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Global Health DisparitiesGlobal Health Disparities
The Universal The Universal Declaration Declaration of Human Rights of Human Rights
• ““Everyone has the right to a Everyone has the right to a standard of living adequate for the standard of living adequate for the health and well being of himself and health and well being of himself and his family, including food, clothing, his family, including food, clothing, housing and medical care.”housing and medical care.”
Universal Declaration of Human Universal Declaration of Human Rights, 1948Rights, 1948
How the Right To Health How the Right To Health RelatesRelates
To Other Human Rights To Other Human Rights Economic Rights
(i.e. right to living wage)
Civil/Political Rights(i.e. right to vote, gather, demonstrate)
Other Social Rights(i.e. right to education)
RIGHT TO HEALTH
World’s Poor: Question 1World’s Poor: Question 1
BBC: “World Inequality” 18th July 2001
1 in 5 people in the worldLive on less than $1 a day
-Human Devpt Report2003
The Rising Tide Does Not Lift All Boats!
BBC: “World Inequality” 18th July 2001
A World of Water?A World of Water?Question 2Question 2
• 1.1 Billion people 1.1 Billion people do not have do not have access to clean access to clean water! water!
• 2.4 billion lack 2.4 billion lack adequate adequate sanitation facilitiessanitation facilities
Facts from UNDP Report 2003, Picture from BBC
Global Inequities Nutrition: Global Inequities Nutrition: Question 3Question 3
• One billion adults One billion adults are overweight…are overweight…
• But 170 million But 170 million children in poor children in poor countries countries underweightunderweight– Over three million Over three million
die each year as a die each year as a result of result of undernutritionundernutrition
Facts from UNDP Report 2003, Picture from CNN
Map of HungerMap of Hunger (among other things) (among other things)
http://www.un.org/Pubs/chronicle/2001/issue3/0103p15.html
AIDS: Question 4AIDS: Question 4
• 42 million infected 42 million infected with HIV/AIDS with HIV/AIDS currently,currently,– Over 95% in the Over 95% in the
developing worlddeveloping world
• Over 20 million Over 20 million orphans expected orphans expected in 10 years timein 10 years time
Facts from: AIDS Epidemic Update, 2002
Global Health Inequities:Global Health Inequities:Medical research-Questions 5-6Medical research-Questions 5-6
• 10/90 Rule10/90 Rule– Less than 10% of the Less than 10% of the
world’s research world’s research budget is spent on budget is spent on conditions that account conditions that account for 90% of the world’s for 90% of the world’s diseases! diseases!
Source: www.globalforumhealth.orgwww.globalforumhealth.org
Global Health Disparities: Global Health Disparities: Disease Burden-Question 7Disease Burden-Question 7
• AIDS Kills 3 million a year AIDS Kills 3 million a year
• TB kills 2 million a yearTB kills 2 million a year
• Malaria kills 1 million a yearMalaria kills 1 million a year
Source: Lancet Volume 354, Number 9178 14 August 1999
Child Mortality: Question 8Child Mortality: Question 8
• 11 million 11 million preventable deaths preventable deaths a yeara year– 30,000 a day30,000 a day
• Leading causes Leading causes include: include: respiratory respiratory infections, diarrhea infections, diarrhea and malariaand malaria
Source: “Health: A Key To Prosperity” A World Bank Report
Health Outcomes by Country and Development
Category, (1995–2000)
Annual Income
Infant Deaths
Under 5 Mortality
POOR $296 100 159
RICH $25,730
6 6
Sub-Saharan Africa
$500 92 151
Source: Human Development Report 2001, Table 8, and CMH calculationsusing World Development Indicators of the World Bank, 2001.
Global Inequities: Life Expectancy
• In developed In developed countries life countries life expectancy was expectancy was 75.275.2
• 49.2 in the least 49.2 in the least developed countriesdeveloped countries– For persons born in For persons born in
19991999
Source: Human Development Report 2001, Table 8, and CMH calculationsusing World Development Indicators of the World Bank, 2001.
What are the Two Biggest What are the Two Biggest Threats to Global Health?Threats to Global Health?
• Tobacco-Tobacco-– Estimated to kill Estimated to kill about 10 million about 10 million
people a year by 2030 people a year by 2030
• AIDSAIDS– Destabilizing nations, reversing Destabilizing nations, reversing
development trends, inciting famines development trends, inciting famines (kills off the farmers)(kills off the farmers)
Don’t Don’t DespairDespair!!! !!!
