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Global Health Watch 1 in one file

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2 ‘I became sick because of my poverty.’ ‘Well, I became poor because of<br />

my sickness.’ The two-way relationship between poverty and ill-health<br />

affects billions.<br />

Consider, first, the impact of globalization on poverty, <strong>one</strong> of the most<br />

powerful predictors of poor health. It is claimed that globalization has reduced<br />

the number of people liv<strong>in</strong>g <strong>in</strong> abject poverty (def<strong>in</strong>ed by the World Bank as<br />

liv<strong>in</strong>g on less than a dollar a day) by 200 million s<strong>in</strong>ce 1980 (Dollar 2002). This<br />

still leaves 1.2 billion people liv<strong>in</strong>g on less than a dollar a day, and 2.8 billion,<br />

almost half the world’s population, on less than two dollars a day (Chen<br />

and Ravallion 2004). Critics po<strong>in</strong>t to flaws <strong>in</strong> how the Bank measures poverty<br />

(Wade 2002), and raise questions about the validity of the purchas<strong>in</strong>g power<br />

parity estimates used to measure cost of liv<strong>in</strong>g differentials between countries<br />

(Reddy and Pogge 2003); use of questionable historical data (Wade 2004); the<br />

irrelevance of the dollar a day threshold to the realities of life <strong>in</strong> the develop<strong>in</strong>g<br />

world’s fast-grow<strong>in</strong>g cities (Satterthwaite 2003); and lack of reliable data from<br />

Ch<strong>in</strong>a and India where almost all the poverty reduction has taken place (Wade<br />

2002). All these factors mean that official figures on the extent of world poverty<br />

are likely to be under-estimates (Reddy and Pogge 2003). In India, for example,<br />

new research is f<strong>in</strong>d<strong>in</strong>g that poverty and rural hunger probably <strong>in</strong>creased dur<strong>in</strong>g<br />

the 1990s (Patnaik 2004).<br />

Even if recent growth <strong>in</strong> Ch<strong>in</strong>a and India has reduced the number of their<br />

<strong>Health</strong> for all <strong>in</strong> a ‘borderless world’?<br />

17

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