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February 21, 1996, Vol 275, No. 7 >
ARTICLE | February 21, 1996

Relations Between the United States and Cuba: Title and subTitle BreakA Proposal for Action FREE

César Chelala, MD, PhD
[+] Author Affiliations

Corresponding author: César Chelala, MD, PhD, 390 W Broadway, New York, NY 10012.


JAMA. 1996;275(7):559-560. doi:10.1001/jama.1996.03530310065035
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References

One of the oft-neglected questions in the debate about Cuba is whether policies that adversely affect the health of Cubans should be used in the US government's efforts to force changes in the Castro government.

Following the Cuban revolution of 1959, health and education services improved significantly in Cuba as a result of the Castro government's decision to make health and education priorities. Along with Costa Rica, Cuba achieved some of the best health indicators among the Latin American and Caribbean countries.1 Those gains are now being reversed, as a result in part of the continuing embargo against Cuba, which will be even stricter if the Helms-Burton bill is finally made into law.

Since 1962, the United States has maintained an economic embargo against Cuba. Because of political and economic support from the former Soviet Union, this embargo had only a limited impact for many years. In 1992, the

REFERENCES

1 +
Kuntz D.  The politics of suffering: the impact of the U.S. embargo on the health of the Cuban people. Int J Health Serv . 1994;;24:161-179.
2 +
Román GC.  On politics and health: an epidemic of neurologic disease in Cuba. Ann Intern Med . 1995;;122:530-533.
3 +
Centers for Disease Control and Prevention.  Epidemic neuropathy—Cuba, 1991-1994. MMWR Morb Mortal Wkly Rep . 1994;;43:183-192.
4 +
Cuba Neuropathy Field Investigation Team.  Epidemic optic neuropathy in Cuba—clinical characterization and risks factors. N Engl J Med . 1995;;333:1176-1182.
5 +
National Operative Group. Epidemic Neuropathy in Cuba . Havana, Cuba: Ministry of Public Health; 1993;.
6 +
De Long DM.  Epidemic neuropathy in Cuba. Ann Intern Med . 1995;;123:734.
7 +
Dillon S.  Companies press Clinton to lift embargo on Cuba. New York Times . (August 27) , 1995;:A1.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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1 +
Kuntz D.  The politics of suffering: the impact of the U.S. embargo on the health of the Cuban people. Int J Health Serv . 1994;;24:161-179.
2 +
Román GC.  On politics and health: an epidemic of neurologic disease in Cuba. Ann Intern Med . 1995;;122:530-533.
3 +
Centers for Disease Control and Prevention.  Epidemic neuropathy—Cuba, 1991-1994. MMWR Morb Mortal Wkly Rep . 1994;;43:183-192.
4 +
Cuba Neuropathy Field Investigation Team.  Epidemic optic neuropathy in Cuba—clinical characterization and risks factors. N Engl J Med . 1995;;333:1176-1182.
5 +
National Operative Group. Epidemic Neuropathy in Cuba . Havana, Cuba: Ministry of Public Health; 1993;.
6 +
De Long DM.  Epidemic neuropathy in Cuba. Ann Intern Med . 1995;;123:734.
7 +
Dillon S.  Companies press Clinton to lift embargo on Cuba. New York Times . (August 27) , 1995;:A1.

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