Environmental Health Policy in Ukraine After the Chernobyl Accident

The 1986 accident at the Chernobyl nuclear power plant in Ukraine produced severe environmental health problems. This paper reports on the environmental health conditions in Ukraine after the accident and the health policy approaches employed to respond to the environmental conditions and health problems. Crisis conditions and a period of rapid change in Ukraine contributed to the difficulties of developing and implementing policy to address serious environmental health problems. Despite these difficulties, Ukraine is taking effective action. The paper describes the primary environmental health problem areas and the efforts taken to solve them. The effect of intense public fear of radiation on policymaking is described. The paper discusses the ability of public fear to distort health policy towards certain problems, leaving problems of greater importance with fewer resources.     

Strengthening the Role of Public Health in Environmental Policy

Over the past 25 years there has been a steady decline in the role of public health agencies in environmental protection. This paper examines the major factors that have contributed to that decline, including the impact of federal environmental laws, the disparity in funding between regulatory and public health activities in environmental protection, and the emergence of risk assessment as a basis for environmental decisions. The methods of risk assessment and traditional public health approaches are contrasted, and the advantages of the involvement of public health agencies are discussed. Recommendations are presented for strengthening the role of public health in environmental decisionmaking to address more effectively public concerns about environmental risks.     

Reassessing Fiscal Policy: Perspectives from Developing Countries

Over the last twenty‐five years an anti‐Keynesian orthodox approach has envisaged a prominent role for reductions in fiscal deficits in developing countries. Expansionary fiscal policies have been said to result in excessive expansion of aggregate demand leading to current account deficits and inflation, as well as displacing private investment, thereby inhibiting output stabilization and employment recovery. Moreover, chronic fiscal deficits are supposed to be associated with high and explosive debt/GDP ratios. The purpose of this article is to assess the theoretical adequacy of the orthodox approach in the context of developing countries. The author clarifies some common misunderstandings and finds that none of the conventional arguments against fiscal activism is wholly convincing. At the heart of the debate lies the question of assumptions, economic structure and causation mechanisms. The orthodox stories regarding the macroeconomic effects of fiscal policy very often do not go beyond the simple monetarist assumptions or seek to verify the implications against the existing experiences and empirical data from developing countries.