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.” “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 Universal Declaration of Human Rights, 1948

How the Right To Health Relates 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 1 BBC: “World Inequality” 18 th July in 5 people in the world Live on less than $1 a day -Human Devpt Report 2003

The Rising Tide Does Not Lift All Boats! BBC: “World Inequality” 18 th July 2001

A World of Water? Question 2 A World of Water? Question Billion people do not have access to clean water! 1.1 Billion people do not have access to clean water! 2.4 billion lack adequate sanitation facilities 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… One billion adults are overweight… But 170 million children in poor countries underweight 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)

AIDS: Question 4 42 million infected with HIV/AIDS currently, 42 million infected with HIV/AIDS currently, –Over 95% in the developing world Over 20 million orphans expected in 10 years time Over 20 million orphans expected in 10 years time Facts from: AIDS Epidemic Update, 2002

Global Health Inequities: Medical research-Questions /90 Rule 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:

Global Health Disparities: Disease Burden-Question 7 AIDS Kills 3 million a year AIDS Kills 3 million a year TB kills 2 million a year TB kills 2 million a year Malaria kills 1 million a year Malaria kills 1 million a year Source: Lancet Volume 354, Number August 1999

Child Mortality: Question 8 11 million preventable deaths a year 11 million preventable deaths a year –30,000 a day Leading causes include: respiratory infections, diarrhea and malaria 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 Income Infant Deaths Under 5 Mortality POOR$ RICH$25,73066 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 In developed countries life expectancy was in the least developed countries 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- Tobacco- – Estimated to kill about 10 million people a year by 2030 AIDS 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 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

Global Health and Human Rights Political Leadership Institute Who: medical students Who: medical students When: February 5-8, 2004 When: February 5-8, 2004 Where: AMSA Offices of Reston, VA Where: AMSA Offices of Reston, VA Train to lobby & advocate Train to lobby & advocate Learn about key issues in global health Learn about key issues in global health Meet a vibrant group of fellow activists Meet a vibrant group of fellow activists Contact Connie Liu at Contact Connie Liu at Education and Action…

IHMEC Western Regional Conf “ Bringing International Health Home” “ Bringing International Health Home” Jan 30 th -Feb 1 st at Arizona Health Sciences Center 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 Large conference of over 500 attendees where international health curriculum/opportunities/ will be discussed Contact Mary Foote, Contact Mary Foote,

Toxic Tours Toxic Tour Pilot in Philly (Fall 2003) at the Region 1,2, 3 conference 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 “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. A “How to Guide” on setting up your own toxic tour will follow the pilot. Contact Patty Myung at Education…

 Argentina Argentina  Australia Australia  Bahrain Bahrain  Belgium Belgium  Brazil Brazil  Bulgaria Bulgaria  Burkina Faso Burkina Faso Burkina Faso  Chile Chile  China China  Colombia Colombia  Costa Rica Costa Rica Costa Rica  Croatia Croatia  Cuba Cuba  Dominican Republic Dominican Republic Dominican Republic  Egypt Egypt  England England  Ethiopia Ethiopia  France France  Germany Germany  Ghana Ghana  Greece Greece  Guatemala Guatemala  Honduras Honduras  Hungary Hungary  India India  Indonesia Indonesia  Iran Iran  Israel Israel  Jordan Jordan  Kenya Kenya  Latvia Latvia  Malaysia Malaysia  Mexico Mexico  Nepal Nepal  Nigeria Nigeria  Pakistan Pakistan  Panama Panama  Peru Peru  Philippines Philippines  Poland Poland  Russia Russia  Scotland Scotland  Senegal Senegal  South Africa South Africa South Africa  South Korea South Korea South Korea  Spain Spain  Sri Lanka Sri Lanka Sri Lanka  Sweden Sweden  Taiwan Taiwan  Thailand Thailand  Trinidad and Tobago Trinidad and Tobago Trinidad and Tobago  Turkey Turkey  Ukraine Ukraine  United Arab Emirates United Arab Emirates United Arab Emirates  Venezuela Venezuela  Viet Nam Viet Nam Viet Nam  Zambia Zambia The International Health Experience Education…

Health Professional Students AIDS Action Network (HPSAAN) Join Your Regional AIDS Listserve today! 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 Action Network (HPSAAN)- Question 9 HPSAAN PLATFORM DONATE DOLLARS Education in Oct/Nov DROP THE DEBT Question 9! Education in Dec/Jan TREAT THE PEOPLE Fighting for Access to Essential Medicines Education during Feb/March Activism….. Web:

Other activities online…. Medical Textbook Donation Programs! Medical Textbook Donation Programs! Medical Instrument and Equipment Recycling Programs Medical Instrument and Equipment Recycling Programs AIDS Case Study, great resource for CO’s! AIDS Case Study, great resource for CO’s! And lots more….

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….