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2 unicef Fondo de las Naciones Unidas para la Infancia Nations Children's Fund P.2 FACSIMILE TRANSMISSION FORM SD/PRO/59-94 21 OCTOBER, 1994 ROBERT J. LEDOGAR BENIOR PLANNING OFFICER M: AIDA OLIVER aida Oliver OFFICER IN CHARGE UNICEP-SANTO DOMINGO UBJECT: TRANSLATION FROM SPANISH TO ENGLISH OF DECLARATION OF ST. LUCIA Annexed please find a non-official translation of the abovementioned declaration, produced by this office. We contacted the Office of the First Lady of Paraguay to determine if there was an available. official translation, but were told that it was not readily Also, Mr. Adorna will send to you on Monday, October 24, a copy of the corresponding trip report for the St. Lucia Conference. Best regards. AO/nm Oficina para la República Dominicana 266 Andres Ayber Castellanos Prolong. Mexico) No. 165 Apariado Postal 1649 Trd 640-2868 FROM 16:04 YY! 51 24 15:26 UNICEF STO DGO P.2 IV CONFERENCE OF WIVES OF HEADS OF STATE AND GOVERNMENTS OF THE AMERICAS 11-13 OCTOBER, 1994 CASTRIES, ST. LUCIA (Unofficial Translation) DECLARATION OF ST. LUCIA We, the Wives of Heads of State and Governments, Representatives of Governments and First Ladies of the Americas, meating in St. Lucia, recognizing that there is a need to work together to actively support the initiatives and social policies directed at the most vulnerable sectors of our society, hereby declare that the strengthening of the integration and cooperation processes of our nations will be the results of actions directed at improving the quality of life of the population. our joint efforts in benefit of the social development of the nations of the Americas has as a main purpose the identification of problems, the introduction of solutions and the strengthening of national programmes which will allow for us to meet the goals of suctainable development. Adopting as our own the preocoupations and analysis debated in meetings held previously in Venezuela, Colombia and Costa Rica, as well as the declarations and agreements to carry out pertinent actions, we come together to give a sound of alert on the rapid increase of poverty of the peoples of Latin America and the caribbean. In accordance with the role currently being carried out by women in society, our responsibilities in the past decade have evolved towards the promotion of actions, projects and programmes for social development focusing on the technical and professional aspects. We therefore, REAFFIRM our commitment to support actions which will completely favour the human rights of women and promote the necessary changes in current legislation, according to the Convention on the Elimination of all Forms of Discrimination Against Women. RECOMMEND the signing and ratification of the Inter-American Convention to Prevent, Sanction and Eradicate Violence Against Women ("Convencion de Belom do Pará"), adopted on June 9, 1994, in the 24th Ordinary Session of the OAS Genaral Assembly, held in Brazil, and support actions to guarantee the implementation of the Convention. VALUE the efforts being carried out by those nations that have made concrete gains in legislation on women, especially in those issues related to intra-family violenoa, where the principle victims are women, children and adolescents as well as other of household. advances that benefit and recognite the rights of the woman as head the necessary changes for the incorporation of women under PROPOSE supporting actions which will contribute to carry out conditions of equal opportunities, identifying the cultural and socio-economic barriers which impact and discriminate against women, and also develop educational actions which will prepare her for decimion-making in various forms. AGREE that measures must be taken to initiate or consolidate the execution of the projects and regional initiatives which have been presented at this meeting, such as, "Training Modules to Prevent the Incorrect Use of Psychotropic Substances by Street Children (WHO), Project for Rural Women (IICA-IDB), Project on Child Labor in Latin America (ILO), Prevention of Pregnancies in Adolescents (UNFPA), and the Project "Latin America Against Cancer" (ALICC-European Commission). We also agree to meet with the pertinent entities to develop projects in the following areas: Detection of Cervix-Uterine and Breast Cancer, Literacy Support Campaigns for Adult Women, Development Projects for Rural Women, Consciousness-Awareness Campaign to Combat Violence Against Women, the Child and Family. WE MAKE THE COMMITMENT to support actions SQ that the proposals presented in the preparatory meetings of the Fourth World Conference on Women, to be held in Beijing on September, 1995, will be included in our work agenda. WE PROPOSE a Pro Tempore Secretariat conformed by the outgoing country, the current host country and the future host. The Secretariat's function will be to coordinate and organize the annual meeting in the future host's country. WE AGREE to adopt, for future Conferences, a central theme for debate to be analyzed in-depth by the participants. WE RECOGNIZE the importance of the efforts carried out by the Former First Ladies and their technical advisors in the constitution and organization of these meetings of Heads of State and Governments of the Americas. WE ADOPT as the symbol of these Conferences the logo of the present Fourth Conference, in order for these meetings to be identified with a uniform logo. WE CONGRATULATE and thank our host, Mrs. Janice Compton and the Government of St. Lucia for organizing and carrying out this Conference, recognizing their tremendous efforts to guarantee the success of the Conference, in spite of the havoc created by Tropical storm Debbie. private institutions of St. Lucia for their financial and technical and WE THANK the international organizations, the public support to carry out the Conference. Paraguay to have her country host the Fifth Conference of Wives of WE ACCEPT the proposal of the First Lady of the Republic of Heads of State and Governments of the Americas, to be held in 1995, and we gracefully thank the First Lady of the Republic of Bolivia will be held in 1996. for proposing to have her country host the Six Conference, which Castries, St. Lucia 13 October, 1994 OCT 21 '94 15:30 UNICEF STO DGO P.2 LIST OF SIGNATORIES 1. Norma Y. Hughes First Lady of Anguilla 2. Selmire Mireya Regaszoli Country Representative from Argentina 3. Kathleen Esquivel First Lady of Belize 4. Ruth Elaine Thomas country Representative from Bermuda 5. Ximena de Sanchez de Lozada First Lady of Bolivia 6. Gilda Mari Ramos Guimaraes Country Representative from Brazil 7. Marta Larraechea de Frei First Lady of Chile 8. Jacquin Stross de Samper First Lady of Colombia 9. Josette Altmann de Figueres First Lady of Costa Rica 10. Vilma Espin Guillois Country Representative from Cuba 11. Susan Jacinta Snuere Country Representative from Curacao 12. Josefina Villalobos de Duran-Ballan First Lady of Equador 13. Elisabeth de Calderon Sol First Lady of El Salvador 14. Gladys Annabella Morfin Country Representative from Guatemala 15. Janet Jagan First Lady of Guyana 16. Bessie Watson de Raina First Lady of Honduras 17. Ivy Sylvia Cooke First Lady of Jamaica OCT 21 '94 15:31 UNICEF STO DGO P.3 18. Maria Auxiliadora Matus Country Representative from Nicaragua 19. Dora Boyd de Peres Balladares First Lady of Panama 20. Maria Teresa Carrasco de Wasmosy Country Representative from Paraguay 21. Elisabeth Astete Patino country Representative from Peru 22. Jacqueline Malagon Luna Country Representative from the Dominican Republic 23. Lady Evelyn Arrindell First Lady of st. Kitts/Nevis 24. Lady Lucille James First Lady of st. Lucia 25. Juilette A. Campbell Country Representative st. Vincent and the Grenadines 26. Liasbeth Venetiaan Vanenbu First Lady of Suriname 27. Zalayhar Hasanali First Lady of Trinidad and Tobago 28. Lady Joan Harrigan Farrelly First Lady of U.S. Virgin Islands 29. Diana de Veer de Caldera Country Representative Venesuela ***END*** The Harvard Crimson THE UNIVERSITY DAILY - FOUNDED 1873 MARION B. GAMMILL'95, President STEPHEN E FRANK '95, Editorial Chrir JOE MATHEWS '95, Managing Editor MATTHEW T. SEVICK 95. Business Manager GUEST COMMENTARY Clinton Wins for Women By Lynn Cutler I immediately following the elections Our chief law enforcement agency, country faced several major economic of Nov. 8, we can expect a spate of the Department of Justice, is headed by challenges, including rising federal articles, columns, editorials and Janet Reno-the First women attorney deficit and increasing loss of jobs. punditry regarding the presidency of general Her deputy and seven of the 11 Female heads of households, an ever- Bill Clinton. We will see a dissection of assistant attorneys general are women. increasing portion of the labor force the last 20 months, with a good dose of This impacts the view of women's safe- (which is 47 percent female). were par- Monday morning quarterback "spiti" ty by our government With the pas- ticularly hard hit by a workening econ- and predictions about the remainder of sage (because of the firm stand of our omy- The president's economic plan his term. The inevitable handicapping president) of the Violent Crime Con- has begun to put our economic house of the 1996 election will begin. trol and Law Enforcement Act this back in order. There are nearly 43 mil- What we will not see much of is the year. the Violence Against Women Act lion new jobs in the first 19 months of good news for American women. We became law. This invests heavily in the this administration, and the president's could spend a great deal of time talking personal security of women by provid. plan is reducing the deficit by nearly about why that is urue, but more ing sure police, prosecutors and sci- $700 billion over five years. important is what that good news is. vices in cases involving sexual violence Along with the overall plan to revi- Clinton has more women in his or domestic abuse talize the economy. the administration cabinet, in his governmental appointees From his very first day in office. has encouraged the formation and and in the judiciary than have been in Clinton has worked to promote free- development of women-owned busi- place at any other time in our history. dom of choice for women He repealed nesses. Women business owners cur- Every day these women make a differ- the "gag rule" that restricted abortion rently own 40 percent of all businesses: ence for all women in this country and counseling at federally funded family women are starting businesses at one- for their families. planning clinics. The Republicans have In appointments of the most senior threatened to reinstate the gag rule" in positions in our government, over 30 their "Contract with America." The percent are women. and in all of Clin- president repealed the Mexico City poli- ton's appointments, 47 percent, nearly cy that banned funding to international half. are women. For the first time in organizations that promoted compre- our history, WC have parity in decision hasive Limily planning. and signed the making roles in our government Many Freedom of Access to Clinic Entrances of rhese appointees hold titles never Act to cnsure that women and their before held by women They are run- doctors can enter clinics without fearing ning departments and designing policy intimidation and violence And the in what have been traditionally male Department of Health and Human Ser- positions. Clinton's recognition and vices, headed by Secretary Donna Sha- understanding of the contributions lala. implemented + change to the livde women can make in all areas of govern- Amendment obligating states to pay for ment and society has made an enor- abortions for poor women whose preg- mous difference for all of US. nancies result from rape or incest. or Some of the most dramatic and far- endanger the life of the mother. reaching gains for women in the Clinton The first piece of legislation the administration have been the appoint- president signed. after 10 years of veto ments to the judiciary. of the 143 people and haygling by the Republicans. was nominated to the federal bench, the the Family and Medical Leave Act. This president named 44 women All three legislation gives working people free- previous presidents combined did not dom for the first time to take time from and-a-half times the rate ot their male. name half of that number. The appoint- work to stay with a sick parent or child counterparts and employ 11 million ment that will affect our lives for the and knew their job is secure workers-more than the Fortune 500 longest period of time is that of Ruth When the president took office. the companies. Women business owners Hader Glasburg to the Supreme Court need access to capital. and the Clinton administration has taken unprecedented steps to create opportunities for them. /TO.O. 00:91 10/10/IT The Small Business Administration mentally-induced problems. The Clin- (SBA) has taken several steps to ton administration has launched a vari- increase the capital available to women- ety of programs to improve preventive owned firms. The SBA has established care for women While the Congress goals for dramatically expanding lend- failed to pass health reform legislation ing to these firms, increasing the num- this year, the president and the first ber of loans to women from 3,880 in lady will continue to light for спасt- 1993 to 7,211 in 1994. With other ini- ment tiatives by the SBA to help women In the meantime. federal funding business owners, and the expansion of for breast cancer research and preven- opportunities for women-owned busi- tion has been increased-to $650 mil- nesses to obtain government contracts. lion in fiscal 1994. in addition, the along with increased technical assis- National Action Plan on Breast Cancer tance, women are making serious new provides a blueprint for a partnership long-term gains. between the government and the pri- In addition, with the passage of the vate sector to work to prevent. diag- Earned Income Tax Credit, (linton ini- nose, treat and ultimately eliminate tiated the best, comprehensive method breast cancer. of supplying initiatives for low-income With the Women's Health Initiative, families to begin to move ahead Incen- the administration launched the largest tive, rather than punitive tax policy, clinical research study ever conducted became the way for the working poor on either men or women to examine the to make real gains. major causes of death. disability and Women are the care givers, respon- frailty in post-menopausal women sible not only for their own health but heart disease. breast and colon cancer also for the health of their children, and osteoporosis. An emphasis to spouses and parents. As a result, wom- include minority women at each clinical en know how important it is to keep site is a component of the study. health care reform at the top of our Education, housing, and every other national agenda. area of our lives is being impacted by Despite being the biggest consumers the women the president has appointed of health care services, women have a to carry out the policies and the cont- harder time getting health coverage mitment he has to a better quality of than men. They are more likely to work life and equality of opportunity for the part-time and in pink-collar jobs with- women of America- out health insurance: of the 16 million It will be up to us to tell people women without coverage in 1990, half about these initiatives and the work of had uninsured jobs. Those lucky the president on our behalf. It's good enough to have insurance pay more; news and therefore we probably won't women aged 15 to 44 pay 68 percent read it on the front pages of our news- more out-of-pocket for health care papers. Women have a responsibility to than their male counterparts. spread the word-our day as full citi- All of this at a time when women zens is coming much faster because wr are increasingly afflicted with AIDS. elected Bill Clinton. with breast cancer (one in 20 women 20 years ago to one in eight today), Lynn Cutler. former vice-chair of the with increased incidence of heart dis- Democratic National Committee. is fel- ease and with greater risks of environ- low at the Institute of Politics. 