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Health of vulnerable groups | C2 disabilities are less than 2% of the disability population and that the majority of disabling impairments are caused by poverty and exclusion. Throughout the world, power and economics prevail in the war against the weak. Recommendations • Listen to the voices of the excluded. Promote and support the voice and status of disabled people. • Understand the nature of exclusion – establish longitudinal data sets based on environmental impacts to monitor disabled people’s lives. • Look for solutions through equality, inclusion and rights. Society has to change, as well as routine daily behaviour. • Ensure the disability dimension is included in all agendas – especially poverty and development. • Build alliances to make a difference. • Include disabled people in the monitoring of all human rights instruments and promote an international convention on the rights of disabled people. • Above all, recognize the intrinsic humanity of each disabled person, regardless of impairment. References Amnesty International (2004). Albania: disability and the right to marry. Press release, 11 November. Disability Awareness in Action (DAA) (2002). A Real Horror Story: The Abuse of Disabled People’s Human Rights. DAA Human Rights Database report. London, DAA. DAA (2003). Testimony concerning human rights abuse against disabled people. Submission to the UN Human Rights Commission. London, DAA. Disabled Peoples’ International/Europe (2000). Disabled people speak on the new genetics. Position statement on bioethics and human rights. London, DPI/Europe. Disabled Peoples’ International (1981). Proceedings of the first world congress. Singapore, DPI. Fletcher A, Hurst R (1995). Overcoming obstacles to the integration of disabled people. Report for the World Summit on Social Development, London, DAA. International Service (2003). Left off the agenda? Mainstreaming disability in development. Conference report (http://www.internationalservice.org.uk/conference.html, accessed 26 January 2005). Quinn G, Degener T (2003). A study on the current use and future potential of the UN human rights instruments in the context of disability. Geneva, UN Human Rights Commission. Sen A, Wolfensohn J (2003). Helping disabled people to come out of the shadows. Global Viewpoint (http://www.worldbank.org.cn/English/content/382b63052692. shtml, accessed 26 January 2005). 188
Sterling T (2004). Netherlands Hospital Euthanizes Babies (http://apnews.myway.com/ article/20041130/D86MEAA80.html, accessed 26 February 2005). Werner D (2002). The role of disabled persons in overcoming rural poverty in Andhra Pradesh, India. Newsletter from the Sierra Madre, 48, Palo Alto, Healthwrights. World Health Organisation (1985) Targets for Health for All. Copenhagen, WHO Regional Office for Europe. WHO (2001). International classification of functioning, disability and health. Short version. Geneva, WHO. Xinhua [anonymous] (1994). News agency domestic service report, Beijing, Xinhua, 27 October. Disabled people 189
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About this book Today’s global he
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Global Health Watch 2005-2006 An al
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Contents Boxes, figures and tables
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C2.1 The facts about disability 180
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Illustrations 1 Medicine cannot dea
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Acknowledgements The following indi
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London School of Hygiene and Tropic
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Victoria, Canada; Centre for Health
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Foreword New reports on different a
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Introduction Origins The Global Hea
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Child malnutrition, death and disab
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Human rights and responsibilities A
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impacting on health. The Watch hope
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part a | Health and globalization T
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Health and globalization | A1 and h
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Health and globalization | A1 in 20
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Health and globalization | A1 is gl
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Health and globalization | A1 peopl
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Health and globalization | A1 numbe
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Health and globalization | A1 and p
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Health and globalization | A1 econo
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Health and globalization | A1 Box A
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Health and globalization | A1 half
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Health and globalization | A1 appro
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table a1 Key health concerns with W
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Health and globalization | A1 Healt
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Health and globalization | A1 merci
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Health and globalization | A1 thems
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Health and globalization | A1 Even
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Health and globalization | A1 • A
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Health and globalization | A1 non-v
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Health and globalization | A1 27-28
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Health and globalization | A1 Jenki
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Health and globalization | A1 Satte
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Health and globalization | A1 WHO (
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and regulatory authorities mandated
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Health care systems | B1 4) selecti
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Health care systems | B1 • And si
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Health care systems | B1 • declin
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Health care systems | B1 user charg
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Health care systems | B1 focus on t
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Health care systems | B1 for health
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Health care systems | B1 their cont
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Health care systems | B1 health car
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Health care systems | B1 ing servic
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Health care systems | B1 Box B1.7 G
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Health care systems | B1 many of th
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Health care systems | B1 the lack o
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Macro-economic factors Impoverished
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Health care systems | B1 HALE 2000
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Health care systems | B1 But improv
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Health care systems | B1 high-incom
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Health care systems | B1 Structural
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Health care systems | B1 the high t
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Health care systems | B1 and histor
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Health care systems | B1 norms (Loe
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Health care systems | B1 Foster M,
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Health care systems | B1 Toole M et
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B2 | Medicines Introduction Essenti
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Health care systems | B2 of new med
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Health care systems | B2 chapter re
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Health care systems | B2 the fourth
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Health care systems | B2 agenda thr
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Health care systems | B2 nonetheles
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Health care systems | B2 decision o
