1. Agriculture-Nutrition-Health From Framework to Action IFPRI Washington DC, 28 October 2010 Robert Bos, Coordinator Water, Sanitation, Hygiene and Health World Health Organization
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4. THE GLOBAL HEALTH PICTURE Global mortality rates from water-, sanitation- and hygiene-related diseases 90% of the toll of diarrhoeal disease is borne by children under five (WHO 2000, 2006, 2007 and Prüss-Üstün et al. 2008) WHO/Carolos Gaggero Disease Cases per year Deaths per year (year) Cholera 131 943 2 272 (2005) Typhoid fever 16 million 600 000 (2000) Diarrhoeal disease 4.6 billion 2.2 million (2004)
7. Development policy and health Social determinants Environmental determinants Health system Health Health Policy Development Policy Poverty
8. Development policy and health Social determinants Environmental determinants Health system Health Health Policy Agricultural Development Policy Poverty
9. Development policy and health Improved land tenure; Increased income; Enhanced farmer education; Intensified and expanded irrigation; changed livestock management; increased chemical inputs; introduction new crop varieties; mechanization Health system Health Health Policy Agricultural Development Policy Poverty
10. Development policy and health Improved land tenure; Increased income; Enhanced farmer education; Intensified and expanded irrigation; changed livestock management; increased chemical inputs; introduction new crop varieties; mechanization Health system Communicable diseases Non-communicable diseases Malnutrition Injuries and accidents Psycho-social disorders Health Policy Agricultural Development Policy Poverty
11. We change the world Environmental P ressure Environmental S tate Human E xposure Development D riving forces A ction Health E ffect The DPSEEA model Modified from WHO, 1997
12. Environmental P ressure D riving Forces Environmental S tate We change the world Consumption patterns Production manufacturing Waste release Population growth Economic development Technology Natural hazards Resource availability Pollution levels DPSEEA Development
13. Human E xposure Health E ffect A ction Level of external exposure to hazards Level of hazards absorbed Target organ dose Well-being Morbidity Mortality To reduce burden of disease and increase well-being DPSEEA
14. Environmental P ressure Environmental S tat e Human E xposure Environmental improvement, pollution monitoring and control Education, awareness raising Treatment, rehabilitation Economics, social policies, clean technology Hazard management Modified from WHO, 1997 Development D riving forces A ction Health E ffect
One barrier to evaluating EH services was the fact that they are traditionally administered by several agencies such as health, environment, agriculture, industry, transport. (WHO EURO about 1997). A study of EH in the Pacific concluded Much EH protection is under jurisdiction of Environment ministries. Delineation of responsibility between environment and health is not clear.
One barrier to evaluating EH services was the fact that they are traditionally administered by several agencies such as health, environment, agriculture, industry, transport. (WHO EURO about 1997). A study of EH in the Pacific concluded Much EH protection is under jurisdiction of Environment ministries. Delineation of responsibility between environment and health is not clear.
One barrier to evaluating EH services was the fact that they are traditionally administered by several agencies such as health, environment, agriculture, industry, transport. (WHO EURO about 1997). A study of EH in the Pacific concluded Much EH protection is under jurisdiction of Environment ministries. Delineation of responsibility between environment and health is not clear.
One barrier to evaluating EH services was the fact that they are traditionally administered by several agencies such as health, environment, agriculture, industry, transport. (WHO EURO about 1997). A study of EH in the Pacific concluded Much EH protection is under jurisdiction of Environment ministries. Delineation of responsibility between environment and health is not clear.