From the Editors

The government of Israel fiercely maintains its rejectionist stance toward any political accommodation with the Palestine Liberation Organization. This is not merely a diplomatic posture, but undergirds the ideological structure of its policies of dispossession and occupation. Ha’aretz reported last June that close to 50,000 Palestinians have been jailed in the first 18 months of the uprising. The number continues to climb — some 250 administrative detention orders in October alone, according to the DataBase Project on Palestinian Human Rights, plus the many arrests stemming from Bayt Sahour’s tax revolt.

Editor’s Bookshelf

Dipesh Chakrabarty’s well-documented, theoretically informed, innovative history of the jute mill workers of Bengal, Rethinking Working-Class History: Bengal, 1890-1940 (Princeton: Princeton University Press, 1989), poses this central question: “Can…third-world countries like India…build democratic, communitarian institutions on the basis of the nonindividualistic, but hierarchical and illiberal, precapitalist bonds that have survived and sometimes resisted — or even flourished under — the onslaught of capital?” (p.

Bennoune, The Making of Contemporary Algeria

Mahfoud Bennoune, The Making of Contemporary Algeria, 1830-1987 (Cambridge: Cambridge University Press, 1988.)

Mahfoud Bennoune has written a rich and highly informative book on the political economy of Algeria, both under colonial rule and since independence. The Making of Modern Algeria is a thoughtful and challenging study of social change in the Arab world and post-colonial societies in general. Bennoune provides an important synthesis of Algeria’s political economy that should interest scholars and policy makers concerned with the social dynamic that has emerged in the Third World out of the process of modernization.

Mediations

Intifada Chic We’re not really sure what this tells us about the present state of the Israeli Jewish psyche, almost two years into the intifada, but here are some of the designer T-shirts being sold these days in Jerusalem:

Khartoum Diary

July 25 The predawn landing, with the swollen Nile below and a touch of freshness in the air, feels reassuring after two years away from Sudan. But at the airport exit a nervous officer holds back the passengers: security is tight since the inqilab, he mutters, using the Arabic word for “overthrow” instead of the official reference — “National Salvation Revolution.” The drive into town — usually a ten-minute dash, swerving around potholes and debris — slows drastically. Soldiers stop the car six times, scrutinizing the special papers that allow us to travel during the nighttime curfew. After this wary silence at night, what will be the mood on the sun-blasted streets during the day?

Sudan’s Killing Fields

In 1988 Sudan reaped its best harvest in at least a decade, yet as many as half a million Sudanese may have died of starvation. Most were victims of the civil war raging in the southern provinces, and anarchy in the west. Hundreds of thousands of people have fled the war zones, seeking refuge in camps in Ethiopia and other neighboring countries or in northern Sudan.

Women, Medicine and Health

Amira is explaining to some village women how to use herbal medicines that grow in their neighborhood. “I learned the skill from my grandmother when I used to help her harvest the wild plants,” she says. Amira describes the plants, carefully differentiating those for colds: babounij (chamomile), khatmiye (athea), na’na (peppermint), zatar (thyme); those for abdominal colics: yansoun (anise), krawya (caraway), shemra (fennel); and those for diuresis, shoushet dura (corn stigma), bakdounes (parsley), and bu‘atheran (millofia). She is also very precise with her instructions.

Appropriate Health Technology in Egypt

Over the past two decades, public health workers have successfully developed primary health care: basic preventive and curative services that address critical health problems and are available close to people’s homes. Primary health care includes immunizations; maternal care; education for health, hygiene and nutrition; family planning; availability of essential drugs; and first aid. The difficulty now is in making primary health care widely available and of good quality. In most countries high technology hospitals in the capital cities, and exotic, expensive drugs still dominate the expenditures for health care.

Arab Governments Wake Up to AIDS Threat

In the summer, when thousands of young Gulf Arab men flee heat and boredom in their native land, airport posters warn them of a life-threatening danger lurking abroad, symbolized by a skeleton and four red letters: AIDS. Radio talk shows urge Gulf tourists to be chaste when they visit foreign cities portrayed as infested with the disease, especially in the West. Religious scholars tell audiences at Friday prayer meetings and at the AIDS conferences now held regularly in the region that only the teachings of Allah can save believers from the modern-day scourge knocking at the Middle East’s door.

