Fair Lawn Model United Nations Conference IV 2015 World Health Organization Chairs: Jane Lee Brianna Pascua Dan Lishven Greetings Delegates, Welcome to Fair Lawn’s Fourth Annual Model United Nations Conference! My name is Jane Lee and I will be chairing the World Health Organization committee. I’m currently a senior at Fair Lawn High School and I’ve been involved with Model UN since my sophomore year- in fact, my first MUNC was FAIRMUNC two years ago! Since then, I’ve grown so much as a public speaker and debater and have become so much more educated in international current events and global issues. I have been to several conferences in the past and this will be my second year in a row chairing a committee at FAIRMUNC. Make sure you come well-versed in not only the viewpoints of the country you are representing, but in that of other countries as well for it will come in handy during the debate! Most importantly: don’t be nervous to speak! Proudly represent your country and voice its viewpoints- speaking up and contributing to the debate will only help you improve! I’m so excited to meet all of you and I look forward to the productive and stimulating debate that this committee will bring! Hello and welcome delegates to FAIRMUNC IV! My name is Brianna Pascua and I am also a senior at Fair Lawn High school. I joined Model UN last year as a junior, and though I wish I joined sooner, being a part of Model UN has been one of the most rewarding experiences. I have learned many lasting skills through the conferences I have attended and have become much more perceptive and knowledgeable of the world around me. I am incredibly excited to be a chair of the World Health Organization for the first time and to witness how all of you will grow as successful debaters as our conference unravels. I am eager to see you all there and am looking forward to having a successful committee! Welcome to Fair Lawn’s fourth Model U.N Conference. My name is Daniel Livshen and I will be a chair of the World Health Organization committee. I am somewhat of a rookie when it comes to Model U.N.. I have just started my second year of both high school and M.U.N. and I am looking forward to seeing the debate unfold from a third party perspective for the first time. In my minute experience, I have already learned many problem solving and public speaking skills from many conferences like this one. M.U.N. has showed me different perspectives of what I thought to be one sided issues and educated me current events. Debating has become a passion of mine and I would not trade the time I have spent here for anything else. I hope what you bring to the table of diplomacy will be very insightful and will shape the outcome of this committee. While this background guide provides a solid foundation to start with, come fully prepared with extra research and your position papers. The topics for the FAIRMUNC IV World Health Organization are Violence Against Women and Combating Non-Communicable Diseases. Both are highly debated topics within WHO and we’re very excited to see what you can bring to the discussion and which resolutions will be made. If you have any questions, feel free to email us with the links on our website! All the best, Jane, Brianna, and Dan TOPIC 1: VIOLENCE AGAINST WOMEN Introduction: Violence against women is defined as "any act of gender-based violence that results in, or is likely to result in, physical, sexual or mental harm or suffering to women, including threats of such acts, coercion or arbitrary deprivation of liberty, whether occurring in public or in private life." Women have been faced with both intimate partner violence and sexual violence. Intimate partner violence is defined as any behavior by an intimate partner or ex-partner that causes physical, sexual or psychological harm. This can include physical aggression, sexual coercion, psychological abuse and controlling behaviors. Sexual Violence refers to any sexual act or any attempt towards a sexual act with the use of coercion to any person regardless of their relationship or setting; this includes the act of rape. In 2005, the report of “WHO Multicountry study on women’s health and domestic violence against women”, found that between 0.3-11.5% of women aged 1549 have reported experiencing sexual violence since the age of 15 years in 10 mainly low- and middle- income countries. In a more recent population-level report, WHO with the London School of Hygiene and Tropical Medicine and the Medical Research Council, found that based on data from over 80 countries, 35% of women have experienced either physical and/or sexual intimate partner violence or non-partner sexual violence; this violence consisting of mainly intimate partner violence. On a global level, nearly one third or 30% of all women who have been in a relationship many as 38% of all female murders are have experienced physical and/or sexual committed by intimate partners. violence by their intimate partners, and as Factors and Consequences Risk factors that are