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Volume X |

The Problem of the Sanitary System in the Land of Severin With Respect to Regional Development

Abstract: The difficulties with the health system, occurred after 1989, are mainly induced by the lack of appliances and human resources and by the natural consequences due to the interruption of the reform process, which negatively influenced the repartition of medical service within the urban and rural spaces, in the Land of Severin. The supply and access to medical services are the major problems concerning the assurance of a better living standard and also social and economic development, especially in rural areas. Villages with a dispersed population (in the mountainous and piedmont area in the Land of Severin), represent quite a unique challenge for the management and use of medical services. The claim to improve the support is laid by vulnerable groups, as elders and those who live in isolated places (e.g. Marga, Negrușa and Moisești villages) or people who compulsory need dialysis three times a week. The low level of economic development have induced problems concerning the existence, the quality and accessibility of social services and difficulties in case of temporary or permanent health care services. The present reformation measures take into consideration the way of organization and operation of health care services, the problem concerning the financial means and equipment of sanitary units and, the provision of last generation medical technique correlated with a continuous training process of medical staff and health care personnel. Currently, by means of the Local Development Programme 2006 – 2013 and with the help of the European structural funds, the authorities want to establish and implement a special programme to modernize the medical cabinets in villages, to convey pharmaceutical products to this area, to eliminate the daily travel of doctors and to provide ideal conditions for them and for the nurses to integrate into local communities.

Volume IX |

Social Vulnerability and Risks Associated to the Balkan Endemic Nephropathy in Mehedinţi County

Abstract: The Balkan Endemic Nephropathy (BEN), commonly known as “the dry kidney disease”, was observed for the first time in 1957 in Ergheviţa village from Mehedinţi County. Although, the phenomenon was mainly studied by doctors for a period of approximately 50 years, the number of cases increased, but the actual cause of the disease was not discovered yet.
Among the mainly incriminated elements, there is to be mentioned the underground water that crosses through the coal deposit located in the Huşnicioara mines.
It is important to notice the fact that this disease affects only the rural space, most of the effective areas of the disease being concentrated around the urban centres like Drobeta Turnu-Severin, Baia de Aramă, Strehaia and Vânju Mare. The respective rural communities are considered to be truly vulnerable to the poor quality of underground waters. Given the fact that new cases of nephropathy are continuously discovered, one of the hypothesis is that the risk induced by the pollution of underground water layers is significant and that the human communities are highly vulnerable to this element.
The present study identifies the actual status regarding the symptoms and the extension of the disease, as well as the economical-social circumstances that favour the occurrence of the cases, representing a strong signal concerning the human communities vulnerable to the pollution of a natural resource that is indispensable to human life – water.