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Health care systems | B2 for the an
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Health care systems | B2 expenditur
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Health care systems | B2 Medawar C
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Health care systems | B3 between he
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Severe shortage Low density Moderat
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Health care systems | B3 sector and
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Health care systems | B3 to the US,
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Health care systems | B3 500 400 30
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Health care systems | B3 have been
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Health care systems | B3 to underta
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B4 | Sexual and reproductive health
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Health care systems | B4 10 Policy-
Page 156 and 157: Health care systems | B4 women and
Page 158 and 159: Health care systems | B4 of funding
Page 160 and 161: Health care systems | B4 debate on
Page 162 and 163: Health care systems | B4 the sexual
Page 164 and 165: Health care systems | B4 perspectiv
Page 166 and 167: Health care systems | B5 genome res
Page 168 and 169: Health care systems | B5 drugs base
Page 170 and 171: Health care systems | B5 Complete f
Page 172 and 173: Health care systems | B5 when a tes
Page 174 and 175: Health care systems | B5 are allowi
Page 176 and 177: Health care systems | B5 of life sc
Page 179: part c | Health of vulnerable group
Page 182 and 183: Health of vulnerable groups | C1 me
Page 184 and 185: Health of vulnerable groups | C1 pr
Page 186 and 187: Health of vulnerable groups | C1 Th
Page 188 and 189: Health of vulnerable groups | C1 Ca
Page 190 and 191: Health of vulnerable groups | C1 Bo
Page 196 and 197: Health of vulnerable groups | C1 Pa
Page 200 and 201: Health of vulnerable groups | C2 DP
Page 209 and 210: part d | The wider health context T
Page 211 and 212: D1 | Climate change Introduction En
Page 213 and 214: increasing quantities are now causi
Page 215 and 216: development, local availability foo
Page 217 and 218: 14 Droughts threaten the food secur
Page 219 and 220: Protocol can meet their targets by
Page 221 and 222: 15 Transport and travel are major d
Page 223 and 224: • Redesign trade rules. Governmen
Page 225 and 226: D2 | Water Access to enough clean w
Page 227 and 228: water consumption worldwide. Each p
Page 229 and 230: table d2.1 Top corporate players in
Page 231 and 232: 16 Protesting against the privatiza
Page 233 and 234: Box D2.3 Regulating private water c
Page 235 and 236: The private sector overestimates th
Page 237 and 238: Box D2.7 US citizens told to boil t
Page 239 and 240: to water. Worse still, it does this
Page 241 and 242: References Barlow M, Clarke T (2002
Page 243 and 244: D3 | Food Undernutrition is by far
Page 245 and 246: Functional and Productive Capacity
Page 247 and 248: table d3.1 Corporate control of US
Page 249 and 250: keting and processing means that sm
Page 251 and 252: average Indian family of four reduc
Page 253 and 254: Bank’s US$ 93.5 million loan to C
Page 255 and 256: Avery N, Drake M, Lang T (1993). Cr
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D4 | Education Some 135 million chi
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ledge about health-care practices a
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2005, and on present trends about 4
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Box D4.3 Programmes that aim to emp
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• per capita public spending fall
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unable to recruit 9000 badly needed
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Gordon D et al. (2003). The distrib
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D5 | War War has an enormous and tr
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19 Chechnya destroyed. War has wide
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initiated a ‘war on terrorism’.
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an explosive force equivalent to ab
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the risk of their misuse and divers
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Box D5.3 An agenda for peace The Ha
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Machel G (1996). Impact of Armed Co
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part e | Holding to account: global
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E1 | World Health Organization The
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The sources consulted worldwide in
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Box E1.1 Milestones in WHO history
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aised by his attempts to revitalize
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• stronger internal focus on perf
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21 WHO - up in the clouds? Reaction
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in favour of so-called ‘vertical
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to speak openly, while bullying and
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velop a unified, purposeful health
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to medicines, and the mobilizing ro
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Recommendations WHO’s core purpos
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doctors, and more people with exper
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E2 | UNICEF In 2005, Carol Bellamy,
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In sum, for almost a decade, childr
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prompted a global debate on how to
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E3 | The World Bank and the Interna
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22 World Bank: the centre of world
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approach to conditionality is being
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tal policies should explicitly refe
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E4 | Big business This chapter deal
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23 The Marlboro Man was described b
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dedicated funding [Articles 5.6 and
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grass roots in building government
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24 A pack of Cerelac cereal food pu
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USAID has also funded work on breas
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(from whatever its source, and howe
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These trends in taxation are underp
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Norway Denmark Netherlands Luxembou
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Global aid trends - allocation Wher
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weapons, vehicles and military trai
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table e5.1 Value (in £) of new DFI
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OECD (2005). Development Co-operati
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25 Breaking the chains of debt: pro
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Box E6.1 Zambia: inflation or death
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have met the Fund’s conditions, a
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E7 | Essential health research Rese
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Developing national health research
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for African Medical Editors (Certai
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Neither the consultations leading u
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Box E7.4 Asking the social-politica
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• global architecture for health
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part f | Conclusions Global Health
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current debt relief mechanism - the
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agreement, and taking health and he
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ity of the now-developed countries
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tion and water are experiencing sim
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