associated with intimate ● having multiple partners or partner and sexual violence happen from suspected by their partners of within individuals to wider societies. Risk infidelity (perpetration); and factors for both include: ● lower levels of education (perpetration of sexual violence and experience of sexual violence); ● exposure to child maltreatment (perpetration and experience); ● witnessing family violence (perpetration and experience); ● antisocial personality disorder (perpetration); ● harmful use of alcohol (perpetration and experience); ● attitudes that are accepting of violence and gender inequality (perpetration and experience). However, some are restricted to intimate partner violence: past history of violence, marital discord and dissatisfaction, and difficulties in communicating between partners. Some specific to sexual violence include: beliefs in family honor and sexual purity, ideologies of male sexual entitlement, and weak legal sanctions for sexual violence. Consequences of intimate partner and sexual violence range from serious short- to long-term physical, mental, sexual and violence. They are also twice as reproductive health problems for not only likely to have an abortion. survivors, but also for their children. ● Intimate partner violence in These consequences include the pregnancy also increases the following: likelihood of miscarriage, stillbirth, preterm delivery and ● 42% of women who experience low birth weight babies. intimate partner violence report ● These forms of violence can lead injuries as a result of partnership. to depression, post-traumatic ● Intimate partner violence and stress disorder, sleep difficulties, sexual violence can lead to eating disorders, emotional unintended pregnancies, induced distress and suicide attempts. The abortions, gynaecological same study found that women problems, and sexually who have experienced intimate transmitted infections, including partner violence were almost HIV. The 2013 analysis found twice as likely to experience that women who had been depression and drinking physically or sexually abused problems. The rate was even were 1.5 times more likely to higher for women who had have a sexually transmitted experienced non partner sexual infection and, in some regions, violence. HIV, compared to women who ● Health effects can also include had not experienced partner headaches, back pain, abdominal ● pain, fibromyalgia, It can have social and economic costs gastrointestinal disorders, limited that affect society as a whole as women mobility and poor overall health. may suffer isolation, inability to work, Sexual violence, particularly loss of wages, lack of participation in during childhood, can lead to regular activities and limited ability to increased smoking, drug and care for themselves and their children. It alcohol misuse, and risky sexual can also have a lasting impression on the behaviors in later life. It is also youth, as children who are raised in associated with perpetration of families with violence present may suffer violence (for males) and being a a range of behavioral and emotional victim of violence (for females). disturbances. Violence against women can even end fatally, resulting in homicide or suicide. Prevention Since there are limited interventions within dating relationships have shown whose effectiveness has been proven, effectiveness in primary prevention. more resources are needed to strengthen However, this evidence is limited to the prevention of intimate partner and high-income countries. Thus, it needs to sexual violence. In high-income be assessed for use in resource-poor countries, school-based programs settings. There have been several other promoting the prevention of violence promising primary prevention strategies; however, they need to be evaluated further. In order to have a lasting change, ● help to move towards more peaceful cultural norms. it is important to enact legislation and An appropriate response from the health develop policies that: sector can play an important role in the prevention of violence. Sensitization and ● address discrimination against education of health and other service women; providers is therefore another important ● promote gender equality; ● support women; and strategy. UN Involvement The United Nations Secretary-General’s multi-sectoral national action plans that campaign, UNiTE to End Violence against emphasize prevention, the establishment of Women, was launched in 2008. The goals of data collection and analysis on the this campaign included raising public prevalence of the various forms of violence, awareness and increasing political will and and the systematic efforts to address sexual resources for the prevention and termination violence in conflict situations and to protect of all forms of violence against women and women and girls from rape as a tactic of girls around the world. The goals of the war. All governments, civil society, UNiTE campaign also includes the adoption women’s organizations, men, young