There is a lack of knowledge of even the most rudimentary procedures for dealing adequately in emergency health situations; traditional food preparation and eating patterns prevent the greatest nutritional value from being drawn from existing resources; the good health vital for change is further compromised by unsanitary animal care. Adult training is at best simply the perpetuation of traditional knowledge and skills; apprenticeship schemes transmit to the coming generation methods which are identical to those practised by their parents and there is no effective access to new wisdom or methods.