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- by Anup Shah
- This Page Last Updated Saturday, September 27, 2014
- This page: http://www.globalissues.org/issue/587/health-issues.
- To print all information (e.g. expanded side notes, shows alternative links), use the print version:
Despite incredible improvements in health since 1950, there are still a number of challenges, which should have been easy to solve. Consider the following:
- One billion people lack access to health care systems.
- 36 million deaths each year are caused by noncommunicable diseases, such as cardiovascular disease, cancer, diabetes and chronic lung diseases. This is almost two-thirds of the estimated 56 million deaths each year worldwide. (A quarter of these take place before the age of 60.)
- Cardiovascular diseases (CVDs) are the number one group of conditions causing death globally. An estimated 17.5 million people died from CVDs in 2005, representing 30% of all global deaths. Over 80% of CVD deaths occur in low- and middle-income countries.
- Over 7.5 million children under the age of 5 die from malnutrition and mostly preventable diseases, each year.
- In 2008, some 6.7 million people died of infectious diseases alone, far more than the number killed in the natural or man-made catastrophes that make headlines. (These are the latest figures presented by the World Health Organization.)
- AIDS/HIV has spread rapidly. UNAIDS estimates for 2008 that there are roughly:
- 33.4 million living with HIV
- 2.7 million new infections of HIV
- 2 million deaths from AIDS
- Tuberculosis kills 1.7 million people each year, with 9.4 million new cases a year.
- 1.6 million people still die from pneumococcal diseases every year, making it the number one vaccine-preventable cause of death worldwide. More than half of the victims are children. (The pneumococcus is a bacterium that causes serious infections like meningitis, pneumonia and sepsis. In developing countries, even half of those children who receive medical treatment will die. Every second surviving child will have some kind of disability.)
- Malaria causes some 225 million acute illnesses and over 780,000 deaths, annually.
- 164,000 people, mostly children under 5, died from measles in 2008 even though effective immunization costs less than 1 US dollars and has been available for more than 40 years.
These and other diseases kill more people each year than conflict alone.
Why so many needless deaths? The collection of articles below, hope to help shed light on this tragedy.
15 articles on “Health Issues”:
Global Health Overview
Last updated Thursday, September 22, 2011.
This article looks at some global aspects of health issues, such as the impact of poverty and inequality, the nature of patent rules at the WTO, pharmaceutical company interests, as well as some global health initiatives and the changing nature of the global health problems being faced.
Read “Global Health Overview” to learn more.
Health Care Around the World
Last updated Thursday, September 22, 2011.
This article provides a high level overview of the various ways health services are provided around the world, as well as accompanying issues and challenges. Topics introduced include health as a human right, universal health care, and primary health care.
Read “Health Care Around the World” to learn more.
Diseases—Ignored Global Killers
Last updated Saturday, October 02, 2010.
This article looks into a number of issues of global diseases, such as malaria, tuberculosis, AIDS/HIV, and the global response to them. For example, many people cannot afford medicines for these or other diseases, even though some are easily treatable.
Read “Diseases—Ignored Global Killers” to learn more.
AIDS around the world
Last updated Sunday, November 29, 2009.
This article looks specifically at AIDS, and the global reaction to it. It seems to have only become a global interest when some rich countries were threatened by it.
Global initiatives have been welcome but slow to get off the ground, while access to drugs and medicines is proving difficult, and, political. Recent years have shown lives being saved, but one can’t help wonder how many more lives could be saved.
Read “AIDS around the world” to learn more.
Pharmaceutical Corporations and Medical Research
Last updated Saturday, October 02, 2010.
For a while now, pharmaceutical companies have been criticized about their priorties. It seems the profit motive has led to emphasis on research that is aimed more at things like baldness and impotence, rather than various tropical diseases that affect millions of people in developing countries.
Unfortunately, while a large market therefore exists, most of these people are poor and unable to afford treatments, so the pharmaceutical companies develop products that can sell and hence target wealthier consumers.
In addition, there is concern at how some pharmaceutical companies have been operating: from poor research and trial practice to distorting results, and politically lobbying and pressuring developing countries who try to produce generics or try to get cheaper medicines for their citizens.
Read “Pharmaceutical Corporations and Medical Research” to learn more.
Health in the Media
Last updated Tuesday, September 28, 2010.
Health information is often sensationalized in the media, with various promises of quick fixes and miracle cures. Yet, that is rarely reality. How has it come to this?
Read “Health in the Media” to learn more.
Pharmaceutical Corporations and AIDS
Last updated Sunday, June 02, 2002.
The AIDS crisis is one example that highlights the motives of some of the larger pharmaceutical corporations. When South Africa wanted to try and produce cheaper drugs to help its own people, by producing more generic and cheaper drugs, these companies actually lobbied the US government to impose sanctions on them!
Read “Pharmaceutical Corporations and AIDS” to learn more.
AIDS in Africa
Last updated Sunday, November 29, 2009.
AIDS in Africa is said to be killing more people than conflicts.
It causes social disruption as children become orphaned and it affects many already-struggling economies as workforces are reduced.