003 INST OF POLITICS 4344 496 2'617 19:31 110/19 Draft Concept Paper Summit of the Americas Symposium on Healthy and Educated Children for First Ladies Purpose: To provide the First Ladies attending the Summit of the Americas with the opportunity to discuss issues on the official agenda of the Summit -- health and education -- as they affect children, to give them the opportunity to exchange experiences of challenges and achievements in these areas, and to present to the press and the public their concerns and views of how these issues can best be addressed in the Hemisphere. Scene: First Lady Hillary Clinton and up to 30 First Ladies from the Hemisphere will attend the symposium. There will be a plenary session of roughly 1 hour and 15 minutes in which Mrs. Clinton will make introductory remarks, followed by a video prepared by UNICEF (description attached at Appendix A), followed by an overview of the challenges and achievements in children's education and health in the Americas. There will then be roughly 15 minutes for a brief discussion of these issues. The First Ladies will then break up into three or four discussion groups focussing on specific issues of children's education and health. (See a list of possible topics at Appendix B.) For each topic and discussion group, there will be an expert present to facilitate discussion and act as a resource person. (See a list of potential experts at Appendix C.) A possible goal for these groups could be to share information about successful models for addressing some of the problems outlined in the plenary session. Participants will reconvene after approximately one and one half hours for lunch. The program for lunch could follow one of three forms: the conversations in working groups could continue; chairs of working groups could report to the entire group on their discussions; or there could be a keynote speaker. Depending on the time available, a combination of the above might be possible. The lunch program might focus on ways to expand or replicate successful models. At some time after the lunch, there will be a press conference where several of the First Ladies will present a statement reflecting the themes and conclusions of the morning and lunch discussions. The press release will tie into the broader themes of the Summit. (See Appendix D for some thoughts on the form and content.) (The content of the press release and the participants in the press conference will have to be finalized at some point during the program if not agreed on in advance.) The First Ladies will be provided with a briefing book with information on the issues to be discussed. (For an outline of a briefing book, see Appendix E.) Follow-up: Given sufficient interest on the part of the First Ladies in following-up the Summit of the Americas, a number of possibilities (requiring different levels of resource commitment) could be considered: --a rapporteur's report on this first meeting of the First Ladies of the Americas, the issues they discussed and the conclusions they reached. This could be published as a booklet (with pictures, sidebars, quotations, etc., in the several languages of the Americas) to be distributed widely. considered in Miami) in the context of the existing conference of Wives of Heads of State and Government --a follow-up discussion (to assess progress on the the Americas scheduled to be held in Paraguay next year. (There is a question of whether all countries in the region are members of this organization; this would have to be explored before proposing this follow-up.) This organization has a mechanism in invited imtg. Previous place for implementing and monitoring projects through the Office of the First Lady in individual countries. --an agreement that First Ladies will consult with their countries' delegates to next year's World Summit for Children to ensure that their agenda is pursued in that forum. --an agreement to hold future ad hoc discussions among interested First Ladies on particular issues considered in Miami. These discussions might be linked to other events in the hemisphere related to the particular issue. --an agreement to have First Ladies visit counterparts in other countries to learn more about and highlight successful models or to draw attention to and provoke action on particular issues. --the creation of a communications vehicle for the First Ladies of the Americas -- a periodic newsletter of some type, highlighting activities of First Ladies involving the issues discussed in Miami and others of interest. This could be a means of creating a measure of solidarity and collaboration among First Ladies in the region. It could also serve as a focus of periodic publicity benefitting the First Ladies. The vehicle could be a publication or even some sort of computer network, a la internet. (Some First Ladies may not have their own computer setup. But they could have easy access to one or we could arrange for them to have their own equipment.) Where there is enough enthusiasm, there might be possibilities of using hemispheric wide cable TV (Univision?) or other electronic communications facilities for periodic events focussing on the activities of First Ladies in the areas of health and education. Appendix A: Description of UNICEF Video The UNICEF video will be approximately 10 minutes long and will provide a general overview of the problems facing children in our Hemisphere and the major efforts underway to address those problems. It will be produced by Steve Anderson, who produces the Rights & Wrongs piece on PBS. The basic outline is as follows: 1. One minute on major problems facing children in the Americas, including health, nutrition, sanitation, education, and violence. 2. Several minutes on this hemisphere's commitment to addressing these problems, focussing on the 1990 summit, development of national plans of action, the Narino Accord, and various initiatives in the hemisphere. 3. A listing of issues that need to be addressed, focussing on health and education issues. Appendix B: Possible Topics for Discussion at the First Ladies Symposium OVERVIEW In order to improve the health and education of children in the hemisphere, a variety of challenges remain. Among the most. critical health issues facing mothers and children in the region today are the needs to improve basic services for children, to advance safe motherhood, to prevent HIV/AIDS transmission, and to improve equitable access to services through health care reform. Among the most significant challenges in educating the children of the Americas are providing children with adequate nutrition and nurturing in their early childhood, providing access to education to all children, and maintaining a quality of education that keeps children in school and prepares them for productive lives. In each of these areas, critical gaps remain. Nonetheless, there have been successes and, to a great extent, we know how to meet these challenges if we can mobilize the political will, creativity and resources to do so. Major Health Issues: Basic Health Services for Children Safe Motherhood Access to Health Care for All HIV/AIDS Cross-cutting Health/Education Issues: Early Childhood Development Youth Lifestyles Major Education Issues: Access to Education and School Completion for All Children Quality and Relevance of Education More detailed discussions of these issues follow. HEALTH Basic services for children: Infant and child mortality, despite steady declines, remain high in many Latin American and Caribbean countries, especially among disadvantaged populations. Half a million infant deaths--more than 15 times the U.S. total--occur annually in the region, most of them preventable. Major achievements to date have been in the "soft" goals, related to high-impact yet simple technologies such as vaccinations and, to a lesser extent, controlling diarrhea through oral rehydration. The challenge now is to move to more difficult interventions such as managing pneumonia and improving nutritional status (including micronutrients) and the "hard" goals such as neonatal mortality, which require more complex interventions, while sustaining the gains already achieved. The region-wide effort to eradicate polio, which led to the recent achievement of interrupting transmission throughout the hemisphere was a model of cooperation, partnership and participation. Now we need to expand and adapt this model to measles, which the region has committed to eliminating by 2000 and to focus on interventions to control diarrhea, pneumonia and neonatal infections, and to improve nutrition. Safe motherhood: Maternal deaths remain unconscionably high in Latin American and the Caribbean, with average rates more than 20 times higher than those in the U.S. Moreover, because fertility rates are also higher in the region, a woman's lifetime risk of dying from maternal causes averages 35 times higher in the region, and, in some countries, is more than 100 times higher. To reduce the risks, prenatal care, referral systems and emergency obstetric care need to be improved and expanded, and the access and use of voluntary family planning information and services need to be increased. A recent pilot program in Inquisivi, Bolivia, which utilized a number of these approaches, showed a decrease in maternal and perinatal deaths and a marked increase in modern contraceptive use. HIV/AIDS: The HIV/AIDS pandemic is advancing rapidly in Latin America and the Caribbean, with an estimated 2 million infections to date (expected to reach 3 million by the year 2000) in addition to at least 1 million so far in North America. Furthermore, the epidemic has shifted to predominantly heterosexual transmission in most countries with concomitant increases in infected women and their children. In part because of the long incubation period, in many countries, there is little awareness of the magnitude of the threat, which has grave implications economic development as well as health. It is, therefore, important to heighten awareness and mobilize political will in order to develop programs to promote safer sexual behavior, increase access to condoms and control sexually transmitted diseases (which enhance HIV transmission). There have been small-scale successes. In Haiti and Brazil, for example, condom use has rocketed. Comprehensive programs have now been initiated in those two countries as well as in Jamaica, Dominican Republic and Honduras. Access to sustainable health care services for all: Health status varies greatly within countries of the region. For example, in Guatemala, infant mortality is more than two-thirds higher among indigenous peoples, and maternal mortality is also significantly higher than in non-indigenous groups. Among the contributing factors, major inequities in access to health services is an important one. In order to make services more equitable, efficient, effective and sustainable, many countries throughout the region are undertaking health-care reform efforts. These efforts include changes in health policies and institutions such as: promoting decentralization, reorienting budgetary priorities to favor essential services for the poor, exploring alternative means of financing, managing and providing services, making greater use of NGOs, shifting the role of ministries of health from providers to regulators and setters of quality standards. There is no single formula that can be applied in all settings. The reforms have to take into account the cultural and institutional characteristics of each society. There have been successful approaches and we're learning how and where to apply them. The Prosalud experience in Bolivia, where a self-financing NGO program is delivering high-quality services to a variety of populations, is one example. EDUCATION/HEALTH Early Childhood Development: Women in Latin America and the Caribbean are leaving traditional roles and entering the local or regional workforce in dramatic numbers. The need for structured child care and preschooling is urgent and growing. Only 28% (8.9 million children) of the preschool cohort in Latin America and the Caribbean has access to any form of preschooling. Without adequate government and private sector programs, the health and educational needs of young children are neglected and their potential as future pupils and workers is impaired. Preparing children for the changes of the 21st century requires imparting skills which build individual confidence, adaptability, problem- solving approaches and teamwork. This process should begin in the preschool years. Children without access to early childhood development programs are less able to benefit from educational opportunities later and may never become competitive in the work force. This perpetuates an age-old pattern. When local communities are mobilized and given resources to address issues of child day care, malnourishment and school curriculum, problems are solved rationally and the community's capacity to solve new problems independently and democratically is strengthened. EDUCATION Access to--and Completion of--Education for All Children: Governments frequently commit insufficient funds to public preschool, elementary and secondary programs and public and private education may be poorly coordinated, affecting both the accessibility and quality of schooling. Efforts to reach remote rural populations which are culturally or ethnically different from the mainstream are often incomplete or non-existent. Instead of developing multilingual, cross-cultural curricula and pedagogy, many education systems in the hemisphere promote Western-oriented, cosmopolitan approaches which make few concessions to local cultural contexts. Furthermore, education for girls and women is not given the attention it requires to compensate for socioeconomic forces that limit girls' access to continued schooling. Incentives are needed to keep both girls and ethnic minorities in school longer, setting up special scholarships or other culturally acceptable programs. Modern means to organize and project education programs to remote and low-density population areas will eliminate vast per-pupil expenditure rates. These might include regional boarding schools or "distance learning" through radio/TV equipment and educational programs, delivered to local classrooms, community centers or other public buildings. Quality and Relevance of Education: Repetition and dropout rates of school-age children in rural