\u00a0 The principles of reporting to only one boss, hierarchical and rigidly separated functional departments, detailed job descriptions and little delegated authority, appear to militate against successful adjustment to rapid change.<\/p>\n<p>&nbsp;<\/p>\n<p>This study led them to describe two &#8220;ideal types&#8221; of management organization which are the extreme points of a continuum along which most organizations can be placed.\u00a0 The <strong>mechanistic<\/strong> type is adapted to relatively stable conditions.\u00a0 In it the problems and tasks of management are broken down into specialisms within which each individual carries out an assigned, precisely defined, task.\u00a0 There is a clear hierarchy of control, and the responsibility for overall knowledge and coordination rests exclusively at the top of the hierarchy.\u00a0 Vertical communication and interaction (between superiors and subordinates) is emphasized, and there is an insistence on loyalty to the concern and obedience to superiors.<\/p>\n<p>&nbsp;<\/p>\n<p>The <strong>organic<\/strong> type of organization is adapted to unstable conditions, where new and unfamiliar problems continually arise which cannot be broken down and distributed among the existing specialist roles.\u00a0 There is, therefore, a continual adjustment and redefinition of individual tasks, and the contributive rather than restrictive nature of specialist knowledge is emphasized.\u00a0 Interactions and communication (information and advice rather than orders) may occur at any level as required by the process, and a much higher degree of commitment to the aims of the organization as a whole is generated.\u00a0 In this system, organization charts laying down the exact functions and responsibilities of each individual are not found, and, indeed, their use may be explicitly rejected as hampering the efficient functioning of the organization.<\/p>\n<p>&nbsp;<\/p>\n<p>The impact of technological change at the Durham coalfields was examined by Triste and colleagues8.\u00a0 Their research highlighted the importance of the informal group and they devised strategies to deal with the introduction of new technology so as to reduce friction and low productivity and enhance coordination, status and job satisfaction.<\/p>\n<p>&nbsp;<\/p>\n<p>&#8220;This study of the effects of technological change led Triste to develop the concept of the working group as being neither a technical system nor a social system, but as an interdependent socio-technical system.&#8221;9<\/p>\n<p>&nbsp;<\/p>\n<p>Morse and Lorsch looked at the relationship between the social structure and predictability of task, and concluded that &#8220;Enterprises with highly predictable tasks perform better with organizations characterized by the highly formalized procedures and management hierarchies of the classical approach.\u00a0 With highly uncertain tasks that require more extensive problem solving, on the other hand, organizations that are less formalized and emphasize self-control and member participation in decision making are more effective.\u00a0 In essence&#8230;. managers must design and develop organizations so that the organizational characteristics fit the task to be done.&#8221;10<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>A Social Structure Compatible with the Work Methods<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Many organizations have failed to evolve a social structure compatible with their new work methods.\u00a0 Advances in science and technology, growth in the range and complexity of tasks to be performed, and improved levels of education and expertise have resulted in the need for new social arrangements to ensure that duties are more effectively carried out.<\/p>\n<p>&nbsp;<\/p>\n<p>In the psychiatric services, with the change from custodial to treatment methods, brought forward with the introduction of the tranquilizing drugs in the early 1950s, the \u201ctechnology\u201d changed from that characterized by steel bars, padded cells, straight jackets and high walls to a service providing treatment and care, both inside and outside the hospital, and relying on a whole range of new skills, requiring consultation and cooperation among multidisciplinary teams.\u00a0 The tendency to retain old social arrangements in the psychiatric services resulted in significant unrest, industrial disputes and much unhappiness, which can be traced to a mismatch of technology and social structure.<\/p>\n<p>&nbsp;<\/p>\n<p>How to move towards a new social structure compatible with the tasks to be performed is not easy to determine.\u00a0 While the socio-technicists can recommend, in general terms, the characteristics of the match, one must still contend with the existing perceptions and aspirations of staff, and their skills and attitudes to change in social structure.<\/p>\n<p>&nbsp;<\/p>\n<p>The tendency to define role boundaries appears to work against the need in organic administrative structures to ensure a flexible approach to the carrying out of the work task.\u00a0 The mechanistic approach, to which we appear to be culturally inclined, would have us ensure that each function is neatly packed and placed in its pigeon hole.\u00a0 Additionally, persons who have worked on well defined tasks may not wish to adapt to less well defined roles.\u00a0 In the transition period, where change is planned, staff appear to have to suffer to some extent the process of change. But, hopefully, with retraining and improved communication, social change will be facilitated,<\/p>\n<p>&nbsp;<\/p>\n<p>The selection and training of new staff members in the new skills and knowledge required should ensure that, by a process of attrition, the appropriate change will be brought about.