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Climate Change -
 Why we young doctors are bothered too?



Ramon Lorenzo Luis Rosa Guinto, MD
          Liaison Officer to the World Health Organization
       Founding Coordinator, Global Health Equity Initiative
International Federation of Medical Students’ Associations (IFMSA)

         Youth Commissioner, Lancet-University of Oslo
          Commission on Global Governance for Health
Human health and the environment
 are by design interconnected and
           inseparable.
The Constitution of WHO, 1948

“Health is a state of complete physical,
 mental, and social well-being and not
   merely the absence of disease or
infirmity… a fundamental human right”
Whoever would study medicine aright
  must learn of the following subjects.
 First he must consider the effect of the
seasons of the year and the differences
between them. Secondly he must study
  the warm and the cold winds, both
  those which are in common to every
     country and those peculiar to a
 particular locality. Lastly, the effect of
 water on health must not be forgotten.


     On Air, Water, and Places
             By Hippocrates
            Father of Medicine
The Philippine Situation
                 No. 6 in the Climate
                   Change
                   Vulnerability Index
                 No. 3 most
                   vulnerable to
                   disaster risks and
                   natural hazards in
                   the World Risk
                   Index 2011, next
                   to Vanuatu and
                   Tonga
Ang Philippine Disaster
Situation
Pilipinas: Bulnerable sa Disaster
    Geographical at pisikal na katangian
    Sosyo-ekonomikal at pulitikal na kalagayan
"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
Social Determinants of Health




Dahlgren and Whitehead, 1991
Life expectancy at birth (men)
Glasgow, Scotland (deprived suburb)                             54
India                                                           61
Philippines                                                     65
Korea                                                           65
Lithuania                                                       66
Poland                                                          71
Mexico                                                          72
Cuba                                                            75
US                                                              75
UK                                                              76
Glasgow, Scotland (affluent suburb)                             82
                    (WHO World Health Report 2006; Hanlon,P.,Walsh,D. & Whyte,B.,2006)
“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
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 in All Policies
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.”
"Health is not
everything, but without
 health everything is
       nothing."
   Arthur Schopenhauer
      German Philosopher
HEALTH FOR ALL!




Thank you for listening!

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Climate Change - Why we young doctors are bothered too?

  • 1. Climate Change - Why we young doctors are bothered too? Ramon Lorenzo Luis Rosa Guinto, MD Liaison Officer to the World Health Organization Founding Coordinator, Global Health Equity Initiative International Federation of Medical Students’ Associations (IFMSA) Youth Commissioner, Lancet-University of Oslo Commission on Global Governance for Health
  • 2.
  • 3. Human health and the environment are by design interconnected and inseparable.
  • 4. The Constitution of WHO, 1948 “Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity… a fundamental human right”
  • 5. Whoever would study medicine aright must learn of the following subjects. First he must consider the effect of the seasons of the year and the differences between them. Secondly he must study the warm and the cold winds, both those which are in common to every country and those peculiar to a particular locality. Lastly, the effect of water on health must not be forgotten. On Air, Water, and Places By Hippocrates Father of Medicine
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  • 9. The Philippine Situation No. 6 in the Climate Change Vulnerability Index No. 3 most vulnerable to disaster risks and natural hazards in the World Risk Index 2011, next to Vanuatu and Tonga
  • 10. Ang Philippine Disaster Situation Pilipinas: Bulnerable sa Disaster Geographical at pisikal na katangian Sosyo-ekonomikal at pulitikal na kalagayan
  • 11.
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  • 13. "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
  • 14. Social Determinants of Health Dahlgren and Whitehead, 1991
  • 15. Life expectancy at birth (men) Glasgow, Scotland (deprived suburb) 54 India 61 Philippines 65 Korea 65 Lithuania 66 Poland 71 Mexico 72 Cuba 75 US 75 UK 76 Glasgow, Scotland (affluent suburb) 82 (WHO World Health Report 2006; Hanlon,P.,Walsh,D. & Whyte,B.,2006)
  • 16.
  • 17. “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
  • 18. Basic question: What good does it do to treat people’s illnesses … only to send them back to the conditions that made them sick?
  • 19. Health in All Policies
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  • 26.
  • 27. 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.”
  • 28. "Health is not everything, but without health everything is nothing." Arthur Schopenhauer German Philosopher
  • 29.
  • 30. HEALTH FOR ALL! Thank you for listening!

Editor's Notes

  1. I had a previous conversation – why health in climate negotiations?
  2. Human health and the environment are by design interconnected and inseparable.
  3. Even Hippocrates taught us to understand the environment as it shapes our patients’ health.
  4. The Lancet called climate change the biggest global health threat of the 21st century.
  5. There is a huge evidence showing the links between climate change and health.
  6. My country, the Philippines, is not exempted from climate change’s impact on human health and survival.
  7. Flooding inside my university
  8. Manila turned into a waterworld – even at this moment!
  9. Approximately 20 typhoons hit the Philippines each year. Due to climate change, typhoons have become more frequent, more severe, more erratic, and more unpredictable.
  10. Because we see the effects of climate change first-hand in our patients’ lives, and we are the last to bear its brunt.
  11. But the cure is not inside the clinic or the hospital – it is in the social determinants of health.
  12. SDH accounts for the world’s health inequities, both between and within countries.
  13. Climate change will breed more health inequity, as the effects are not the same in all regions. In fact, the developing world will suffer more the health consequences.
  14. Though climate change is an upstream determinant of health, climate change in itself is affected by more upstream ones, the highest being the unfair arrangements in economy and politics.
  15. So we want to address the SDH – and climate change and climate governance is one of them!
  16. We want a Health in All Policies approach at global and national levels. We can use the health lens to analyze the policies we create, especially those related to climate mitigation and adaptation.
  17. But we are not just waiting for action outside the health sector – we medical students are also doing our part!
  18. We build awareness among fellow medical students.
  19. We educate communities about the effects of climate change on human health.
  20. We train medical students in disaster management and health systems.
  21. We reach out to communities stricken by disaster.
  22. IFMSA attended Copenhagen, Cancun, Durban, and now Doha. We are leading the climate and health community and we work closely with WHO.
  23. We are even present in Rio plus 20 to let the health message surface in the negotiations.
  24. Finally, climate inaction is a violation of the right to health and human rights in general.
  25. Health is important in society. We should talk about it and make sure it is at the core of every climate discussion, because without it, everything will just be made in vain.
  26. The ultimate and the most crippling of all diseases is not global warming, but global whining. Therefore, we should start acting now.