Brown's Response: Difficulties with "the Balkans".

My assignment was to write an overview of "environmental health in the Balkans." I soon discovered that defining the term "Balkans" was fraught with difficulties. In my background research I found little agreement as to which countries constitute the Balkans. In fact, current references to the region tend not to use the word at all. I decided to consider the following countries as belonging to the Balkans for the purposes of my article: Albania, Bosnia-Herzegovina, Bulgaria, Croatia, Hungary, Former Yugoslav Republic of Macedonia, Romania, Slovenia, and Yugoslavia (consisting of Serbia, Kosovo, and Montenegro). This decision was by no means "arbitrary," as Varga and Ember allege. They should note that the major difference between their list and mine is that I included Hungary while they included Greece. My reasoning was as follows. The broad geographic area in question has been a crossroads of population movements since time immemorial, and the number of religions, cultures, nation-states, and political systems found there is bewildering. The salient historical forces operating in the region have been the Austro-Hungarian Empire, the Ottoman Empire, and the communist system. Although Varga and Ember state that "On a historical scale, the 40-year communist era was only a flash for the involved countries," it would be impossible to omit that period from any discussion of health issues in the region. My article is not a history but a discussion of current conditions. Moreover, the countries behind the Iron Curtain do not fit the standard typology of developed versus developing countries, in which the former are industrialized and have market economies and the latter lack these characteristics. The former Iron Curtain countries are hybrids (that is, industrialized but lacking market economies), and this status is a consequence of communism. I omitted Greece because it is not a hybrid, being industrialized and having a market economy, and was not isolated from the rest of the world during the communist era.

The term "CEE" (Central and Eastern Europe) has emerged since the breakup of communism to describe those countries formerly behind the Iron Curtain. Varga and Ember criticize my use of the term as confusing. I agree that the term can be confusing, but it is difficult to avoid. Because I was not able to travel to each country in the region and collect locally the most reliable statistical information, I was forced to rely on data from international institutions, primarily the European Environment Agency's Dobris Assessment (1) and several World Health Organization sources. These sources contain detailed health information on their member states and group them by geographic region. They do not identify the Balkans as such, but include them in the CEE countries. What is even more frustrating is that, although the Balkan countries are listed in these groupings, there are actually very little data from them in the statistical records. Most of the information is from the more northerly countries such as Poland and the Czech Republic. Thus, I was forced to make generalizations about the Balkan countries based on the available information for the CEE region as a whole. I did make this clear early in the article.

I agree completely with the comments of Varga and Ember that the Western powers have caused "irreparable damage and sorrow for the nations of this region," and that "America is very far from Central Europe." While I was working on the article, I discovered that most people with whom I discussed it casually were quite ignorant of the region, even though the U.S. involvement in the war in Kosovo had occurred only a month or two earlier'. I can only hope that my article, however incomplete, served to dispel some of the widespread ignorance of the region. Finally, I hope to see an increase in media coverage of the region by people who actually live there as the political, cultural, and economic barriers between the Balkans and the rest of the world become less opaque.

REFERENCES AND NOTES

(1.) Stanners D, Bourdeau P, eds., Europe's Environment: The Dobris Assessment. Copenhagen: European Environment Agency, 1995.

Valerie J. Brown
Freelance Science Writer, EHP
Portland, Oregon
E-mail: [e-mail]