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‘A very good reference work for people working in areas affecting the health of populations. It deals with some of the most important issues in today’s world. I highly recommend it.’ – Vicente Navarro, Editor-in-Chief, International Journal of Health Services ‘Combines academic analysis with a call to mobilize the health professional community to advocate for improvements in global health and justice. I hope it will be read by many health professionals in rich and poor countries alike.’ – Professor Andy Haines, Director, London School of Hygiene & Tropical Medicine ‘Governments and intergovernmental organizations have structured our social world so that half of humankind still lives in severe poverty. These global poor suffer vast health deficits due to inadequate nutrition and lack of access to health care, safe drinking water, and clean sewage systems. Each year, some 18 million of them, including 10 million children under 5, die from preventable or treatable medical conditions – accounting for one third of all human deaths … This greatest moral outrage of our time will continue until citizens reflect on its causes and firmly place the human rights of the global poor on the political agenda. Global Health Watch 2005–2006 is a courageous and promising effort in this direction.’ – Thomas Pogge, Professorial Research Fellow, Centre for Applied Philosophy, Australian National University ‘Global Health Watch 2005–2006 offers a critique of global trends that threaten health including the practices of multinational corporations, the false promise of the genetics revolution, the scandal of hunger in a world of plenty and the failure of UN institutions such as WHO to live up to their original mission to promote the health of poor people. Global Health Watch shows clearly that whether we are healthy or not is deeply rooted in our political, economic and social structures. More important, it also demonstrates, with practical suggestions, that another world is possible. It will become the essential guidebook for health activists who want to campaign for a kinder, more equitable, healthier and people-centred world.’ – Fran Baum, member of the WHO Commission on the Social Determinants of Health ‘A much-needed resource, unique, and reflecting the work of well-qualified authors from all continents. I applaud the effort – and the result.’ – Philip R. Lee, MD, Consulting Professor, Stanford University
Global Health Watch 2005–2006 An alternative world health report People’s Health Movement bangalore Medact london Global Equity Gauge Alliance durban Zed Books london | new york
Page 1: About this book Today’s global he
Page 5 and 6: Contents Boxes, figures and tables
Page 7 and 8: C2.1 The facts about disability 180
Page 9 and 10: Illustrations 1 Medicine cannot dea
Page 11 and 12: Acknowledgements The following indi
Page 13 and 14: London School of Hygiene and Tropic
Page 15 and 16: Victoria, Canada; Centre for Health
Page 17 and 18: Foreword New reports on different a
Page 19 and 20: Introduction Origins The Global Hea
Page 21 and 22: Child malnutrition, death and disab
Page 23 and 24: Human rights and responsibilities A
Page 25 and 26: impacting on health. The Watch hope
Page 27: part a | Health and globalization T
Page 30 and 31: Health and globalization | A1 and h
Page 32 and 33: Health and globalization | A1 in 20
Page 34 and 35: Health and globalization | A1 is gl
Page 36 and 37: Health and globalization | A1 peopl
Page 38 and 39: Health and globalization | A1 numbe
Page 40 and 41: Health and globalization | A1 and p
Page 42 and 43: Health and globalization | A1 econo
Page 44 and 45: Health and globalization | A1 Box A
Page 46 and 47: Health and globalization | A1 half
Page 48 and 49: Health and globalization | A1 appro
Page 50 and 51: 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-
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Health care systems | B4 women and
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Health care systems | B4 of funding
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Health care systems | B4 debate on
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Health care systems | B4 the sexual
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Health care systems | B4 perspectiv
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Health care systems | B5 genome res
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Health care systems | B5 drugs base
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Health care systems | B5 Complete f
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Health care systems | B5 when a tes
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Health care systems | B5 are allowi
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Health care systems | B5 of life sc
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part c | Health of vulnerable group
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Health of vulnerable groups | C1 me
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Health of vulnerable groups | C1 pr
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Health of vulnerable groups | C1 Th
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Health of vulnerable groups | C1 Ca
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Health of vulnerable groups | C1 Bo
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Health of vulnerable groups | C1 Pa
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Health of vulnerable groups | C2 DP
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Health of vulnerable groups | C2 di
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part d | The wider health context T
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D1 | Climate change Introduction En
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increasing quantities are now causi
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development, local availability foo
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14 Droughts threaten the food secur
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Protocol can meet their targets by
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15 Transport and travel are major d
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• Redesign trade rules. Governmen
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D2 | Water Access to enough clean w
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water consumption worldwide. Each p
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table d2.1 Top corporate players in
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16 Protesting against the privatiza
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Box D2.3 Regulating private water c
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The private sector overestimates th
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Box D2.7 US citizens told to boil t
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to water. Worse still, it does this
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References Barlow M, Clarke T (2002
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D3 | Food Undernutrition is by far
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Functional and Productive Capacity
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table d3.1 Corporate control of US
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keting and processing means that sm
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average Indian family of four reduc
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Bank’s US$ 93.5 million loan to C
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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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