Global Health Disparities
The Universal Declaration
of Human Rights
• “Everyone has the right to a standard of
living adequate for the health and well
being of himself and his family, including
food, clothing, housing and medical care.”
Universal Declaration of Human Rights,
1948
How the Right To Health Relates
To Other Human Rights
Economic Rights
(i.e. right to living wage)
RIGHT TO
HEALTH
Other Social Rights
(i.e. right to education)
Civil/Political Rights
(i.e. right to vote, gather, demonstrate)
World’s Poor: Question 1
1 in 5 people
in the world
Live on less
than $1 a day
-Human Devpt Report
2003
BBC: “World Inequality”
18th July 2001
The Rising Tide Does Not
Lift All Boats!
BBC: “World Inequality” 18th July 2001
A World of Water?
Question 2
• 1.1 Billion people
do not have access
to clean water!
• 2.4 billion lack
adequate
sanitation facilities
Facts from UNDP Report 2003, Picture from BBC
Global Inequities Nutrition:
Question 3
• One billion adults are
•
overweight…
But 170 million
children in poor
countries underweight
– Over three million die
each year as a result
of undernutrition
Facts from UNDP Report 2003, Picture from CNN
Map of Hunger
(among other things)
http://www.un.org/Pubs/chronicle/2001/issue3/0103p15.html
AIDS: Question 4
• 42 million infected
with HIV/AIDS
currently,
– Over 95% in the
developing world
• Over 20 million
orphans expected in
10 years time
Facts from: AIDS Epidemic Update, 2002
Global Health Inequities:
Medical research-Questions 5-6
• 10/90 Rule
– Less than 10% of the
world’s research budget
is spent on conditions
that account for 90% of
the world’s diseases!
Source: www.globalforumhealth.org
Global Health Disparities:
Disease Burden-Question 7
• AIDS Kills 3 million a year
• TB kills 2 million a year
• Malaria kills 1 million a year
Source: Lancet Volume 354, Number 9178 14 August 1999
Child Mortality: Question 8
• 11 million preventable
deaths a year
– 30,000 a day
• Leading causes
include: respiratory
infections, diarrhea
and malaria
Source: “Health: A Key To Prosperity” A World Bank
Report
Health Outcomes
by Country and Development Category,
(1995–2000)
Annual
Income
Infant Under 5
Deaths Mortality
POOR
$296
100
159
RICH
$25,730
6
6
$500
92
151
SubSaharan
Africa
Source: Human Development Report 2001, Table 8, and CMH calculations
using World Development Indicators of the World Bank, 2001.
Global Inequities:
Life Expectancy
• In developed
countries life
expectancy was 75.2
• 49.2 in the least
developed countries
– For persons born in
1999
Source: Human Development Report 2001, Table 8, and CMH calculations
using World Development Indicators of the World Bank, 2001.
What are the Two Biggest
Threats to Global Health?
• Tobacco– Estimated to kill about 10 million
people a year by 2030
• AIDS
– Destabilizing nations, reversing
development trends, inciting famines
(kills off the farmers)
Don’t Despair!!!
• Things that
Medical
Students have
done to fight
for global
health justice
How YOU
and others can
change the world ….
• Education:
• Conferences
• Toxic Tours
• Curriculum
Development
• International Health
Experiences
• Activism:
• AIDS Network
• 04 Stop AIDS
• Health Action AIDS
Week in March
• Human Rights Day
Commemoration
• Medical Equipment
and Textbook
Recycling
Education and Action…
Global Health and Human Rights
Political Leadership Institute
• Who: 12-15 medical
•
•
•
•
•
•
students
When: February 5-8,
2004
Where: AMSA Offices of
Reston, VA
Train to lobby & advocate
Learn about key issues in
global health
Meet a vibrant group of
fellow activists
Contact Connie Liu at
cwl6@cwu.edu
IHMEC Western Regional Conf
• “Bringing International
Health Home”
• Jan 30th-Feb 1st at
•
Arizona Health Sciences
Center
Large conference of over
500 attendees where
international health
curriculum/opportunities/
will be discussed
• Contact Mary Foote,
mfoote@email.arizona.edu
Education…
Toxic Tours
• Toxic Tour Pilot in Philly (Fall
2003) at the Region 1,2, 3
conference
• A “tour” of Philadelphia’s
environmental “hot spots” by an
environmental justice organization
• A “How to Guide” on setting up your
own toxic tour will follow the pilot.
Contact Patty Myung at
patricia_myung@brown.edu
Education…
The International Health
Experience
Argentina
Australia
Bahrain
Belgium
Brazil
Bulgaria
Burkina Faso
Chile
China
Colombia
Costa Rica
Croatia
Cuba
Dominican Republic
Egypt
England
Ethiopia
France
Germany
Ghana
Greece
Guatemala
Honduras
Hungary
India
Indonesia
Iran
Israel
Jordan
Kenya
Latvia
Malaysia
Mexico
Nepal
Nigeria
Pakistan
Panama
Peru
www.amsa.org/global/ih/intlintro.cfm
Philippines
Poland
Russia
Scotland
Senegal
South Africa
South Korea
Spain
Sri Lanka
Sweden
Taiwan
Thailand
Trinidad and Tobago
Turkey
Ukraine
United Arab Emirates
Venezuela
Viet Nam
Zambia
Action!!!
Health Professional Students AIDS
Action Network (HPSAAN)
• Join Your Regional
•
•
•
AIDS Listserve today!
www.amsa.org/hpsaan
.cfm
Create a regional
speakers bureau
Educate your peers
about debt, the Global
Fund and Generic
Medications
Be a Health Action
AIDS week Coordinator
Activism…..
Health Professional Students AIDS
Action Network (HPSAAN)Question 9
HPSAAN PLATFORM
DONATE DOLLARS
Education in
Oct/Nov
DROP THE DEBT
TREAT THE PEOPLE
Question 9!
Fighting for Access to
Essential Medicines
Education in
Dec/Jan
Education
during Feb/March
E-mail: Hpsaan@yahoo.com,
Web: www.amsa.org/global/hpsaan.cfm
Other activities online….
• Medical Textbook
•
•
Donation Programs!
Medical Instrument and
Equipment Recycling
Programs
AIDS Case Study, great
resource for CO’s!
And lots more….
www.amsa.org/global
Martin Luther King Jr….
As long as there is poverty in the world,
I can never be rich, even if I have a billion dollars.
As long as diseases are rampant and millions of people in
this world cannot expect to live more than twenty-eight or
thirty years, I can never be totally healthy, even if I just got
a clean bill of health from the Mayo clinic.
I can never be what I ought to be, until you are what you
ought to be. This is the way our world was made.
No individual or nation can stand out boasting of being
independent, we are interdependent.”