PHM EXCHANGE-II
Item
- Title
- PHM EXCHANGE-II
- extracted text
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PHM EXCHANGE-II
Subject:
Page 1 of 3
Mathura P Shrestha <mathura@healthnet.org.np>
<"Undisclosed-Rscipient:;"@smtpin.touchtelindia.net>
Friday, March 12, 2004 8:46 PM
PHA-Exchange> Fw: March 20 : anti war protests
— Original Message —
Frtrt: Anant Bhan
mfriendcircle@yahoogroups.com
; pha-exchange@kabissa.prg
Wednesday, March 10, 2004 1:08 PM
Subject: PHA-Exchange> March 20 : anti war protests
Hi all,
this is a message from Greenpeace
FYI
Rgds,
Anant
Greenpeace: We need you on March 20th
"On February 17, 2003, a front page news analysis in the New York
Times
described the global anti-war protests as the emergence of 'the
second
superpower1." --The Register
Dear Friends,
We need a few minutes of your time and a few mouse clicks to build
a
powerful message: the return of the second superpower.
On February 15th last year, 30 million people were on the streets
to say
"No" to war. The centreless coalition of groups and individuals who
organised those activities want YOU and YOUR FAMILY AND FRIENDS
back on the
street this Saturday, March 20th, to demonstrate that we STILL say
"No" to
war.
In March 2003, George Bush told us that "Intelligence gathered by
this and
3/15/04
Page 2 of 3
other governments leaves no doubt that the Iraq regime continues to
possess
and conceal some of the most lethal weapons ever devised.”
We now know this was untrue.
cost over
10,000 civilian lives.
And a war based on this untruth has
On March 18th, one year will have passed since the invasion of Iraq
began.
We can’t stand silent. The world's leaders need to know that the
demonstration by 30 million people last year was a lasting
_expression of a
global democratic force.
Be a part of the second superpower. Stand up against future
illegal,
preemptive wars and protest the continuing suppression of human
rights and
free speech which have characterised this one. Help us get the word
out that
we're making a second showing on Saturday, March 20th.
Click here to send an invitation to your friends to join you in a
day of
peaceful protest for a world without war:
http://act.greenpeace.org/ecs/s27iM 303&sk=fxd&la=en
Click here to leave a message of peace on our website as part of a
"virtual
protest” to complement the peaceful demonstrations on the street:
htup://act.qreenpeace.orq/col/qet?i=1304&sk=std3
Click here to see where activities are being organised in your
city:
http://www.unitedforpeace.org/calendar.php?caltype=17
Peace,
Greenpeace
P.S. Please forward this to your friends.
Do you Yahoo!?
Yahoo! Search - Find what you’re looking for faster.
3/15/04
Page 1 of2
Community Health Cel]
From:
Community Health Cell <sochara@vsnl.com>
To:
Claudio Schuftan <aviva@netnam.vn>; <PHM_Steering_Group_02-03@yahoogroups.com>
Sent:
Thursday, February 27, 2003 3:03 PM
Subject:
Draft: Dr. Lee’s letter
Dear Claudio and PHM Steering group,
Greetings from People’s Health Movement Secretariat at CHC, Bangalore!
Thanks (Claudio) for the draft of the letter to Dr.Lee. I am circulating it to the Steering
committee with some small modifications for their okay before forwarding it to Dr. Lee. While
i await everyone’s endorsement and or suggestion, I would also request Allison or anyone in
the PHM Geneva group to find out the coordinates of how one can reach Dr.Lee presently.
Perhaps the PHM Geneva group can meet him personally and hand over the letter when it is
finalized and also present him with a set of the Charter, the testimonies and the background
paper. Since I shall be touring in USA along with Zafarullah and Thelma till mid March, I
would request you to address all the suggestions and modify the letter if required
incorporating as many ideas as possible without the letter becoming too long. Prasanna will
send you the final letter on a PHM letterhead and this can be forwarded to Dr.Lee - or it will
have io wait till the 1Sth when I return.
Best wishes,
Ravi Narayan
[Draft not for wide circulation - to be finalized]
February 28, 2003
Dear Dr Lee
As the Coordinator of the People’s Health Movement Secretariat I would like to add my
voice to that of others to heartily congratulate you on your nomination by the EB.
I am sure you do not need me to at length explain to you who we are and what people
centered interests we represent worldwide. Our organization has grown continuously since
the People’s Health Assembly in Bangladesh in December 2000 and we now have a
presence in every continent.
You should be familiar with our active role in getting Mrs Dr Brundtland to set up the CSI at
HQs and with our work with them since.
3/4/03
Page 2 of2
What is less likely, is that you have had a chance to read our historical People's Charter for
Health which distills the core of that PHM stands for and commits itself to in the coming
yeprs. We are enclosing a copy for you and would be more than appreciative if you would
find the time to give us a short feedback on it.
Your nomination comes in the auspicious year of the 25th anniyersary of the Alma Ata
Declaration. It should not surprise you that we have actively been advocating for a "Health
For All Now" approach resurrecting the deep moral values of the Declaration. Time for your
campaign was short so we did not have the chance to find out from you specifically about
your views on this. We look forward to the chance of discussing this issue with you and the
senior staff you will appoint.
Of particular interest io us, is to get to know your views on, among other, the Global Fund,
the WTO and TRIPS, the role of transnational pharmaceutical houses, decentralization and
democratization efforts in ihe WHO decision-making structure, your intentions vis-a-vis
WHO’s Civil Society Initiative (CSI), and so many other topics not appropriate to mention in
this introductory letter.
We are the largest coalition of grassroots organizations working for people’s health. As
such, we are keenly interested in what WHO and its leadership does. We look forward to an
open door dialogue with you and your close collaborators. Although we can only imagine the
overwhelming number of priorities you have right now, we sincerely hope that during WHA where we are planning to have a large presence and an anniversary celebration of Alma
Ata- we will have the chance to meet you and your collaborators in person. We would be
honored to have you come to the opening of our pre-WHA meeting May 16th in Geneva.
Looking forward to a long and mutually productive relationship with the Organization you are
about to take the helm of, I remain yours truly,
Ravi Narayan
Coordinator. People's Health Movement Secretariat
CHC Bangalore
#367 "Srinivasa Nilaya"
T Block Takka<:andra? T Block Koramangala
Bangalore-560034
Join the "Health for all, NOW" campaign in the 25th anniversary year of the Alma Ata
declaration visit vvanv.'l'hcA'lillioaSignatureCampaign.org
3/4/03
c.
Page 1 of 2
Community Health Cell
From:
Aviva <aviva@neinam.vn^
To:
pha-exch <pha-exchanae@kabissa.org>
Sent-
Friday February 9R( 7003 19 37 PM
Subject:
PHA-Exchangc> UN lowers world population projection, AIDS is one of 2 major causes
From: "jvnet" <jvnct@notnam.vn>
UN POPULATION DIVISION LOWERS WORLD POPULATION PROJECTIONS FOR 2050
BY 400
MILLIONS, DROP DUE TO DEATHS FROM AIDS, LOW BIRTHRATE
http://www.kajsernetwork.orn/daily reports/rep index.c-fm?DR .10=16270
The United Nations Population Division on Wednesday lowered its estimated
world population projections for 2050 by 400 million, largely due to the
effects of the HIV/AIDS pandemic and "lower than expected" birthrates, the
AP/Philadelphia Inquirer reports. The "World Population Prospects: The
2002 Revision" report attributes about half of the decrease to a rising
number of deaths due to AIDS-related complications and the other half to the
fact that three out of four countries in iess-aeveioped regions wiii have
fertility rsfes bslow rsplscBmsnt fevsls by 2050 (Lscferor, AP/Phii3cfe!phi3
inquirer, 2/27). The woria popuiaiion is stiii expected to increase by 2.6
billion over the next 47 vears, from 6.3 billion todav to 8.9 billion in
2050 (United Nations release, 2/26). Eight countries -- India, Pakistan,
Nigeria, the United States, China, Bangladesh, Ethiopia, and the Democratic
Republic of Congo — will account for 50% of the world's population
increase, the Financial Times reports (Wolf, Financial Times, 2/27).
'However, the realization of these projections is contingent on ensuring
that couples have access to family planning and that efforts to arrest the
current spread of the HIV/AIDS epidemic are successful in reducing growth
momentum," the report states (Xinhua News, 2/26).
p^
FERTILITY
The "key to the change" was a "surprise" drop in birth rates of the most
populous developing countries, Reuters/New York Times reports. Joseph
Chamie, director of the U.N. Population Division, said that the most
important factor in declining fertility rates is that "men and women want
smaller families, and now they have the means to do so" (Reuters/New York
Times, 2/27). The report says that fertility levels in most developing
countries will fall below 2.1 children per woman, the "level needed to
ensure long term replacement of the population" (United Nations release,
2'26). Already, fertility rates in developing countries have fallen from
six children per woman in 1950 to three children today. The populations of
33 countries - including Japan, Italy, Bulgaria, Russia and Ukraine - are
3/4/03
Page 2 of 2
fho** oro ♦o*Jov
According to tne report, if fertility in all countries were to remain at
current levels, the world population would "more than double" to 12.8
eiiiion by 2050 (AP/Pniiadeiphia inquirer, 2/27).
HlV/AiDS IMPACT
HIV/AIDS will have a "serious and prolonged effect" on the populations of
the most-affected countries, where the number of HIV/AIDS cases will still
be "substantial" in 2050, although models predict a decline in HIV
prevalence levels after 2010 (United Nations release, 2/26). The number of
AIDS-related deaths in the 53 worst-affected nations is estimated to reach
278 million by 2050 (Aqence France-Presse, 2/26). Seven of the most
affected countries - Botswana, Lesotho, Namibia, South Africa, Swaziland,
Zambia and Zimbabwe - are located in Southern Africa, where HIV prevalence
is grsstor thsn 20%, ths Ws!! Street Journe! reports. According to the
estimates, the popuiation of these countries in 12 years wiii be 19% iower
than it would have been without AIDS. Chamie said that in some countries,
including India, China, Russia and Nigeria, "even a small difference [in HIV
nrevalencel has a bin affect on the number of excess deaths," comoared with
previous estimates. He said, "It's a catastrophe. We have to bring down
mortality in these countries" (Naik, Wall Street Journal, 2/27). Chamie
added, "The long-term impact of the epidemic remains dire. HIV/AIDS is a
disease of mass destruction and we do not see a vaccine comina soon" (BBC
News, 2/26).
PH.A-Exchange is hosted on Kabissa - Space for change in Africa
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3/4/03
Page 1 of 2
pH!Vt Secretariat
rrom:
Aviva <aviva@netnam.vn>
av.-1'-' •r-rM-.-n
~f-'1 lG4_C-zvx^l icai
j^i icx"\5.ax-»: >
Sent:
Subject:
y'
Friday, March 07, 2003 CHCIO AM
PHA-Exchange> Medical journals: bias against diseases of the poor
f rom: <EQUID'XD'/tLISTSERV PAHO ORG>
> Medical Journals: evidence of bias against the diseases of poverty
•> Richard Horton
> The Lancet - Volume o61. Number 9359 - 01 March 200a
>• Avoilahip r»n1inA» nt
*
-.KT V..1V
*V.V
VXOljlV C. V .
<hilp:'7w ww ihelancei. com./joiimal/vol361/iss9359/full/llan,361.9359, editoria
i <md review.24792.1 >
>"
A report from the WHO recently described under-representation of
> individuals from low-income and middle-income countries on the editorial
> boards of ten leading psychiatry journals. Shekhar Saxena and colleagues
> concluded that this "unsatisfactory situation" needed to be corrected,
given
v tnc global importance of mental health. But this issue goes well bcyonci
> editorial boards and mental health. There is widespread systematic bias in
>■ medical journals asainst diseases that dominate the least-developed
regions
> of the world Is this an example of what some have described as the
> msu rational racism that afflicts pails of medicine today?
> Some of the worlds leading geneial medical journals include the 7\nnals of
> Interna! Medicine. BMJ, JAMA, New England Journal of Medicine, and The
> Lancet. These five titles lav claim to their slobal lesitimaev for manv
> reasons—weekly or biweekly publication, long-established histories, the
> credibility and power of their owners, large numbers of full-time
Ph
<=
vuiiOnai
> staff, membership of the International Committee of Medical Journal
Editors,
> and influential joint statements. Their editorial boards matter because
they
> heir? to shape me personalities and policies of these journals. The
> composition of editorial boards sends a signal to authors and readers
jZ'fJ
> a journal's interests. General medical journals follow the same patterns
as
> their psychiatry counterparts (panel). Most bottrd members come from
nations
> with a high human development index. ... *
3/12/03
Page 2 of 2
> Saxena S, Levav 1. Maulik P. Saraceno B.
