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< ><FONT face=Arial size=2>Back in 1977 when health experts from all over the world set themselves the goal of "Health for all by the year 2000", they considered that a great achievement.</FONT></P>< ><FONT face=Arial size=2>And indeed it is!</FONT></P>< ><FONT face=Arial size=2>For it is an expression of <B>health equity</B>, which is one of the most important aspects of social justice, or rather <I>the</I> most important of all, for the Prophet Muhammad said "Next to faith, no-one has ever been given anything better than good health".<a href="http://www.emro.who.int/publications/HealthEdReligion/EnvironmentalHealth/Chapter1.htm#1" target="_blank" ><SUP>1</SUP></A></FONT></P>< ><FONT face=Arial size=2>Earlier, in 1948 and 1984, two definitions were arrived at to determine precisely what health is. The first spoke of three dimensions of health: the physical, psychological, and social, and a fourth—the spiritual dimension— was added by the second definition. Thus health is defined as, "a state of complete well-being, <B>physical, psychological, social, and spiritual</B>, and not merely the absence of disease or infirmity".</FONT></P>< ><FONT face=Arial size=2>An important aspect of this definition is that it speaks of "a state of complete well-being", rather than just well-being. In Arabic the root from which the equivalent of well-being, or sound health, is derived denotes abundance. When the root word is ascribed to something it refers to its best, finest, purest and most abundant state.</FONT></P>< ><FONT face=Arial size=2>That is the kind of health we want: human beings in their best, finest and most sublime condition, physically, psychologically, socially, and spiritually.</FONT></P>< ><FONT face=Arial size=2>Another particularly significant aspect of this definition of health is the fact that it speaks in a positive manner. We are used to people defining well-being as the absence of disease, which is like defining life as the absence of death. With this positive definition, the world goes back to concepts introduced by physicians of the Arab-Islamic civilization. As Ibn Rushd, a well-known physician and Islamic scholar, said some eight hundred years ag</FONT></P>< ><FONT face=Arial size=2>Health is a state in which an organ performs its normal function, or undergoes its normal reaction.</FONT></P>< ><FONT face=Arial size=2>Or, as Ali ibn Al-Abbas said a thousand years ag</FONT></P>< ><FONT face=Arial size=2>Health is a state of the body in which functions are run in the normal course.</FONT></P><P><FONT face=Arial size=2>Or, as Ibn Al-Nafees said seven hundred years ago,</FONT></P><P><FONT face=Arial size=2>Health is a state of the body in which functions are normal <I>per se</I>, while disease is the opposite state.</FONT></P><P><FONT face=Arial size=2>Thus for them health is the <B>norm</B> and the <B>starting point</B>, and disease is the condition contrary to health.</FONT></P><P><FONT face=Arial size=2>This was not the only example of a return to our Arab–Islamic culture and the concepts it formulated in this field.</FONT></P><P><FONT face=Arial size=2>In speaking of the basic elements of health, our present world has turned back to a concept originally introduced by us, but which with the passage of time, people started to overlook—the concept of "health balance", which Muslim physicians derived from the words of God, speaking of the balance He has infused into the nature of this universe, with all its systems, including humanity itself.</FONT></P><P><FONT face=Arial size=2><I>He has raised the Heaven on high, and He has enforced the balance. That you exceed not the bounds; but observe the balance strictly; and fall not short thereof. </I>(55:7–9)</FONT></P><P><FONT face=Arial size=2>Thus God draws our attentions to the balance which places everything in order, and He warns that any upsetting of this balance in whatever direction, whether to increase or decrease an item, might destroy it altogether and lead to the worst possible consequences: <I>Mankind! Your transgression will rebound on your own selves. </I>(10:23)</FONT></P><P><FONT face=Arial size=2>The Muslim physician recognized and fully comprehended that fact and applied it in the field of health, using the term <B>state of equilibrium </B>to refer to that "dynamic balance". Ali Ibn Al-Abbas sums it up very briefly when he says:</FONT></P><P><FONT face=Arial size=2>Health means that the body is in a state of equilibrium.</FONT></P><P><FONT face=Arial size=2>And Ibn Sina pointed out the dynamic nature of this balance one thousand years ago when he said:</FONT></P><P><FONT face=Arial size=2>The state of equilibrium which a human enjoys has a certain range with an upper and lower limit.</FONT></P><P><FONT face=Arial size=2>So it is a balance swinging between two extremities, which form the limits of equilibrium. It is represented by the various parameters of the body which we know today. These parameters are physiological features that stabilize themselves, i.e. they remain stable within a certain range with maximum and minimum limits. Examples of these are the heart rate, blood pressure, hormone secretion, blood sugar, brain waves and psychological mood.