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Queste definizioni basano il concetto di igiene, come insieme di azioni sull'ambiente in cui viviamo, e l'educazione delle popolazioni a prendersi cura dello stesso, al fine di proteggere la salute umana. Quello che è successo a Luanda (Angola) è stato uno squilibrio ambientale, che ha portato alla ricomparsa della febbre gialla; che è stata superata solo quando c'è stata una forte implementazione dell'assistenza sanitaria primaria.
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