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338 Philosophical Foundations of Health Education

programs. This premise is of special relevance when dealing with economically disadvantaged

groups. Health educators are challenged to promote an equitable distribution

of the resources and emphasize the value of education as an essential tool for economic

prosperity.

A third lesson I have learned is that environmental health is a core issue for health

education, not only in the United States but also around the world. Environmental pollution,

industrial contamination, lack of drinkable water, and adequate sewage disposal

are daily occurrences in many developing countries (Baffigo et al., 2001; Makutsa et

al., 2001). In developing countries health educators play an essential role in providing

guidance about environmental protection measures. As a matter of fact, due to economic

limitations, in many countries health educators may be the only healthcare personnel

with the responsibility to educate about environmental health issues. More

training for health educators is needed in the area of environmental health.

The United States needs to become an active partner in ensuring an adequate utilization

of resources and the rational use of worldwide environmental sources. At the

United Nation ’ s World Summit on Sustainable Development, held in South Africa

from August 26 to September 4, 2002, world leaders made an agreement to collaborate

in the provision of clean water for all the nations around the world, invest in

renewable energy sources, and reduce the production of harmful chemicals (United

Nations, 2002). In this effort the United States is expected to have a major commitment.

Making environmental health a priority for foreign policy in the United States is

based not only on altruistic principles, but also on a sense of self - preservation. Fox

and Kassalow (2001) described three major principles that support the need for U.S.

involvement in worldwide health issues. The first principle is that people in the United

States face growing danger from emerging diseases around the world; the second principle

is that health risks around the world affect economic and security interests in the

United States, and the third principle is that the United States has an important opportunity

and moral responsibility to participate in the creation of incentives for constructing

a healthier world population.

In my opinion, many of us living in the United States waste too much. Our houses

are beautifully decorated for the holiday season even while we use an incredible

amount of electricity; our yards are perfect, at the cost of possibly using water in an

irrational way; and we tend to waste food in the “ all you can eat buffets. ” Please don ’t

get me wrong. It is good to have luxuries; we work hard for them, but we also need to

think about the long - term implications of our actions, which are related to how we are

affecting the rest of the world. For health educators this represents a challenge. We

need to lead the way in becoming more rational users of resources and incorporating

this teaching into the academic programs for our students. Our lifestyles should be

congruent with our thoughts. In other words, health educators need to model a rational

utilization of environmental resources.

A fourth lesson I have learned is the relevance and real - life value of concepts

related to cultural competence in health education. Cross, Bazron, Dennis, and Isaacs

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