</FONT></P><P><FONT face=Arial size=2>Since the body is capable of allowing these essential values to go up and down within a certain range and certain limits, this indicates that it has the ability to adjust successfully with all or most of the changes it is exposed to, whether from inside, which means changes in its cells and tissues (or moistures as the ancients used to put it), or from outside, which means changes in the environment in its broadest sense. It does so to maintain the health balance, protecting it against being upset, and adjusting any disorder in it.</FONT></P><P><FONT face=Arial size=2>This health potential is a basic advantage enjoyed by man, and it is clearly referred to in the <I>hadith</I>:</FONT></P><P><FONT face=Arial size=2>And store up enough health to draw on during your illness.</FONT></P><P><FONT face=Arial size=2>At the individual level, this health potential may mean a good nutritional condition. A person who enjoys such a nutritional reserve is able to face the risks and hazards that threaten him from the cradle to the grave. It may mean a good immunity reserve, which provides people with the antibodies they need to fight, without being aware of it, many of the bacteria and alien organisms that invade his body from outside. It may mean a physical fitness which allows him to successfully adjust to outside pressures the body may be exposed to. It may mean a feeling of security or emotional stability which enables him to put up with the psychological stresses that shake the being. It may even mean health education which guides him to follow the healthy lifestyles that spares him many diseases or ailments. The kind reader may agree with me that a health potential is the total sum of all this.</FONT></P><P><FONT face=Arial size=2>Contemporary scientists use the term "health promotion" for the set of methods employed to reinforce and develop health potential so that a surplus of health can always be maintained. When a health balance is positive, people enjoy the best health and fitness, and when it is negative, they fall prey to diseases and maladies.</FONT></P><P><FONT face=Arial size=2>A set of factors in the human body and in the environment may tilt the health balance towards a negative reading if they are unfavourable and a positive one if favourable. Ibn Sina called this set "the factors that change or maintain human body conditions". He listed the following factors:</FONT></P><P><FONT face=Arial size=2>The air and things related to it; food, water, drinks and related things; vomiting; congestion; sites, housing, and what relate to them; and physical and psychological motion or stillness, including sleep and wakefulness, progress in age, difference in age, race, professions and habits.</FONT></P><P><FONT face=Arial size=2>To these, Ali ibn Al-Abbas added "sports, massage, bath-taking and sex". In speaking about these factors, he said:</FONT></P><P><FONT face=Arial size=2>When these things follow their proper course and are in the right condition required for each body, in quantity, quality, timing, and order, normal conditions are maintained and the body continues to be healthy.</FONT></P><P><FONT face=Arial size=2>It is evident that these factors can be divided into two groups, and in dividing them, I will modify some of the terms used to make them conform with current usage.</FONT></P><P><FONT face=Arial size=2>The <B>first group</B> is the <B>environment</B>. It includes factors that are shared by all members of a community, such as water, the air, food and wastes, and other factors that concern each individual separately, such as housing and profession.</FONT></P><P><FONT face=Arial size=2>The <B>second group</B> is <B>behaviour related to health</B>, or let us say "<B>habits</B>", if we want to retain the term used by Ibn Sina and Ibn Al-Abbas. These are the <B>lifestyles</B> relating to eating, drinking, sleeping, waking up, playing sports or lack of exercise, stresses or relief, and isolation or sociability (the last five of these are included in the term physical and psychological motion or stillness), as well as sexual behaviour, physical therapy, and finally the development of this behaviour according to growth, age and gender. Ali ibn Al-Abbas said about these lifestyles:</FONT></P><P><FONT face=Arial size=2>In all matters of health protection, habits should be taken into consideration, as such consideration is a major element of protecting health and treating diseases. When a habit has been followed for so long, it becomes a natural thing.</FONT></P><P><FONT face=Arial><FONT size=2>These two groups of factors have a real influence on health potential. They make it either grow or diminish</FONT>:</FONT></P><TABLE cellSpacing=1 cellPadding=7 width=444 border=1><TR><TD width=85><P align=center><FONT face=Arial size=2>Lifestyles</FONT></P></TD><TD width=58><FONT face=Arial><img src="http://www.emro.who.int/publications/HealthEdReligion/EnvironmentalHealth/Arrow1.jpg"></FONT></TD><TD width=70><P align=center><FONT face=Arial size=2>Health potential</FONT></P></TD><TD width=52><FONT face=Arial><img src="http://www.emro.who.int/publications/HealthEdReligion/EnvironmentalHealth/Arrow2.jpg"> </FONT></TD><TD width=89><P align=center><FONT face=Arial size=2>Environment</FONT></P></TD></TR></TABLE> |
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