If they come to work nonetheless, for example due to poor health insurance, their motivation and performance suffer as a result of worry and effort, and with the risk of the disease spreading in the workplace. If nothing else is put in place it falls on individuals to care for their sick, handicapped or elderly - again in competition with their role as employees. In this context, putting resources into vaccination campaigns or in care for the elderly is not charity, nor is it public relations - it is a form of insurance against certain types of social risks. These risks are not always well understood by a corporation - in particular not one operating in what is for the company a foreign country. But if the corporation is to protect itself from these risks, it better be aware.
All business is local, thus awareness of the local situation is critical.
Particularly in the poorer parts of the world, such changes are poorly understood by those concerned and lead to inappropriate responses and misuse of their often meagre resources. But too often the arrival of well-educated doctors and modern medicine lead to expenditure on sophisticated tests and drugs which then crowds out investment in the basic and preventive health care, to the detriment of all concerned. All governments, and in particular those of poor countries, find it difficult to ensure adequate health and social services for their people. The solutions they try differ from country to country, ranging from almost exclusive reliance on private insurance and service provision to entirely governmental systems in other. Regardless of systems, however, in almost all cases additional resources are welcome.