people, and enforcement of national laws to address the private sector, the media and the entire and punish all form of violence against UN system must join forces to address the women and girls, the implementation of global pandemic of violence against women and to fulfill the UNiTE campaign’s goals. ● Strengthening research in order to The campaign is currently working to assess interventions to address mobilize individuals and communities and is partner violence looking to partner with men, young people, ● Distributing information and celebrities, artists, athletes, private sectors supporting national efforts to and many more. WHO, in collaboration with advance women’s rights and the a number of partners, is: prevention of and response to ● Building the evidence base on the size and nature of violence against women to understand the magnitude and nature of the problem at a global violence against women ● Working with international agencies and organizations to reduce/eliminate violence globally level and to initiate action in countries Questions to Consider: 1) How prevalent is violence against women in your country? 2) What are the different types of violence 4) What is required of the global community to fight against violence against women? 5) How can violence against women against women that occur within your influence your country’s future (i.e. the country, if any? youth). 3) How does violence against women affect your country economically, socially, culturally, and politically? 6) How can you assist to address the issue of violence against women? 7) How does your country’s social culture affect the presence or lack of presence of 8) What action has your country taken in regards to violence against women? violence against women? References: http://www.who.int/mediacentre/factsheets/f s239/en/ http://www.un.org/en/women/endviolence/a bout.shtml http://www.unwomen.org/en/news/infocus/end-violence-against-women/violence TOPIC 2: COMBATING NON-COMMUNICABLE DISEASES Introduction Of all deaths worldwide, over half decades, the WHO observed significant risk are caused by non-communicable diseases. factor modifications of improved blood (NCD) An NCD is a noninfectious, non- pressure control and decreased smoking rate. transmissible disease. There are major However, hypertension and cigarette groups of NCDs: cardiovascular disease, smoking remained the most contributable cancer, diabetes, and other non transmissible factors of NCDs in the Korean population. diseases. 80% of all deaths caused by NDCs Moreover, other major modifiable risk are from underdeveloped countries. The factors show no improvement or even World Health Organization's World Health worsened results. The current status and Report 2002 identified that the most trends in major modifiable risk factors important risk factors for NCDs are tobacco reinforce the importance of prevention, use, alcohol consumption, obesity, physical detection, and treatment of risk factors in inactivity, high blood pressure, and high reducing the burden of NCDs on individuals cholesterol. Accordingly, the present report and the society. The underlying horrible set out to review the prevalence and trends truth is that this colossal killer is largely of these modifiable risk factors in the preventable or easily cut enormously Korean population. Over the past few (WHO). Cancer Of the major NCDs, cancer is the most ● Develop and distribute arduous to combat. According to the comprehensive guidelines for Webster dictionary, cancer is a serious controlling cervical cancer. disease caused by cells that are not normal ● Support Bolivia and the U.S. and that can spread to another part of the Affiliated Pacific Islands to body. This definition may seem nonchalant, improve access to cervical but cancer is a deadly disease that comes in cancer screening by using a many different varieties and always requires process called visual inspection extensive care. Each year about 14 million with acetic acid. people are diagnosed with cancer. Of those ● Study women’s knowledge and 14 million, 8 million die every year. Cancer attitudes about cervical cancer kills more people than any other disease in prevention, screening, and the world. Luckily, long strides have been treatment practices in Brazil and made to prevent cancer. In most cases Kenya. cervical cancer is preventable by a ● Test tools to assess the cost of vaccination against human papillomavirus operating cancer registries in (HPV). Indoor tanning beds have either Colombia, India, and Kenya. strict regulations or have been completely ● Train healthcare workers to banned. Brazil was the first country to ban introduce HPV testing for indoor tanning on 2009. (CDC) cervical cancer screening At the moment the CDC is doing the programs in Thailand. following to prevent cancer: ● Support cervical cancer ● Setup cancer registry support screening programs through the centers to strengthen registries in Pink Ribbon Red Ribbon Asia, Africa, and the Caribbean program in Botswana, Tanzania, and