• Things that Things that Medical Medical Students Students have done to have done to fight for fight for global health global health justicejustice
How YOU and others canchange 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
Global Health and Human Rights Global Health and Human Rights Political Leadership InstitutePolitical Leadership Institute
• Who: 12-15 medical Who: 12-15 medical studentsstudents
• When: February 5-8, 2004When: February 5-8, 2004• Where: AMSA Offices of Where: AMSA Offices of
Reston, VAReston, VA• Train to lobby & advocateTrain to lobby & advocate• Learn about key issues in Learn about key issues in
global healthglobal health• Meet a vibrant group of Meet a vibrant group of
fellow activistsfellow activists• Contact Connie Liu at Contact Connie Liu at
[email protected]@cwu.edu
Education and Action…
IHMEC Western Regional IHMEC Western Regional ConfConf
• ““Bringing International Bringing International Health Home”Health Home”
• Jan 30Jan 30thth-Feb 1-Feb 1stst at at Arizona Health Sciences Arizona Health Sciences CenterCenter
• Large conference of over Large conference of over 500 attendees where 500 attendees where international health international health curriculum/opportunities/curriculum/opportunities/will be discussed will be discussed
• Contact Mary Foote, Contact Mary Foote, [email protected]@email.arizona.edu
Toxic ToursToxic Tours
• Toxic Tour Pilot in Philly (Fall Toxic Tour Pilot in Philly (Fall 2003) at the Region 1,2, 3 2003) at the Region 1,2, 3 conference conference
• A “tour” of Philadelphia’s A “tour” of Philadelphia’s environmental “hot spots” by an environmental “hot spots” by an environmental justice organization environmental justice organization
• A “How to Guide” on setting up your A “How to Guide” on setting up your own toxic tour will follow the pilot.own toxic tour will follow the pilot.
Contact Patty Myung at Contact Patty Myung at
[email protected][email protected]
Education…
ArgentinaArgentina AustraliaAustralia BahrainBahrain BelgiumBelgium BrazilBrazil BulgariaBulgaria Burkina FasoBurkina Faso ChileChile ChinaChina ColombiaColombia Costa RicaCosta Rica Croatia Croatia Cuba Cuba Dominican Republic Dominican Republic Egypt Egypt England England Ethiopia Ethiopia France France Germany Germany
GhanaGhana GreeceGreece GuatemalaGuatemala HondurasHonduras HungaryHungary IndiaIndia IndonesiaIndonesia IranIran IsraelIsrael JordanJordan KenyaKenya LatviaLatvia MalaysiaMalaysia MexicoMexico NepalNepal NigeriaNigeria PakistanPakistan PanamaPanama PeruPeru
PhilippinesPhilippines PolandPoland RussiaRussia ScotlandScotland SenegalSenegal South AfricaSouth Africa South KoreaSouth Korea SpainSpain Sri LankaSri Lanka SwedenSweden TaiwanTaiwan ThailandThailand Trinidad and TobagoTrinidad and Tobago TurkeyTurkey UkraineUkraine United Arab EmiratesUnited Arab Emirates VenezuelaVenezuela Viet NamViet Nam ZambiaZambia
www.amsa.org/global/ih/intlintro.cfm
The International Health The International Health ExperienceExperience
Education…
Health Professional Students AIDS Health Professional Students AIDS Action Network (HPSAAN)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
Action!!!
Health Professional Students AIDS Health Professional Students AIDS Action Network (HPSAAN)- Action Network (HPSAAN)- Question 9Question 9
HPSAAN PLATFORM
DONATE DOLLARS DROP THE DEBT TREAT THE PEOPLE
Education in Oct/Nov
Question 9!Education in
Dec/Jan
Fighting for Access to Essential Medicines
Education during Feb/March
Activism…..
E-mail: [email protected],Web: www.amsa.org/global/hpsaan.cfm
Other activities online….Other activities online….
• Medical Textbook Medical Textbook Donation Programs!Donation Programs!
• Medical Instrument Medical Instrument and Equipment and Equipment Recycling ProgramsRecycling Programs
• AIDS Case Study, great AIDS Case Study, great resource for CO’s! resource for CO’s!
And lots more….And lots more….www.amsa.org/
global
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.”
Martin Luther King Jr….Martin Luther King Jr….
