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The World’s Health
PAST, PRESENT, AND FUTURE


                            Renzo Guinto, MD
                            Member of the Youth Commission
                            Lancet-University of Oslo Commission on
                            Global Governance for Health
From Prof. Ron Labonte
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”
Universal Declaration
of 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.”
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”
Alma Ata, 1978
The International Conference on Primary
Health Care calls for urgent action by all
governments, all health and
development workers, and the world
community to protect and promote the
health of all the people of the world by
the year 2000.
Selective Primary Health Care
World Development Report, 1993

  “Investing in Health”
  Examined the interplay
  between human health,
  health policy and economic
  development
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
Commission on Macroeconomics
and 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
  world's poor could save
  millions of lives
“Unequal distribution of
health-damaging
experiences is not in any
sense a ‘natural'
phenomenon, but is a
result of the toxic
combination of poor
social policies and
programs, unfair
economic arrangements
and bad politics.”

   WHO Commission on Social
   Determinants of Health, 2008
                                  Photo: WHO/Chris Black
Basic question: What good does it do to treat
              people’s Illnesses …




only to send them back to the conditions
          that made them sick?
Health Systems Strengthening
Universal Health Coverage
"Universal coverage is the ultimate
            expression of fairness."

  "Universal coverage is the single most
 powerful concept that public health has
                to offer."


Dr. Margaret Chan
WHO Director-General
65th World Health Assembly 2012
Rio+20
Health in the Post-2015 Agenda
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
"Medicine… has the
 obligation to point out
problems and to attempt
     their theoretical
solution…The physicians
are the natural attorneys
      of the poor…”

      Dr. Rudolf Virchow
     Father of Social Medicine
"Health is not everything,
   but without health
  everything is nothing."


     Arthur Schopenhauer
     German Philosopher
Beyond 2015...




HEALTH FOR ALL!

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

  • 1. The World’s Health PAST, PRESENT, AND FUTURE Renzo Guinto, MD Member of the Youth Commission Lancet-University of Oslo Commission on Global Governance for Health
  • 2.
  • 3. From Prof. Ron Labonte
  • 4.
  • 5.
  • 6. 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”
  • 7. Universal Declaration of 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.”
  • 8. 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”
  • 9. Alma Ata, 1978 The International Conference on Primary Health Care calls for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all the people of the world by the year 2000.
  • 11. World Development Report, 1993 “Investing in Health” Examined the interplay between human health, health policy and economic development
  • 12. 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
  • 13. Commission on Macroeconomics and 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 world's poor could save millions of lives
  • 14. “Unequal distribution of health-damaging experiences is not in any sense a ‘natural' phenomenon, but is a result of the toxic combination of poor social policies and programs, unfair economic arrangements and bad politics.” WHO Commission on Social Determinants of Health, 2008 Photo: WHO/Chris Black
  • 15. Basic question: What good does it do to treat people’s Illnesses … only to send them back to the conditions that made them sick?
  • 16.
  • 19. "Universal coverage is the ultimate expression of fairness." "Universal coverage is the single most powerful concept that public health has to offer." Dr. Margaret Chan WHO Director-General 65th World Health Assembly 2012
  • 21. Health in the Post-2015 Agenda
  • 22. 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
  • 23. "Medicine… has the obligation to point out problems and to attempt their theoretical solution…The physicians are the natural attorneys of the poor…” Dr. Rudolf Virchow Father of Social Medicine
  • 24. "Health is not everything, but without health everything is nothing." Arthur Schopenhauer German Philosopher
  • 25.