WHA 2018: IntraHealth Statement on FCGH

WHA71-IntraHealth-FCGHIntraHealth commends WHO for its progress in supporting Member States to implement Resolution 69.24 including important position papers on integration, health innovation, and continuity of care. Strengthening integrated, people-centered health services is critical for progress on all health issues and the SDGs. Progress can continue only if the patient, the health worker delivering services, and the community in which they live are at the center of efforts to strengthen health systems and achieve universal health coverage.

We applaud WHO for its efforts to encourage Member States and civil society to participate in the robust IntegratedCare4People platform designed to further operationalize the integrated, people-centered health services framework.
 People deserve basic primary health care that takes into consideration their concerns, wants, and needs. Communities with the least access to the essential health services provided by frontline health workers are by-in-large the same communities with the greatest burden of diseases such as HIV, tuberculosis and malaria, maternal and child mortality, and—as we tragically witnessed during the Ebola outbreak in West Africa—the greatest vulnerability to disease outbreaks.

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WHA 2018: A4HP Statement on FCGH

WHA AHP FCGHTo accelerate and sustain progress on developing integrated, people-centered health services, the Alliance for Health Promotion (A4HP) urges action towards a Framework Convention on Global Health (FCGH), which would be based in human rights and aimed at health equity. We call upon the WHO, through the initiative of the Director-General or Member States, to establish a working group on the Framework Convention.

The FCGH would serve as a vital instrument to ensure people-centered health services. It would include powerful norms and standards on inclusive participatory processes at all stages of policy-making, from local to global levels, serving Resolution 69.24’s strategy of empowering people and communities and creating accountable health systems. It could catalyze comprehensive, multi-sector action plans on health equity. And it could establish principles on right to health impact assessments and extraterritorial health rights responsibilities, better integrating health concerns across sectors.
 Further, by putting people at the center of health, the Framework Convention could help ensure that health coverage is truly universal, and give life to the Sustainable Development Goal promise that “no one will be left behind.”

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Lead In Our Environment is a Major Cause of Global Health Inequity

LeadLead In Our Environment is a Major Cause of Global Health Inequity

I believe we need a global treaty, like the Framework Convention on Tobacco Control (FCTC), to ensure that basic health is a right that every citizen enjoys, no matter where they live and no matter how poor or rich their families might be. There are vast health inequities that separate various countries and various communities within countries. It is for this reason that several of us from around the globe have come together in a call for the governments around the world to agree to a Framework Convention on Global Health (FCGH).

Science and medicine is frustratingly known for its “good news, bad news” stories on a daily basis, as a recent Kristin Anderson Moore blog reveals. She referred to data in America that show a significant decline in teen birth rate from 55.6 births per 1,000 females ages 15-19 in 1975 to 24.2 in 2014. There was also a decline in overall youth violence (in spite of an upsurge in the 1990s). For example, rate of serious violent crime among juveniles ages 12-17 declined from almost 40 per 100,000 in the early 1980s to 7.6 in 2015 and the homicide rate among youth ages 18-24 fell substantially.

There are scientific studies that link these significant declines in teen pregnancies and in youth violence to the reduction of lead toxicity in American communities. This is the good news. The bad news? Lead continues to be a serious environmental risk factor for health. Indeed, lead exposure is another inequity that people face around the world. Children and women of reproductive age in certain parts of the world are more exposed to lead than their counterparts in other parts of the world.

Lead is a toxic, deadly chemical, causing serious illnesses and accounting for far too many deaths around the world. It is one of the major causes of cognitive deficits in children everywhere. We have known this for many decades and many countries have laws and regulations that restrict the use of lead. Yet after many decades since its deadly consequences became known, lead continues to be a persistent environmental hazard. One of the major sources of lead poisoning is our transport system. For example lead gasoline is still in use in many countries around the world.

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