Un manifiesto para el mundo que queremos lancet 2012

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Tremendo editorial de The lancet: UN MANIFIESTO PARA EL MUNDO QUE QUEREMOS. La fecha propuesta para el cumplimiento de los Objetivos del Milenio (ODM) es el 31 de diciembre de 2015. Dichos objetivos estaban enfocados, principalmente, en combatir la pobreza y disminuir las inequidades. Es decir, se concentraban en algunos, no en todos los seres humanos. ¿Qué pasa a partir del 1 de enero de 2016? ¿Hacia donde debemos enfocar nuestra visión del mundo desde este momento, para lograr es "mundo que queremos"? El manifiesto se enfoca a la interrelación que existe entre TODOS los seres humanos, y en la necesidad de que todos participen, haciendo énfasis obviamente, en aquellos aspectos que requieren más atención. Existe un consenso, diríamos que universal, con relación a que hay muchas cosas que tenemos que cambiar. Pero la pregunta que me hago es: ¿Seremos capaces de construir acuerdos que permitan ir rellenando esos abismos que nos separan, para lograr la equidad, con JUSTICIA? Tengo fe en Dios, y confío en que podemos lograrlo.

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Un manifiesto para el mundo que queremos lancet 2012

  1. 1. EditorialA manifesto for the world we wantThe era of sustainable development that is currently and this situation is predicted to worsen substantially bybeing debated for post-2015 represents a revolutionary 2020 and beyond. Managing and treating cardiovascular Anthony Asael/Art in All of Us/Corbischange that goes beyond the current framework of the disease, cancer, diabetes, and chronic respiratory diseaseMillennium Development Goals (MDGs) and the driving will need continued action, as will mental health andideal of ending poverty. It is a tremendous window of neurological conditions such as epilepsy and dementia,opportunity, since sustainable development is about all of which still get marginalised in global policy debates.us, not just some of us. It is about the interdependence we Finally, a globally ageing population. By 2016, thereall share one with another. It is about the common threats will be more people older than 65 years than childrenwe face and the solutions we have to find together. younger than 5 years. More than 80% of people older However, it is also about intensifying the work begun than 60 years will be living in a LMIC. Provision of age-during the past decade because on Jan 1, 2016, people appropriate health-care services, long term care andwill still be dying from many of today’s priority diseases. support, and the creation of sustainable cities will be keyThere is a huge amount of unfinished business to to enable older people to participate in society fully.complete before the world can move to sustainable Progress on all of these priorities will only happen ifdevelopment. For example, each year around 7 million important cross-cutting issues are also addressed atchildren younger than 5 years die from preventable the same time. First, increasing access to high-qualitydiseases, the number of maternal deaths is 273 500, health care—universal health coverage. Second,around 7 million people living with HIV/AIDS still need ensuring equity. The MDGs have seen disturbinglyanti-retroviral treatment, there are 8·7 million new insufficient progress among the poorest and mostcases of tuberculosis, and as many as 1·2 million malaria marginalised populations worldwide. Addressingdeaths. Furthermore, progress has been hindered by inequities must be central to any new framework ofnewer predicaments, such as antimicrobial resistance. sustainable development. Third, tackling the social As we look to the future, we see five priorities. The first determinants of health, including the multiplicity ofis women, who remain the dominant face of poverty. sectors affecting health—eg, water and sanitation.Extending women’s reproductive rights is crucial, and Fourth, establishing systematic accountabilityincludes not only access to contraception but also mechanisms that will hold countries and donorsprovision of quality reproductive health care and safe to their promises and commitments. One model isabortion services. Putting women first also means the independent Expert Review Group (iERG) whichmaking their education a priority. As much as half of was created to ensure that commitments to the UNthe reductions in under-5 mortality in recent years can Secretary-General’s Global Strategy for Women’s andbe attributed to women’s educational achievements. Children’s Health are being delivered on time andSecond, early child development. Michael Marmot’s with impact. Fifth, the need to defeat stigma andwork on social determinants of health has clearly shown discrimination that limits people’s access to healththat focusing on the early years is critical to solving the care—eg, among men who have sex with men andproblem of health inequalities in adulthood. Third, people who inject drugs. Changing society’s attitudesadolescent health. Adolescence bridges the era of and recognising individual’s rights and freedomschildhood with adulthood. Young people are the future through legal and policy reform is crucial.for every society, and huge benefits to their health and There is one final objective, perhaps the most For more on Fair Society: Healthydevelopment can be won through better education important of all—confronting the escalating threat to Lives, The Marmot Review see http://www.lho.org.uk/LHO_and preventive public health measures. human health, even to human survival, from climate Topics/national_lead_areas/ People living with non-communicable diseases (NCDs) change. The era of sustainable development is perhaps marmot/marmotindicators.aspx For more on Accountability forare our fourth priority. Worldwide, NCDs are the leading the last opportunity our species has to engage with this Women’s and Children’s healthcause of death and disability and have a huge socio- catastrophic danger—solving the challenge of climate see http://www. everywomaneverychild.org/economic impact. They account for nearly 80% of deaths change is the most important foundation for our resources/independent-expert-in low-income and middle-income countries (LMIC), planet’s sustainability, bar none. ■ The Lancet review-group/ierg-newswww.thelancet.com Vol 380 December 1, 2012 1881

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