This strategy features in the framework of Agenda 21 as formulated at UNCED (Rio de Janeiro, 1992), now coordinated by the United Nations Commission on Sustainable Development and implemented through national and local authorities.
Agenda 21 suggests that efforts to prevent and control diseases should include investigations of epidemiological, social and economic bases for development of more effective national strategies for the integrated control of communicable diseases. Cost-effective methods of environmental control should be adapted to local developmental conditions.
Each national government, should consider developing a national health action plan with appropriate international assistance and support, in accordance with national plans for public health priorities and objectives.