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Reports on a trip to St Petersburg and Russian attitudes to health education as well as some of the health problems in Russia. Outlines educational practices in Russia – looks at lack of support with regard to the development of health education policies and the growing desire to press for change. Concludes that, in addition to environmental and economic difficulties, there is a substantial threat from the Western problems of alcohol, illegal drugs and HIV; some of the more pressing concerns related to disease prevention and nutritional health have delayed the resources allocated to health education in the curriculum.

Any manager or entrepreneur who aims to survive for a considerable period needs information not only on what is going on now, and what happened several months ago, but also what is likely to happen in the future. As none of us has perfect vision in this area, we are going to rely on a certain amount of intuition — playing hunches — and on the information that can be gained from forecasting.