Health and sustainable development: implications for local and global health

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An analysis of the inequities in health and sustainable development in the Panama Canal watershed.

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Arletty Pinel, MDInternational Center for Sustainable Development - CIDES

apinel@cdspanama.org

http://twitter/ArlettyVox

General considerations

Factors affecting health in 21st Century

Poverty, health inequalities and growing disparities of outcome

Poor distribution of health workforce and brain drain Ageing and the growth of cities Infectious diseases, and increasing noncommunicable

diseases, injuries and violence Global environmental threats to human survival New technologies: information, eHealth, biotechnology Partnerships between the private and public sectors and

civil society Increasing number of trainees in affluent nations seeking

to benefit world’s destitute Globalization of trade, travel and spread of values and

ideas.

Health in Sustainable Development

Planning Environmental factors are a major contributor to health,

illness and death

Age-old public hazards occur with new environment and development problems

Problems are often simultaneously local and global

Urban growth has exposed populations to serious environmental hazards while straining capacity of health system

Fundamental factors include inadequate attention to health in development policy and practice, lack of coordinated management and insufficient inter-sectoral collaboration

The Panama Canal

watershed

World Nation

Panamanian District

Panama in the World (2000)Income per capita vs. Life Expectancy at Birth

L.E. – Panama country avg.: 74.4 years

Sources:World GDP per capita 2000: Development Data Group, The World Bank. 2008. 2008 World Development Indicators Online. Washington, DC: The World Bank; World Life Expectancy at Birth 2000-2005 : Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, 2007. World Population Prospects: The 2006 Revision. New York: United Nations. Panama Real Income per capita & Life Expectancy at Birth 2000: Dirección de Estadística y Censo de la Contraloría General de la República, con el Apoyo de Naciones Unidas (UNDP). 2004. Sistema Integrado de Indicadores para el Desarrollo – República de Panamá (http://www.contraloria.gob.pa/dec/sid/)

Panama in the World (2000)Income per capita vs. Life Expectancy at Birth

Sources:World GDP per capita 2000: Development Data Group, The World Bank. 2008. 2008 World Development Indicators Online. Washington, DC: The World Bank; World Life Expectancy at Birth 2000-2005 : Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, 2007. World Population Prospects: The 2006 Revision. New York: United Nations. Panama Real Income per capita & Life Expectancy at Birth 2000: Dirección de Estadística y Censo de la Contraloría General de la República, con el Apoyo de Naciones Unidas (UNDP). 2004. Sistema Integrado de Indicadores para el Desarrollo – República de Panamá (http://www.contraloria.gob.pa/dec/sid/)

World Nation

Panamanian District

55.5 years L.E. – Panama country range 75.3 years

Political division

Population distribution

Poverty levels

Human development index

Aqueducts

Educational centers

Health services network

Conclusion

Global health

Is the health of populations in a global context

Transcends perspectives and concerns of individual countries

Global political and economic impact often emphasized

It is about worldwide improvement of health, reduction of disparities, and protection against global threats that disregard national borders

Global platforms tend to address global health in approaches aimed at poverty; equity is not fully understood, operationalized or prioritized

Potential areas of collaboration

Health information gathering beyond epidemiological surveillance

Health innovation and research to support long-term goals of the Panama Canal Authority

Health planning within a sustainable development framework

Human capacity development

Knowledge and information society

Cross border cooperation

Healthy life is an outcome of sustainable development, as well as a powerful and undervalued means of achieving it. We need to see health both as a precious asset in itself, and as a means of stimulating economic growth and reducing poverty. -Dr Gro Harlem Brundtland Director-General Emeritus, WHO.

Thank you - Gracias

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