Zambia. Cardiovascular disease Heart and blood vessel disease — America, one in every four deaths is caused also called heart disease — includes by cardiovascular disease. Every 29 numerous problems, many of which are seconds, someone will suffer a coronary related to a process called atherosclerosis. event in the United States. Every 60 Atherosclerosis is a condition that develops seconds, someone will die from such an when plaque builds up in the walls of the event (Stanford Health Institute). arteries. This buildup narrows the arteries, making it harder for blood to flow through. If a blood clot forms, it can stop the blood What is being done at the moment? In 2002, the CDC funded flow. This can cause a heart attack or stroke. cardiovascular disease prevention programs A heart attack occurs when the blood flow to in 29 states in the US and the District of a part of the heart is blocked by a blood clot. Columbia. The Heart Disease and Stroke If this clot cuts off the blood flow Prevention Program is designed to reduce completely, the part of the heart muscle disparities in treatment, risk factors, and supplied by that artery begins to die. In disease; delay the onset of disease; postpone death; and reduce disabling conditions. The funding for every state. goal is a national program with sufficient Diabetes Diabetes is a disease in which blood sugar Weight loss (glucose) levels in your body are too high ● Blurry vision and your body cannot process them. ● Sores that do not heal Diabetes can cause serious health problems, ● Tingling/numbness in the hands and including heart attack or stroke, blindness, feet problems during pregnancy, and kidney ● Increased thirst failure. More than 29 million people have ● Increased hunger diabetes. A quarter of people who have ● Having to urinate more often – diabetes are undiagnosed. Some Symptoms are: especially at night ● Feeling very tired Country Positions: Western bloc- population leading to more cases of NCDs. Most western countries have Most western countries generally have departments or bureaus prepared to prevent plenty of regulations on smoking and NDCs. These Countries are better equipped alcohol. but suffer from over indulgence of their African blocAfrica contains 54 low- and middle- suffer not from chronic diseases but hyperacute conditions. The combatting of income countries; it is expected to have the NDCs in the Middle East is fairly lackluster world’s largest increase in NCD deaths over and needs to be strengthened. the next decade. In northern Africa, 75% of Asian / Pacific bloc- deaths are caused by NDCs. A coalition of 25 countries has been made to combat NCDs in the region. Middle Eastern blocIran has trouble getting the required Countries like Australia have approximately 91% of all their deaths coming from NDCs. tools and medicine for its patients due to the Most of these countries that are in the rigorous sanctions instilled by the US, UN, coalition have over 50% of their population and EU. Many Middle Eastern countries dying every year to NDCs. UN Involvement: The General Assembly has previously environment, and how they contribute to the passed Resolution 65/238 regarding the growing obesity rates. The United Nations is regulation of obesity and its contribution to currently working to tackle the issue of non-communicable diseases. These diseases obesity alongside the issue of malnutrition are most often predecessors of obesity, and and of diseases deriving from both. can contribute to early deaths. Resolution According to WHO about 35 percent of all 65/238 established the High- Level meeting deaths of children of five years and younger which led to a discussion on limits of are due to lack of nutrition, yet around 43 alcohol, tobacco, diet, exercise, and the million children under the same demographic are considered to be either implementation of prenatal, neonatal, and overweight or obese. Both obesity and post natal birthing methods, as well as malnutrition help increase the likelihood of promotion of specific criteria of food for NCDs. To aid nations, prominently low and young children. The initial purpose of the middle income countries where the issues nutrition package is to promote a standard are unexpectedly just as prevalent, WHO for nutrition while working on decreasing established a “24 essential nutrition actions” the obesity, child mortality, and nutrition package. This package regards the related deaths in the world (PRB). Questions To Think About 1) Is your nation affected by NCDs? How 4) What else could be done to prevent much has your nation suffered? NDCs? 2) Approximately how much of your 5) How should the UN address the countries resources are spent preventing and that are underdeveloped but still affected by researching NDCs? this issue? 3) What has your nation done to place 6) Can NGOs be useful in combating NCDs, regulations on smoking or other causes of If so how? NDCs? References http://www.ncbi.nlm.nih.gov/pubmed http://www.cdc.gov/ http://www.ncbi.nlm.nih.gov/