Since then, a community-oriented programme for the control of rheumatic diseases was initiated jointly by WHO and the International League of Associations for Rheumatology. This programme s achievements are considerable, but the challenges for the future are greater still. One of WHO s greatest strengths in international work is its recognised role of honest broker in health matters. There was ample evidence that rheumatic diseases cause more pain and disability than any other group of conditions in developed countries. The same pattern of morbidity is now being seen in the developing world.
Osteoporosis is another area of public health concern.
In 1994, WHO convened a study group to increase understanding of the factors underlying the metabolic changes and to consider possible ways to prevent and improve treatment of this disease. Surveys undertaken in developed countries indicate that, by the age of 70, more than one in four women have sustained at least one osteoporotic fracture. The available data leave little doubt that osteoporosis is reaching epidemic proportions, and that it will become increasingly important in most countries due to a proportionate increase of the aged population, as well as a notable change in risk factors. Following the recommendations of this study group, the World Health Organization has established a task force charged with the mission of developing a WHO strategy for osteoporosis management and prevention. This International Osteoporosis Education Project is expected to improve the diagnosis and care of osteoporotic patients throughout the world with special emphasis on developing countries.