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World Federation of Public Health Associations 11 th CONGRESS, RIO DE JANEIRO, BRAZIL HEALTH IMPACTS OF WARS & POLITICAL UNREST: A CALL FROM THE BALKAN.

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Presentation on theme: "World Federation of Public Health Associations 11 th CONGRESS, RIO DE JANEIRO, BRAZIL HEALTH IMPACTS OF WARS & POLITICAL UNREST: A CALL FROM THE BALKAN."— Presentation transcript:

1 World Federation of Public Health Associations 11 th CONGRESS, RIO DE JANEIRO, BRAZIL HEALTH IMPACTS OF WARS & POLITICAL UNREST: A CALL FROM THE BALKAN REGION By Samir N. Banoob, M.D, D.M, DPH, Ph.D President& Professor International Health Management, LLC.,USA Dean & Prof., school of Global Health Development, ECPD UN University for Peace, Belgrade, Serbia sbanoob@aol.com

2 HEALTH IMPACTS DIRECT INDIRECT ECONOMIC IMPACT SOCIAL & MENTAL HEALTH CARE H. SYSTEM H. RESOURCES MANAGEMENT AND DELIVARY

3 HEALTH& WARS DIRECT IMPACT & SUFFERING DEATH DISEASE DISABILITY DISRTESS DISCOMFORT POVERTY, FAMINES, HUNGER MASS DISLOCATION DESTRUCTION MENTAL & SOCIAL DISORDERS

4 Direct impacts, cont. DEATHS: 20 th century: Most savage in human history WW I 37 M WW II 62 M 37 Civilians, 25 armed forces COLD WAR MILITARY CONFLICTS/ YEAR 1989-2004: 22-54 Deaths during 2000 = 350,000 Proportional deaths 1990 1.5% 2020 3% excl. WMD

5 CHANGING PATTERNS MOSTLY within states or across borders MAJORITY in developing or LDC HIGHER fatalities MORE Lasting or Recurrent MORE Civilian Casualties 70-90% MASS Population Displacement MORE Destruction of Infrastructure

6 Displaced Persons REFUGEES IN 1980 6 MILLIONS IN 2003 12 MILLIONS PALESTINE 3.0 M AFGANISTAN 2.5 M BURMA 0.6 M SUDAN 0.4 M CONGO 0.4 M LIBERIA,BURUNDI, ANGOLA, CONGO 0.3- 0.4 M.EACH

7 INTENALLY DISPLACED PERSONS HUNGER, FAMINES, MALNUTRITION COMMUNICABLE DISEASES NON COMMUNICABLE DISEASES UNSAFE WATER AND SANITATION DISRUPTED HEALTH CARE VIOLENCE SOCIAL & MENTAL DISORDERS

8 DEATHS/ 10,000/DAY FOR IDP’S SOMALIA 4-16 1992 SUDAN 7-26 1992,98 ANGOLA 2.9-8.3 1995, 2004 LIBERIA 5.5 1996 BOSNIA 1.0 1993

9 ECONOMIC IMPACT OF WARS Deplete national resources Shifting resources from health& human development Global Military spending, 2003 $ bill. 950 Eradication of global severe poverty& hunger $bill 19 19 days of global military spending every year Can provide safe water, sanitation, basic health care& reproductive health

10 COMMISSION ON MACROECONOMICS& HEALTH Investing in health is an input to economic development Saves millions of lives every year Reduces poverty Promotes global security

11 UN Millennium Development Goals 1. Eradicate extreme poverty 2.Universal Primary Education 3.Gender Equity& empower women 4. Reduce child mortality 5.Improve maternal health 6.Combat HIV/AID, Malaria and other.. 7.Ensure environmental sustainability 8.Develop global partnership

12 HEALTH & ECONOMIC DEVELOPMENT HEALTH INDICATORS Least Developed developed Infant Mortality/1000 90 8 Child Mortality/1000 100 10 Life Expectancy (years) 60 80 Added factors: Poverty Population increase Comm. Diseases AND WARS!

13 MILITARY SPENDING Increased 6%/ year in the last 3 years Increased between 1995-2004: GLOBAL 23% Central Asia 73% North Africa 65% Middle East 40% Sub Saharan Africa 29% North America 34% East/ Central Europe 22% West Europe 4%

14 THE BALKAN WARS WW I & WW II THE YUGOSLAV WARS 1991-2002 SERIES OF VIOLENT CONFLICTS AMONG YUGOSLAV REPUBLICS BLOODIEST CONFLICTS IN EUROPE SINCE WWII, GENOCIDAL, ETHNIC, RELIGIOUS INTERVENTION OF NATO 100-200,000 FATALITIES MASSIVE DESTRUCTION AND DISPLACEMENT ENDED by 7 INDEPENDENT STATES

15 MILITARY vs. HEALTH SPENDING AS % of GNP Health Military Switzerland 11.2 1 France 9.7 2.6 Germany 10.4 1 Japan 8 1 USA 15.4 3.2 Albania 6 1.5 Bosnia & Herz 9.2 4.5 Bulgaria 7.4 NA Croatia 7.3 2.4 Macedonia 6.8 6 Serbia & Mont. 8.1 4.8 Slovenia 5.9 1.7

16 Military Spending in the Balkans, 2003( US$ MILLION) Albania 57 Bosnia& Herzegovina 234 Bulgaria356 Croatia620 Macedonia200 Serbia& Montenegro 654 Slovenia370 TOTAL 2,491

17 ECPD Global Health Development School STRATEGIC PL AN: - ECPD MISSION& INTERNATIONAL ROLE - REGIONAL HEALTH SYSTEMS’ NEEDS - EUROPEAN ACADEMIC STANDARDS - SPECIAL NEEDS FOR SENIOR MANAGERS’ TRAINING AND EDUCATION

18 ECPD Global Health Development School Program 1.Degree seeking education Post graduate Diploma - Master - Ph.D in : Health Management Family practice Gerontological health 2.Certificate/ cont. education 3. Applied Research 4. Special projects 5. Publishing, translation

19 Priority Regional H. Development Projects for 10-20 % of Military exp. Reforming health systems Education & training health leaders Reforming medical education/ family practice Joint research Elderly care planning, delivery models Sharing costly resources, regional centers & referral centers

20 CONCLUDION Heath is a major tool of development Why may people die because of different color, race, religion or ethnicity Tolerance, acceptance& reconciliation lead to: Healthy and wealthy communities Cooperation for happiness instead of confrontations for misery and suffering Effective utilization of national resources


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