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European perspectives on global health: a policy glossary

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1. Europe must make<br />

<strong>global</strong> <strong>health</strong> a priority<br />

Health requires an active process whereby<br />

individuals, communities and societies create<br />

well-being and the c<strong>on</strong>diti<strong>on</strong>s in which it can<br />

be attained. It is a co-producti<strong>on</strong> of many<br />

actors at every level of society.<br />

Global <strong>health</strong> refers to those <strong>health</strong> issues<br />

which transcend nati<strong>on</strong>al boundaries and<br />

governments and call for acti<strong>on</strong>s <strong>on</strong> the <strong>global</strong><br />

forces that determine the <strong>health</strong> of people. It<br />

requires new forms of governance at nati<strong>on</strong>al<br />

and internati<strong>on</strong>al level which seek to include a<br />

wide range of actors.<br />

Health sustainability is defined as meeting current<br />

<strong>health</strong> needs without compromising the ability of<br />

future generati<strong>on</strong>s to meet their own needs.<br />

Health is defined by the World Health Organizati<strong>on</strong><br />

( WHO ) as a state of complete physical, mental<br />

and social well-being and not merely the absence<br />

of disease or infirmity. To achieve <strong>health</strong>, societies,<br />

communities and individuals must engage in an active<br />

process to create and maintain well-being and the<br />

c<strong>on</strong>diti<strong>on</strong>s in which it can be attained. Health is a<br />

co-producti<strong>on</strong> of many actors at every level of society<br />

and can <strong>on</strong>ly be maintained by c<strong>on</strong>tinuing acti<strong>on</strong> to<br />

address the determinants of and threats to <strong>health</strong>.<br />

The processes of <strong>global</strong>isati<strong>on</strong> are creating new<br />

threats to <strong>health</strong> and its determinants. Health<br />

issues that transcend nati<strong>on</strong>al boundaries include<br />

envir<strong>on</strong>mental degradati<strong>on</strong>, inequality and lifestyle<br />

changes, access to medicines and <strong>health</strong> knowledge<br />

as well as new and re-emerging diseases.<br />

• Addressing diseases such as HIV / AIDS, SARS and<br />

Avian Flu, and also determinants of <strong>health</strong> such<br />

as the spread of lifestyles leading to obesity as<br />

a <strong>global</strong> pandemic or addressing the l<strong>on</strong>g-term<br />

<strong>health</strong> impact of <strong>global</strong> warming<br />

• Securing vital <strong>global</strong> <strong>health</strong> resources, such as<br />

antibiotic agents which are becoming expended<br />

as resistance develops through their inappropriate<br />

use in rich and poor countries<br />

• Ensuring the sustainability of <strong>health</strong> systems in rich<br />

and poor countries<br />

This calls for a new strategic approach to <strong>health</strong><br />

governance reflecting the fact that these <strong>health</strong> issues<br />

must be addressed <strong>on</strong> many different levels by all<br />

sectors of society. Internati<strong>on</strong>al acti<strong>on</strong> is essential<br />

to address these issues not <strong>on</strong>ly by governments<br />

and internati<strong>on</strong>al agencies but also by transnati<strong>on</strong>al<br />

corporati<strong>on</strong>s, foundati<strong>on</strong>s, n<strong>on</strong>-governmental<br />

organisati<strong>on</strong>s ( NGOs ), and organisati<strong>on</strong>s of <strong>health</strong><br />

professi<strong>on</strong>als and c<strong>on</strong>sumers.<br />

Acti<strong>on</strong> : As <strong>global</strong>isati<strong>on</strong> is central to the purpose<br />

of the EU, it is vital that it should give a high priority<br />

to its impacts <strong>on</strong> <strong>global</strong> <strong>health</strong>. It should lead<br />

acti<strong>on</strong> for <strong>global</strong> <strong>health</strong> at the regi<strong>on</strong>al level : to<br />

protect the <strong>health</strong> of its citizens, to address <strong>global</strong><br />

<strong>health</strong> problems and to establish the c<strong>on</strong>diti<strong>on</strong>s in<br />

which <strong>global</strong>isati<strong>on</strong> will c<strong>on</strong>tribute to sustainable<br />

development and <strong>health</strong>. It is proposed that a<br />

<str<strong>on</strong>g>European</str<strong>on</strong>g> Strategy for Global Health, reflecting<br />

comm<strong>on</strong> <str<strong>on</strong>g>European</str<strong>on</strong>g> values for <strong>health</strong> and citizenship<br />

be developed.<br />

Global <strong>health</strong> threats are increasingly described as a<br />

generati<strong>on</strong>al challenge to sustainable development,<br />

since if they are not addressed now, they will become<br />

unc<strong>on</strong>trollable threats to the <strong>health</strong> and security of<br />

future generati<strong>on</strong>s. Sustainability for <strong>health</strong> means :<br />

10 <str<strong>on</strong>g>European</str<strong>on</strong>g> Foundati<strong>on</strong> Centre – <str<strong>on</strong>g>European</str<strong>on</strong>g> Partnership for Global Health

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