or disadvantaged areas leave pupils with functional capacities (reading, writing, critical thinking, problem-solving) well below age-group norms in many countries in the hemisphere. Economic costs increase substantially when pupils take extra years to complete primary levels of education. Current methods of rote, teacher-centered instruction transmit established socio-cultural legacies to new generations but neglect the skills of independent critical thinking or preparing students for lifelong learning and adaptation. Up-to-date curricula and interactive, cooperative teaching methods are indispensable in creating a productive workforce which is adaptable to changing labor needs and inclined toward democratic, collaborative approaches in public life. Curricular reforms based on functional, performance-based teaching and testing can produce instructional efficiencies and cut back dropout rates by making teaching more relevant. Improved in-service teacher training must match curricular reforms. At the secondary level, collaboration with major private-sector employers will assure a vocationally-oriented curriculum which is relevant to labor market needs. Appendix C: Potential Experts on Children's Education and Health in the Hemisphere Overview: James Grant, Executive Director, UNICEF Nancy Birdsall, Executive VP, InterAmerican Development Bank Marta Mauras, UNICEF Regional Director for Latin America HEALTH Dr. George Alleyne, Director-designate of PAHO Dr. Ciro de Quadros, Immunization Chief, PAHO Dr. Silvia Bomsim, Proais Project/Brazil Dr. Barbara Schieber, Mothercare Project/Guatemala Carmelo Mesa-Lago, Economist/Public Sector Reform, North- South Center EDUCATION Luis Crouch, Research Triangle Institute Jeff Puryear, InterAmerican Dialogue Rosa Maria Torres, UNICEF, Senior Education Advisor Fernando Reimers, HIID Appendix D: Ideas for Press Statement Today, (date) XXX First Ladies of the Americans participated in a Symposium entitled "Healthy and Educated Children of the Hemisphere." The issues discussed by the First Ladies included (list). Both the challenges and successes of providing health and educational services were considered (details?) The First Ladies agreed that over the past decade, major gains have been achieved in bringing adequate, affordable and quality health care and education to the XXXX million children of the hemisphere. Successes have been based on (examples of successful approaches). However, important and difficult challenges remain (list). The importance of these challenges and the need to address them is also recognized in the discussions of the Heads of State. (Mention relevant agenda items, conclusions an any new programs at Summit). Recognizing the importance of the achievements of the pasts and the challenges of the future involving the health and education of the children in this hemisphere, the First Ladies agreed to (describe follow-up). Appendix E: Outline for Briefing Book A. Overall Summit Issues B. State of Children in Hemisphere C. Achievements and Challenges in Education and Health for Children D. Models of Success E. Remaining Needs F. Available Programs and Resources ROOTS 277 must be but a challenge to river seems a magic thing. A magic, moving, I have at last got the little room I have wanted living part of the very earth itself-for it is from so long, and am very happy about it. It does me her husband (1937) the soil, both from its depth and from its surface, good to be alone. that a river has its beginning. LOUISA MAY ALCOTT, Journals (1868) ourage, Danger, Security. \URA GILPIN, The Rio Grande (1949) Most women still need a room of their own and That river-it was full of good and evil together. the only way to find it may be outside their own it would water the fields when it was curbed and homes. like seed crystals of new checked, but then if an inch were allowed it, it GERMAINE GREER, The Female Eunuch (1971) entually reshape culture crashed through like a roaring dragon. See also Houses, Space, Walls. TEARL BUCK, The Old Demon (1939) (1987) As we were in the midst of the dry season, the ROOTS carry the presence of the river at Vat Thmey was now only a big snake of ark that must not go out. To be rooted is perhaps the most important and mud. Companion, Journal least recognized need of the human soul. (1990) MOLYDA SZYMUSIAK, The Stones Cry Out: A SIMONE WEIL, The Need for Roots (1949) Cambodian Childhood 1975-1980 (1984) disguise pain through rit- I have not seen my birthplace, / where my nly solace we have. mother deposited the heavy load of her inside. ROME From Scratch (1988) TAHEREH SAFFIR-ZADEH, "My Birthplace," Resonance In Rome people seem to love with more zest, in the Bay (1971) show that Art is not the murder with more imagination, submit to cre- but that Art in some ative urges more often, and lose the sense of Far away from my country I would be like those igion, and that between logic more easily than in any other place. trees they chop down at Christmastime, those ink, a bridge, and that poor rootless pines that last a little while and LETITIA BALDRIGE, Of Diamonds and Diplomats (1968) then die. and Ritual (1913) In Rome people spend most of their time having ISABEL ALLENDE, The House of Spirits (1982) lunch. And they do it very well-Rome is un- tifying action-even or- To separate from my culture (as from my family) questionably the lunch capital of the world. it has meaning: I can I had to feel competent enough on the outside FRAN LEBOWITZ, Metropolitan Life (1978) need the light or because and secure enough inside to live life on my own. light I need. Yet in leaving home I did not lose touch with my Night doesn't fall in Rome; it rises from the city's origins because lo mexicano is in my system. I Companion, Journal heart, from the gloomy little alleys and court- am a turtle, wherever I go I carry "home" on my 1990) yards where the sun never gets much more than back. a brief look-in, and then, like the mist from the ritual is the ritual. GLORIA ANZALDÚA, Borderlands/La Frontera: The New Tiber, it creeps over the rooftops and spreads up Mestiza (1987) (1986) into the hills. Spirituality, Traditions. CAROLINE LLEWELLYN, The Masks of Rome (1988) If you go away from your own place and peo- ple-the place you spent your childhood in, all See also Italy. your life you'll be sick with homesickness and you'll never have a home. You can find a better place, perhaps, a way of life you like better, but m secrets to oblivion! ROOMS the home is gone out of your heart, and you'll be n act to bend a flower of a child! A room is a place where you hide from the hunting it all your life long. wolves outside and that's all any room is. MARY O'HARA, Thunderbead (1943) nown to Song," The JEAN RHYS, Good Morning, Midnight (1939) But there were years when, in search of what I thought was better, nobler things I denied these, your growing up, you A woman must have money and a room of her my people, and my family. I forgot the songs own if she is to write fiction. they sung-and most of those songs are now n (1975) VIRGINIA WOOLF, A Room of One's Own (1929) dead, I erased their dialect from my tongue; I 218 MOTHER Out of the corner of one eye, I could see my mother. Out of the corner of the other eye, I alone, but also at that moment I wanted only could see her shadow on the wall, cast there by see her lying dead, all withered and in a coffi₁ my feet. the lamplight. It was a big and solid shadow, and it looked so much like my mother that I became JAMAICA KINCAID, Annie John (1983) frightened. For I could not be sure whether for the rest of my life I would be able to tell when it No matter how old a mother is, she watches was really my mother and when it was really her middle-aged children for signs of improveme shadow standing between me and the rest of the world. (1968) FLORIDA Scott-Maxwell, The Measure of My Days JAMAICA KINCAID, Annie John (1983) Whenever I'm with my mother, I feel as thou She was the archetypal selfless mother: living I have to spend the whole time avoiding la only for her children, sheltering them from the mines. consequences of their actions-and in the end AMY TAN, The Kitchen God's Wife (1991) doing them irreparable harm. MARCIA MULLER, "Benny's Space," in Sara Paretsky, Now that I am in my forties, she tells me I' ed., A Woman's Eye (1991) beautiful; now that I am in my forties, she sen On one thing professionals and amateurs agree: me presents and we have the long, personal ai mothers can't win. even remarkably honest phone calls I alwa wanted so intensely I forbade myself to imagin MARGARET DRABBLE, The Middle Ground (1980) them. How strange. Perhaps Shaw was corre. Oh! mothers aren't fair-I mean it's not fair of and if we lived to be several hundred years ol we would finally work it all out. I am deepi nature to weigh us down with them and yet ex- grateful. With my poems, I finally won even m pect us to be our own true selves. The handicap's mother. The longest wooing of my life. too great. All those months, when the same blood's running through two sets of veins- MARGE PIERCY, Braided Lives (1982) there's no getting away from that, ever after. Take yours. As I say, does she need to open her She never outgrows the burden of love, and t mouth? Not she! She's only got to let it hang at the end she carries the weight of hope for thos the corners, and you reek, you drip with guilt. she bore. Oddly, very oddly, she is forever sur prised and even faintly wronged that her son HENRY HANDEL RICHARDSON, Two Hanged Women (1934) and daughters are just people, for many mother hope and half expect that their newborn child My mother phones daily to ask, "Did you just will make the world better, will somehow be : try to reach me?" When I reply, "No," she adds, redeemer. Perhaps they are right, and they car "So, if you're not too busy, call me while I'm still believe that the rare quality they glimpsed in the alive," and hangs up. child is active in the burdened adult. ERMA BOMBECK, The 1992 Erma Bombeck Calendar FLORIDA SCOTT-MAXWELL, The Measure of My Days (1992) (1968) Blaming mother is just a negative way of cling- When my mother had to get dinner for eight ing to her still. she'd just make enough for sixteen and only NANCY FRIDAY, My Mother/My Self (1977) serve half. GRACIE ALLEN, in Liz Smith, The Mother Book (1978) I fear, as any daughter would, losing myself back into the mother. One of my children wrote in a third-grade piece KIM CHERNIN, In My Mother's House (1983) on how her mother spent her time "one-half time on home, one-half time on outside things, At that moment, I missed my mother more than one-half time writing." I had ever imagined possible and wanted only to live somewhere quiet and beautiful with her CHARLOTTE MONTGOMERY, in Good Housekeeping (1959) KAREN N 2 I submit that women's history has been hushed down in the gutter? Are they r up for the same reason that black history has I stand in a field of tall grass been hushed up and that is that a feminist for miles and miles? On the other movement poses a direct threat to the establish- which is big and blue as ment. From the beginning it exposed the hypoc- limits. "W risy of the male power structure. Ibid., Ch. 2 Bottom of the 3 The bar is the male kingdom. For centuries it 2 Wash the white clothes on N was the bastion of male privilege, the gathering them on the stone heap; wash place for men away from their women, a place on Tuesday and put them on t where men could go to freely indulge in The dry; soak your little cloth Bull Session a serious political function: take them off always e the release of the guilty anxiety of the oppressor such a way that it won't turn class. "The Bar as Microcosm,' stomach; on Sundays try to Voices from Women's Liberation, and not like the slut you are SC Leslie B. Tanner, ed. 1970 ing; this is how you smile don't like too much; this is h someone you don't like at all; 2408. Nancy R. Hooyman (1945- ) smile to someone you like com is how to make a good medicin See Mary Bricker-Jenkins, 2343:1-3. is how to make a good medicir a child before it even becom this is how to bully a man; th bullies you; this is how to lov 2409. Ruth Iskin (1945- ) this doesn't work there are ot they don't work don't feel too 1 In the dealer-critic system, galleries exist pri- up marily for sale purposes and it is the critic's role to promote the art product by establishing its value and providing a justification for its importance. 2412. Karen Malpede (19 "A Space of Our Own, Its Meaning and Implications,' Womanspace 1 in order for me to reve February/March 1973 "man" I had to come to fem no other way, I had to come to of the divine in women. Now 2410. Kathy Kahn (1945- ) within a long tradition of pec that theater is a way to reve 1 There is still a natural tendency for the people™ deep essence, the unrealized of one class to look down on people who they holiness of humankind. think are lower class-as if they are less than "Karen Malp human. Quoted in "Kathy Kahn: Voice of with Contemporary Wo. Poor White Women" by Meridee Kathleen B Merzer, Viva April 1974 2 In places like the textile mills, where super- *See 2256. human production rates are set, the people have 2 Pacifism is an active, asserti to take speed (amphetamines) in order to keep which, when used effectively up production Virtually every factory in do with holding to a sense of this country is run on speed, grass, or some munity and with refusing to be other kind of upper. Ibid. victim scenario. 3 I do not believe in being paid for organizing 3 The great artist speaks a tru because a revolution is a revolution. And becomes universal. There's no nobody-nobody-gets paid for making a that with one eye on the mark revolution. Ibid. 4 I think artists, like most oth want to face the fact that we 2411. Jamaica Kincaid (1945?- ) our extinction as a species and with us all the life on earth. NI MUR have done so for centuries. 2042. Lydia Gottschewski (fl. 1930s) jumped and twisted for half an hour while her 2050. Raisa Gorbachev y are the objects of objects, organs fell back in place. Ibid. S, frequently the objects of 1 It is a curious fact that pacifism is a mark 3 "The Congress and the armed forces are above I Soviet people are putting into selves objects, and so, in of an age weak in faith, whereas the people of position, unqualified mem- religious times have honored war as God's rod corruption. It would be better if we used the revolutionary restructuring. W life of chastisement Only the age of enlight- money to buy the mass media. That would give to be worthy of a h e. To the extent that they Ives out trying to integrate enment has wished to decide the great questions us a way to manipulate public opinion, which prevailing delusional sys- of world history at the table of diplomats. is the only thing that really counts. Ibid., Ch. 12 that, writing and living, Women in the New State In this case they encoun- 1934 2051. Norma Meacock ( 4 They were unable to bribe the members of at autonomy. Autonomous Congress. and on the date stipulated by law the I systems can promote each left calmly came to power. And on that date the in all my life I have nev do not have to fight each 2043. Frances Newton (fl. 1930s) right began to stockpile hatred. Ibid. satisfactory as a means of pro Think e inner insecurity and im- lemand the demarcation of 1 There, in that manufactured park with its ghoul- 2 If the texture of our daily life intimidation. Ibid. ish artificiality, with its interminable monuments 2047. Sandra Burton (1934?