> How international arc the editorial boards of leading psychiatry journals?
> l ancet - Vol 361 February 15 2003 al:
hup: pdf thclancci.eonv'pdfdo\vnload?uid^llan.361.9357.correspondence.24540.
PI LA-Exchange is hosted on Kabissa - Space for change in Africa
av cost, write to: PFiA-Exchmi2e‘cL,kabissa.oig
Websile: http: . wvvw.lists.kabissa.org.'maiiman/listinfo/pha-exchan ge
3/12/03
Page 1 of3
r riivi 06Cfet-Siicst
rrom:
Sent:
Subject:
iri in I} <111
Aviva <aviva@netnam. vn>
Dolsr VssgFm "‘'dO'o?'
p,j>
Saturday. March CjS. zuuS Ch'C9 AM
PH/\-Exchangc> Food for thought for the excluded
IvCedcr 39
Social Exclusion and Human PJniiis.
Who’s in and who’s out:
Thc process *of
l.
social
exclusion is closely linked to/with many current day
economic and human ryams (JtLR.) problems.
Social groups are excluded. because they have no access to the opportunities
afforded to others in society, including public health care sendees,
adequate nutrition. public education, public housing and employment The
many barriers to access prevent people from reaching their full productive
potential —in mm constraining equitable economic growth, as well as poor
people's revenues and their HR. Lack of access makes the poor more likely
to incur in health and social services expenditures they can ill afford. The
exclusion process is exacerbated bv prices of basic services out of reach
loi mosi <?i '.lie
The faces of social exclusion:
2.Loda! exclusion nas *man races: among othei, it includes residential
senrewme-r. exclusion Torn health care, barriers in access to lena!
services, inequalities in education, language barriers and schooling
ineouiiies for ethnic minorities,,.
The word excluded’ nas a double meaning:
3.More often, exclusion refers to the social classes and social groups
(indigenous people, black people, women, etc) that are excluded
-from receiving social services.
-from the products and the income they generate, and
-from the political institutions that govern the country.
Less often arc the excluded looked at as the victims of an array of HR.
violations. [As much as they should...].
pl-1 rj
who are the excluded?:
4 Many of the excluded play an important or even essential role in the
production and distribution processes of the prevailing system: they are
unemployed or they work as domestic workers, as agricultural wage laborers,
as construction workers, as subsistence farmers, as factory workers with
shoddy contracts, or they' are the youth that never had a stable job, or the
nrmv of the underemployed vendors in the srav market... In a word,
iwi-rnlirtlmintjly. the excluded are the poor majority, or a greater than '0 %
of the working-age population.
3/13/03
Pace 2 of 3
production. bin do noi rcceive snv of its benefits —-muiniv because lhev are
excludes ironi the siruc lures of power.
o. i lie iiiuiii baulc is. therefore, noi for the poor io be ’incorporated
*
into
ti.tv SxSiOiii -“Since iIica alrcadv arc a pan oi it (but arc basically
subordinated, powerless, landless, 'rightsless', excluded from owning
propeiiv. from receiving services *
> 3 he real problem of the excluded is more die ’trfmsformaTiou’ of die
system or property, oi power and of violation oi 1IR. so that they can get
•S. I odav. the poor are not onlv excluded from employment; thev do dinv work.
hold unstable jobs: ihey arc poorly paid; they resort to the informal (gray)
sector of the econonr. U? eke out a living: they receive no fringe benefits
(retirement, paid vacations, health benefits).
W ho exc ? tides?:
9.Slates, corporations^ banks, the idobalization process, unfair trade.
chean' subsidized imports destroying local industries and causing further
iinemplov merit, the WR, the IMF (as instruments of, for example, forced
privatization that further pauperizes the poor) are ail part of the culprits
/"x ‘f o "ir 1 *1 1*-v
V’X vAvlUCrc'H.
10.1 he excluded and the excluders are essentially in dialectical conflict:
the condition for domination of some is the exclusion and the violation of
the HR of the inanv.
11.1 he first erv or me excluded erupts when tltev refuse to suffer in
silence -when their poverty becomes intolerable. This then leads to
organized social movements that demand justice, land. jobs, food, decent
housing, schools....rights. Then, the erv of the latter is not a cry of
desperation anymore, but a struggle cry: it is a cry that now goes beyond
mimemate concessions: it demands the socialization of me means of
production and of state power: it demands the reversal of HR violations. In
short, these movements demand a new society —one that no longer has
excluded.
12.The cry of the excluded reflects a world:
oi ' exploitation. of urban and rural hunger, of social decadence, of school
desertion, of economic pilfering, of concentration of wealth in the hands Oi
a few. of un-cnforccd labor legislation, of an agro-industry oriented
towards export markets, of forced displacements, of a fall in real wages, of
the progressive pauperization of retirees, of an end of staple food
subsidies,
of a relentless loss in purchasing power (the cost of living has outstripped
minimum wages often severalfold), of a massification of poverty.
In short, most of these are violations of HR.
13.
All ihis hus also led to a. popular rejection of electoral processes that
3/13/03
Page 3 of3
are considered viciaied. rigged and controlled by the media al the service
of for for sale to) the powerful.
14. Oni'. identifying and acting upon the causes of exclusion will enable more
nconlc to lead productive lives, have their rights respected and enjoy
-:j ;i-~ ucr!cf;;„ .'.f v.t wrv
15.To eliminate exclusion. then, the struggle for rights has to go hand in
,hand with a siryggie for power.
Claudio Schuftan. Ilo Chi Minh City
aviva @netnam.vn
Mostly taken from J.R.Behrman et al, Social Exclusion in Latinamerica, IADB.
2003. wwwiadb.org exr pub-pages-book.asp?id--141 and J.Petras, Grito de los
F.xcluido.s. 2003. hiiv: aiiac.ora aliacirifees'altacinlol 75.pdf
PIIA-Exchange is hosted on Kabissa - Space for change in Africa
To post, write to: PHA-Exchange@kabissa.org
Website: httn:.-. v.ww.iists.kabissa.ora'maihnaiVlistinib/pha-exchange
3-T3/03
Page I of 3
Main Identity
From:
To:
Sent:
Subject:
Aviva <aviva@netnam.vn>
DolarVasani <dolar.vasani@novib.r:l>
Saturday, March 08, 2003 CHC9 AM
PHA-Exchange> Food for thought for the excluded
Human Rights Reader 39
Social Exclusion and Human Rights.
Who's in and who's out:
1 .The process of social exclusion is closely linked to/with many current day
economic and human rights (HR) problems.
Social groups are excluded, because they have no access to the opportunities
afforded to others in society, including public health care services,
adequate nutrition, public education, public housing and employment. The
many barriers to access prevent people from reaching their full productive
potential -in turn constraining equitable economic growth, as well as poor
people's revenues and their HR. Lack of access makes the poor more likely
to incur in health and social services expenditures they can ill afford. The
exclusion process is exacerbated by prices of basic sei-vices out of reach
for most of the poor.
The faces of social exclusion:
2.Social exclusion has many faces; among other, it includes residential
segregation, exclusion from health care, barriers in access to legal
services, inequalities in education, language barriers and schooling
inequities for ethnic minorities...
The word 'excluded' has a double meaning:
3.More often, exclusion refers to the social classes and social groups
(indigenous people, black people, women, etc) that are excluded
-■rom receiving socisi ssrv’css
-from the products and the income they generate, and
-from the political institutions that govern the country'.
Less often are the excluded looked at as the victims of an array of HR
violations. [As much as they should...].
Who are the excluded?:
4.Many of the excluded play an important or even essential role in the
production and distribution processes of the prevailing system; they are
unemployed or they work as domestic workers, as agricultural wage laborers,
as construction workers, as subsistence farmers, as factory workers with
shoddy contracts, or they are the youth that never had a stable job, or the
army of the underemployed vendors in the gray market... In a word,
overwhelmingly, the excluded are the poor majority, or a greater than 50 %
of the working-age population.
3/10/03
Page 2 of 3
5. Not paradoxically, they are thus already integrated in the system of
production, but do not receive any of its benefits --mainly because they are
excluded from the structures of power.
6.The main battle is, therefore, not for the poor to be 'incorporated' into
the system --since they already are a part of it (but are basically
subordinated, powerless, landless, 'rightsless', excluded from owning
property, from receiving services...).
7.The real problem of the excluded is more the 'transformation' of the
system of property, of power and of violation of HR so that they can get
greater access to and control over the resources and services they need.
8.Today, the poor are not only excluded from employment; they do dirty work,
hold unstable jobs; they are poorly paid; they resort to the informal (gray)
sector of the economy io eke out a living; they receive no fringe benefits
(retirement, paid vacations, health benefits).
Who excludes?:
3.States, corporations, banks, the globalization process, unfairtrade,
cheap/ subsidized imports destroying local industries and causing further
unemployment, the WB, the IMF (as instruments of, for example, forced
privatization that further pauperizes the poor) are all part of the culprits
of exclusion.
10.The excluded and the excluders are essentially in diaiecticai conflict:
the condition for domination of some is the exclusion and the violation of
the HR of the many.
11 .The first cry of the excluded erupts when they refuse to suffer in
silence --when their poverty becomes intolerable. This then leads to
organized social movements that demand justice, land, jobs, food, decent
housing, schools....rights. Then, the cry of the latter is not a cry of
desperation anymore, but a struggle cry; it is a cry that now goes beyond
immediate concessions; it demands the socialization of the means of
production and of state power; it demands the reversal of HR violations. In
short, these movements demand a new society -one that no longer has
excluded.
12.The cry of the excluded reflects a world:
of exploitation, of urban and rural hunger, of social decadence, of school
desertion, of economic pilfering, of concentration of wealth in the hands of
a few. of un-enforced labor legislation, of an agro-industry oriented
towards export markets, of forced displacements, of a fall in real wages, oi
the progressive pauperization of retirees, of an end of staple food
subsidies,
of a relentless loss in purchasing power (the cost of living has outstripped
minimum wages often severalfold), of a massification of poverty.
3/10/03
Page 3 of 3
in short, most of these are violations of HR.
13.AII inis has also led to a popular rejection of eieciorai processes that
are considered violated, rigged and controlled by the media at the service
of (or for sale to) the powerful.
14 Only identifying and acting upon the causes of exclusion will enable more
people to lead productive lives, have their rights respected and enjoy
access to all the benefits of society.
'l5.To eliminate exclusion, then, the struggle for rights has to go hand in
hand with a struggle for power.
Ciaudio Scnuftan, Ho Chi Minh City
avjya,@netnam..yn
Mostly taken from J.R.Behrman et al, Social Exclusion in Latinamerica, IADB,
2003, www.iadb.org/exr/piib/pages/book.asp?id+141 and J.Petras, Grito de los
Exciuidos, 2003, htlp://a»ac.orq/attadnfoes/attacinfo175.pdf
PHA-Exchange is hosted on Kabissa - Space for change in Africa
To post, write to: PHA-Exchange@kabissa.org
Website: http://www.iists.kabissa.org/mailman/listinfo/pha-exchanqe
3/10/03
Page 1 of 2
PHM Secretariat
from:
UNN1KRISHNAN PV (Dr) <unnikru@yahoo.com>
pw/\ {-'obsi ^phs-sxohcmcs^S^ksbisss oro^
*
<pha-ncc/S)yahoooro,jps ccm^
*
’ ^PHA-
Ssnt;
Tuesday, ivlsrch 11. 2303 CHC12 AM
Pi JA-i_xcri8riG6> Voics or th a dark comers by Fids! Castro
LZ «J i kJ *>
SuMoGCtl
V—*Z C
*
I kJ kJ -U tb. J. v., Il*"
•d<?! C
Thsss srs hard timss w~ ars livino ir; !n rscsnt months ws havs mors
than ones nsard cniihrio words and siaismsms. In his spssch io West
Point graduating cadets on June 1 2002, the United States president
deciares: 'Our security will require transforming the military you will
lead, a military that must be ready io strike at a moment’s notice in
any dark comer of the worid ‘ That same day. he proclaimed the
doctrine of the ore-emotiYs strike somethin^ no one had ever done in
the political history or me world, a rew months later, referring to
the unnecessary and aimost certain military action against Iraq, he
said: "And if war is forced upon us. we will fight with the full force
and might of the United Stares army.'