\u00a0 This will require conscious planning of structural changes.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Implications foe Environmental Health Management<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>The choice between opting for a prescriptive or discretionary role for the Environmental Health Officer, or for a blend of both approaches, needs to be examined.\u00a0 When individuals function as enforcement officers prudence directs that they stick rigidly to statutory procedures, lest they overstep their legal authority.\u00a0 However, the professional role of the Environmental Health Officer transcends, by its very nature, the limits of prescriptive detail.\u00a0 The great variety of environmental health problems and challenges encountered require responses of many kinds and require a high level of knowledge, expertise and tact to ensure that optimal solutions are adopted.\u00a0 Environmental health is a function characterized by a wide variety of duties and tasks, so that environmental health officers have to possess a large body of knowledge and range of skills in order to make an effective contribution.\u00a0 In the monitoring of environmental health challenges, the formulation of appropriate responses and the evaluation of results, environmental health professionals must be familiar with the methods of the various sciences and have access to technical resources and information on current environmental health issues.\u00a0 Additionally, the function is susceptible to frequent changes through technical advances, new or changing environmental health problems, legislative requirements and organizational developments.<\/p>\n<p>&nbsp;<\/p>\n<p>These characteristics describe a complex and continually evolving situation and suggest that the organizational arrangements for delivery of the service should not be of a \u201cmechanistic\u201d mould, where highly formalized procedures prevail, but should be \u201corganic\u201d in character with the emphasis on group participation.\u00a0 A \u201cManagement by Objectives and Results\u201d (MOR) strategy, incorporating the open systems viewpoint, could meet this requirement.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Management by Objectives and Results<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Simply stated MOR is a total management system for achieving results.\u00a0 Its three main components are:<\/p>\n<ol>\n<li>1. \u00a0\u00a0\u00a0\u00a0\u00a0 A statement of intended results.\u00a0 What is it that we intend to achieve?<\/li>\n<li>2. \u00a0\u00a0\u00a0\u00a0\u00a0 An outline of planned activities for achieving those results.\u00a0 How are we going to achieve them?\u00a0 And<\/li>\n<li>3. \u00a0\u00a0\u00a0\u00a0\u00a0 An assessment of progress and of results achieved and the taking of timely action when we are \u201coff plan\u201d.\u00a0 How will we know how we are doing?\u00a0 How will we know when we have reached our destination?<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Figure 2 illustrates the cycle.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.iceh.net\/wp-content\/uploads\/2012\/02\/Systems-88-Fig2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-172\" title=\"Systems 88 Fig2\" src=\"http:\/\/www.iceh.net\/wp-content\/uploads\/2012\/02\/Systems-88-Fig2-263x300.jpg\" alt=\"\" width=\"263\" height=\"300\" srcset=\"https:\/\/www.iceh.net\/wp-content\/uploads\/2012\/02\/Systems-88-Fig2-263x300.jpg 263w, https:\/\/www.iceh.net\/wp-content\/uploads\/2012\/02\/Systems-88-Fig2-898x1024.jpg 898w\" sizes=\"auto, (max-width: 263px) 100vw, 263px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>National and International Strategies for Environmental Health &#8211; A Systems Approach<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><em>\u201cIt is a small world.\u00a0 It is one world, and we are each other\u2019s keepers and we are keepers of the whole fragile earth that keeps us all.\u201d<\/em> Niall O\u2019Brien<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u201cThe world belongs to everyone and if it can be healed, that healing will have to be the work of all.\u201d<\/em> Rosalie Bertell<\/p>\n<p>&nbsp;<\/p>\n<p>No society is healthful which tells its members to take no thought for the morrow because the state underwrites its future.\u00a0 Environmental health cannot be successfully promoted by governments and their agencies alone.\u00a0 Some ten years ago now the \u201cDeclaration of Alma-Ata\u201d, which introduced the World Health Organization\u2019s \u201cHealth for All by the Year 2000\u201d strategy, was drawn up at the International Conference on Primary Health Care held in the Soviet Union.\u00a0 It recognizes that \u201cpeople have the right and the duty to participate individually and collectively in the planning and implementation of their health care.\u201d\u00a0 Additionally, it seeks to involve, not only the health sector, but all related sectors, singling out in particular agriculture, animal husbandry, food, industry, education, housing, public works and communications sectors to guarantee the coordinated approach required to promote world health.<\/p>\n<p>&nbsp;<\/p>\n<p>National and international strategies for environmental health should be adopted and should include input, not only from the health sector, but also from a wide range of social and economic partners, ensuring a coordinated effort in promoting the public health.\u00a0 The newly established International Federation of Environmental Health presents a very real opportunity to bring about new moves towards securing broad based strategies at national and international level in which the potential for input from the social and economic partners can be identified and cooperation secured.