- ) it'll disappear up its own arse to bad taste, wealth and social position, we were once exclusively the art of Iriven to lovelessness, re- planning to place the body of a beautiful and 1 [Marcos was the kind of lawyer you would dignified old man who had lived generously and hire to get you off if you were really in trouble- 2052. Alice Miller (193?- son, to magic spells). It loved beauty. Light, Like the Sun 1937 particularly if you were guilty. :male tribal elders in the Impossible Dream: I Society chooses to disregard eties; then, for a long time, 2 I can stand what I know. It's what I don't know the Marcoses, the Aquinos, of children, judging it to be m whom the first priests that frightens me. Ibid. and the Unfinished Revolution 1989 because it is so commonplace e ritual only by pushing Ferdinand Marcos (1917-1989). Philippine president "Childhood and Creativi agical clothing of women. (1966-1986). Childhood, Hilde il to me to point out these 2044. Alice M. Shepard (fl. 1930s) indignation, for humanity evel of magic and sorcery. 2048. Shirley Trusty Corey (193?- ) 2 Technical mastery and skill 1 They shall not pass, tho' battleline many. but they are not necess I is: Was it necessary that May bend, and foe with foe combine, 1 The arts must be considered an essential element even become a prison for the stand "alone" before Na- Tho' death rain on them from the sky of education, not an optional or lesser element to express themselves. for suc not in it? "4: A Till every fighting man shall die, in the consideration of time. materials or appro- to their technical proficiency a er about Unequivocal and France shall not yield to German Rhine. leaning, Definiteness and "They Shall Not Pass' priate teaching staff. They are the content and I have seen drawings that a efiniteness; about Ancient process by which we bring unity to isolated down to the last detail. with n.d. New View-Scopes; about knowledge and feelings. They are tools for liv- flaw. yet they seem lifeless b Objectivity," op. cit. ing life reflectively, joyfully. and with the ability who drew them is not sensed 5. Pt. II: "If, Nature, I stood 2045. Bertye Young Williams (fl. 1930s- to shape the future. Letter to Elaine Partnow* 1951) 3 We are often imprisoned in th 19 December 1989 abilities and routines. which reverence and dread. I today have nothing left 1 He who follows Beauty *Author. sense of security. We are aft Ibid. Breaks his foolish heart. yet we must gasp for air and 2 The arts personalize knowledge and visions. "Song Against Beauty" n.d. way. probably over and ove demanding an ever growing development of the not want to be smothered in mind and spirit. We do our children and our is familiar and well known to lani (fl. 1930s) country ill service by not supporting them ade- 2046. Isabel Allende (193?- ) be born along with our new y quately in our schools. Ibid. men as a part of the life aying down a division of 1 It was a long week of penitence and fasting. 2053. Muriel Resnik (19) during which there were no card games and no 2049. Maureen Fiedler (193?- ) o sexes, without putting of those women who by music that might lead to lust or abandon: and 1 JOHN that's nothing but its reach the highest within the limits of possibility, the strictest sad- I Why organize? First, because it ends isolation. This is what the Internal Re! 'omen, Past and Present ness and chastity were observed, even though it Many women feel treated as second-class citi- pects. It's all part of the gam 1937 was precisely at this time that the forked tail of zens-in church, in society. In organizing we part. we have to play ours the devil pricked most insistently at Catholic lose the sense of being alone. Second, in orga- American citizens! flesh. Ch. 1, The House of the Spirits. 1982 nizing the whole is greater than the sum of its Act I, Sc. Magda Bogin, tr. parts, and our energy is increased when we come raigin (fl. 1930s) 2 A bone in Nivea's corset snapped and the point together. And third, we are building base com- iance can be of the most jabbed her in the ribs. She felt she was choking munities which struggle for change and give us 2 JOHN. But she doesn't know a place to talk. I'm not. Is that a happy wo se who do not believe it in her blue velvet dress, with its high lace collars, its narrow sleeves, and a waist so tight Speech, National Assembly of see? We're not hurting her. gnorance of the facts. Religious Women anything away from her. In pc Either Is Love 1937 that when she removed her belt her stomach Annual Conference 1985 you in my life makes me hat - WRITERS 355 Miserable is the fate of writers: if they are agree- It's an act of faith to be a writer in a postliterate able, they are offensive; and if dull, they starve. world. LADY MARY WORTLEY MONTAGU, letter (1709), in RITA MAE BROWN, Starting From Scratch (1988) Octave Thanet, ed., The Best Letters of Lady Mary Wortley Montagu (1901) There is no denying the fact that writers should be read but not seen. Rarely are they a winsome Writers are the moral purifiers of the culture. We sight. may not be pure ourselves but we must tell the truth, which is a purifying act. EDNA FERBER, A Kind of Magic (1963) RITA MAE BROWN, Starting From Scratch (1988) Whenever an encounter between a writer of good will and a regular person of good will hap- Writers are given the responsibility of sight. I pens to touch on the subject of writing, each think that the whole burden, responsibility and person discovers, dismayed, that good will is of beauty of the gift forces us to construct our lives no earthly use. The conversation cannot pro- differently so that we are able to become vehicles ceed. to transcend, to encompass and articulate not ANNIE DILLARD, The Writing Life (1989) only our own experience but the experiences of others. All of a writer that matters is in the book or ALEXIS DE VEAUX, in Claudia Tate, ed., Black Women books. It is idiotic to be curious about the per- Writers at Work (1983) son. JEAN RHYS, in Carole Angier, Jean Rhys: Life and Writers in Latin America live in a reality that is Work (1991) extraordinarily demanding. Surprisingly, our an- swer to these demands protects and develops our If I could I would always work in silence and individuality. I feel I am not alone in trying to obscurity and let my efforts be known by their give their voice to those who don't have it. results. ELENA PONIATOWSKA, in Janet Sternburg, ed., The EMILY BRONTE (1850), in Bertha W. Smith and Virginia Writer on Her Work, vol. 2 (1991) C. Lincoln, eds., The Writing Art (1931) How can one not speak about war, poverty, and The writer is either a practicing recluse or a de- inequality when people who suffer from these linquent, guilt-ridden one; or both. Usually afflictions don't have a voice to speak? both. ISABEL ALLENDE, in Marie-Lise Gazarian-Gautiez, SUSAN SONTAG, in New York Times (1986) Interviews With Latin American Writers (1989) It should surprise no one that the life of the I resent people who say writers write from expe- writer-such as it is-is colorless to the point of rience. Writers don't write from experience, sensory deprivation. Many writers do little else though many are hesitant to admit that they but sit in small rooms recalling the real world. don't. I want to be clear about this. If you wrote ANNIE DILLARD, The Writing Life (1989) from experience, you'd get maybe one book, maybe three poems. Writers write from empathy. The writer of originality, unless dead, is always NIKKI GIOVANNI, in Claudia Tate, ed., Black Women shocking, scandalous; novelty disturbs and re- Writers at Work (1983) pels. SIMONE DE BEAUVOIR, The Second Sex (1949) of the 0-8160-2134-1 1402 JULIA SETON 1405. Harriet L. Childe-Pemberton (fl. the child that is not flesh of my flesh. Grant that 10 I will leave behind me the dark ravine, and I may be successful in molding one of my pupils climb up gentler slopes toward that spiritual 1890s) into a perfect poem, and let me leave within her mesa where at last a wide light will fall upon my days. From there I will sing words of hope. 1 As I allays say to my brother, deepest-felt melody that she may sing for you when my lips shall sing no more. without looking into my heart. As one who was If it isn't one thing it's the tother. "La Oracion de la Maestra" (The Teacher's full of compassion wished: I will sing to console "Geese: A Dialogue,' Dead Letters and Other Narrative and Dramatic Prayer), Desolacion 1922 men. Quoted in Introduction to Pieces 1896 Tala in Selected Poems of Gabriela 2 Let me make my brick schoolhouse into a spir- Mistral, Doris Dana, tr. and ed. 1971 2 O beautiful earth! alive. aglow, itual temple. Let the radiance of my enthusiams With your million things that grow, envelop the poor courtyard and the bare class- I would lay my head on your ample room. Let my heart be a stronger column and knee. my goodwill purer gold than the columns and 1402. Julia Seton (1889-?) 'Songs of Earth." 1. St. 1, Nenuphal gold of rich schools. Ibid. 1911 3 A son, a son, a son! I wanted a son of yours 1 Dancing is a universal instinct-zoölogic, a bi- and mine, in those distant days of burning bliss ologic impulse, found in animals as well as in 3 For passion has come to the verge and leaps "Why Dance?," The Rhythm of the Headlong to the blind abyss, when my bones would tremble at your least man. murmur and my brow would glow with a radiant Redman 1930 Yet gathers thereby the strength of deeps, And eddies a moment and swirls and sweeps mist. "Poem of the Son," St. 1, op. cit. 2 In its natural, primitive form, dancing is vigor- Till peril is one with bliss! 4 he kissed me and now I am someone else ous muscular action to vent emotion. Originally. "Songs of Water." IV. St. 4. op. cit "He Kissed Me," St. 1, op. cit. it was the natural expression of the basic im- 5 My grief and my smile begin in your face, pulses of a simple form of life. Triumph. defeat. my son. "Eternal Grief," St. 2, op. cit. war, love, hate, desire, propitiation of the gods- 1406. Anita Owen (fl. 1890s) all were danced by the hero or the tribe to the 6 The crimson rose rhythm of beaten drums. 1 And in these eyes the love-light lies plucked yesterday, "Dance in the Animal World," op. cit. And lies-and lies and lies! the fire and cinnamon 3 But life has taught me that it knows better plans "Dreamy Eyes" c.189 of the carnation, than we can imagine, so that I try to submerge 2 Daisies won't tell. the bread I baked my own desires, apt to be too insistent, into a "Sweet Bunch of Daisies" 189 with anise seed and honey, calm willingness to accept what comes, and to make the most of it, then wait again. I have and the goldfish discovered that there is a Pattern, larger and flaming in its bowl. 1407. Hattie Starr (fl. 1890s) more beautiful than our short vision can All these are yours, baby born of woman, weave Epilogue, By a Thousand Fires 1967 1 Nobody loves me. well do I know, if you'll only go to sleep. Don't all the cold world tell me so? "If You'll Only Go To Sleep,' Sts. "Nobody Loves Me" 18 1-3, Tenura (Tenderness) 1924 7 Of the enemies of the soul- 1403. Madeline Talmage Astor (fl. 1890- 1945) 2 Somebody loves me; How do I know? the world, the devil, the flesh— Somebody's eyes have told me so! the world is the most serious and most dangerous. 1 [Being helped over the rail of the Titanic*] 1 "Somebody Loves Me" 18 "Todas Ibamos a Ser Reinas" (We Were All to Be Queens), rang for ice, but this is ridiculous!" Tala (Felling) 1938 Attr. 15 April 1912 1408. Daisy Ashford (1890?-1972) 8 I have all that I lost *British luxury passenger liner that sank during its maiden and I go carrying my childhood voyage after it struck an iceberg near Newfoundland: 1.513 lives were lost. I I am parshial [sic] to ladies if they are nice like a favorite flower that perfumes my hand. Ibid. suppose it is my nature. I am not quite a gent man but you would hardly notice it. 9 And I wished I were born with them. Ch. 1. The Young Visitors,* 19 Could it not be so another time? 1404. Mary E. Buell (fl. 1890s) *Written when the author was nine years old. To leap from a clump of banana plants one morning of wonders- 1 Something made of nothing, tasting very 2 My life will be sour grapes and ashes with a dog, a coyote, a deer; sweet, you. Ibid., Ch to gaze with wide pupils, to run, to stop, A most delicious compound, with ingredients to run, to fall, complete; to whimper and whine and jump with joy, But if, as on occasion, the heart and mind are 1409. Hallie Flanagan (1890-1969) riddled with sun and with barking, a hallowed child of God, his secret, divine It has sour, no great significance, and loses half its "The Kiss We were a violent lot,* a thom in the b servant. power. n.d. bureaucratic. Possibly that is one function of "Ocho Perritos" (Eight Puppies), op. cit. (294) GABRIELA MISTRAL 1401 7 "Do you know that the tendrils of graft and 1396. Enid Bagnold (1889-1981) 2 He was capitalized, consolidated, incorporated, corruption have become mighty interlacing roots copyrighted, limited, protected, insured, and all so that even men who would like to be honest I She keeps 'er brains in 'er 'eart. An' that's rights reserved, including the Scandinavian. are tripped and trapped by them?" where they ought ter be. An' a man or woman Ibid. Ibid., Ch. 11 who does that's one in a million an' as got my 8 "Dogs' lives are too short. Their only fault, backing. National Velvet 1935 1398. Fannie Hurst (1889-1968) really." Ch. 2. The Flowering 1972 : Things come suitable to the time. Childbirth. 9 Girls! Girls! Girls! An bein' in love. An' death. You can't know I It's hard for a young girl to have patience for With platted hair an' mebbe curls 'em till you come to them. No use guessing an' old age sitting and chewing all day over the Singin' in a chorus! dreading. Ibid. past. "Get Ready the Wreaths," Lord have mercy o'er us. Ibid., Ch. 4 Cosmopolitan 1917 : There's men as can see things in people. There's men as can choose a horse, an' 2 "I always say he wore himself out with that horse'l win. It's not the look of the horse, conscientiousness.' "She Walks in Beauty," no. nor of the child, nor of the woman. it's the Cosmopolitan 1921 1394. Mary Day Winn (1888-1965) thing we can see Ibid. 3 To housekeep, one had to plan ahead and carry 1 Sex is the tabasco sauce which an adolescent 4 "Love don't seem dainty on a fat woman." items of motley nature around in the mind and national palate sprinkles on every course in the Ibid. at the same time preside, as mother had, at menu. Adam's Rib 1931 table, just as if everything, from the liver and 5 MAITLAND. Madame loves the unusual! It's a bacon, to the succotash, to the French toast and middle-class failing-she says-to run away from strawberry jam, had not been matters of fore- the unusual. thought and speculation. Act I. The Chalk Garden 1953 1395. Anna Akhmatova (1889-1966) Ch. 2, Imitation of Life 1932 0 MRS. ST. MAUGHAM. You can't fit false teeth to 4 Papa lived so separately within himself that I 1 There is a sacred, secret line in loving which a woman of character. As one gets older and retreated to Mama, who wore herself on the older. the appearance becomes such a bore. attraction and even passion cannot cross,- Ibid. outside. Everything about her hung in view like Untitled. St. 4 (1915), White peasant adobe houses with green peppers and Flock, Jane Kenyon, tr. 7 MRS. ST. MAUGHAM. Privilege and power make little shrines, drying diapers and cooking uten- 1917 selfish people-but gay ones. Ibid. sils on the façade. Bk. I, Anatomy of Me 2 I remember how the gods turned people into 1958 8 MAITLAND. Praise is the only thing that brings things, not killing their consciousness. to life again a man that's been destroyed. And now, to keep these glorious sorrows Ibid. 1399. Elsie Janis (1889-1956) alive. you have turned into my memory of you. 1) OLIVIA. The thoughts of a daughter are a kind Untitled, st. 3 (1916), of memorial. Ibid., Act. III 1 When I think of the hundreds of things I might op. cit. be, 10 ALICE. Oh---a girl's looks are agony! 