That statement was not made b,z the Government of a small and weak
nation, but oy the leader c* me richasi and mightiest military povver
that has ever existed, which possesses thousands of nuciear weapons.
enough to obliterate the world's population several times over - and
other terrifying conventional military systems and weapons of mass
destruction
— PUrl - U
__
P»r1
That is wnat we are: carK corners or the world. That is the perception
some have of the third world nations. Never before had anyone offered a
better definition; no one had shown such contempt. The former colonies
of powers tnat divides- tne worlc among them and plundered it >or
centuries todav make ur> the o-rouo of underdeveloped countries.
There is notnmo like tui! independence, tair treatment on an equal
footing or nationai security for any of us, none is a permanent member
of the UN security council with a veto right: none has any possibility
of being involved ini the decisions or the international financial
institutions: none can keen its best raients: none can protect itself
fp^m caoita! flioht or ths destruction of nsturs 2nd the ©nvironmsnt
caused by ihs squandering.. sefrish and insatiable consumerism or ths
economicaiiy developed countries.
After the last global carnage in the 1940s, we were promised a world of
peace a reduction of the can between the rich and poor and the
assistance of the highly developed to the less developed countries. It
was ail a huge lie. We had imposed on us an unsustainable and unbearable
worid order.
The world is being driven into a dead end. Within hardly 150 years, the
oil and oas it took the planet 300 miiiion years to accumulate will have
been depleted. In just 100 years, the world population has grown from
1.5 billion to over 5 billion people, who will have to depend on energy
sources that are still to be researched and developed. Poverty
3/ 13/03
Page 2 of2
di-s&ases threaten
nations with
CJ|
-•
’ • 'V »’»Ol IX.
*
< OVII • <? K/X^>l IV XJ> WW C<> 1X4 IVJtl 1'4 '
u le Ciiinate >S Ci ;e? :vn ig ii :c cii i? id’.
.
*
IVIUIIl
b? tidii!«. di u ikinQ Wdtei’ ai“id tne
saa? are 'ncreasm o'v oomam’^atec.
Authority is be.ng .WeiWnsd away
die United Nations. its
established procedures are being obstructed and the organisation itseif
destroyed; development assistance ;g being reduced: there arc continuous
demands on the third world countries to pay a $2.5 trillion debt that
cannot be oaid under the o^esent circumstances. while $1 triiiion
dollars are spent in ever more sophisticated and deadly weapons. Why
ano for what?
A similar amount is spent on commercial advertising, sowing consumerist
longings that cannot be satisfied in the minds of billions of people.
Why and for what? For the first time the human soecies is running a real
risk of extinction due to the insane behaviour of the
same human
beings. who are Thus becoming the victims of this civilisation'.
However, no one wiii fight for us. that is. for the overwhelming
majority, only we will do it. Only we can save humanity ourselves with
the suoDort of millions of manual and intellectual workers from the
de'-'e ioped nadorc- who ^re conscious of the catastrophes befalling their
peopies. Only we can do ii by sowing ideas, building awareness and
mobilising global and .North American public opinion. .No one needs to be
told this. You know it very well. Our most sacred duty is to fight, and
fiul it we Wiii.
3/13/03
Page I of2
main identiiv
■
___ From:
To:
ciaudio <aviva@netnam vn>
pha-exch <cha-exchance@kabissa.org>
Sent:
Th. rscay. March
Subject:
PHA-Exchangc> Waler for People - Water for Life -
CMC? AM
> Water for Peer's - Water for Lifo > The United Nations World Water Development Report
> UNESCO website: <http:.vu5o.ur.3Soo.orq/bcokdeta!ls.asp?!d=4042 >
■-"
To .'.hoi extent will population growth, rising levels of pollution,
■> and Giirngi.R change iniensnv inn water crisis? Exactly now much water is
:
'
- ■ --
;’-o-jy;;’
:-
wOi'Id? H?'W mtiCk wi'l W? nocc
x iui iCn_»U SfeCuiiiv hi ifle next iiitetsn. iwtJiuy-iive ai'iO iiiiy years?
-*■ 111“ :iit“i iidut.'iici wiiiiuMiniv iiao pledged to reduce by han the proportion
'
vrcilt^l vvvf-'iy Ml >M ea>'lK«iiOn V
*
wililVMl
c-\J I v. v'sliut i dCjlOi iS
> are on tree
*?
how m>>rh w.'ii it cost to achieve these goals? What is the
> likelihood that oo~,T ios ..ill go to war over water in the near future?
> There questions and others are addressed in this Report, which offers the
> most comprehensive assessment io date of the state of tne world's
freshwater
> resources, based on the collective incuts of 23 United Nations agencies
and
> convention secretariats. It is part of an on-going assessment process to
> measure progress towards achieving sustainable use of water resources, and
> to influence better formulation and implementation of water-related
> policies.
tZ’C
&
> The coal of sustainable development was first set at the Rio Earth Summit
' i992 and nas been restated or expanded in many forums since then. The UN
■' wi'lsnoium Docloratior. cf 2022 transformed general guidelines into
sorH i ic
L_?I UL’UI HU! * U! L’tiL’UJt? WIIU hdltd UlIibJDIt! IC? ItjaCh. Ol iC? cilfC'IU. isidflt? dliilkinCj
,..-..'dbi.-hr’ m----- 5
?*
•
rs"?m.r:s-J.
*b
m.-F
: crouui vtro,
> iOCEt! ioVOiS, wuiGii Ml *—•« 1 I’vZlCS MMU i ^Muliable access and adequate supplies."
> 1 hus, ten yearn, after R^o it is time to take stock.
>
> The giobai overview is comoiemented by the presentation of seven pilot
case
3/13/03
riV6!- ? sins renreseniino various social economic and
>
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ri'OgiamS website ai.
! O pOSt. VvTiiSr iO\ r ri/^.-cXCi iai iuO@n.abiSSa jprQ
’
-
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Page 1 of 1
Main identity
rom:
:iaudio <avivara)netnam vn>
pt -o. -xO.-wzi i
iC4i isivtC-.ivcjCidoa, ^zi y
Thursday, March 13, 2003 CHC8 AM
> There is growinn evidence that researchers and their agencies 'capture'
> poverty data seis for years on end, without making them publicly
> available. While hanging on to data seis may enhance their reputations
> and help 'fast-stream' their careers, what long-term effect does this
> have on research into chronic poverty and ultimately, the poor
!•» 5$
• / A .t a n .
/Id.
rt8.html
hronic Poverty Research Centre, institute for Development
> Policy and Management, Crawford House, Precinct Centre, Oxford Road,
> T +44 (0)161 275 2825 r +44 (0)161 2/3 8829 Email
PHA-Exchange is hosted on Kabissa - Space for change in Africa
To post, write- to: PHA-Exchango@kabissa.org
VVsbsito’ http
*//w
ww lists ksbiss3 orp/mQjlmsn/iistinfo/phSi-GXchsnps
3/14 03
rage i or 1
Main identity
claudio <aviva@netnam vn>
pha-exch <pha-exchange@kabissa.org >
Friday. March 14, 2003 CHC10 AM
PHA-Exchange> "State of the World" reports
■!3.
i
CSt.N?! '^Vli
-!
I VZ ) 1111 let I! 1^01
1 1 I''
> ! realise that it is now ths mandats of even/ UN specialized agenev
> io publish an Annual "State of
" report.
> Does anyone know how much money is spent compiling the information
> and getting it printed? And how much of this is offset by actual
> sales? Does anyone know how much notice is taken o
* the information
> by the media, and by the public at large?
> But perhaps more important does anyone notice that so much of what is
Q-f
critics! probioms hsvs bssn
> with us now for decades and do not seem to be getting better very
> fsst‘2 in seme cases the data shows we are going backwards.
> Sc the question then comes down to what is being done wrong, or al> ternatively what needs to be done to make things right?
PH
PHA-Exchange is hosted on Kabissa - Space for change in Africa
Tr>.
J
• DJ_!A
1VIU.O l-V. 1
I j/
o t-irstni<- r- o
ICtl
Vj
Website: http://www.lists.kabissa.org/mailman/listinfo/pha-exchanqe
3/14/03
Page 1 of5
--—21 identity
rrcm:
ciaudio <aviva@neJnam vn>
To:
DolarVasan: <dolarvassni@novib.nl>
Sent;
Subject:
Friday. March U. 2003 CHC3 PM
PHA-Exchangc> Food for an active engagement beyond thoughts
Human Rights Reader 40
BEYOND CAPACITY ANALYSIS: ADDITIONAL ELEMENTS
OF A HUMAN RIGHTS-BASED DEVELOPMENT STRATEGY. (1)
[In this Human Rights Reader series, we have focused on quite a few elements
called for in the implementation of the emerging human rights-based approach
to development -mostly in health and nutrition. Additional conceptual and
operations’ elements for its implementation are added at this time. As said
once earlier, the repetition of some human rights concepts is both
inevitable and also part of this Reader's intention to have them 'sink-in'
into the readers' everyday parlance by looking at these concepts from
different angles’.
f.The 'chronic emergency' situation in the health, nutrition, education and
other service sectors in an important number of the developing countries
only sporadically . becomes a 'loud emergency'. However, if things stay
ihei; present course or worsen, such loud emergencies will increasingly
b a co me inevitable
2. the base of this is the fact that we are witnessing a failure of
At
governments to sustain the provision of basic services, to pay the full cost
of such public services and to respect, protect and fulfill people's human
rights. Moreover, traditional sectoral approaches to
development -aid-backed or not- are not delivering expected results (or
are not delivering them fast enough to reach the Millennium, Goals).
Z+AY Zr x r
The need and the challenges:
3.There is thus an urgent need to accelerate the implementation of a human
rights-based development strategy centered around this emerging development
paradigm th,at incorporates the poor beneficiaries as protagonist actors.
This paradigm also merges ethics and science, ideology and politics and
theory a nd p 'actice (i e., what ought to be done and what can be done) into
one consolidated development compact -one that effectively responds to the
di e necessity here briefly sketched and one that is taken up as an active
engagement or covenant with the people whose rights are being violated
day in, day-cut.
4.A much wiser participative and empowering Assessment-Analysis and Action
(AAA; process (2) -as an operational framework for the human rights-based
3/17/03
Page 2 of 5
.-riAr.rV’-xr-'lv
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is
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chnncs ceoole nave to come from their
verv own experience sueiting at their own realities'). AAA processes are thus
ioc-js
: ”'ob-’’Z5i^cn and of mobilization and progressive controi of
'hs resources nescca. Such nfC’active c\AA. nrocesses should be ultimately
puisijeH in <?7 ?re.?s ^nd sectors of nsveioomeni. Social mobilization only
bsciins to work. Positive AAA processes will then lead to the
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7 neso
sre T'ne indisoensabie orometers of the needed mobilization
process; they become the cataiizers in the interaction between outsiders and
the -commur-ity -bridc'nc the 'them and us:i schism between development
O Qi
Ail active concomitant development AAA processes have to be identified and
assessed si net-cnei and sub-nationai levei so as to setect cur sirategic
allies and mark and neutralize our strategic opponents in implementing this
new Human ncnis-zcased approacn.
utcome achievements, carefully targeting the most vulnerable in
•
tpjQ53 x-yhese rights are most fiacrantiv beinci violated— so as
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househeid and its rnembers, i.e. around legitimate household members’ rights
and their rescnctive entiilernftriis/GlairTis This means firs) providing tor the
hcuse'iu "’ meniufii's basic “:r:":tlements1 i.e,, reaching a “riinimurn 'ever or
family security. It is at the household level that we ultimately need to
aOiiii^vc;
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3'17 03
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3/17/03
*" / Capacity Analysis ts’os what is being proposed to bo don© for each
detsrniinant of 2 human ricnts violation at sach causal levo! and looks at
• ’• ■
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r
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ijjOuwi>ot?o die
happening ail te time already (consciously or not) in aii decision-making.
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: ;e u-su>.) lec wo v/d: r. it/ G<zi ne ve, »’.»e vet: i :v?e: ; .11 y
positive, negative and neutral AAA. processes: it behooves us to start and
O
(Sk .A rnobinzer has a corrizsox sat of roios. Amoncj thorn, some of th©
yns ccrr*!?’Unsiv. SnG QMVoocjiGS/conviiiCGS/PGrsuadGS. sh© innUGncGs actions,
~rcd ncHtics! FY^ppT'^ of rsso-j^css, sPs
lobiiizes iocc and c-utsioe resources, she educates, she organizes, leads.