Occupational Health and Safety in Turkey

Kandir Baysu has been hospitalized twice over the past eight years, both times for more than two months and requiring dozens of blood transfusions. Baysu, a worker at a battery manufacturing plant on the outskirts of Istanbul, thinks he is about due for another hospital stay. As in the past, he expects the diagnosis to be the same: lead poisoning.

Unlike hundreds of thousands of factory workers across Turkey, Baysu is relatively lucky. A lengthy series of newspaper articles and union-backed court battles in the late 1970s drew nationwide attention to health and safety conditions at Mutlu, forcing the government to take the rare move of shutting down the plant until certain changes were instituted.

Enduring Intifada Injuries

The nightmare started when 24-year-old Ahlam, from the village of Ya’bud in the Israeli-occupied territories, joined a march to commemorate the martyrdom of a fellow villager.

“The situation was so tense that the Israeli army could not enter the village,” she recalled from her hospital bed in Amman. “A helicopter started throwing tear gas onto the 8,000 or so peaceful demonstrators.”

One of the canisters landed close to Ahlam. She attempted to kick it away, but within a minute she lost consciousness from tear gas inhalation.

Health as a Social Construction

Three basic theoretical formulations frame the state of the health debate among Palestinians in the West Bank and Gaza. The biomedical/clinical framework is generally espoused by the majority of the medical and allied health care establishment, most of whom have been trained in the Western medical tradition. This biomedical framework views disease as a malfunction of systems and organs that can be corrected by technical intervention on the part of qualified health care providers. By this conception, medical care and healing occur almost solely within the limits of the clinic, the hospital, the laboratory and the pharmacy. Causal relationships are clear-cut and unidimensional. [1]

Medical Education: The Struggle for Relevance

A recent World Health Organization report on the state of health practitioners in the Middle East suggests that the region now has a satisfactory number of physicians; some countries even have an excess. Yet health, as measured by standard indicators such as infant mortality, is hardly satisfactory. The report suggests that large numbers of physicians may not, in fact, have a positive effect on health. [1] In recent years, a small number of medical educators in the Middle East have become concerned about the persisting poor health among people in their countries and the questionable appropriateness of medical care. They have attributed this state of affairs to the training offered in medical schools.

From the Editors (November/December 1989)

When the World Bank and the International Monetary Fund met in Washington in September, President Husni Mubarak was on hand to speak about the Third World debt crisis. For more than a year, Cairo has been negotiating a new $500 million agreement with the IMF that would allow Egypt to reschedule $10 billion worth of debt payments falling due before December 1990. At one stage Mubarak denounced the IMF as a “quack doctor,” but his government has had to swallow many IMF “reform” prescriptions. (Currency devaluations, for instance, have tripled the Egyptian pound value of dollar-denominated debt contracted in the early 1980s.)

Recent Books on Turkey

Mehmet Ali Birand, The Generals’ Coup in Turkey: An Inside Story of September 12, 1980 (London: Brassey’s Defence Publishers, 1987).

Irvin Cemil Schick and Ahmet Ertuğrul Tonak, eds., Turkey in Transition: New Perspectives (Oxford: Oxford University Press, 1987).

Turkey suffers more than its share of stereotypical reporting, and much of the material available in the US tends to reinforce linear and simplistic explanations. Though differing in style and outlook, both of these volumes go beyond mainstream perceptions of developments in Turkey.

Containment, Counterrevolution and Credibility

Gabriel Kolko, Confronting the Third World: United States Foreign Policy, 1945-1980 (New York: Pantheon Books, 1988).

Gabriel Kolko has been a master guide of modern US history for countless students seeking to go beyond official versions and conformist interpretations. From The Triumph of Conservatism (1963) to Anatomy of a War: Vietnam, the United States and the Modern Historical Experience (1986), Kolko’s methodic investigation of US domestic and international politics and foreign policy in the twentieth century has changed our understanding of the foundations of capitalism and the meaning of containment and counterrevolution.

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