3 How quiet it is after the volley! Act I, Sc. 1, The Chinese Prime Minister I get down on my knees and thank God that I'm me. Death sends patrols into every courtyard. 1964 "Compensation," Poems Now and Untitled (1917), Plantain, 11 SIR GREGORY. Marriage. The beginning and the Then c. 1927 Jane Kenyon, tr. 1921 end are wonderful. But the middle part is 2 Why do we do it? 4 O great language we love: hell. Ibid., Act II Oh, Hell! What's the use? It is you. Russian tongue, we must save, and 12 BENT. So few people achieve the final end. Most Why battle with the universe? we swear are caught napping. Ibid., Act III Why not declare a truce? "Why?," We will give you unstained to the sons of our op. cit. sons. "Courage" 1942 13 SHE. We were so different that when two rooms separated us for half an hour-we met again as 5 It is not with the lyre of someone in love strangers. Ibid. 1400. Dorothy McCall (1889-?) that I go seducing people. The rattle of the leper It SHE. And if I die in ten years-or ten minutes- 1 One cannot have wisdom without living life. is what sings in my hands. you can't measure Time! In ten minutes every- Quoted in the Los Angeles Times Untitled, in toto, Twenty thing can be felt! In four minutes you can be 14 March 1974 Poems of Anna Akhmatova, Jane born! Or live. In two minutes God may be Kenyon, tr. 1985 understood! And what one woman grasps-all 2 Technology dominates us all, diminishing our freedom. Ibid. 6 And the sun goes down in waves of ether in men may get nearer to. Ibid. such a way that I can't tell if the day is ending, or the world. 1397. Mildred Cram (1889-?) 1401. Gabriela Mistral (1889-1957) or if the secret of secrets is within me again. "On the Road,' st. 3 (1964), I Publicity tripped upon the heels of publicity. 1 Let me be more maternal than a mother; able to op. cit. "Billy," Harper's Bazaar 1924 love and defend with all of a mother's fervor 92) (293) DEC-02-1991 19:01 FROM TO 91569130 P.02 CHILDREN'S HEALTH ISSUES 1. Morbidity Children in the U.S. today face different health challenges from those of as recently as 30 years ago. While infectious disease use to cause most morbidity and mortality, today's children are much more at risk for developmental problems, unintentional injury (the number one cause of death after age 1), violence, abuse or neglect, educational failure, and immoderate risk-taking including substance abuse. These "new morbidities" have required us to transform the content of preventive health services for children. While not abandoning the monitoring of physical health and development, child health providers now must focus much more intently on emotional, family and community issues. A new vision of child health supervision. Bright Futures: Guidelines for Health Supervision for Infants, Children, and Adolescents, to be used by child health providers, has just been completed. It forms the cornerstone of a paradigm shift in child health care toward a view which emphasizes enhancing the competence of children and families in context through an integration of health, mental health and other human services. This change in approach will allow the heath care system to better address the complex social issues which now contront our children and familics. Infant Mortality In 1992, the provisional U.S. infant mortality rate was 8.5 deaths per 1,000 live births, the incidence of low birthweight remained at 7.1 percent (the highest level reported since 1978). Additionally, 22 percent of women did not receive prenatal care in the first trimester of pregnancy. Concurrently, significant changes in delivery of perinatal services are occurring in response to diminishing resources and desire for cost containment, such as the shift toward managed care. Balancing the need for judicious use of resources with the continuing rates of adverse perinatal outcomes, the Department is funding an initiative called "Healthy Start" aimed at helping communities develop or maintain a quality perinatal delivery system. This initiative encompasses strategies to strengthen gaps in the system, increase provider participation for inadequately served women, and ensure that necessary services to enable women to enter and remain in care are routine components OF the service delivery package, especially in managed care environments. DEC-02-1994 19:02 FROM TO 94569130 P.03 CHILDREN'S HEALTH ISSUES 2. Pre-and Postnatal Care The Maternal and Child Health Bureau (MCHB) has had a long standing priority of promoting the health and safety of infants and young children in child care settings. In 1987 MCHB awarded a grant to the American Academy of Pediatrics (ЛЛР) and the American Public Health Association (APHA) for the development of National Health and Safety Performance Standards: Guidelines for Out-of-Ilome Child Care Programs. This document is a resource that can be used by state policy makers, state licensing and regulatory agencies, state MCH programs, child care health consultants, providers, advocates and parents to promote and protect the health of young children in child care. To enhance the usc of the standards MCHB supported five implementation grants in 1991, and 1992 to aggist States in their development and strengthening of their State health and safety standards for child care settings. The MCHB has also established the National Resource Center for Health and Safety in Child Care. The Center maintains a registry of child care health consultants and resource organizations, provides technical assistance in upgrading existing child care standards, develops resource material and provides a form for sharing experiences and knowledge. DEC-02-1991 19:02 FROM TO 91569130 P.01 CHILDREN'S HEALTH ISSUES 3. HIV/AIDS in Infants/Children, Adolescents and Women Infants/Children Epidemiology: Through June 1994, 5,734 children have been reported to the Centers for Disease Control and Prevention (CDC) with AIDS. Racial and ethnic minority children are disproportionately affected with the majority cases among African American (56 percent) and Hispanic (24 percent). of those children 3,100 (54 percent) have died. HIV/AIDS was the seventh leading cause of death among children aged 1 to 4 years nationwide; the second leading cause of death among African American children in Florida, Massachusetts. New Jersey and New York; and the second leading cause of death in Hispanic children in New York. Trends: HIV infects 1,300-2000 newborns born each year in the U.S. The number of cases among children is increasing with 39 percent of the total cases reported since 1993. Perinatal transmission accounts for 89 percent of the cumulative AIDS cases and 93 percent of the cases reported in 1993. of the 27 states that report HIV infection, 948 children are infected, but have not developed AIDS. Update on Activities: NIH ACTG 076 showed that Zidovudine therapy for HIV-infected pregnant women significantly reduces the risk of HIV perinatal transmission by two thirds. This research [inding points to the reduction of HIV-infected children, however the long term effects are unknown for the mother and the infant who receive this therapy. PHS agencies are actively integrating these findings in the identification and provision of services for pregnant women. Ryan White Title IV, administered by the Health Resources and Services Administration, has been funded to provide primary care of HIV-intected children, youth, women and families. CDC has recently revised the classification system for HIV infection in children less than 13 years old. This revision was based on additional knowledge about the progression of HIV disease among children. DEC-02-1991 19:03 FROM TO 94569130 P.05 CHILDREN'S HEALTH ISSUES 3. HIV/AIDS in Infants/Children, Adolescents and Women (Cont'd) : Adolescents/Youth Epidemiology: The CDC reported that 1,768 adolescents between the ages of 13 to 19 have been diagnosed with AIDS as of June, 1994. It is the sixth leading cause of death for adolescents and young adults aged 15 to 24. The 1993 statistics indicated that this disease killed more young people than any other infectious disease. Trends: Every year, 3 million adolescents, which is one out of six, are infected with a sexually transmitted disease other than HIV/AIDS. A greater percentage of adolescents than adults with AIDS are temale (29 percent vs 11 percent), are African American and Latino (58 percent and 46 percent) and were infected through hotcroscxual contact (16 percent vs 6 percent). Update on Activities: The CDC Youth Prevention Marketing Campaign targets youth with media prevention message. The goal is to prevent the sexual transmission of HIV and other sexually transmitted diseases among young pcople 25 years of age and younger. The HHS Coordinating Group on HIV/AIDS, HIV Prevention Working Group, has developed drafted a document LO establish priorities for investment in HIV/AIDS prevention and develop a comprehensive plan for HIV/AIDS prevention activities. DEC-02-1991 19:03 FROM TO 91569130 P.06 CHILDREN'S HEALTH ISSUES 4. The Childhood Immunization Initiative Childhood immunization was one of the earliest priorities of the Clinton Administration. In response to disturbing gaps in the immunization rates for young children in America, the Administration designed a comprehensive Childhood Immunization Initiative. This national initiative address five areas: 1) Improving immunization service for needy families, especially in public health clinics 2) Reducing vaccine costs for lower-income and uninsured families, especially for vaccines provided in private physician offices (Vaccines for Children Program-VFC*) 3) Building community networks to reach out to tamilies and ensure that young children are vaccinated as needed 4) Improving systems for monitoring diseaseo and vaccinations 5) Improving vaccines and vaccine use Although 96 percent of children are adequately vaccinated by kindergarten, almost one third of American children under age two are inadequately protected against childhood diseases. *Vaccines for Children Program (VFC) : On October 1, 1994, the Department of Health and Human Services implemented the VFC program, which will provide free vaccine to children at participating private and public health-care provider sites of their choice. Children who are eligible for free vaccines include those on Medicaid, those without insurance, and American Indians/Alaskan Natives. In addition, children whose insurance does not cover vaccination (i.e., who are underinsured) can receive vaccines through the VFC al federally qualified health centers and rural health clinics. Other children can receive free vaccines at public clinic under existing programs. DEC-02-1994 19:03 FROM TO 91569130 P.07 CHILDREN'S HEALTH ISSUES 5. Specific Diseases: Measures to improve and maintain child health are high priorities for the Centers for Disease Control and Prevention (CDC). Through epidemiologic and laboratory research CDC works to achieve this priority by developing and evaluating diagnostic tests and vaccines, and by designing preventive health measures. Diarrheal Diseases Diarrheal diseases cause the deaths of 400 children in the United States yearly. These deaths represent 10% of the preventable deaths in children and are tour times more common among blacks than whites. Giardiasis and cryptosporidiosis are two of the most common causes of outbreaks of diarrheal illness in children in day care facilities. An estimated 12 million children attend day care facilities in the United States each day. During outbreaks of these illnesses from 20%-40% of the children may become infected. Rotavirus also causes serious diarrhea in children in the United States. There are an cstimated 3.5 million episodes of rotavirus intections and 70-100,000 hospitalizations annually. F. coli 0157:H7 is an emerging cause of foodborne illness. An estimated 20,000 cases of infection occur each year in the United States. The infection leads to bloody diarrhea and is easily spread from person to person. The infection can lead to hemolytic uremic syndrome (HUS), a life- threatening kidney failure. HUS is the leading cause of acute kidney failure in children. Pneumococcal Disease Pneumococcus is the bacterium that most. often causes middle ear infections (otitis media) among children. Middle ear infection is one of the most common childhood illnesses and can lead to permanent hearing loss and learning disabilities. In 1990, ear infections resulted in 24 millon doctor visits. Almost all children have at least one ear infection each year. The bacteria responsible for most ear infections are becoming resistant to commonly prescribed drugs; approximately 1 million ear infections are now caused by drug-resistant bacteria. DEC-02-1991 19:01 FROM TO 91569130 P.08 CHILDREN'S HEALTH ISSUES 5. Specific Diseases (Cont'd) : Bacterial Meningitis Bacterial meningitis ic a life-threatening infection of the central nervous system. Hemophilus influenzae type b (Hib) is one cause of bacterial meningitis which has had a substantial death rate in children. There are approximately 11,000-12,000 cases per year caused by this bacteria; 30% of the children who survive have permanent neurologic damage. Hib vaccines that are effective against meningitis in infants have been developed and have sharply reduced the incidence of Hib disease in the United States in the past few years. Development of the Hib vaccines may ultimately result in the eradication of Hib disease in young children Respiratory Syncytial Virus Respiratory syncytial virus (RSV) disease infects nearly all children by the time they are 2 years of age. This disease in the single most important cause of lower respiratory illness in infants and children and can lead to the development of pneumonia and bronchiolitis. RSV causes 4,500 deaths annually in the United States and about 90,000 hospitalizations. DEC-02-1994 19:04 FROM TO 94569130 P.09 CHILDREN'S HEALTH ISSUES 6. Youth Issues Current studies indicate that adolescents are at greater health risks today from their behaviors than from disease. Furthermore, adolescents engage in risky behaviors at increasingly earlier ages. Alcohol, tobacco, and other drug use as well as HIV infection and other sexually transmitted diseases are a few of the major health problems that continue to be major threats to the health of adolescents. STATISTICS (CDC Tables attached) : The death rate for adolescents and young adults was 100.1 per 100,000 in 1991. This rate, which declined from 1980 to 1983 has increased over the past several years; the rate now is above the 1990 prevention goal. The three leading causes