As an enormous continent, various regions are seeing different results as they attempt to tackle the problem. Numerous local, regional and global initiatives are slowly helping, despite significant obstacles (such as poverty, local social and cultural norms/taboos, concerns from drug companies about providing affordable medicines, and limited health resources of many countries that are now also caught up in the global financial crisis).
Read “AIDS in Africa” to learn more.
Last updated Sunday, January 05, 2014.
It is well known that tobacco smoking kills millions. But it also exacerbates poverty, contributes to world hunger by diverting prime land away from food production, damages the environment and reduces economic productivity. Second hand smoking also affects other people’s lives.
Despite many attempts to prevent it, a global tobacco control treaty became international law in 2005.
However, challenges still remain as tobacco companies try to hit back, for example, by targeting developing nations, increasing advertising at children and women, attempting to undermine global treaties and influence trade talks, etc.
Read “Tobacco” to learn more.
Last updated Sunday, November 21, 2010.
Obesity typically results from over-eating (especially an unhealthy diet) and lack of enough exercise.
In our modern world with increasingly cheap, high calorie food (example, fast food — or ), prepared foods that are high in things like salt, sugars or fat, combined with our increasingly sedentary lifestyles, increasing urbanization and changing modes of transportation, it is no wonder that obesity has rapidly increased in the last few decades, around the world.
The number of people overweight or obese is now rivaling the number of people suffering from hunger around the world. Obese people were thought to be mainly from richer countries or wealthier segments of society, but poor people can also suffer as the food industry supplies cheaper food of poorer quality.
Environmental, societal and life-style factors all have an impact on obesity and health. While individuals are responsible for their choices, other actors such as the food industry are also part of the problem, and solution. Unfortunately, the food industry appears reluctant to take too many measures that could affect their bottom line, preferring to solely blame individuals instead.
Read “Obesity” to learn more.
Last updated Friday, April 25, 2003.
In this section, we look at the example of sugar consumption; how it has arisen (as it was once a luxury, now turned into a ). We look at things like how it affects the environment; the political and economic drivers in producing sugar (for example, historically, sugar plantations encouraged slavery); its health effects today; its relation to world hunger (as land used to grow sugar and related support, for export, could be used to grow food for local consumption); and so on. As we will also see, it is an example of a industry. That is, so many resources go into this industry compared to what might be needed. This wastes labor, wastes capital and uses up many resources.
Read “Sugar” to learn more.
Last updated Sunday, August 22, 2010.
Beef, like sugar, is another vivid example of using resources wastefully, degrading the environment, contributing to hunger, poor health and more.
More than one third of the world’s grain harvest is used to feed livestock. Some 70 to 80% of grain produced in the United States is fed to livestock. A lot of rainforest in the Amazon and elsewhere are cleared for raising cattle — not so much for local consumption, but for fast food restaurants elsewhere.
There are enormous related costs of what is an process when considered as a whole. Subsidies in farming in the US and elsewhere end up encouraging unhealthy foods to be cheaper than healthy foods. Just factoring in the cost of water alone, a more realistic estimate of the real cost of common hamburger meat would be $35 a pound!
As with sugar, beef was a luxury turned into an everyday item. Like sugar, it is also an example of how people’s tastes are influenced and how can be created (or very much expanded), rather than meeting some demand.
Read “Beef” to learn more.
Water and Development
Last updated Sunday, June 06, 2010.
Issues such as water privatization are important in the developing world especially as it goes right to the heart of water rights, profits over people, and so on. This article looks into these issues and the impacts it has on people around the world.
Read “Water and Development” to learn more.
Posted Sunday, March 30, 2008.
The global illicit drugs market is enormous, estimated at some $320 billion. This makes it one of the largest businesses in the world. Some believe in strong prohibition enforcement. Others argue for decriminalization to minimize the crime and health effects associated with the market being controlled by criminals. Are there merits to each approach?
Read “Illicit Drugs” to learn more.
Ebola Outbreak in West Africa
Posted Saturday, September 27, 2014.
An overview of the Ebola virus outbreak in West Africa that has been described by the World Health Organization as the largest, most severe and most complex outbreak in the history of the disease.
The epidemic began at the end of 2013, in Guinea. From there it spread to Liberia, Sierra Leone, Nigeria and Senegal. Many of the affected countries face enormous challenges in stopping its spread and providing care for all patients.
Thousands of people have died and many are at risk as the fatality rate from this virus is very high. As the crisis worsens, as well as the enormous health challenges involved, the social and economic consequences may set these countries back, reversing some gains a number of these countries have made in recent years.
Read “Ebola Outbreak in West Africa” to learn more.
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Author and Page Information
- by Anup Shah
- Created: Thursday, January 26, 2006
- Last Updated: Saturday, September 27, 2014
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Improve public health and strengthen U.S. national security through global disease detection, response, prevention, and control strategies.
The health of the U.S. population can be affected by public health threats or events across the globe. Recent examples of this include the Ebola Virus outbreak that began in 2014, the 2003 SARS epidemic, and the 2009 spread of novel H1N1 influenza. Improving global health can improve health in the United States and support national and global security interests by fostering political stability, diplomacy, and economic growth worldwide.
