Global Health Disparities The Universal Declaration of

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” 18 th July 2001

The Rising Tide Does Not Lift All Boats! BBC: “World Inequality” 18 th 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/issue 3/0103 p 15. 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 Infant Under 5 Income Deaths Mortality POOR $296 100 159 RICH $25, 730 6 6 $500 92 151 Sub. Saharan 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 cwl 6@cwu. edu

IHMEC Western Regional Conf • “Bringing International Health Home” • Jan 30 th-Feb 1 st 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 TREAT THE PEOPLE Question 9! Education in Oct/Nov DROP THE DEBT 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. ”