<\/p>\n<p>&nbsp;<\/p>\n<p>For too long now the many sectors of state, semi-state and private enterprise have pursued programs and practices that were uncoordinated and were not designed to be consistent with, nor contributory towards, the overall public good.\u00a0 Sectoral mechanistic strategies have resulted in overall long term losses, and have produced threats to human health.\u00a0 In a time of increased awareness among the general public that care for the environment is a prerequisite for human health and wellbeing it is most opportune to seek and obtain cooperation from the social and economic partners in agreeing national and international environmental health programs.<\/p>\n<p>&nbsp;<\/p>\n<p>Industries, to secure markets, increasingly seek to present a positive image of their products, and are beginning to be persuaded that, by acknowledging a social responsibility for the environment and health, they not only contribute to the overall public good, but also improve their marketing performance.\u00a0 National and international strategies for environmental health should include input from organizations representing agriculture, animal husbandry, food, industry, education, housing, public works and communications interests.<\/p>\n<p>&nbsp;<\/p>\n<p>I have no doubt that the International Federation of Environmental Health, given research and program funding, could provide the basic framework for formulating national environmental health plans in keeping with the systems outlook contained in the Alma-Ata Declaration, and is in a position to secure a significant level of cooperation from environmental health professionals worldwide.\u00a0 It is this kind of initiative that is urgently needed.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References<\/strong><\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li>1. \u00a0\u00a0\u00a0\u00a0\u00a0 von Bertalanffy, \u201cProblems of Life: An Evaluation of Modern Biological and Scientific Thought\u201d, London: C.A. Watts &amp; Co. Ltd. 1952<\/li>\n<li>2. \u00a0\u00a0\u00a0\u00a0\u00a0 Katz and Kahn, Organizations and the Systems Concept\u201d, The Social Psychology of Organizations, John Wiley, 1978, ch 2.<\/li>\n<li>3. \u00a0\u00a0\u00a0\u00a0\u00a0 Mockler, \u201cThe Systems Approach to Business Organization and Decision Making\u201d, California Management review, vol 11, no 2, pps 53-58, Winter 1968<\/li>\n<li>4. \u00a0\u00a0\u00a0\u00a0\u00a0 Weihrich, \u201cA New Approach to MBO &#8211; Updating a Time-Honoured Technique\u201d, Management World, vol 6, no 4, pps 7-12, April 1977.<\/li>\n<li>5. \u00a0\u00a0\u00a0\u00a0\u00a0 Kast and Rosenzweig, \u201cOrganizations and Management: A Systems Approach\u201d, McGraw-Hill, 1970, p. 120.<\/li>\n<li>6. \u00a0\u00a0\u00a0\u00a0\u00a0 Woodward, J., \u201cIndustrial Organisation\u201d, London, Oxford University Press, 1965<\/li>\n<li>7. \u00a0\u00a0\u00a0\u00a0\u00a0 Burns &amp; Stalker, \u201cThe Management of Innovation\u201d\u2019 2<sup>nd<\/sup>. Ed., Tavistock, London, 1968<\/li>\n<\/ol>\n<p>Triste et al., \u201cOrganisational Choice: Capabilities at the Coalface Under Changing Technologies\u201d,<\/p>\n<p>&nbsp;<\/p>\n<div id=\"_mcePaste\" class=\"mcePaste\" style=\"position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;\"><span style=\"font-size: 10.0pt; font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-IE; mso-fareast-language: EN-IE; mso-bidi-language: AR-SA;\"><a href=\"http:\/\/www.ifeh2012.org\/welcome\">http:\/\/www.ifeh2012.org\/welcome<\/a><\/span><\/div>\n<p>Rosalie BertellI have no doubt that the International Federation of Environmental Health, given research and program funding, could provide the basic framework for formulating national environmental health plans in keeping with the systems outlook contained in the Alma-Ata Declaration, and is in a position to secure a significant level of cooperation from environmental health professionals worldwide.\u00a0 It is this kind of initiative that is urgently needed.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paper given at the Inaugural World Congress of Environmental Health, Sydney, Australia, 27 September 1988 at which meeting Policy 1 of IFEH, endorsing Alma Ata, was passed. Click for Link &nbsp; FRED O\u201dBRIEN &#8211; Lecturer in Environmental Health, Dublin Institute of Technology.\u00a0 Former Consultant in Public Health Inspection, Ontario Ministry of Health and past Chairman [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":167,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-164","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.iceh.net\/index.php?rest_route=\/wp\/v2\/posts\/164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.iceh.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.iceh.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.iceh.net\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.iceh.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=164"}],"version-history":[{"count":9,"href":"https:\/\/www.iceh.net\/index.php?rest_route=\/wp\/v2\/posts\/164\/revisions"}],"predecessor-version":[{"id":364,"href":"https:\/\/www.iceh.net\/index.php?rest_route=\/wp\/v2\/posts\/164\/revisions\/364"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.iceh.net\/index.php?rest_route=\/wp\/v2\/media\/167"}],"wp:attachment":[{"href":"https:\/\/www.iceh.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.iceh.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.iceh.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}