"s-'zjs. 5:_ - sets
e>'~’“oie. acts as a rcie model and is trustworthy she
ssesses/.e. c.-.e..zss/re. s.iz sc,c. ci.~ctcs/si.aris new actions she creates
c.’-’ce ■’■“••
shy synervisys monitors and eva’uaie-s. she fosters
" instills
' ?■?:.; and a hope,
oeoefos. s '■--
poihkoi c-onscioucno;<, nn
ciec'Sions enct solves problems, she <s interested in
3 17 03
> and to ask if you could clarify what the process will be for setting up
the
Page 1 of 1
11/22/03
PHM- Secretariat(Global)
From:
To:
Sent:
Subject:
Vandana Prasad <chaukhat@yahoo.com>
PHM-Secretariat(Global) <secretariat@phmovement.org>
Friday, November 21, 2003 6:21 PM
Re: Regarding JSA communication issues
dear prasanna,
this sounds good but will need a little training for
people like me.
what i really' wanted was that different’circles' or
groups that got set up - like the 'sect group', like
the various sub committees should have their own e
groups with coordinator.
i had suggested this to abhay many times, specially
for the sect that we should have specific id and
group, had that been the case, i would have
automatically known, for example, that the bangalore
minutes have come in.
as far as the jsa website is concerned i think it
should be discussed at the next nwg.
because this type of issue comes up between national
and state secretariats just as it is with global and
currently india, i feel it is better to keep seperate.
that way responsibilites are better understood and
shared, also no one can accuse global sect of more
focus on the host country' etc.
5^
the whole issue of national sect needs to be
reaffirmed along with the responsibilities of the
people who volunteer to coordinate various specific
circles or activities, ideally their particular e
group should be in their hands.
however, i am no expert on e technology or its use and
just about manage to keep afloat with the e mail.
i know many state coordinators do not respond to e
amil at all - they need phone calls or letters.
national sect has been sending out snail mail to all
on its list as well as e mail and i make phone calls
if it is important.
vandana
Do you Yahoo!?
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Date : 20th February 2004 from 11.00 A.M.
: v4Hage Dharar.i pehsi' : Fratapgarh. Chittorgarh Dl.
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Page 1 of 3
Main Identify
From:
UNN1KRISHNAN PV (Dr) <unnikru@yahoo com>
Toi
PHA Giobsl ■‘■p^o-S/ichsrics^^kobisss orcp’
Cc:
Sent:
Subject:
<.pna-ncG@y3noogroups.com->
Tuesday. March 18. 2003 CHC10 /AM
[pha-nccl IRAQ- Fw; Running Out of Patience- Letter to the London "Observer" from Terry Jones
fh/lnnt'./ pyfhrtn'.
Apoiogies for posting a non-heaith despatch !
if everyone starts using Bush's logic whal the world will be like ? Just
iviOnCjaV. i’viSi
rvcr ’ irom i crry Jones (Monly Hython)
V V V V
CO GO
because he runs out of paiiencei he decides to bomb Irac. ?
i m rea?iy exciteo oy <sec-rge tiush s latest reason for bombing iracji ne s
rynninr? qi ;t r.f ostience. And so am I! For some time now I've been realiv
> pissed off with Mr. Johnsen, who lives a couple of doors down the
> street.
> Well, him and Mr. Patel, who runs the health food shop, i hey both give
-- Hie UU'CCTP. lUUW, dll'J III! Oliltd iVll . UC’J J! R?U1 I lt> p!c2! ii III J'J JjIJJ HttU llI iy Hc2C>iy !UI
> me, but so far I haven't been able io discover what. I've been round io
zi|z.,-.z< .-»
4/-s
: nc- b/.ccct :~v? uii too w qcq
vvi test
kxz-n’m : l-z\
i jo o u,v
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u/wi hg q
z-.-I- ry. zr.;-.
vj’-/'- cvoi yunny
> well hidden. That's how devious he is. As for Mr Patel, don't ask me how
> Mass Murderer. I have ieafleted the street telling them that if we don't
> act first, he'll pick us off one by one.
> Some of mv neighbours sav, if I've got oroof, why don't I go to the
> police? Eul that's simply ridiculous. The police will say that they need
> evidence of a crime with which to charge my neighbours, They'll come up
. ...:xu------ n--------- ----- ix—- ,------- :
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■s
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> pre-emptive strike and ail the while Mr Johnson will be finalising his
"
4-^ zJ-.
!Z> ’.u w.v ltc- •
ft a
b- itj t; ;-rr. \v‘ t::^ tv:; t
cat;! yvh’i uts QCLh tdiiy
> murdering people. Since I’m the only one in the street with a decent
> rjj* until rscsntlv thst's bssn 2 littls difficult Now however Georce
> vv. Bush has made it ciear that aii i need to do is run out of patience,
> and then I can wade In and do whatever I want! And let's face it Mr
> Bush's carefully thought-out policy towards Iraq is the only way to
> bring about international oeace and security. The one certain wav to
> stop Muslim fundarnsntalist suicide bombers targeting the US or the UK is
3'18'03
Page 2 of 3
-■ " " J
* Anson's deracie and kiP his wife and children
> i
■ Strike first! ThatII *—h him a lesson. Than he'll leave us in peace
>’and stop peering at me in that totally unacceptable way. Mr Bush makes
bn nssns in know heinre hnrnhinn Iran is iriai Saridarn is
■’
~ 7-
nas 7
■
ar d '77
as weapons of mass destruction - even if
> no one can fine: them, im certain I’ve just as much justification for
'•.!!’
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> eliminating 'rogue states' and 'terrorism'. It's such a clever long-term
> 2’?’-^
.
**
11-r.
Hoyw
i;0:’ Px,Si
* KHOW When VQLfvs 2Ch}0VSC’
HCW W>’H IVIf
> Sush know when he:s wiped out aii terrorists? When every single
> farrrtrict io
- ; l
. i v-. . J *-■ -.1 ’•w' — -w» .
> But then a terrorist is only a terrorist once he's committed an act of
> terror. What about would-be-terrorists? These are the ones you really
> want to eliminate, since most of the known terrorists, being suicide
> combers, have already eliminated themselves. Perhaps Mr. Rush needs to
> wipe out everyone who could possibly be a future terrorist?
> Maybe he can't be sure he’s achieved his objective until every Muslim
'
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> fundamentalism. Maybe the only really safe thing to do would bo for Mr
■> Hsic?
.
*
*.
t>
■sii h/ii iciirrtc'?
> irj jbe same m mv street. Mr Johnson and Mr Patei are iust the tip of
> the *<?eberQ. "cere are dozens of other people in the street who I don't
> jij-s= =nri who - cijite frankiv - look at me in odd ways. No one will be
> really s afe until I’ve wiped them ail out. My wife says i might be going
> too fsr but i tell her i rn simply using the same logic as the President
> of me j“."ec: States, i net shuts her up. Like Mr Bush, I've run out of
> ijatience. and ii rnai s a gcoo enough reason for the President, it's
fToinc- *c
' — tHr1
- whole surest two weeks “ no 10 dsvs =■ to come out
> in the open and hand over ali aliens and interplanetary hijackers,
-■ gelectic outisws end interstelter terrorist mesterminds. snd if they
> don't hand them over niceiy and say Thank you', I'm going to bomb the
> entire street to kingdom come. It's iust as sane as what George W. Bush
> is proposing - and, in contrast to what He's intending, my policy will
> destroy onlv one street
348/03
Page 3 or 3
Your own Online Store Selling our Overstock.
*------ ** —s-—♦.«■•
..<_... i; ,.c c-: ~uij, ot'j iu cui tn Hew lu.
?c-’.!nsi'bscribe(S)ec’roups.com
;se of Yahoo! Groups is subject to http://docs.vahoo.conn/info/terms/
3'18 03
CHC
From;
lo:
Cc:
Sent:
Subject:
George(s) Lessard <media@web.net>
<iCTs@yahoogroups.com>; <creative-radio@egroups.com>
<pha-exchange@kabissa.org>; <wuscnet@wusc.ca>
Wednesday, April 16, 2003 11:11 AM
PHA-Exchange> AFRICA Five radio plays available on CD highlighting rights issuesas they affect
older people.
FUGHLIGHTING THE RIGHTS OF OLDER PEOPLE
HelpAge International Africa Regional Development Centre have
produced five radio plays available on CD as parts of their Rights
Programme highlighting rights issues as they affect older people.
The titles are: The effects of IUV 'AIDS on older people in Africa;
Poverty and older people in Africa; Abandonment of Older people in
Africa; Witchcraft accusations and violence against older people in
Africa; Health care for older people. They also have a two-part
documentary liighlighting the abuse of older people's rights. The
titles are: The rights of older people: the mark of a noble society; The
rights of older people: possible solutions.
Contact
helpage@africaonline.co.ke
fer copies.
[ Via / From / Thanks to and / or excerpted from the following : ]
PAMBAZUKA NEWS 105
http://v\ww. pambazuka.org
/WAM'/WVAAA//VWA/W/WVA
PUPTI-DS NEWSLETTER IS BROUGHT TO YOU BY FAHAMU,
KABISSA, AND SANGONET
Fahamu - learning for change
Unit 14, Standingford House. Cave Street, Oxford 0X4 1BA, UK
info@fahamu.org
http ://www.fahamu. org
ill'll^
Kabissa - Space for change in Africa
Philadelphia Avenue, Takoma Park, MD 20912, USA
info@kabi.ssa. org
http://www.kabissa.org
Southern African Non-Governmental Organisation Network
(SANGONeT)
POBox31
Johannesburg, 2000
South .Africa
info@sn.apc.org
http ://www. sn. ape, org
4/17/03
Page 2 of 2
:-) Message Ends; George(s) Lessard’s Keywords Begin (-:
Freelance Media Arts, Management. Training. Mentoring &
*- 'Osuuing
On line: Internet Workshops Research Presence / Content /
On location: TV Radio Production / ENG EFP / Editing
interests: Access Activism / Communities / Cultures / Arts
Resume and more @ http://media002.tripod.com
Queries Offers Patronage
Commissions should be sent to
XBgdjaffi no spam web.net (remove _no_spam_ for use)
Rostered Volunteer UNV# 120983 & CESO/SACO VA# 11799
-Caveat Lector- Disclaimers. NOTES TO EDITORS
& (c) information may be found @
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Because of the nature of email & the WWW,
please check .ALL sources & subjects.
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4/17/03
Pave 1 of 4
From:
To:
Sent:
Subject:
claudio <aviva@netnam.vn>
pha-exch <pha-exchange@kabissa.org>
Friday, April 18. 2003 7:29 PM
PHA-Exchange> The Numbers: American War Machine & Other
> > Iraq Invasion By The Numbers
> > by Jackson Thoreau
> > April 03, 2003
> > Percentage of the world’s population living in the U.S.: 6.
> > Percentage of the world's energy resources used in the U.S.: 30.
W > Rank of Iraq among countries in the world for the largest oil
> > reserves: 2 [behind Saudi Arabia],
> > Military spending, worldwide: S900 billion.
> Percentage of worldwide military' spending by U.S.: 50.
> > Percentage of worldwide military spending by Iraq: 0.0015.
> > Percentage of Iraq's military capacity U.S. claimed it destroyed in
> > 1991 Persian Gulf War: 80.
> > Percentage of Iraq's post-1991 capacity to develop weapons of mass
> > destruction the UN claimed to have discovered and dismantled by
>> 1998:90.
> Percentage of U.S. military spending that would ensure basic
> necessities to everyone in the world: 10.
> > Number of Americans who have died in wars since World Wai' U:
>>92,212.
> > Number of people living outside U.S. who have died in wars since
> > World War U: 25 million.
> > Years that Iraq has had chemical and biological weapons: 20.
> Number of U.S. and European corporations that supplied Iraq with
> > materials and knowledge to make chemical and biological weapons
> > since the early 1980s: 150.
> > Number of Western nations that condemned Saddam Hussein in 1988
4/21/03
Page 2 of 4
immediately after he used gas in the Kurdish town of Halabja in 1988
to kill an estimated 5.000 people: 0.
Number of pounds of Agent Orange and other herbicides U.S. dropped
> '' in the Vietnam War: 100. million.
> > Value of worldwide weapons trade: S800 billion.
> Percentage of weapons dealt by U.S. companies worldwide: 50.
Estimated number of Iraqi civilian deaths in the 1991 Persian Gulf
> > War: 35,000.
> > Estimated number of retreating Iraqi soldiers buried alive by U.S.