of death for 15 to 24-year- olds are unintentional injuries, suicide, and homicide. For 15 to 24-year-old black males, the 1991 homicide rate was 90.0 per 100,000, nearly double that of the previous decade. Rates among young black men exceed rates for young white men by as much as eight times. The proportion of 20 to 24-year-olds who are regular cigarette smokers has declined from 30 percent in 1987 to 24 percent in 1991. Substance abuse by young people also has declined between 1988 and 1992. Among 12 to 17-year-olds reporting on substance use, alcohol, marijuana, and cocaine use declining from 25.2 to 15.7 percent. Alcohol use among 18 to 20-year-olds declined from 57.9 percent to 50.3 percent in 1993. Substance Abuse The rate of drug abuse in children is alarming. The National Household Survey (NIDA) estimates that up to seven million children abuse alcohol and drugs to some extent. The timing of interventions into abuse of substances has been shown to be critical to success. The importance of intervening during sensitive periods, before precursor problem behaviors have become rigidly set, is highlighted in many studies. Duration of interventions is also critical. Interventions need a developmental perspective, with a comprehensive series of age-specific interventions and time to enhance and sustain health adaptation and skills. DEC-02-1994 19:11 FROM TO 91569130 P.02 CHILDREN'S HEALTH ISSUES 6. Youth Issues Substance Abuse (Cont'd) Generalizing the effects of interventions is dependent on parents, teachers, and peers; the site of intervention; and such factors as involvement of natural helpers such as making interventions relevant to the participant's natural environment, such as school and playground. The Substance Abuse and Mental Health Services Administration (SAMHSA) is planning to work with the Maternal and Child Health Bureau in IIRSA and the Department of Education, to assist schools incorporate comprehensive treatment approaches to school health programs. SAMHSA is also developing instruments to provide reliable assessment of substance abuse treatment needs of youth. since 1987, the SAMHSA has awarded 361 demonstration grants to community-based organizations to develop innovative strategies to prevent alcohol and drug use in their community's high risk youth population. The prevention programs emphasize protective factors and reduce risk factors related to drug and alcohol abuse and associated problems. Since 1990, SAMHSA has also funded 269 Community Partnership programs to enable communities to identify, design and implement solutions to specific alcohol and other drug abuse problems and concomitant behaviors. Teen Pregnancy In the U.S., one million adolescent girls nearly 12 percent--become pregnant each year. More than 80 percent of these pregnancies are unintended, approximately one-third end in abortion and one-half in a live birth. Most adolescent childbearing occurs outside of marriage and this has increased markedly during the past two decades. In 1992, 70 percent of births to adolescents were out-of- wedlock compared to slightly less than 30 percent in 1970. Evaluations of adolescent pregnancy prevention programs indicate that a combination of interventions works best. Programs that include abstinence education, sexuality education, social skills training and practice in applying skills, as well as information about contraceptives have demonstrated positive effects in both delaying sexual initiation and increasing the use of contraceptives among the sexually active. DEC-02-1991 19:05 FROM TO 91569130 P.10 CHILDREN'S HEALTH ISSUES 6. Youth Issues Teen Pregnancy cont'd) Federal responses to adolescent pregnancy include: The Title XX Adolescent Family Life Program supports demonstration projects designed to prevent adolescent pregnancy through abstinence-based education programs and provide medical and social services for pregnant and parenting adolescents. The Title X Family Planning Program provides services to low-income persons; one-third of its clients are adolcocents. New priority initiatives for the program include more emphasis on services to prevent adolescent pregnancy and increased outreach to adolescents. Medicaid is a Federal/State program that reimburses health care providers for medical services to low-income persons, including adolescents. Medicaid expends more than $200M annually to support family planning services. Community Health Centers, Migrant Health Centers, the Maternal and Child Health Block Grant and the Social Services Block Grant also provide family planning services. Violence STATISTICS: Young people are disproportinately represented among the victims and perpetrators of violence. The average age of both violent offenders and victims has been growing younger and younger in recent years. Homicide is the second leading cause of death among 15 to 24-year-olds in the U.S. and the leading cause of death for young African-American males and females. Between 1988 and 1992, the number of violent Crime Index arrests of juveniles increased by 47 percent -- more than twice the increase for persons 18 years in age and over. Most alarming, juvenile arrests for murder increased by 51 percent, compared to nine percent for adults. The estimated 129, Violent Crime Index arrests of juveniles in 1992 was the highest in history. with 3. 300 arrests for murder, 6,300 for forcible rape, 45,700 for robbery, and 74,400 for aggravated assault. DEC-02-1994 19:06 FROM TO 91569130 P.11 CHILDREN'S HEALTH ISSUES 6. Youth Issues Violence (Cont'd): The Public Health Service focuses on primary prevention and "what works' to prevent youth violence before it begins. Based on a $42M research base on violence and traumatic stress in NIH's National Institute on Mental Health, the other agencies of the PHS formulate and implement demonstrations, evaluating "what works". Our research has documented that home vicitation programs, having nurses visit families at risk for violence in the home, work to prevent violence, as do early childhood education programs like Headstart. It has also shown that problem-solving and skills-building/jch training programs, with direct application to young people's lives, are effective. PHS's specific efforts include the epidemiological and violence prevention efforts of CDC, the violence research conducted by the National Institutes of Health, the high- risk youth and substance abuse-related violence prevention activities of SAMHSA, HRSA's violence prevention work with community health centers and providers, Indian Health Service family and youth violence prevention services, and the Office of Minority Health's recent funding of 16 Historical Black Colleges and Universities to establish family life centers. PHS also co-sponsored with the Administration for Children and Families (ACF) and six other Federal Departments and the Office of National Drug Policy Control, an August 1994, conference on youth violence, and on the Pulling America's Communities Together effort now underway in D.C., Atlanta, Denver, and the State of Nebraska. The PHS is also working with ACF and the Department of Education on the implementation of the $26M Community Schools portion of the FY 1995 Crime Bill funding. THE SUMMIT OF THE AMERICAS SECURING A PROSPEROUS FUTURE FOR OUR CHILDREN AND THROUGH OUR CHILDREN INTRODUCTION The Hemisphere's leaders and their spouses are coming together not only as the heads of their governments and people, but also as parents and members of families who recognize that one driving force behind the Summit is to ensure children's well- being now and in the future. This memo identifies the many ways in which the proposed Summit initiatives affect children. The implementation of the Summit initiatives will bring about a better standard of living for the children of the hemisphere, through increased trade and jobs, improved access to health and education, and the protection of their rights. Future generations will be called upon to continue the work initiated at the Miami Summit--we must prepare today's children to be the leaders of tomorrow's integrated and democratic Western Hemisphere. The Summit Initiatives: Impact on Children A. Hemispheric Free Trade/Capital Markets Liberalization Creates more jobs, allowing families to enjoy a higher standard of living. * Lessens need to depend on children to help augment the family's income, thus reducing child labor. Provides more commodity variety at more competitive prices, helping to decrease malnutrition in children. B. Hemispheric Infrastructure Protocol 2 * Increases access of all sectors of society to better transportation, electricity, and clean water. C. The Information Infrastructure of the Americas * Increases communication throughout the hemisphere, which will foster greater understanding, cooperation, and integration. D. Enhancement of the Capacity of the OAS to Strengthen Democracy * Helps prevent political violence, which has a profound effect on the well-being of our children. E. Strengthening Civil Society Encourages the growth of civic-minded non- governmental organizations, which will benefit children directly, at the grass roots level. Helps ensure that groups such as disabled, indigenous, and female children receive fair and equitable treatment. F. No To Corruption Teaches our children that corruption is unacceptable by treating corrupt public servants and businesspersons as criminals. G. Counternarcotics Initiatives Narcotics consumption, production, and trafficking threaten all children directly. In order to safeguard children's health and their futures, we must educate our children on the dangers of drug abuse. We must continue our efforts to protect children from this threat and prevent them from becoming involved in those criminal activities. H. Universal Access to Quality Primary Education * All children, regardless of economic or social situation, will receive the basic tools necessary to become full, participatory members of society, especially women, minorities, and indigenous groups. 3 * Requiring children to attend primary school will help eradicate child labor. * Ensures that all children have the foundation necessary to compete in a modern economy and/or to go on to higher levels of education; secondary school will train students for more complex jobs, allowing them to be more competitive in the modern world economy. I. Equitable Access to Basic Health Service Reducing child, infant, and maternal mortality rates will clearly benefit children, who are particularly vulnerable to illness and unhealthy living conditions. The success of immunization programs in eradicating the childhood diseases polio and the german measles demonstrate the importance of universal access to such prevention programs. A healthy child is more likely to grow up to be a healthy adult, requiring fewer health services over the course of his or her life. J. Nurturing Microenterprises Helps families obtain the means to support themselves for the long term. K. Sustainable Energy Development and Use Developing cleaner sources of energy will improve the health of our children. We need to ensure that our children are left with options for renewable sources of energy. L. Partnership for Biodiversity/Western Hemisphere Environmental Partnership * Ensures that we do not destroy the living resources or environment of our planet for the sake of future generations. 10. UNIVERSAL ACCESS TO QUALITY PRIMARY EDUCATION LARGE SEGMENTS OF SOCIETY IN OUR HEMISPHERE HAVE NOT BEEN EQUIPPED TO PARTICIPATE FULLY IN ECONOMIC LIFE, PARTICULARLY WOMEN, MINORITIES AND INDIGENOUS GROUPS. NEARLY ONE-HALF OF THE HEMISPHERE'S POPULATION LIVES IN IGNORANCE AND POVERTY. INVESTING IN EDUCATION HELPS higher ENSURE THAT ALL MEMBERS OF SOCIETY HAVE THE CAPACITY TO CONTRIBUTE TO ECONOMIC PROGRESS, THEREBY DEEPENING THE with ROOTS OF DEMOCRACY, PROMOTING POLITICAL STABILITY AND FURTHERING ECONOMIC GROWTH. but NATIONAL ACTIONS INDIVIDUAL GOVERNMENTS WILL: as Wart -- DESIGNATE A REPRESENTATIVE AGENCY TO WORK WITH ITS PRIVATE SECTOR AND NGOS TO REVIEW CURRENT STRATEGY AND PROGRAMS AND TO ASSESS CHANGES NEEDED TO ATTAIN BY THE YEAR 2010 A PRIMARY COMPLETION RATE OF 100 PER CENT AND A SECONDARY ENROLLMENT RATE OF AT LEAST 75 PER CENT. INTERNATIONAL ACTIONS WORKING TOGETHER, GOVERNMENTS WILL: -- CREATE A HEMISPHERIC PARTNERSHIP, WITH A SECRETARIAT, TO PROVIDE A CONSULTATIVE FORUM FOR GOVERNMENTS, NGOS, THE BUSINESS COMMUNITY, DONORS, AND INTERNATIONAL ORGANIZATIONS TO REFORM POLICIES AND FOCUS RESOURCES MORE EFFECTIVELY. 11. ENSURING EQUITABLE ACCESS TO BASIC HEALTH SERVICES DESPITE IMPRESSIVE GAINS IN THE HEMISPHERE, CHILD AND MATERNAL MORTALITY REMAIN EXCESSIVE, PARTICULARLY AMONG THE RURAL POOR AND INDIGENOUS GROUPS. NATIONAL ACTIONS INDIVIDUAL GOVERNMENTS WILL: -- DESIGNATE NATIONAL HEALTH REFORM COMMISSIONS, INCLUDING PUBLIC AND PRIVATE SECTOR PARTICIPANTS AND DONORS, TO PROMOTE EFFORTS TO REDUCE (FROM 1990 LEVELS) CHILD MORTALITY BY ONE-THIRD AND MATERNAL MORTALITY BY ONE-HALF BY THE YEAR 2000, IN ACCORDANCE WITH THE 1990 WORLD SUMMIT FOR CHILDREN, THE 1994 NARINO ACCORD, AND THE 1994 INTERNATIONAL CONFERENCE ON POPULATION AND DEVELOPMENT. -- ENDORSE A BASIC PACKAGE OF CLINICAL AND PUBLIC HEALTH SERVICES CONSISTENT WITH WORLD HEALTH ORGANIZATION AND WORLD BANK RECOMMENDATIONS. THE PACKAGE WILL ADDRESS will all CHILD AND REPRODUCTIVE HEALTH INTERVENTIONS, INCLUDING PRENATAL, DELIVERY AND POSTNATAL CARE, FAMILY PLANNING INFORMATION AND SERVICES AND HIV/AIDS PREVENTION. -- DEWELOP COUNTRY ACTION PLANS FOR REFORMS TO ACHIEVE HEALTH GOALS AND ENSURE UNIVERSAL, EQUITABLE ACCESS TO SERVICES. REFORMS WOULD ENCOMPASS ESSENTIAL SERVICES FOR THE POOR AND INDIGENOUS PEOPLES; STRONGER PUBLIC HEALTH INFRASTRUCTURE; ALTERNATIVE MEANS OF FINANCING, MANAGING AND PROVIDING SERVICES; AND MAKING GREATER USE OF NGOS. INTERNATIONAL ACTIONS WORKING TOGETHER, GOVERNMENTS WILL: -- STRENGTHEN THE EXISTING WORLD BANK/PAN AMERICAN HEALTH ORGANIZATION ECONOMIC AND FINANCING NETWORK AS AN INTERNATIONAL FORUM FOR SHARING EXPERTISE, INFORMATION AND EXPERIENCE ON HEALTH REFORM EFFORTS. THE NETWORK WILL GATHER GOVERNMENT OFFICIALS, REPRESENTATIVES OF THE PRIVATE SECTOR, NGOS, DONORS AND SCHOLARS TO SHARE INFORMATION ON REFORM INITIATIVES CURRENTLY UNDERWAY. -- CONVENE A SPECIAL MEETING WITHIN PAHO TO PLAN STRENGTHENING OF THE REGIONAL NETWORK. Janeta (waldman ok) 1 456 5691 6485 (fax) THE WESTERN HEMISPHERE IS RICH IN ITS DIVERSITY AND CHILDREN ARE ITS GREATEST TREASURE. BUT CHILDREN DO NOT GROW UP WITH EQUAL OPPORTUNITIES. TOO MANY ARE DISABLED OR DIE FROM DISEASES THAT ARE ENTIRELY PREVENTABLE TOO MANY--IN BOTH SOUTH AND NORTH-- GROW UP IN POVERTY, LACK ADEQUATE NUTRITION, GO TO SLEEP HUNGRY, LIVE IN UNSANITARY ENVIRONMENTS, AND RECEIVE INADEQUATE EDUCATION. TOO MANY--IN BOTH SOUTH AND NORTH-- DROP OUT OF SCHOOL, ARE HOMELESS, LIVE ON THE STREET AND BECOME VICTIMS OF VIOLENCE. BUT THIS HEMISPHERE HAS ALSO MADE A GREAT COMMITMENT TO ITS CHILDREN, AND WE ARE ALREADY TAKING REMARKABLE ACTION TO HONOR THIS COMMITMENT. THE REGION TOOK THE INITIATIVE IN 1990 TO CREATE THE WORLD SUMMIT FOR CHILDREN. MEXICO AND CANADA WERE TWO OF THE SUMMIT'S CONVENERS, AND CANADA WAS ITS CO-CHAIR. MORE HEADS OF STATE FROM THIS HEMISPHERE TOOK PART IN THE SUMMIT THAN FROM ANY OTHER REGION, AND THEY TOOK THE INITIATIVE IN FOLLOWING UP ON THE COMMITMENTS OF THAT SUMMIT. 