Impact of the food safety policies on the reduction of poverty in Tunisian rural areas

The observed trend of decreasing poverty in Tunisian rural areas, where agriculture is still dominated by family and where illiteracy rate and family size are high, questions may be raised about the economic policies adopted by the state. This article puts the analyses of these policies in the framework of food safety issue as food and poverty are tightly related and as food safety objective is multi-sectorial and multi-disciplinary. In economic development plans, food safety objective took the place of self-sufficiency. The analysis of food safety policy is based on a macro-economic analysis of the offer (policies of production pricing and subsidizing, investment policies) and demand (Policies of consumption subsidies and consumer prices) as well as the policies of fight against poverty. This analysis covers two periods: before and after the economic reforms of privatization and liberalization of 1987 (PAS: Structural Adjustment Plan). The assessment of these policies shows that poverty fighting programs are numerous and rich in experiences. These policies are more and more based on assistance programs oriented toward productive actions. The liberalization and privatization efforts were reflected by better performance and competitiveness of the agricultural sector. This had a positive impact on the employment, the migration and the availability of food products in rural areas. The self targeting of the subsidies by differentiating the products reduced the budgetary cost of these transfers and enhanced the equity and the nutritional and food situation of the poor people. The higher increase in income of country people and the decrease of subsidies indicate the more and more use of income direct transfers.Poverty, rural area, structure adjustment, food safety, agricultural and food policies., Food Consumption/Nutrition/Food Safety, Food Security and Poverty,

Consenso brasileiro sobre bronquiectasias não fibrocísticas

Bronchiectasis is a condition that has been increasingly diagnosed by chest HRCT. In the literature, bronchiectasis is divided into bronchiectasis secondary to cystic fibrosis and bronchiectasis not associated with cystic fibrosis, which is termed non-cystic fibrosis bronchiectasis. Many causes can lead to the development of bronchiectasis, and patients usually have chronic airway symptoms, recurrent infections, and CT abnormalities consistent with the condition. The first international guideline on the diagnosis and treatment of non-cystic fibrosis bronchiectasis was published in 2010. In Brazil, this is the first review document aimed at systematizing the knowledge that has been accumulated on the subject to date. Because there is insufficient evidence on which to base recommendations for various treatment topics, here the decision was made to prepare an expert consensus document. The Brazilian Thoracic Association Committee on Respiratory Infections summoned 10 pulmonologists with expertise in bronchiectasis in Brazil to conduct a critical assessment of the available scientific evidence and international guidelines, as well as to identify aspects that are relevant to the understanding of the heterogeneity of bronchiectasis and to its diagnostic and therapeutic management. Five broad topics were established (pathophysiology, diagnosis, monitoring of stable patients, treatment of stable patients, and management of exacerbations). After this subdivision, the topics were distributed among the authors, who conducted a nonsystematic review of the literature, giving priority to major publications in the specific areas, including original articles, review articles, and systematic reviews. The authors reviewed and commented on all topics, producing a single final document that was approved by consensus.Bronquiectasias têm se mostrado uma condição cada vez mais diagnosticada com a utilização da TCAR de tórax. Na literatura, a terminologia utilizada separa as bronquiectasias entre secundárias à fibrose cística e aquelas não associadas à fibrose cística, denominadas bronquiectasias não fibrocísticas neste documento. Muitas causas podem levar ao desenvolvimento de bronquiectasias, e o paciente geralmente tem sintomas crônicos de vias aéreas, infecções recorrentes e alterações tomográficas compatíveis com a condição. Em 2010, foi publicada a primeira diretriz internacional sobre diagnóstico e tratamento das bronquiectasias não fibrocísticas. No Brasil, este é o primeiro documento de revisão com o objetivo de sistematizar o conhecimento acumulado sobre o assunto até o momento. Como para vários tópicos do tratamento não há evidências suficientes para recomendações, optou-se aqui pela construção de um documento de consenso entre especialistas. A Comissão de Infecções Respiratórias da Sociedade Brasileira de Pneumologia e Tisiologia reuniu 10 pneumologistas com expertise em bronquiectasias no Brasil para avaliar criticamente as evidências científicas e diretrizes internacionais, assim como identificar aspectos relevantes à compreensão da heterogeneidade da doença bronquiectásica e a seu manejo diagnóstico e terapêutico. Foram determinados cinco grandes tópicos (fisiopatologia; diagnóstico; monitorização do paciente estável; tratamento do paciente estável; e manejo das exacerbações). Após essa subdivisão, os tópicos foram distribuídos entre os autores, que realizaram uma revisão não sistemática da literatura, priorizando as principais publicações nas áreas específicas, incluindo artigos originais e de revisão, assim como revisões sistemáticas. Os autores revisaram e opinaram sobre todos os tópicos, formando um documento único final que foi aprovado por todos

Impact of the food safety policies on the reduction of poverty in Tunisian rural areas

The observed trend of decreasing poverty in Tunisian rural areas, where agriculture is still dominated by family and where illiteracy rate and family size are high, questions may be raised about the economic policies adopted by the state. This article puts the analyses of these policies in the framework of food safety issue as food and poverty are tightly related and as food safety objective is multi-sectorial and multi-disciplinary. In economic development plans, food safety objective took the place of self-sufficiency. The analysis of food safety policy is based on a macro-economic analysis of the offer (policies of production pricing and subsidizing, investment policies) and demand (Policies of consumption subsidies and consumer prices) as well as the policies of fight against poverty. This analysis covers two periods: before and after the economic reforms of privatization and liberalization of 1987 (PAS: Structural Adjustment Plan). The assessment of these policies shows that poverty fighting programs are numerous and rich in experiences. These policies are more and more based on assistance programs oriented toward productive actions. The liberalization and privatization efforts were reflected by better performance and competitiveness of the agricultural sector. This had a positive impact on the employment, the migration and the availability of food products in rural areas. The self targeting of the subsidies by differentiating the products reduced the budgetary cost of these transfers and enhanced the equity and the nutritional and food situation of the poor people. The higher increase in income of country people and the decrease of subsidies indicate the more and more use of income direct transfers