> > tanks in 1991 War: 6,000.
/\ A A A A A A A A A A A A A A A A A
> > Estimated number of Iraqi civilian deaths Pentagon predicted in the
2003 war: 10,000.
Estimated number of Iraqi civilian casualties in the 2003 war so
far: 800.
Percentage of Iraqi civilian deaths that are children: 50.
Tons of depleted uranium left in Iraq and Kuwait after the 1991
Gulf War: 40.
Percentage increase in cancer rates in Iraq between 1991 and 1994:
700.
Pounds of explosives U.S.-led coalition dropped on Iraq in 1991
Persian Gulf War: 177 million.
Pounds of explosives U.S.-British pilots dropped on Iraq between
December 1998 and September 1999: 20 million.
AAAAAAAA
Estimated pounds of explosives U.S.-British pilots have dropped on
Iraq since the start of Operation Iraqi Invasion in March 2003: 200
million.
Years Iraq has lived under economic sanctions imposed by the UN:
12.
A A A A A A A
Iraqi child death rate in 1989 [per 1,000 births]: 30.
Iraqi child death rate in 1999 [per 1,000 births]: 131.
Number of Iraqis estimated to have died through 1999 due to UN
sanctions: 1.5 million.
4/21 ,’03
Page 3 of 4
A A
Percentage of them children: 50.
> > Number of UN inspections conducted in Iraq in November-December
> > 1998: 300.
Page 1 of 5
__________
C-HC
From:
To:
Sent:
Subject:
ciaudio <aviva@netnam.vn>
pha-exch <pha-exchange@kabissa.org>
Friday, April! 8, 2003 5:29 PM
PHA-Exchange> Leadership and health equity
EL SALVADOR, 24 FEB. 2003. SOME REFLECTIONS BY DR HALFDAN MAHLER.
LEADERSHIP AND HEALTH EQUITY.
I believe that Milos Kundera had it right when he wrote in one of his
books: »The struggle against human oppression is the struggle between memory
and forgetfulness ». For instance, I believe that the many who over and over
again ridicule WHO definition of health in its Constitution that these many
have forgotten this Constitution and its Health Definition. So, let me
remind all of us of tire intrinsic beauty and pertinence of this
Jbfinition: »Health is a state of complete physical, mental, spiritual and
social wellbeing and not merely the absence of disease or infirmity ». Let
me also remind the forgetful about the link between the inspirational and
the practical in that this Constitution has only one article defining « The
Objective of The World Health Organization shall be the Attainment by' All
Peoples of the Highest Possible Level of Health ».For my personal
enlightment one of the architects of this WHO definition, a partisan during
the 2d World War. explained it to me in the following way : »I have
experienced this complete physical, mental, spiritual and social wellbeing
many times as a partisan when I decided to risk my' life for sometliing I
thought was vitally important, namely freedom from occupation. Complete
physical wellbeing, in that I as an individual could make a difference
against a huge army of occupation. Complete mental and spiritual wellbeing,
in that I fully realized my existential freedom by deciding to risk my life
for something vitally important. Complete social wellbeing, in that I knew
that should I not come back alive somebody from my partisan group would take
care of my family. » And so, in facing death tliis partisan maintained that
Pe had experienced the innate and transcendental meaning of WTIOs Health
Definition!
I am convinced that health is politics and that politics is health as if all
people truly mattered. I am, therefore also convinced that political action
lor health-locaily and globally-requires moral and intellectual stimulation.
I am, furthermore morally and intellectually convinced that the Health for
ALL Vision and the Primary Health Care Strategy provide significant stalling
forces and added impetus for health development all over the world. Such
development is based on the principle that those who have little in health
and wealth will generate much more for themselves, and those who have much
will have no less, but will have it with a better social conscience,
I see startling patterns of inequities in the health scores throughout our
miserable world. I'm not talking about a first, or second, or third, or
fourth worid-fm talking about ONE WORLD-lhe only one we have got to share
and care for. And I continue to support the resolve to provide levels of
4/21/03
Page 2 of 5
health that will allow al! people of this ONE WORLD to lead socially and
economically satisfying and productive lives.
1 have always maintained that peoples own creativity and ingenuity are the
keys to their and the world's progress. People's apathy can turn development
dreams into stagnating nightmares. The transformation of social apathy into
social and economic productivity is the point of embarkation of all
sustainable and cumulatively growing human development. And an adequate
level of health is a basic ingredient that fuels this transformation. What
the billions of people tliroughout the developing world need and want is what
everyone, everywhere need and wants: the wellbeing of those they love; a
better future for their children : an end to gross injustice ; and a
beginning of hope. So, development is about the creation and expansion of
opportunities for human beings to realize what they consider to be their
positive destiny. It is a complex, often messy process involving the
interplay of physical, social, economic and political variables. And, we are
not talking about dealing with physical sciences and controlled environments
where quantifiable elements can be introduced and results predicted. We are
talking about human institutions and cultures, ways in which people organise
themselves to effect change in their social environments. We are talking
about human expectations, perceived rights, preference values, and people's
emotions and attitudes about those rights and values.
Equity, especially in ensuring essential health and socio-economic needs,
d particularly as it relates to vulnerable groups such as the poor.
ildren, women, elderly, disabled remains for me a primordial objective of
all development. Indeed, I consider equity a moral imperative to which all
social and economic activities must be subsumed. I do believe that a greater
degree of equity, to assure a more just and reasonable equality of health
opportunity, is an absolute necessity for the preservation of a sane local
and global humanity. Let us not forget that there are still thousands of
millions of humans caught in the absolute poverty trap-a condition of life
so characterized by malnutrition, illiteracy and ill health as to be beneath
any definition of human decency.
How then, in to-day's largely amoral, if not immoral world is « social
conscience » on the part of leaders generated? Rarely in human histoiy has
this kind of leadership been so essemial-so vital leadership to propagate
new values in society, particularly values that are concerned with social
progress, leadership of involvement, of responsibility, of objectivity and
of compassion.
It has been said that leaders have a significant role in creating the state
mind that is the society. They can express the values that hold the
society together. They can bring to consciousness the society's sense of its
own needs, values and purposes. And let us not forget that visionaries have
always been the true realists of humankind's histoiy.
«
It is my firm personal conviction that leadership is notliing if it is not
linked to the collective purposes of the society. The effectiveness of the
leaders must be gauged, not by their charisma, or their visibility, or the
so-called power they hold, but by the actual social change they create,
measured by the satisfaction of human needs and expectations. 1 do speak of
4/21/0.
Page 3 of
moral leadership, where values have a decisive place, where leaders assume
consummate responsibility for their commitments, and thereby produce social
change that is truly relevant to the needs, aspirations and values of the
society.
v/icinn of 3 commitment to remove social inequities cannot be
introduced as .1 one-shot piece ofmagjc. 't must be introduced time after
tirne. It must be incorporated in the political system and supported through
the strategy and decision making processes. It must be reinforced
continuously through the diligent pursuit of facts and the fearless exposure
of the facts that cry out for social justice.
A question often raised is, »Can health truly form a leading edge for
social justice, especial!} when we are dealing with situations where the
basic issue is survival ;where people arc trapped in the vicious circle of
extreme poverty, ignorance and apathy. ? ».
I can best answer tltis question by referring to the events that lead to the
creation of the Health for All movement and to this movement, in my opinion
becoming a leading edge in the promotion of equity and social justice.
The World Health Assembly decided in 1977 that the main social target of
Governments and WHO in the coming decades should be the attainment of what
is known locally and global!;.’ as « Health for All« . .And the World Health
/Assembly described that as a level of health that will permit all the people
of the world to lead socially and economic ally satisfying and productive
lives. Please note that the World Health Assembly did not consider health as
an end in itself, but rather as a means to an end. That end is hitman
development as characterized by social and economic productivity and
wellbeing. You will also note that the social aspect preceded the economic
aspect. That is also as it should be. When people are mere pawns in an
economic growth and profit game, that game is so often lost for the poor.
Alut when people themselves can contribute actively and voluntarily to lhe
social development of the society in which they live, whether in such fields
as shaping public policies, providing social support to others, undertaking
voluntary action for the health and education of society’, or through all
kinds of cultural activities, in other words when people are socially
productive there is much hope for economic productivity’ too.
This morally binding contract of Health for All was the basis of The Primary
Health Care Strategy which implied a commitment not only to a reorientation
of the conventional health care systems- which rather should be called «
medical repair systems »-but to a sltift towards people ’s own control over
their health, and wellbeing io the extent that they would be willing to
handle in fact profound social reforms in health. Tltis implies a continuous
empowerment process whereby people acquire the skill and will to become the
social carriers of their own health and wellbeing.
Therefore, I do believe that the fundamental values of social justice and
equity are firmly embedded in the vision of Health for All and the strategy
of Primary Health Care. And tins vision and strategy can, indeed be a strong
^orce and leading edge for achieving social justice and equity’. Health may
not be everything, but without health there is vety little to wellbeing.
The question is often asked: »Can we afford the cost of social justice and
equity’? ». I would propose a counter question: »Can we afford the cost of
social and economic destabilization inherent in to-day’s pursuit of profit-
4/21/03
Page I of 5
maximization? ». The costs generated through the creation of a just and
equitable health care system may indeed cause some economic turbulence. But
equitable cost containment can be introduced and resources can be
reallocated. Justice and fiscal responsibility do not have to be
incompatible. They will be only so if there is a breakdown of political
nerve. YVhile there has been solid progress in a few countries towards Health
tor All. progress towards social justice and health equity remains strictly
limited. A major reason-in my opinion- for this limited progress in the
application of the HF A Vision through the PHC Strategy has been the lack of
politically sensitive ammunition generated through epidemiological,
sociological and operations research. Therefore, much more leadership must
be generated as a collective force from all levels of the local and global
society towards accelera ting the abatement of to-days gross health
inequities.
I believe it is obvious. if present inequity trends continue undimished.
that our world will become more crowded, more polluted, less stable
ecologically and much more vulnerable to socioeconomic and political
devastation. I believe the most turbulent transition will be that associated
wth the establishment of equity between all earth citizens.
Health for .All leadership-locally and globally- is moved by a vision which
can not tolerate the unacceptable inequities of life, and which has faith in
the potential of people, in their inherent ability' to develop and to take
responsibility for their own destiny.
I do believe that the leaders are there, who are willing to take up these
challenges. They are those in leading political positions, who can emphasize
social values and be politically sensitive to them, who feel strongly about
equity issues, and who can find ways to motivate and mobilize other’s. They
are the leaders in the communities-able to take up the cause ofjustice and
equity more strongly, prepared to adjust their own traditional values and
approaches and willing to take risks. They are the leaders of thousands of
civil society organizations at local and global level already fighting for
equity in health. They are the leaders in educational and scientific
institutions-able to visualize the scope for improving human conditions and
thus willing to focus their intellectual energies accordingly-and also
.willing to motivate future generations towards social values promoting
"equity. Last, but not least they are potentially among the leaders of all
the world’s religions willing to add the spiritual dimension in the fight
for justice and equity.
Those who are fighting for social justice and equity must be even more than
ready to look, to listen, to probe and to learn; must be brave enough to
fearlessly evaluate progress or lack of progress in abating inequities. Only
by highlighting inequities is it possible to re-dress them. This struggle
for equity can often be frustrating, since development knows no Limits. The
more you move along its road the more you want to move. You cannot blame
people if they strive io join up with those who arc further along the road
than they are. That is only human nature. Injustices however have to be seen
through the eyes of those who are farthest behind on that road. But. we must
not lei the injustices take over. Indeed we must not!
1 am convinced that tliis Centro de Investigation y Desarrollo en Salud which
we are inaugurating to-day will provide essential ammunition in the light
4/21/03
Page 5 of 5
■'c-'-'-i-
.. v
il.
...a
:v> ;i:. iw -- s. -.<! iv»
• n.-.utii.
Thank you.
PHA-Exchanse is hosted on Kabissa - Space for change in Africa
•^o post y rit,~ tn- PHA-Exchanse@kabissa.org
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CHC
From:
To:
*
Sont
Subject:
_
claudio <aviva@netnam.vn>
Doiar Vasani <dolar.vasani@novib.nl>
Saturday, April 19 2003 5:08 PM
PHA-Excnange> Neutral food for non-neutral thoughts
Human Rights Reader 43
The ideological neutrality of human rights is its greatest strength, but its
proponents should not be neutral in engaging to achieve them:
•
There is no neutral territory in combating poverty and
oppression.