2 NEARLY EVERY COUNTRY IN THE WESTERN HEMISPHERE HAS ALREADY PREPARED A NATIONAL PROGRAM OF ACTION FOR CHILDREN, WHICH THE WORLD SUMMIT FOR CHILDREN CALLED FOR. THIS IS THE ONLY REGION OF THE WORLD THAT HAS REGULAR EVALUATION OF WHAT EACH COUNTRY IS NOW DOING TO CARRY OUT ITS PROGRAM OF ACTION. IN 1992, MEXICO CONVENED THE FIRST EVALUATION MEETING. COLOMBIA CONVENED THE SECOND IN APRIL 1994. THAT MEETING PRODUCED THE NARIÑO ACCORD, WHICH RENEWED THIS HEMISPHERE'S COMMITMENT TO CHILDREN, AND ENDORSED A SET OF MID-DECADE GOALS TO GUARANTEE VISIBLE RESULTS BY THE END OF 1995. ACHIEVING THESE GOALS WILL KEEP THE HEMISPHERE IN THE VANGUARD. ONE GOAL HAS ALREADY BEEN ACHIEVED. AS WAS ANNOUNCED AT THE HEADQUARTERS OF THE PAN AMERICAN HEALTH ORGANIZATION ON SEPTEMBER 29, 1994, POLIO HAS NOW BEEN ELIMINATED FROM THIS HEMISPHERE. MOST COUNTRIES HAVE REACHED AND ARE NOW SUSTAINING IMMUNIZATION RATES OF EIGHTY PER CENT OR MORE. 3 AND THE NUMBER OF REPORTED CASES OF MEASLES HAS DECLINED DRAMATICALLY. ELIMINATING MEASLES FROM OUR HEMISPHERE IS NOW A REAL POSSIBILITY. THE NUMBER OF CASES OF NEONATAL TETANUS HAS ALSO DROPPED REMARKABLY-- THOUGH FURTHER PROGRESS IS NEEDED. THE ANDEAN REGION IS ALSO CLOSE TO THE GOAL OF IODIZING ALL SALT CONSUMED BY HUMANS-- THUS ELIMINATING THE GREATEST CAUSE OF MENTAL RETARDATION IN OUR MIDST. DEATHS FROM DIARRHEA HAVE PLUMMETED, AND HOSPITALS ALL OVER THE HEMISPHERE ARE BEING DECLARED 'BABY-FRIENDLY.' NEARLY ALL COUNTRIES HAVE RATIFIED THE CONVENTION ON THE RIGHTS OF THE CHILD, AND ARE NOW IMPLEMENTING IT. IN THESE AND MANY OTHER WAYS, THE AMERICAS ARE SETTING AN EXAMPLE FOR THE ENTIRE WORLD. ONE EXAMPLE IS THE CONCEPT OF 'DAYS OF TRANQUILLITY,' WHICH PERMIT CHILDREN TO BE IMMUNIZED EVEN IN THE MIDST OF WAR. THIS WAS FIRST DEVELOPED IN EL SALVADOR IN 1984. 4 ANOTHER EXAMPLE IS THE CONCEPT OF SOCIAL MOBILIZATION-- GALVANIZING ALL SECTORS OF SOCIETY AROUND CHILDREN'S IMMUNIZATION- INCLUDING THE CHURCH, THE MILITARY, THE PRIVATE SECTOR AND NON-GOVERNMENTAL ORGANIZATIONS. THIS WAS FIRST WIDELY APPLIED IN COLOMBIA IN 1982. IN BRAZIL, THE STATE OF CEARA WAS HONORED WITH THE MAURICE PATE AWARD IN 1993 FOR ITS OUTSTANDING WORK ON BEHALF OF CHILDREN. NEARLY EVERY STATE IN BRAZIL AND MEXICO IS NOW DEVELOPING ITS OWN PLAN OF ACTION FOR CHILDREN. PROVINCES IN THE DOMINICAN REPUBLIC, DEPARTMENTS IN GUATEMALA, AND MUNICIPALITIES IN ARGENTINA ARE DOING THE SAME. YES, MUCH HAS BEEN DONE. BUT OUR WORK IS UNFINISHED. A HUGE AGENDA REMAINS BEFORE US. FIRST, WE MUST-SUSTAIN AND REAFFIRM COMMITMENT TO THE MID-DECADE AND DECADE GOALS OF THE 1990 WORLD SUMMIT FOR CHILDREN. SECOND, THE CONVENTION ON THE RIGHTS OF THE CHILD MUST BE FULLY IMPLEMENTED BY LEGISLATIVE REFORM, PUBLIC EDUCATION, AND SERVICES TO PROTECT CHILDREN. THIRD, ACHIEVEMENTS ALREADY BENEFITING THE MAJORITY 5 MUST BE EXTENDED TO ALL. THE QUALITY OF EDUCATION MUST BE IMPROVED-- IN BOTH SOUTH AND NORTH. ALTHOUGH THE AMERICAS HAVE HIGH RATES OF SCHOOL ENROLLMENT, THEY ALSO LEAD THE WORLD IN SCHOOL DROPOUTS. EFFORTS TO MAKE SCHOOLS MORE CHALLENGING, MORE APPEALING, AND MORE AFFORDABLE MUST GO HAND-IN-HAND WITH EFFORTS TO ELIMINATE CHILD LABOR AND TO TRAIN YOUNG PEOPLE FOR EMPLOYMENT IN A MODERN ECONOMY. MATERNAL MORTALITY RATES IN THIS HEMISPHERE ARE STILL UNACCEPTABLY HIGH, AND PNEUMONIA STILL CAUSES BETWEEN TEN AND THIRTY PERCENT OF ALL YOUNG CHILDREN'S DEATHS. IN BOTH RURAL AREAS AND POOR URBAN NEIGHBORHOODS SOUTH AND NORTH-- SANITATION MUST BE IMPROVED TO PREVENT FURTHER OUTBREAKS OF CHOLERA AND OTHER DISEASES. THE WESTERN HEMISPHERE'S 130 MILLION YOUNG PEOPLE ARE OUR WORKERS AND THINKERS, THE LEADERS OF TOMORROW. THEY SHOULD BE HEARD FROM TODAY. 6 BUT THEY ARE CONFRONTED WITH PROBLEMS AS NEVER BEFORE: CHILD ABUSE AND CHILD EXPLOITATION; TEEN PREGNANCY-- CHILDREN HAVING CHILDREN; SEXUALLY TRANSMITTED DISEASES-- INCLUDING THE DEADLY HIV VIRUS THAT CAUSES AIDS; ILLEGAL AND LEGAL DRUGS, INCLUDING ALCOHOL AND TOBACCO. AND GUNS AND VIOLENCE-- NOW THE SECOND LEADING CAUSE OF DEATH AMONG CHILDREN AGED 10 TO 14 IN THE UNITED STATES. YES, WE HAVE ALREADY DONE MUCH. BUT WE HAVE SO MUCH MORE TO DO. AND WE ALL KNOW WHAT IS NEEDED-- POLITICAL WILL AND THE COURAGE TO PUT CHILDREN'S NEEDS FIRST. WHEN NATIONAL PRIORITIES ARE DETERMINED, OUR WILL MUST MATCH OUR PROMISES. Drew Elementry School, miami Copyright 1993 The New York Times Company: Abstracts Information Bank Abstracts (most articleswl abstracts before-them) MIAMI HERALD January 24, 1993, Sunday SECTION: Section M; Page 5, Column 3 LENGTH: 42 words HEADLINE: A LITTLE SCHOOL WITH BIG IDEAS BYLINE: BY TAFFY GOULD MCCALLUM JOURNAL-CODE: MH ABSTRACT: Taffy Gould McCallum interview with Miami (Fla)'s Drew Elementary School principal Frederick Morley reports on his successful program of school reform that draws national attention; focuses on his concern for active community involvement; photo (L) GRAPHIC: Photograph LANGUAGE: ENGLISH (c) 1994 The Miami Herald Publishing Co. All rts. reserv. 07005164 A LITTLE SCHOOL WITH BIG IDEAS A CONVERSATION WITH A PRINCIPAL WHO GETS THINGS DONE Miami Herald (MH) - SUN January 24, 1993 By: TAFFY GOULD McCALLUM Special To The Herald Edition: FINAL Section: VIEWPOINT Page: 5M Word Count: 2,206 TEXT: Q. The first this community became aware of Drew Elementary was with the issue of school uniforms, when the parents of this school decided they would like their children to wear uniforms because they thought it would improve discipline. How did that work out? A. The majority of our students are still wearing uniforms. This is a public school, and in a public school uniforms cannot be mandatory. However, we encourage them. The uniforms are so much cheaper than the other clothing: approximately $30. With name-brand jeans, for example, today you might pay $60 just for one pair. Another plus is the fact that our attendance is up. We are above 95 percent and that's good. We didn't have that before uniforms. I think the children are coming to school because (they) wake up in the mornings and realize that "I don't have to stand in front of this closet saying 'what am I going to wear today?' Another plus is that the first day of school we have most of our children here. In the past, many of the parents (would) say, "I don't have the money for clothing. I have to wait until I get my check to buy clothing for school." When they say that, they're talking about the latest fashions. It's the most ridiculous thing, where the children wear labels and all these kinds of things. Q. You once commented that you attributed the success of this school in large part to the fact that you had an outside board made up of executives from major corporations. Is that continuing? A. Yes, as a matter of fact, I'm going to take you out into our "Ecosystem," which was sponsored by Southern Bell, (a project) where animals are free in the ecosystem. You'll see iguanas out there, Cuban anoles and others, and everyone's just amazed by this. It was something I was sort of against, but because of school-based management, shared-decision making, the cadre said, "Mr. Morley, we want to do this," and I wanted them to be successful. Q. It seemed to me at the time that the major corporations who rely on an educated work force for their employees would have it in their best interests to participate in what's happening in the schools. A. This is one of the things that the officials from Southern Bell told me, that "we need your students -- we're going to need them in the future and we need to work together." So, for that reason, they are supporting us. Q. Do they contribute in money and in ideas? A. Yes. Q. How does that work? A. We've said "we need you to come out to the school, we need you to talk to our students." We have school on Saturdays, and Southern Bell supported us and other groups in the community supported us, and we are very appreciative. Q. What about parental involvement? Has that always been a hallmark of this school, or is that something you've had to encourage? A. You have to encourage that, because many parents are working parents, and sometimes children come to school right after their parents leave for work. That's at 7 o'clock in the morning, and sometimes those parents don't work just eight hours or five hours. They're working late into the afternoons and they may get home at 6 o'clock, and they don't have time to come out to the school. It's not that they don't want to, but because of economic reasons they can't come out. Q. How about involvement at home? A. (In Chapter 1 schools, which qualify for the federal program that serves economically and educationally disadvantaged students) we have what we call a parent-involvement specialist, one who contacts the parents. This person might even go out late in the afternoon, might have to go out on a Saturday or a Sunday to work with those parents and tell those parents how they can help their children. Those parents are also able to check out computers to assist their children. Q. I'd be curious to know how you feel about the school voucher system. It sounds as though if vouchers were in effect, everyone would want to come to this school. A. Yes. We know that. My concern would be global. It would not hurt Drew Elementary. But I'm afraid it would hurt many of the other schools, and we have to look at the total school system, and we need all of our schools. Q. But is it reasonable to think, based on what the people who are in favor of vouchers are saying, that if vouchers were in effect, those schools that one might think would be hurt would actually upgrade so they could attract students as you are? A. I think that from what I hear from Milwaukee, where they've started this, where they have the pilot program, that has not been the case. Q. The schools have not upgraded? A. Right, that's my understanding. Q. You've also had great success with your Saturday program, haven't you? A. Yes. What we've found, and we did our own study, is that those students who came to Saturday school did better than those of a similar mental ability that decided to stay home and look at cartoons. That's where we got additional parental involvement. We have parents who came our first year, and they supplied the lunches, but they got the whole community involved. Originally, we were supposed to have just reading, writing and mathematics, and we had the reading, writing and mathematics, but we found out that some of those students were hungry. They didn't eat, and they just needed a snack or something. So we got the community involved. We said, OK, Southern Bell, this is your time to do something. We went to political people -- the mayor- of Miami, (Xavier) Suarez -- and said, this is your day to provide a lunch, this is your Saturday. Q. What do you think (of) the idea of merit retention of teachers, and what criteria would you use to judge them? A. We tried that once before, and you know, it's very difficult because you have many outstanding teachers. Q. But are poor teachers a problem, do you think, nationwide? A. Yes, I think that is definitely a problem. We have to be willing to get rid of poor teachers. You can, if you really want to do it, if you go in there and observe and follow the procedure. I think if you check the records in Dade County, you have many of the poor teachers (who) have been dismissed, but it's up to us as administrators to go out and weed out those poor teachers. Q. The idea of tracking, or homogeneous grouping, has come under fire recently. Those who are against it feel that children of like abilities should not necessarily be grouped according to their ability but, rather, that heterogeneous grouping -- where everyone is thrown in together -- is really the better way. Do you have an opinion on that? A. That's been debated for years, and it's still being debated. I have a gifted program here, a full-time gifted (program), and we're trying something new. In the lower grades we aren't going to use the homogeneous grouping; we're going to use the heterogeneous grouping with the primary students who are gifted. In other words, they're going to be in the regular classes, and I have a teacher teaching all of the children as if they're gifted. So we're doing both, and we're going to look at the results to see what's best for our students and we're going to go from there. Q. How do you feel about establishing a greater network of trade schools for those students who are not capable of doing college work but obviously need to have some trade on which they can rely for a livelihood? Do you think we should be tracking students off into trade schools at a high school level? A. You know, we're building the William Turner Center. That's going to be for academic achievement -- basic skills -- but also for people who want to learn trades, and I think that it's very important. Today, I wish I could find a roofer! I don't think we should wait until we get to high school. I think that we should do what we're doing here at Drew Elementary. We have our career lab right here at Drew. All our students, before they leave here, go through that career lab. They sit down at the plumber station, they sit down at the electrician station, they sit down at the fireman station, and they go through all these things, and not only that, we bring in these individuals from the community to talk with our students. We think this is important, because down the street you can see some individuals who may be role models, but they're selling drugs. And they come out there and drive their Mercedes and they have all the gold chains and everything around their necks and -- that's a role model for these individuals -- so it's important for us to bring in the plumber who lives down the street who can sleep at night without someone breaking down the door, dragging him off to jail. That's important to us. Q. At what level do the children start, in what grade? A. They start in grade four. All our fourth-, fifth- and sixth-graders go through the lab, because we want to make sure they all get a feel of this before they leave. We introduce them to different careers right here. We aren't saying, "You don't have the ability." We aren't going to label them and track them at this particular point and say, "OK, you cannot make it in school; therefore, you're going to be a plumber." But we introduce all our students to this, and it's up to them and up to the middle schools later on to guide them into different fields. Q. Margaret Mead once commented that the greatest travesty in American education was making everyone think he not only needed a college education but was entitled to one, and that what we need is more trade and service people. That's why I think more and more people are going back to the idea of having trade schools, where students who really don't have the interest in college can nevertheless earn a good living and make a contribution to the community without a college education. A. I wish I knew how to repair brakes of a car or how to do a tune-up on some of these foreign cars, because most of us are driving foreign cars now. The trades are very important. We talk about folks out there who say they don't have jobs. Well, you learn a trade, you could get a job. Q. How do you feel about having national standards for schools? A. I think we should have some standards and we should have some goals for our schools. We have those in the state of Florida, and I'm for