Abstract
Hlow a man lives as well as how long he lives are strongly affected by the culture into wliich he is born. His chance of survival is the product of a complex intertwining of social and ecological forces, including the availability of food and health services, immunity from disease and the social customs adhered to in his upbringing. These broad cultural and ecological forces largely determine an individual's life span, the state of his health, his idea of disease and his access to health services. Writing about the interplay of biological, ecological and cultural forces, Abraham Horwitz, Director of the Pan American Iecalth Organization, has observed:'
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