These who believe in such neutrality more often than not
become prey to tire agendas of dominant social forces.
(F. Manji)
The principle of neutrality —being indifferent— is
increasingly obsolete; it is immoral and short sighted.
(J. Foster Dulles)
1. An undeniable contemporary' fact is that, too often, our political
leadership is dissociated from moral and ethical considerations. Bui
essential for their legitimacy is precisely their ability io translate
prevailing social and ethical values into politics (or 'ethical praxis', if
you want): politics is the translation of all our scientific, ethical and
historical knowledge into a fair management of society. (D. Najman, P-QLI
Commission)
2. So, not trying to be facetious, if our leader's do not know how to
equitably distribute wealth and justice, shouldn't they at least equitably
distribute poverty’ and injustice...?
^Consequently, in human rights (HR), stepping from the 'ethics of
^nciples' to the 'ethics of responsibilities' means that our leaders must
be made to stand by their signatures and made to keep their promises.
basically because they made them...of their own free accord (or convenience
at the time...).
4. Ln today’s world, the life of a person who lives by her ethics is not
easy; it is rather a crusade. For her, certain principles are
non-negotiable.
5. In the human rights-based approach, rights are not negotiable. Therefore,
we have to pin down die HR-expected outcomes -100% of them-- as
non-negotiable (in a way, a zero tolerance stance). It is this, then, that
has to become our point of reference to judge which Assessment, Analysis and
Action (AAA) processes in society are positive and needed in our endeavor,
4/21/03
Page 2 of 3
outcomes (i.e., are negative and or neutral AAA processes for the
achievement of HR).
6. In the same way, by now. we know that Respect, Protect and Fulfill all
represent HR obligations of states: they thus have the connotation of a
social contract: Carrying it a bit further, some people consider Respect to
be a passive obligation, Protect to be an active one, and Fulfill to be a
proactive obligation. So, for instance, when governments only respect and
protect, but do not fulfill state obligations towards, say, the entitlement
to food, to care and or to Health For All, they should be actively denounced
and confronted by us; neutrality is not an ethical option.
7. One can ask: is it not commensurate with cowardice to live an uncommitted
life in a world of gl owing polarization? We need to critically examine our
commitments of all sorts. Uninformed innocence in a ravaged world amounts to
pain and suffering that can be counted as dead bodies and children
handicapped for life. We cannot be fundamentally unengaged on HR issues.
Detachment has to be challenged. Detachment can come from our early
training, disappointing experiences or mere indifference. We simply cannot
selfishly shun commitment. A world of choice and action opens before us. We
have to make choices. We have to take sides to remain human.... (A.A. de
Vitis).
8. In troubled times, a vocal identification with ethical principles needs
to be forged. Silence is a strategy to avoid commitment, in our case in HR
work. Silence compromises the future of what we stand for. Silence is
speech; it is a willed act in the furtherance of one’s objectives. (Is it
self-deception?)
9. We cannot attempt io disengage; political involvement in HR matters and.
in final instance, is humanizing. Of course, the choice can be made to act
as a 'sympathetic outsider’; from such a position, reality-out-there remains
but a picture on the canvas. (Z. Pathak)
[I recognize that people exist as dismembered bodies; we are constructed as
complex, fragmented subjects, in part because there is a dialectical
relationship between the personal and the political... ].
Can Human Rights advocacy be overdone?
bo. .All people have equal rights, but are indeed very different —and want
to be different... (J.Rau, German Federal President, 13/5/02)
11. Because HR pertain to all people, everywhere, one danger is that the
term "human rights" be used for many disparate tilings, if not for eveiytliing
under sun. Tire fear is that, eventually, the term be abused so that it gets
diluted to the extent that it loses all its original meaning and becomes
empty rhetoric —like so many other 'big words' we have seen abused —from
democracy to freedom to equity...
4/21/03
Page 3 of 3
12. Human rights lias actually become a *'convenient moral term, so useful
and effective in advocacy that, to be on the safe side, everyone (friend and
foe of HR) throws it in...just in case. And that is where the danger of
abuse and dilution lies.
13. While I am aware of the efforts to expand the traditional HR concept and
expect that HR will play some role in areas such as the environment, I am
wary that if everyone keeps stretching HR into everything under the sun.
within ten years, we risk seeing a huge backlash in the HR arena: whoever
mentions the tenn "human rights" will be suspected of being a dinosaur or a
fanatic. In the next five years we will see expansion, but what in ten...?
This, of course, does not mean that linking HR io environment issues should
not be pursued... (Tran Dinh Hoang, personal communication).
14. The caveat here is that we ought to advocate for a faithful adherence to
the established and already sanctioned international legal human rights
concept and principles: expansion from there should be cautious, well
justified and long-term.
something is good, use it carefully, consistently and with care...
Claudio Schuftan, Ho Chi Minh City
aviva@netnam.vn
PHA-Exchange is hosted on Kabissa - Space for change in Africa
To post, write to: PHA-Exchange@kabissa.org
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4/21/03
PHM Secretariat
From:
To:
Sent:
Subject:
claudio <aviva@hetnam.vn>
Doiar Vasani <doiar.vasani@novib.nl>
Saturday, April 19, 2003 5:08 PM
PHA-Exchange> Neutral feed for non-neutral thoughts
Human Rights Reader 43
The ideological neutrality’ of human rights is its greatest strength, but its
proponents should not be neutral in engaging to achieve them:
There is no neutral territoiy in combating poverty and
oppression.
Those who believe in such neutrality more often than not
become prey to the agendas of dominant social forces.
(F. Manji)
The principle of neutrality -being indifferent— is
increasingly obsolete: it is immoral and short sighted.
(J. Foster Dulles)
1. An undeniable contemporary fact is that, too often, our political
leadership is dissociated from moral and ethical considerations. But
essential for their legitimacy is precisely their ability to translate
prevailing social and ethical values into politics (or 'ethical praxis', if
you want): politics is the translation of all our scientific, ethical and
historical knowledge into a fair management of society. (D. Najman, P+QLI
Commission)
2. So, not trying to be facetious, if our leaders do not know how to
equitably distribute wealth and justice, shouldn't they at least equitably
distribute poverty and injustice...?
3. Consequently, in human rights (HR), stepping from the 'ethics of
principles' to the 'ethics of responsibilities' means that our leaders must
be made to stand by their signatures and made to keep their promises,
^jasically because they made them...of their own free accord (or convenience
at the time...).
4. In today's world, the life of a person who lives by her ethics is not
easy: it is rather a crusade. For her, certain principles are
non-negotiable.
5. In the human rights-based approach, rights are not negotiable. Therefore,
we have to pin down the HR-expected outcomes —100% of them- as
non-negotiable (in a way, a zero tolerance stance). It is this, then, that
has to become our point of reference to judge which Assessment, Analysis and
Action (AAA) processes in society are positive and needed in our endeavor,
4/21/03
Page 2 of 3
and which of them we have to challenge, because they do not lead to such
outcomes (i.e., are negative and/or neutral AAA processes for the
achievement of HR).
<i. In the same way. by now. we know that Respect, Protect and Fulfill all
represent HR obligations of states: they thus have the connotation of a
social contract! Carrying it a bit further, some people consider Respect to
be a passive obligation. Protect to be an active one, and Fulfill to be a
proactive obligation. So. for instance, when governments only respect and
protect, but do not fulfill state obligations towards, say, the entitlement
to food, to care and/or to Health For AIL they should be actively denounced
and confronted by us: neutrality is not an ethical option.
7. One can ask: is it not commensurate with cowardice to live an uncommitted
life Ln a world of growing polarization? We need to critically examine our
commitments of all sorts. Uninformed innocence in a ravaged world amounts to
pain and suffering that can be counted as dead bodies and children
handicapped for life. We cannot be fundamentally unengaged on HR issues.
Detachment has to be challenged. Detachment can come from our early
training, disappointing experiences or mere indifference. We simply cannot
selfishly shun commitment A world of choice and action opens before us. We
have to make choices. We have to take sides to remain human.... (A.A. de
Vitis).
In troubled times, a vocal identification with ethical principles needs
be forged. Silence is a strategy to avoid commitment, in our case in HR
ork. Silence compromises the future of what we stand for. Silence is
speech; it is a willed act in the furtherance of one's objectives. (Is it
self-deception?)
8.
K
9. We cannot attempt to disengage; political involvement in HR matters and,
in final instance, is humanizing. Of course, the choice can be made to act
as a 'sympathetic outsider': from such a position, reality-out-there remains
but a picture on the canvas. (Z. Pathak)
[I recognize that people exist as dismembered bodies; we are constructed as
complex, fragmented subjects, in part because there is a dialectical
relationship between the personal and the political...].
Can Human Rights advocacy be overdone?
10. All people have equal rights, but are indeed very different —and want
to be different... (J.Rau, German Federal President, 13/5/02)
1. Because HR pertain to all people, everywhere, one danger is that the
term '’human rights" be used for many disparate things, if not for everything
under sun. The fear is that, eventually, the term be abused so that it gets
diluted to the extent that it loses all its original meaning and becomes
empty rhetoric —like so many other 'big words' we have seen abused —from
democracy to freedom to equity...
4/21/01
Secretariat
From:
To:
Sent:
Subject:
ciaudio <aviva@netnam.vn>
pha-exch <pna-exchange@kabissa.org>
Saturday, April 19, 2003 8:22 AM
PHA-Exchange> MTCT meeting - PHM participant report
From: "Mwajuma S. Masaiganah" <masaigana@afiicaonline.co, tz>
RE: Mother to child transmission (MTCT) plus Meeting report by People's
Health Movement Participant.
Firstly, I have the honour to introduce myself to you. My name is Mwajuma
Saiddy Masaiganah. I belong to the Peoples Health Movement which is a global
movement based in India (for more infor please go to our website
www.phmovement.org). PHM is a result of the Peoples Health Assembly which
was held in Bangladesh in December 2000, and which came up with the Peoples
Charter for Health now available from the website in more that twenty seven
(27) languages including Swahili. I am the facilitator for the movement for
Eastern and Central .Africa.
>From the website you can also get the following information and more: h. Health in the Era of Globalization
2. Voices of the unheaard
3. People's Health Assembly - Discussion paper
4. What Globalisation Does to Peoples Health - A PHA booklet (1)
5. Whatever Happened to Health for All by 2000 AD - A PHA booklet (2)
6. Making Life Worth Living - A PHA booklet (3)
7. A war Where We Matter - A PHA booklet (4)
8. Confronting Commercialization of Health care - A PHA booklet (5)
You will get to know more on PHM as we continue collaborating.
Secondly, on 22 February 2003, MTCT plus Secretariat organised a meeting in
Johannesburg for a group of African women and Mama Graca Machel launched it
as an advisory and advocacy group to share, advice and give leadersltip to
the programme. The MTCT of HTV/AIDS initiative has been started due to the
high spread of HIV/AIDS and the effects to mothers and families.
^understand that no one can live or work in isolation, and that is why I am
taking this opportunity to introduce myself to you now and share with you
the important things that happened and which were shared during this
important meeting. This is my personal report as a participant wanting to
get the information across as soon as things happen. I understand that MTCT
plus will scon circulate the official report of the proceedings of the
meeting which will give more details. I can also share that with you as soon
as I receive it.
Mwajuma S. Masaiganah Ms.
Join the "Health for ail, NOW" campaign in the 25th anniversary year of the
4/21/03
Pace 2 of 2
Alma Ata declaration visit www.TheMil1ionSignatureCampaign.org
TH ANK VOI ’ FOP YOUR ACTIVE PARTICIPATION!
Reports on this meeting can be gotten from Mwajuma directly at Iris address
above. Claudio
PHA-Exchange is hosted on Kabissa - Space for change in Africa
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4/21/03
Page 1 of 1
CHC
From:
1 o:
Sent:
Subject:
CHC <sochara@vsnl.com>
aviva <aviva@netnam.vn=
Monday, April 21. 2003 12:36 PM
Re: PHA-Exchange> PHM PRESS RELEASE
Dear Claudio.
Greetings from People’s Health Movement Secretariat at CHC, Bangalore!
Thanks for putting the let the Children of Iraq Live' press release on the
exchange promptly. It seems to have come interspersed with =20. Please
clarify if there's any way we should send it to you to avoid this artifact.
Unni who does these releases can send it to you in other formats if that
will help. Are you going to make it to PHM Geneva?
