Noncommunicable Diseases in the Americas_Branka Legetic_4.23.13
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1. Public health &
Globalisation
Dr. Babar T Shaikh
The Aga Khan University
Karachi, Pakistan
2. Public health & Globalisation
Enabling Objectives
To understand what is public
health
To learn about basic
components of public health
To learn about global
opportunities available
3. Public health & Globalisation
Performance Objectives
By the end of this presentation, we will
learn to:
Conceptualize what public health is
Apply basic knowledge of public
health to our health needs
Acquire knowledge about
globalisation
4. Public health & Globalisation
Public health
Definition: the organized local and
global efforts to prevent death, disease
and injury, and promote the health of
populations.
Goals: Improve population health;
Reduce health inequalities.
5. Public health & Globalisation
Globalisation
The intensification of global flows
of capital, goods, ideas and people
across borders and the institutions
and rules established to regulate
these flows.
6. Globalisation and health
Openness Cross border
flows technology
National Policies
Regional/global rules
and institutions
Health Health Level and Education
distribution Water
risks systems of Energy
household Transport
income Other sectors
Health GCP/HSD
Outcomes June 2000
7. Public health & Globalisation
Public health in globalising world
Domestic action alone insufficient
Healthachievements critical to
international development goals
8. Public health & Globalisation
Global risks for health
Exclusion from global markets
Private ownership of knowledge
Migration of health professionals
Cross border transmission of
disease
Environmental degradation
Conflict
9. Public health & Globalisation
Global opportunities for health
Inclusion/ connection
New market incentives for R&D
New resources for effective
interventions
Knowledge dissemination
New rules to control cross border
risks
10. Public health & Globalisation
Public health crisis in developing
countries
Poverty (2.5 billion), debt, inequalities;
Population growth (80 million);
Double burden of disease: HIV/AIDS;
Weak public health infrastructure;
Public sector reform.
11. Public health & Globalisation
WHO’s response
Strategic directions;
Priority for: diseases of the poor,
tobacco;
Support for national health systems;
New: Partnerships and relationships;
Resources;
Rules ;
Optimism.
12. Public health & Globalisation
Globalisation, trade and health
A policy, research and training
programme
Develop knowledge and skills
Promote policy coherence
Contribute to: global public goods for
health, global health funds,
international rules for health
13. Public health & Globalisation
WTO Agreements and
public health
GATT
Technical barriers to trade
Intellectual property and trade :
TRIPS
Services : GATS
14. Public health & Globalisation
Globalisation and health: policy
measures
Equitable and sustainable growth
Openness- gradual, sequenced and paced
Produce global public goods, control the
bads
Increase transfer of financial and technical
resources
Strong national health policies,
institutions, regulations and programmes
Engage across sectors and borders
Editor's Notes
Implications of globalisation and remedial measures eg increase international aid to cover the rising costs due to costs o internationally mobile medical services- migration tiered pricing to ensure low cost prices for essential medicines for poor countries
New market incentives are being created to spur more investment in research and development of new drugs and vaccines for malaria, HIV/AIDS, and TB, and better diagnostic tests for these diseases. New resources are being raised to increase access to existing drugs and vaccines and provide more effective treatments to combat polio, measles, diarrhoea and respiratory diseases. I nternational partnerships between the public and private sector have launched campaigns, including Roll Back Malaria, the International AIDS Vaccine Initiative, the Global Alliance for Vaccines Initiative, and Stop TB. Knowledge, technology and best practices for affordable and effective prevention and treatments are being shared more widely, and new research is under way to fill gaps in our knowledge. New global health rules are being developed to control cross-border or global health risks: improved global disease surveillance through strengthened International Health Regulations; a Framework Convention on Tobacco Control to restrain the marketing and illegal smuggling of tobacco; collaboration with the World Trade Organization to ensure public health is protected and promoted in multilateral trade rules.