it. Q. I know that, especially in South Florida, where we have so many immigrant children, there are many people who say it isn't fair for us to have to try to meet some national standard, because we have to teach so many of our students English first. A. I don't think it's wrong to have national standards. I think maybe it's wrong to say everyone must meet this goal -- but there's a goal that you might want to try to reach. Q. At least have the standard out there. A. Yes, the standard should be out there, but don't say we've failed because we don't reach it. Q. If you were asked by President-elect Clinton for your advice (on education), what would you say to him? The greatest problem facing education in the future of our nation today is the use of illegal drugs, and I say that for this reason: You can come up with all the programs we can think of, and all the college professors who can come up with all these great ideas, but when you have someone who has a substance, born with a substance in his or her body, and they come to school brain-damaged, there's very little we can do. We can nurture these students, we can show our love for these students, but we need to get out in this community and rid our nation and our community of illegal drugs. Someone mentioned that crack babies will be coming into the schools in the future. The thing they don't know is that it's not in the future, that crack babies are here in the schools now. Q. How would you approach the drug problem? A. We're going to have to be serious about it. It's coming in from other countries, and we need to stop it before it gets here. Just to pick up these guys on the street, that's not solving the problem. It's going to still be there. Copyright 1993 The New York Times Company: Abstracts Information Bank Abstracts MIAMI HERALD August 23, 1993, Monday SECTION: Section B; Page 1, Column 2 could find not LENGTH: 49 words HEADLINE: PROGRAM TARGETS GIFTED MINORITIES BYLINE: BY MARILYN MARKS JOURNAL-CODE: MH ABSTRACT: Article on one-year-old program in Broward County, Fla, that helps discover gifted and talented minority children by using activities other than standardized IQ tests; Audrey Jackson, mother of three gifted children at Charles Drew Elementary School in Pompano Beach, comments; photo (M) GRAPHIC: Photograph LANGUAGE: ENGLISH St. Petersburg Times February 11, 1989, Saturday, City Edition SECTION: NATIONAL; Pg. 1A LENGTH: 951 words HEADLINE: Quayle brings hard-line message to Florida, voices support for Israel BYLINE: STEPHEN KOFF; BARRY KLEIN DATELINE: PALM BEACH BODY: PALM BEACH - Vice President Dan Quayle came to Florida to push his boss' agenda on Friday, using a hard-line address to calm Jewish fears about Israel and a similarly conservative tack in a talk to Hispanics about Latin America. In between the separate speeches in Palm Beach and Miami, the new vice president stopped off at a predominantly black school in Liberty City. Outside the school, the reception wasn't as warm. "If he wants to make people think he cares about black children, he ought to do something about the way their black parents have to live," said Billy Hardemon, one of several dozen demonstrators who waved placards outside Charles R. Drew Elementary School while the vice president was speakinginside. Quayle told reporters he came to Miami to salute the award-winning school, not to solve the city's racial tensions, which produced three nightsof rioting last month. "I don't have any answers on that," Quayle said. "This issue is very mucha local issue." This was Quayle's first domestic trip since he was sworn in Jan. 20, and it came barely 13 hours after President Bush delivered his first address to ajoint session of Congress. Programs for Florida figure prominently in the president's plans, thevice president said. He cited Bush's commitment to a $ 1-billion increase for fighting drugs, a 22 percent raise for NASA and an indefinite postponement of offshoredrilling near the Everglades. "Florida did very well in the president's budget," Quayle said at a press conference. "(And) the president did very well in Florida during thecampaign." Indeed, the Bush-Quayle ticket won by 60-38 percent in the Sunshine State. But Jewish voters, who had qualms about the candidates' commitment to Israel, heavily favored Democrat Michael Dukakis, according to the AmericanJewish Congress. On Friday, Quayle tried to allay those concerns. Speaking to about 500 leaders of the Anti-Defamation League of B'nai B'rith meeting in Palm Beach, he cited inconsistencies in PLO leader Yasser Arafat's peace-promising rhetoric and the PLO's violent actions. "Those who believe that American policy is about to undergo a basic shift merely because we have begun to talk with the PLO are completely mistaken," he said. Quayle did not address this week's State Department report criticizing Israel's treatment of Palestinian civilians, and said, "Arab states havekilled far more Palestinians than Israel has." However, he said, "Israel cannot be judged by the standards of its neighbors." And by democratic standards, he said, "the status quo on the WestBank and Gaza Strip is clearly unacceptable." As for Palestinian sovereignty, he said, "We continue to believe that an independent Palestinian state will not be a source of stability or acontribution to a just and lasting peace." Jewish leaders said they were enthralled by that message. "I think it's very important at an early stage of a new administration to hear these kinds of things," said Ken Jacobson, director of Middle Easternaffairs for the Anti-Defamation League. Quayle left Palm Beach for Miami with Gov. Bob Martinez aboard Air Force Two, where they discussed the space program. Upon landing, the vice president's motorcade sped off to Charles Drew Elementary School, where testscores and achievement rank among the highest in the nation. The school is near the neighborhood where racial violence and looting erupted last month, sparked by the shooting of a black man by a policeofficer. "I think I'm at the best merit school in the entire United States of America," Quayle told about 400 students gathered in the school cafeteria. Principal Frederick Morley presented two school uniforms - white shirts and blue plaid ties - for Quayle and President Bush, whose son Jeb also was present. The principal praised the visit as an example of the newadministration's concentration on education. Protesters outside the school questioned Quayle's commitment to solvingproblems that have battered the riot-torn community. "Why's he in there talking to children?" Billy Hardemon asked. "Why doesn't he come into the community and talk to people struggling to getby?" Friday night, the vice president spoke at a black-tie gala sponsored by Miami's Cuban American Bar Association, where affluent members of the Hispanic community turned out to hear Quayle's anti-communist remarks. Quayle criticized human rights violations in Latin American countries, but contended that the worst violators of human rights in El Salvador are the leftist guerrillas trying to overthrow the democratic government. Quayle said, Cuba, Nicaragua and Panama have tyrannical Latin governments that are "desperately holding out against a democratic tidal wave that isrising ever higher." "The governments ruling these countries claim to be the vanguard of the Latin American revolution," he said. "In reality they're the rear guard." - Information from AP was used in this report. Copyright 1994 Sun-Sentinel Company Sun-Sentinel (Fort Lauderdale) June 22, 1994 WEDNESDAY, BROWARD EDITION SECTION: SOUTHEAST, Pg. 6, NAMES AND FACES LENGTH: 880 words HEADLINE: SERVICE AWARDS RECOGNIZE EMPLOYEES AT HOSPITAL BYLINE: Yvonne McClain BODY: The Jackson Memorial Foundation honored five Jackson Memorial Hospital employees at the Jay W. Weiss Humanitarian Awards Gala on May 7. The Winner's Circle Award is given to employees who have shown exceptional service to the hospital and the community. Two of this year's recipients are Miramar resident John Clark and Pembroke Pines resident Cindy Friedewald. Clark, clinical coordinator of critical care medicine in the Department of Pharmacy Services, has worked at Jackson Memorial for 11 years. He also is an adjunct professor at the University of Florida, Florida A&M University and at Nova Southeastern University's College of Pharmacy. In 1992, Clark was president of the Miami Chapter of the American College of Clinical Pharmacology and received the Publication Award in 1993 from the Florida Society of Hospital Pharmacists. Friedewald, a registered nurse, is the director of nursing at the Children's Hospital Center and has worked at Jack-son for 18 years. She is co-chairwoman of the Employee Management Committee and chairwoman of the Labor Management Committee at the hospital. She is also the nursing liaison for Head Start Nurses for the Community Action Agency. Friedewald, Clark and the other recipients were nominated by Jackson employees and were selected by the Winner's Circle Selection Committee. -- The Cooper City Police Department is proud to announce that Police Explorer Jeff Propst won a fifth-place trophy in the marksman class during a recent shooting competition in St. Petersburg. The match was held May 22 at the Pinellas County Police Academy Range. There were 51 total shooters and 15 in the marksman class. Propst, 14, is an eighth-grader at Walter C. Young Middle School in Pembroke Pines. Two other Cooper City Police Explorers also participated in the competition. The National Safety Council, Broward Chapter is proud to announce the first award recipients of the Robert F. Kearson Scholarship: Binu Jacob and Merline Saintil. Jacob is a resident of Davie and just graduated from Ely High School. He ranked third in his class of 326 and was recently named a Broward Top Ten Teen. Jacob will be attending the University of Miami as a biology/chemistry major. Saintil is a resident of North Lauderdale and ranked first in her graduating class of 300 at Hallandale High School. Saintil will be going to Florida A&M University in Tallahassee as an electrical engineering major. Jacob and Saintil won their scholarships for their demonstrated interest in the health and safety of their communities. - Dr. Silvia M. Flores, president of the Fort Lauderdale Philharmonic Society, has been named "Humanitarian of the Year" by Hispanic Unity of Florida. She was honored on June 4 at the seventh annual Hispanic Heritage Ball at Pier 66 in Fort Lauderdale. Flores was born in Mexico City and is a resident of Fort Lauderdale. She is the mother of three children and is married to Dr. Jorge Arturo Flores, a cardiologist in Broward County. Silvia Flores has been very active in the Hispanic community for many years and has held prestigious titles, such as American Cancer Society's Woman of the Year in 1992. Through her involvement with the Philharmonic, she was instrumental in organizing the Children's Concerts Series. Hispanic Unity of Florida is Broward County's only Hispanic human services agency. Hispanic Unity also serves other non-English speaking minority groups in Broward County by providing job placement, family counseling and other programs. - The Pembroke Pines Villagers, a new civic group for residents of east Pembroke Pines, recently elected the following officers for this next year: Randy Arrowsmith, president; Sue Robinson, vice president; Pat Boehm, secretary; and Mimi Spitz, treasurer. Jay Allen, Carolyn Wells and Rene Champagne will sit on the board of directors. Send items and photographs for Names and Faces to Sun-Sentinel, 3 SW 129th Ave., Pembroke Pines, Suite 101, Pembroke Pines, Fla. 33027. GRAPHIC: PHOTOS 2, Clark; Friedewald LOAD-DATE-MDC: August 1, 1994 Copyright 1994 The New York Times Company: Abstracts Information Bank Abstracts MIAMI HERALD July 10, 1994, Sunday SECTION: Section B; Page 2, Column 1 LENGTH: 62 words HEADLINE: UM/JMH'S EYE INSTITUTE TOPS NATIONAL POLL BYLINE: BY PEGGY ROGERS JOURNAL-CODE: MH ABSTRACT: US News & World Report survey ranks Univ of Miami (UM) as top-ranking US eye care facility; gives high ratings to AIDS, orthopedic, geriatric and otolaryngology treatment at Univ of Miami/Jackson Memorial Hospital (UM/JMH); ranks Miami Children's hospital as No 14 among nation's top 19 pediatric hospitals (M) Copyright 1994 The New York Times Company: Abstracts Information Bank Abstracts MIAMI HERALD June 22, 1994, Wednesday SECTION: Section C; Page 1, Column 5 LENGTH: 39 words HEADLINE: JMH TO TRIP 350 JOBS OVER 15 MONTHS BYLINE: BY MICHELE CHANDLER JOURNAL-CODE: MH ABSTRACT: Public Health Trust plans to trim nearly 4 percent, or at least 350 jobs, at Jackson Memorial Hospital in Miami; officials cite falling hospital admissions, shorter hospital stays and lower rates offered by managed-care plans (M) (c) 1994 The Miami Herald Publishing Co. All rts. reserv. 07624124 UM/JMH'S EYE INSTITUTE TOPS NATIONAL POLL Miami Herald (MH) - SUN July 10, 1994 By: PEGGY ROGERS Herald Staff Writer Edition: FINAL Section: LOCAL Page: 2B Word Count: 382 TEXT: There is no better eye care than at the University of Miami, says a national survey that also gave high rankings to AIDS, orthopedic, geriatric and otolaryngology treatment at the University of Miami/Jackson Memorial Hospital. Miami Children's Hospital also gained prominence, ranking as No. 14 among the nation's top 19 pediatric hospitals, according to the U.S. News and World Report survey. UM's Bascom Palmer Eye Institute ranked No. 1 among the nation's top 15 ophthalmology centers, according to the annual ranking, to be published in the magazine's July 18 issue. The four other UM treatment specialties ranked among the best programs for each of those areas. Care of AIDS patients came in No. 8 out of the top 40 AIDS programs. "We're obviously very excited over here," said UM medical school spokesman Chris Dudley. "This is good news for us." Other than the two Dade hospitals, only one other Florida center was considered among the nation's best -- Shands Hospital at the University of Florida. U.S. News and World Report calls its survey the "only objective assessment of U.S. hospitals currently available." In most cases, the rankings are based on combined findings of a national survey of specialists, hospital death rates and other data on each hospital. To assess a few specialty areas, including pediatrics and ophthalmology, the findings are based solely on a physician survey of the programs with the best reputations. The magazine offers the survey as a consumer guide for picking the best care, although some experts say a survey alone is insufficient. "You shouldn't take them too seriously," said Dudley. "It does show some measure of, not quality, but reputation of programs around the country. And it's nice to show up on these things. But a patient who's looking for a program should look beyond the ratings." Miami Children's Hospital did not appear among last year's best. In the four other categories that University of Miami/Jackson Memorial Hospital ranked, none was in the top spot. This year's survey did repeat one thing, though: an omission. For the second year, it refers to the University of Miami without mention of Jackson, the hospital where UM doctors and Jackson staff provide much of the care cited. "The University and Jackson should be equally credited as the partners they are," Dudley said.