Best wishes
jRavi Narayan
"'oordiantor
PHM Secretariat (Global)
----- Original Message-----From: aviva <aviva@netnam.vn>
To: <PHA-exchangefg>KABISSA.org>
Sent: Wednesday. April 09, 2003 10:05 PM
Subject: PITA-E.xchange> PHM PRESS RELEASE
> People's Health Movement
> URGENT
> PRESS RELEASE
> Bangalore (India); 8th April 2003:
> STOP THE WAR! LET THE CHILDREN OF IRAQ LIVE.
| As the World Health Organisation celebrated World Flealth Day (April
> 7th) =
> on the theme "Healthy Environment for Children" and called everyone to
>=
> join WHO in 'promoting healthy environment for children and make a =
> difference for the future', the Peoples Health Movement (PHM), a global
> coalition, calls for an immediate stop to the war on Iraq and demands "
> Let the Children of Iraq Live!". PHM also expresses concern over the =
> failure of the WHO and UNICEF to take the leadership to campaign
> against > the unjust and immoral war on Iraq.
4/21/03
CHC
___________________________________________________
From:
To:
Sent:
Subject:
aviva <aviva@netnam.vn> —"
<PHA-exchange@KABISSA.org >
Wednesday, April 09, 2003 10:05 PM
PHA-Exchange> PHM PRESS RELEASE
'''\
People's Health Movement
URGENT
PRESS RELEASE
Bangalore (India): 8th April 2003:
STOP THE WAR ! LET THE CHILDREN OF IRAQ LIVE.
As the World Health Organisation celebrated World Health Day (April
7th) =
on the theme "Healthy Environment for Children" and called everyone to
join WHO in 'promoting healthy environment for children and make a =
difference for the future’, the Peoples Health Movement (PHM). a global
coalition, calls for an immediate stop to the war on Iraq and demands "
^et the Children of Iraq Live'". PHM also expresses concern over the =
failure of the WHO and UNICEF to take the leadership to campaign
against =
the unjust and immoral war on Iraq.
=20
PHM is a people-oriented global initiative that evolved out of the =
People's Health Assembly, a historic summit that was held in December =
2000 in Bangladesh. Over 1453 participants from 92 countries met for
the =
People's Health .Assembly' that was the culmination of 18 months of =
preparatory action around the globe. =20
=20
As over 22 million Iraqi civilians especially children are going
through =
a traumatising experience as all aspects of their environment - air, =
water, land and their homes, schools and local community are being =
•objected to the worst form of bombing in world histoty -PHM exhorts =
all UN agencies especially WHO and UNICEF to take the moral leadership
to campaign to stop the war on Iraq.
=20
The children of Iraq have been subjected to sanctions resulting in a =
whole generation of malnourished children.UN agencies estimate that =
there has been a 72%increase in the incidence of malnourishment among =
children in Iraq since the sanctions. Sanctions also killed over
750,000 =
children. Shortage of medicines has affected children's health more
than =
any other sector of the population.
=20
Environmental hazards caused by the presence of depleted uranium and =
other chemical hazards from the armaments used in the war will nroduce
a=
range of health problems including leukemia and hepatic,respiratory and
cardio toxic effects. The dropping of ammunition wrapped in yellow =
packing (similar to the food packages dropped by the invading forces) =
will increase the danger to the children as they will access unexploded
bombs accidentally thinking them to be food parcels.
=20
Mines and other explosives will continue to maim young children in the
years to come. In addition, with the health of their parents at greater
risk due to the ravages of war, child care, child health and child =
security will be the biggest casualty.
=20
PHM is particularly surprised at the insensitivity of the recent WHO =
briefing for Iraq dated 4th April 2003, three days before world health
day. There is no mention of the risks to children as their environment
is ruined by the war on Iraq. In a typical preoccupation with bio =
^jiedical magic bullets the document talks about measles immunizations
6 to 15 year olds which today is not the only hazard the Iraqi children
face with their homes, schools, streets, and their communities destroyed
by an unjust, illegal and immoral war.
=20
PHM calls upon all health and human rights activists all over the world
and agencies like WHO and UNICEF to recognise the gross human rights =
violation of child rights by the invading forces and to join the =
millions of anti war and pro peace protesters round the world in =
demanding an immediate stop to the war. "Give the children of Iraq a =
chance! ".=20
People’s Charter for Health, the guiding spirit of the PHM, is the =
largest consensus document on health. "Wars, violence, conflict and =
^ptural disasters devastate communities and destroy human dignity. They
have a severe impact on the physical and mental health of their
membeis, =
especially women and children. Increased arms procurement and an =
aggressive and corrupt international arms trade undermine social, =
political and economic stability and the allocation of resources to the
social sector," says the People's Charter for Health. =20
For the People's Health Movement=20
4/10/03
Page 3 of 3
Dr. Ravi Narayan, Co-ordinator, PHM Secretariat=20
For media enquiries
Page 1 of 2
PHM Secretariat
From:
To:
Sent:
Subject:
Adrienne Potter <apotter@csih.org>
PHA Global' <pha-excnange@kabissa.org>; <PHA-Europe@yahoogroups.com>; <PHAEuroDe@yahoogroups.com >: <pha-ncc@yahoogroups.com>
Wednesday, April 23, 2003 1:22 AM
PHA-Exchange> [PHA-Europe] 10th Canadian Conference on International Health / 10e
Conference canadienne sur la sante in ternation ale
MARK. YOUR CALENDARS!!!
ABSTRACT SUBMISSION DEADLINE IS APRIL 30th!!!
1 Oth Canadian Conference on Internationa! Health
The Right to Health: Influencing the Global Agenda
How Research. Advocacy and Action can shape our future
Mark your calendars!
October 26-29. 2003
Ottawa, Canada
Conference Goal: To provide a forum for practitioners, researchers,
educators, policy makers and community mobilizers, interested in health
and development issues, to share knowledge, experience and promote
innovation and collaborative action.
For more information, contact the Conference Secretariat at:
Toll free in Canada: 1-877-722-4140
Phone: 613-722-4140
Email: conference@csih.org
❖ >? hh
>?
’?■::::i(
’c;t!
u5
W4
lOe Conference canadienne sur la sante Internationale
Le droit a la sante : influer sur 1'agenda mondial
Comment la recherche, la promotion et faction peuvent influer sur noire
avenir
A noter dans votre agenda !
26-29 octobre 2003
Ottawa, Canada
But de la conference : Offiir une tribune aux practiciens, chercheurs,
educateurs, decideurs et organisateurs communautaires qui s'interessent
-1/24/03
Page 1 of 2
^^Secretariat
From:
Sent:
Subject:
___ ______________________________________________
ciaudio <aviva@netnam.vn>
pha-exch <pha-exchange@kabissa.org>
Wednesday, April 23. 2003 5:10 PM
PHA-Exchange> Nestle Supports Right to Food ? (2)
From: <-w.b.eide@basalmed.uio.no
There could hardly be a better illustration to Ciaudio’s concerns in his
recent "Neutral food for non-neulral thoughts" than this Nestle-Nigeria
appropriation of the right to food.
^tink we have feared that this would happen. It is however the first i
hear about of the sort. What to do? Can we think of some concerted
expression of concern? Or just leave it in order not to awaken sleeping
dogs - but how long will they sleep?
Td be interested in the readers' opinions.
W.
.Also from: w.b.eide@basalmed.uio.no
Re: Neutral food for non-neutral thoughts
I just read through this piece ('The ideological neutrality of human rights
is its greatest strength, but its proponents should not be neutral in
engaging to achieve them' *
) and could not agree more with Claudio aboutt
the risk that everybody now will join what could become a bandwagon, without
bothering to go through the tedious requirements of learning and
understanding what it is really about. We should discuss this more. There is
a real danger for "inflation" indeed, and one cannot help asking "...where
they (= those who now easily join!) at the time when the work was
really so hard and uphill in the beginning .... the lack of support for
years will be remembered while one must indeed welcome those
who really now are trying, simply because they now do understand more!
My personal encouragement that it is possiblejies in some of the ven’
succesful outcomes of the recent national human rights seminars, notably in
Uganda and Mali in particular. Some material from these will soon be posted
on our website
W.
*: Human Rights Reader 43
PHA-Exchange is hosted on Kabissa - Space for change in Africa
-I 23/03
Page 2 of 2
Tdpost.
to: PHA-Exchange@kabissa.oig
V.Vosi.c; http:. WAV'w.lists.kabissa.ora'mailman'listinfo/plia-exchange
4/23/03
Page 1 of 2
PHM Secretariat
From:
To:
Sent:
Subject:
____________________________
ciaudio <aviva@netnam.vn?pha-exch <pna-exchange@kabissa.org>
Wednesday, April 23 2003 6:07 PM
PHA-Exchange> Paradox of wealth transfer from poor to rich nations throughmanpower (4)
From: "Selassi Amah d‘Almeida"
> Paradox of wealth transfer from poor to rich nations through manpower
> Tliis is nothing but tire truth, and I believe this will continue for a
> long time till poor countries do something about then economies to
: tain labour. This issue goes beyond health professionals, because
> ail cadres of trained professionals and untrained citizens are leavp ing Africa and other poor countries (I guess) to seek greener pas> lures where labour is better rewarded.
> At the 52nd Session of WHO- Africa Regional Office (AFRO) Regional
> Committee Meeting, Health Ministers echoed their concern about the
> mass exodus of skilled health personnel from developing countries in> eluding Ghana mainly to the more advanced countries. The health sec> tor is deemed probably to be the hardest hit by this phenomenon.
> In view of this. Member States requested WHO and the International
> Organisation for '.figration (IOM) to assess the situation in the coun> tries as objectively as possible, to determine the magnitude of the
> problem and report back to the 53rd Session of the Regional Cormnil> tee.
> Furthermore WHO was requested to assist the countries in defining ap> propriated evidence-based strategies for retention of skilled health
personnel by defining evidence-based appropriated solutions and share
> with countries. To do that calls for an accurate data on migration of
> health professional. A number of countries including Ghana were cho> sen to pilot the studies, and since November 2002, questionnaires
> were sent to over one thousand potential respondents (Ghanaian Health
> Professional in diaspora). As at date less than 0.02% have responded.
> but we have tost hope. We will do our best to generate enough evi> dence to inform policy to al least enable our brothers and sisters to
> contribute one way or the other in the health care delivery of their
> various countries.
pF
> By the time, you have finished reading this mail, at least 2 health
> professionals may be on their way out of their countries to seek
> greener pastures elsewhere.
> Selassi .Amah d’Almeida
> Health Economics Advisor
■4/24/03
Page 2 of 2
\Vorld I iealth (?-tgan:sation
> Accra, Ghana
mailto:sadalmeida.tTwhoghana.org
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4/24 ,03
Page 1 of 1
=
% I—
Prnir 1 r,fp
PSM-Secretariat
From:
To:
Sent:
Subject:
Adrienne Potter <apotter@csih.org>
'PHA Global' <pha-exchange@kabissa.org>; <PHA-Europe@yahoogroups.com >; <PHAEurope@yahoogroups.com>; <pha-ncc@yahoogroiips,com>
Monday, April 28, 2003 8:10 PM
PHA-Excnange> IPHA-Europe] 10th Canadian Conference on International Health / 10e
Conference canadiennp sur la sante internationale
INfPOR f .ANT NOTICE!
iOih Canadian conference on international health: abstract submission
DEADLINE EXTENDED TO MAY 30, DUE TO GLOB AL HEALTH EVENTS
Due to the extraordinary demands of the global health environment, we
are extending the deadline for abstract submission to May 30, 2003. The
rheme for the 10th Canadian Conference on International Health is: 'The
Rigl
He 1th: Infl . ting he Global Agenda. How Research, Advocacy
and Action can shape our future. " For more information or io download a
copy of the Cali for Abstracts, visit the conference website:
httD://vvww.csih.org/what,conferences2003.html.
lOe CONFERENCE CANADIENNE SUR LA SANTE INTERNATIONALE : LA DATE
DECHEANCE POLE SOUMETTRE VOS ABREGES A ETE PROLONGEE A CAUSE DE LA
CONJONCTT.EE MONDIALE DANS LE DOM. VINE DE LA SANTE
Du aux contrnintes extraordinaires qui affectent la sante mondiale, nous
avens prolonge la date limite pour la soumission des abreges au vendredi
30 mai 2003. Cette annee, le theme de la conference- est: « Le droit a
k sante : influencer "agenda mondial - Comment la recherche, la
promotion ci faction peuvent influencer noire avenir ». Pour plus
d'infonna.tion ou pour le formulaire de soumission d'abrege, visitez le
site Web de la conference :
http://www.csih.org/what/conferences f2003.html.
