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The World's Health: Past, Present, and Future
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The World's Health: Past, Present, and Future

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Presentation delivered during the segment “Setting the scene for the panel debate: Key defining moments of global health – perspective from a young doctor” in "Global Health Beyond 2015: Engaging …

Presentation delivered during the segment “Setting the scene for the panel debate: Key defining moments of global health – perspective from a young doctor” in "Global Health Beyond 2015: Engaging Students and Young Professionals Workshop” held last April 5, 2013 at the Swedish Society of Medicine, Stockholm, Sweden. Program at http://www.sls.se/GlobalHealth/Workshop-5-april/Programme/

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  • 1. The World’s HealthPAST, PRESENT, AND FUTURE Renzo Guinto, MD Member of the Youth Commission Lancet-University of Oslo Commission on Global Governance for Health
  • 2. From Prof. Ron Labonte
  • 3. The Constitution of WHO, 1948 “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity… a fundamental human right”
  • 4. Universal Declarationof Human Rights, 1948 Article 25 “Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.”
  • 5. Alma Ata Declaration, 1978 “The Conference strongly reaffirms that health…is a fundamental human right” “The existing gross inequality in the health status of the people particularly between developed and developing countries as well as within countries is politically, socially and economically unacceptable”
  • 6. Alma Ata, 1978The International Conference on PrimaryHealth Care calls for urgent action by allgovernments, all health anddevelopment workers, and the worldcommunity to protect and promote thehealth of all the people of the world bythe year 2000.
  • 7. Selective Primary Health Care
  • 8. World Development Report, 1993 “Investing in Health” Examined the interplay between human health, health policy and economic development
  • 9. Millennium Development Goals eradicate extreme improve maternal poverty and hunger health achieve universal combat HIV/AIDS, primary education malaria and other diseases promote gender equality ensure environmental and empower women sustainability reduce child develop a global mortality partnership for development
  • 10. Commission on Macroeconomicsand Health, 2001 Health is a creator and pre-requisite of development Extending the coverage of health services and a small number of critical interventions to the worlds poor could save millions of lives
  • 11. “Unequal distribution ofhealth-damagingexperiences is not in anysense a ‘naturalphenomenon, but is aresult of the toxiccombination of poorsocial policies andprograms, unfaireconomic arrangementsand bad politics.” WHO Commission on Social Determinants of Health, 2008 Photo: WHO/Chris Black
  • 12. Basic question: What good does it do to treat people’s Illnesses …only to send them back to the conditions that made them sick?
  • 13. Health Systems Strengthening
  • 14. Universal Health Coverage
  • 15. "Universal coverage is the ultimate expression of fairness." "Universal coverage is the single most powerful concept that public health has to offer."Dr. Margaret ChanWHO Director-General65th World Health Assembly 2012
  • 16. Rio+20
  • 17. Health in the Post-2015 Agenda
  • 18. Questions for the Future New philosophy, revisiting the mission Lessons from the past to create a positive future Most important challenges in global health beyond 2015 Implications for education and research Role of young people and students Encouraging multi-sectoral response for global health
  • 19. "Medicine… has the obligation to point outproblems and to attempt their theoreticalsolution…The physiciansare the natural attorneys of the poor…” Dr. Rudolf Virchow Father of Social Medicine
  • 20. "Health is not everything, but without health everything is nothing." Arthur Schopenhauer German Philosopher
  • 21. Beyond 2015...HEALTH FOR ALL!

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