Why Is Global Health Important?
Global health plays an increasingly crucial role in both global security and the security of the U.S. population. As the world and its economies become increasingly globalized, including extensive international travel and commerce, it is necessary to think about health in a global context. Rarely a week goes by without a headline about the emergence or re-emergence of an infectious disease or other health threat somewhere in the world. The 2007 World Health Report1 notes that, “since the 1970s, newly emerging diseases have been identified at the unprecedented rate of one or more per year.” The Institute of Medicine’s 2003 report Microbial Threats to Health2stresses that the United States should enhance the global capacity for responding to infectious disease threats and should take a leadership role in promoting a comprehensive, global, real-time infectious disease surveillance system.
Rapid identification and control of emerging infectious diseases helps:
- Promote health abroad
- Prevent the international spread of disease
- Protect the health of the U.S. population
The large scope of potential global public health threats is recognized in the revised International Health Regulations (IHR )3with its all-hazards approach to assessing serious public health threats. These regulations are designed to prevent the international spread of diseases, while minimizing interruption of world travel and trade. They encourage countries to work together to share information about known diseases and public health events of international concern.
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Understanding Global Health
How does the United States help improve global health?
Many U.S. Government (USG) agencies provide funding, human resources, and technical support to global health initiatives including:
The United States cooperates with other countries to address priority public health issues and prepare for and respond to emerging and pandemic diseases. In February 2010, the United States announced a new Global Health Initiative, which invests $63 billion over 6 years to help partner countries improve health outcomes, with a particular focus on improving the health of women, newborns, and children. In 2014, the Obama Administration launched the Global Health Security Agenda to accelerate progress toward a world safe and secure from infectious disease threats. As part of the Global Health Security Agenda, USG agencies are harnessing $5 billion to address Ebola preparedness overseas and at home, and are also working with other nations building capacity needed to prevent, detect, and respond to other infectious disease threats.
How does improved global health help the United States?
U.S. investments in improving health in developing countries provide significant public health benefits within the United States. Many global health issues can directly or indirectly impact the health of the United States. Outbreaks of infectious diseases, foodborne illnesses, or contaminated pharmaceuticals and other products, cannot only spread from country to country, but also impact trade and travel. The United States can also learn from the experiences of other countries. Standard health measures of life expectancy and chronic disease, including depression among adults, can be compared to other Organization for Economic and Co-operation and Development (OECD) member countries. For those countries with better health outcomes than the United States, health agencies within the United States can use these comparisons to identify ways to improve the Nation’s public health.
Emerging Issues in Global Health
Globally, the rate of deaths from noncommunicable causes, such as heart disease, stroke, and injuries, is growing. At the same time, the number of deaths from infectious diseases, such as malaria, tuberculosis, and vaccine-preventable diseases, is decreasing. Many developing countries must now deal with a “dual burden” of disease: they must continue to prevent and control infectious diseases, while also addressing the health threats from noncommunicable diseases and environmental health risks. As social and economic conditions in developing countries change and their health systems and surveillance improve, more focus will be needed to address noncommunicable diseases, mental health, substance abuse disorders, and, especially, injuries (both intentional and unintentional). Some countries are beginning to establish programs to address these issues. For example, Kenya has implemented programs for road traffic safety and violence prevention.
Expanding international trade introduces new health risks. A complex international distribution chain has resulted in potential international outbreaks due to foodborne infections, poor quality pharmaceuticals, and contaminated consumer goods.
The world community is finding better ways to confront major health threats. WHO, through the 2005 IHR, proposes new guidance and promotes cooperation between developed and developing countries on emerging health issues of global importance. The IHR require countries to develop appropriate surveillance and response capacities to address these health concerns. All of these issues will require enhanced U.S. collaboration with other countries to protect and promote better health for all.
1World Health Organization (WHO). World health report 2007: Global public health security in the 21st century [Internet]. Geneva, Switzerland: WHO; 2007. Available from: http://www.who.int/whr/2007/en/index.html
2Institute of Medicine, Board on Global Health, Committee on Emerging Microbial Threats to Health in the 21st Century. Microbial threats to health: Emergence, detection, and response [Internet]. Smolinski MS, Hamburg MA, Lederberg J, editors. Washington: National Academies Press; 2003. Available from: http://books.nap.edu/openbook.php?record_id=10636
3World Health Organization (WHO). International health regulations 2005 [Internet]. Geneva, Switzerland: WHO; 2005. Available from: http://www.who.int/ihr/9789241596664/en/index.html
4World Health Organization (WHO). The global burden of disease: 2004 update [Internet]. Geneva, Switzerland: WHO; 2008. Available from: http://www.who.int/healthinfo/global_burden_disease/2004_report_update/en/index.html
5World Health Organization (WHO). World report on road traffic injury prevention [Internet]. Geneva, Switzerland: WHO; 2004. Available from: http://www.who.int/violence_injury_prevention/publications/road_traffic/world_report/en/
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