10th C anadian Conference on International Health
The Right to Health: Influencing the Global Agenda
How Research, Advocacy and Action can shape our future
Mark your calendars!
October 26-29, 2033
Ottawa. Canada
Conference Goal: To provide a forum for practitioners, researchers,
educators, policy makers and community tnobilizers, interested in health
and tjeveiopmerii issues, to share knowledge, experience and promote
^7
5^
Page 2 of 2
ini oti
and c tilaborative action.
i-’or meme information. contact the Conference Secretariat at:
Toll isee in Canada: 1-877-722-4140
Phone: 613-722-4140
Pm;'.-': conference@csih.org
>j :<
:k :<
•?. .*■< >J< r< f;•'?
??:•«
>!«# :’s
•';«:::
Jl<
»h ❖
❖ !i! ❖ }K !h ’J*
❖ s?
V)e Conference canadienne sur la sante Internationale
Le droit a la sante : influer sur 1’agenda mondial
Comment la recherche, la promotion et Faction peuvent influer sur notre
avenir
A noter dans votre agenda !
R-29 octobre 2003
Ottawa. Canada
But de la conference : Offrir une tribune aux practiciens, chercheurs,
dducateuns, decideurs et orgaiusateurs communautaires qui s'int&essent
aux questions relatives a la sante et au developpement. pour qufils
puissent echanger leurs savoirs et leurs experiences a fin de promouvoir
des solutions novatrices et concertees.
Pour tout renscignement, prierc de s'adresser au secretariat de la
conference :
Numero sans ffais (au Canada): 1-877-722-4140
Telephone : 613-722-4140
Courtis!: conference@csih.org
£o unsubscribe from this group, send an email to:
WkA-Europe-unsubscribe@,egi'oups. com
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To post, 'write to: PHA-Exchange@kabissa.org
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>? ❖ »?:!':d ❖ ❖:b ❖
rage i ar i
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PHM Secretariat
.-rrrr ~~
____ —------------------------------------------------------------------------------- ———————-------- —
From:
To:
Cc:
Sent:
Subject:
claudio <aviva@netnam.vn>
pha-exch <pha-exchange@kabissa.org>
<community-health-l@mail.msh.org>
Friday, April 18, 2003 5:10 PM
PHA-Exchange> PAHO launches virtual public health campus
From: "Dieter Neuvians AID” <neuvians@mweb.co. za>
PAHO launches virtual public health campus
■ Washington. DC. April 10, 2903 (PAHO) - The Pan American Health Or> ganization (PAHO), in association with 14 academic institutions in
> the Americas and Spain, launched a Virtual Public Health Campus as a
> tool to provide continuing education to public health personnel in
> the Americas, offering a variety of distance education courses to
> contribute to public health policy-making and to the performance of
> health systems in the Region.
^The Virtual Campus of Public Health is a virtual community offering
> communication exchanges to generate useful knowledge, training and
: debate between individuals and institutions on priority issues re> lated to health sector reform processes and the management of essen> tial public health functions, as well as health management and the
> institutional development of schools of public health.
> The English version of the virtual campus can be found at:
> http.7/www. campusvirtu alsp. org/ena'in clex. html
l/o PHf-ilcUC-
PH.A-Exchange is hosted on Kabissa - Space for change in Africa
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4/22/03
4/22/03
rriM secretariat
From:
To:
Sent:
Subject:
.ana persaud <perbo;s@hotmail.com>
<sjabcour@aub.eau.>b>; <pr>a-exchange@kabissa.org>
Monday, May 05 2003 3:04 AM
Re: PHA-Exchenge
*
Wade in health services
Dear S air. or.
You may ; .ai:l to look at some of the work that Dr Ron Labonte, University of
Saskatchewan. Canada, has beer, involved in re globalization and. health. He
examines trade and health Services from a p ipulation hea th health promotion
perspective.
Best wishes,
\ ena
From: "Samer Jal hour" siabbour@aub.edu.lb
I To: ’PH ■ exchange" <pha-exchange@kabissa.org>
Subject: PHA-ExchangeS Trade in health services
'-Date: Sai. 3 May 2003 22:37:52 +0200
-■Dear Friends.
Las,P.-LIO and WHO published a book/repon called "Trade in Health
-Services: Global Regional and Country Perspectives” while compiles lite
; ceedings of a meeting held in 1999 at PAHO headquarters in
'-■Washington. DC. Do you know if anyone has looked critically at the
contents of this eport? Do you know of resources/articles on the
subject of trade in health ser vices which examines the subject from a
'= perspective that is close to what is represented by members of this
>list?’
-Manv thanks
------ |2_N
- Samer Jabbour, MID. MPH
>American University of Beirut
--Van Dyck Flail
--Beirut, Lebanon
-Tel: -961-1-374-374
- x464O(Sec.) x4642 (Direct)
--Fax: -r-961-1-744-470
http ://www. aub.edu. lb
PHM Sesref
From:
TO;
Sent:
Subject:
F~\’ Sec. ata fat <phmsec@toucht3linciia.net>
Satya Sivaraman <satyasagar@yahoo.com>
Thursday May 01, 2003 5:15 PM
Fw: PHA-Exchange> The SARS farce?
Dear Saha.
Greetings from People's Health Movement Secretariat (Global) at CHC.
Bangalore!
Thanks for this very humane, proactive and thought provoking piece on SARS.
Keep it up.
5S?
CtvO
Z-fM'lc
Best wishes.
/ZrJ
Ravi Narayan
Coordinator, People’s Health Movement Secretariat(global)
KHC-Bangalore
v?>67 "Srinivasa Nilaya”
Jakkasandra 1st Main. I Block Koramangala
Bangalore-56003 4
Join the "Health for all. NOW" campaign in the 25th anniversary' year of the
.Alma Ata
declaration visit www.TheMfljlionSignatureCampaian.org
----- Original Message-----From: claudio <aviva@netnam.vnTo: pha-exch pha-exchange@kabissa.org
Sent: Tuesday. April 29, 2003 6:23 PM
«
Subject: PHA-Exchange> The; SARS farce?
x/S
> SARS, Wars and the FARCE
> Satya Sagar
> The depression hits me on a warm and humid Bangkok evening. I am just
> through with dinner in the city's crowded Sukhumvit business district, my
> head fuE of the War on Iraq and I spot these people- with masks on their
> faces.
> A couple of weeks ago anybody with a cloth covering his face in this city
> would have been branded a ' jihadi' a possible Arab/Muslim/dark
skinned/dark
> intentioned ’ terrorist'. The city has been on alert well before the war on
> Iraq started io prevent ’ Arab looking' people from doing bad things- for
> eg., looking Arab.
5/1/03
From:
To:
Sent
Subject:
c;audio --aviva@netnam.vn>
pha-excn <pha-exchange@kabissa.org>
Tuesday, April 29, 2003 6'23 PM
PHA-Exchange> The SARS farce9
SARS. Wars and the FARCE
Sah a Sagar
The depression lilts tne on a warm and humid Bangkok evening. I am just
tlrrough with dinner in the city’s crowded Sukhumvit business district, my
head full of the War on Iraq and I spot these people- with masks on their
faces.
.A couple of weeks ago anybody with a cloth covering his face in this city
would have been, branded a 'jihadi' a possible Arab/Muslim ‘dark skinned.1 dark
intentioned ' terrorist’. The city has been on alert well before the war on
Aaq started to prevent 'Arab looking' people from doing bad things- for
eg., looking .Arab.
Just around the time of the .Anglo-American attack on Iraq, if there were
to be an 'Arab' behind a mask in Bangkok - the entire city would have been
evacuated.
^-d-e-p
C-d-c-e.
/7 <-y2.
Apparently, not anymore. Respectable people wear masks now in Thailand,
Singapore, .Malaysia. Hong Kong. In fact mandatory they say to save yourself
from SARS- the flu-like virus that has much of south-east Asia in deep
panic. Tourists are canceling their- (rips in droves, schools are closing
down, economies plunging, governments in crisis and the Chinese- oh those
' super-contaminating Chinese'- are being spurned everywhere.
Suddenly, an irrational panic grips me. God- there is no escape. If the
.Apostles of Armageddon running the White House do not get you some
mysterious malevolent microbes will. For a fleeting moment, a deep frozen
^.oment, I lose hope. We are finished. They will get us one way or the other.
This is what the new. OLD colonial world order is going to be all aboutcomplete helplessness for us common citizens. Caught between SARS and THEIR
Wars the only safe place is soon going to be- you guessed right- on planet
Mars.
Yes, the people I saw wearing those masks have a right to protect
themselves. I will not mock them in any way. To paraphrase Voltaire I do not
believe these masks medically help them in any way but I will defend to
death their right to wear them. And then there are so many of THEM out there
who deserve to have a mask fixed on their faces anyway (so we won't have to
’ read their bloody lips').
<-
Page 2 of 6
Yes. there
these microbes ami rnanv of (hem are dangerous. Yes. people
have
?•('
v ■ •".nu.’ to do so. And it is indeed, true we really do
nol know which . . y ,I;A pandemic is going to lam out. There are constant
references to i.he great Influenza outbreak after World War One which killed
«n estimated 2t : j 4'3 million people. Is S.ARS going to be that big ?
I am no Un to any Indian sage and I cannot predict such things. But I am
betting neither can the 'medical experts' or the 'media' give us a real idea
of what is going to happen. At this stage, given the sparse information on
hand about S.ARS, it is ail idle .'.peculation- an activity that SOME people
usually make lots of money out of.
Even assuming the deeply depressing thought that much of humanity is going
to bo wiped out by SARS over the next year (that is what the media is malting
it sound like) lei us take a step back from this approaching abyss, take a
deep breath (go ahead, do it while it is still safe) and reflect on a few
questions about other aspects of litis PANDEMONIUM of a pandemic.
First the CONTEXT: Why are we so full of fear only of THESE microbes and
not those dozen other ways in which people die completely avoidable deaths ?
To anyone who is not already aware of these facts let me spell them out:
- 250.000 to 500,000 people die every year around the world due to ordinary
Jnfluenza, the common 'garden variety' flu. In the United States alone, with
V vaccine and medical care available, flu kills 36,000 people die every
year.
- Anywhere between 1 to 2.7 million die every year due to Malaria- a vast
majority of them in Africa, particularly cliildren
- Tuberculosis kills 2 million people even' year and 9° per cent of these in
developing countries
- EHV/AIDS claimed 3 million lives in 2002. including an estimated 610.000
children.
- Traffic accidents kill 300,000 people every year in Asia alone.
- The Anglo-American invasion of Iraq killed at least 10 tol 5,000 Iraqi
soldiers and over 2,300 Iraqi civilians in just lite initial two weeks and
maybe several hundred British and American troops.
And I am not even counting those millions who die of poverty and
malnutrition around the globe annually. Every year the Indian media
attributes hundreds of deaths to die ’cold wave', 'the heat wave1, 'too much
mm’ and ' too little rain’. The fact is these deaths have nothing to do
Jk’ith the weather- in my country fliefe people die eveiy hour, wantonly, in
PERFECTLY good weather. We all know WHY.
I would say this. If we choose to cover our faces let it be in anger and in
shame- not just due to some microbes alone.
The RECORD so far: Here is the latest status of the number of S.ARS cases
worldwide and deaths so far since 1 November 2002 when the disease is
1/30/03
Page 3 oi 6
supposed to have broken out in southern China. In almost six months since
the outbreak a total of 4439 cases of SARS and 'suspected' SARS have been
recorded in 26 countries and 263 people have died. The mortality rate due
to SARS is estimated between 3 to 4 percent-just above that of normal
influenza-but even this is not confirmed because the total number of real
SARS cases is not yet known. Nor is its exact method of transmission clearly
understood- which is why wearing masks may not be a useful precaution at
The MEDIC At ?.S i \BI ISHMENT: The alarm bells about SARS started tinging only
vE\
‘ *.
isa ed a global alert in mid-March. A war of words broke but
soon ncmcen me WHO and Lite Chinese health authorities- the latter being
• c-cwd ,f” riding information about SARS in its first few months. The
Chinese said something back, which nobody understood (they are never going
to be a 'superpower' this way).
(hie of the big critiques of bodies like the WHO from health activists has
been the way they have adopted a purely ’vertical' approach io global health
problems at the cost of a sustained, holistic and long-term approach.. So
whenever there is an outbreak or more usually an ’outcry' about a particular
disease WHO and other global health officials organize a ’posse', mobilize
some resources, and ride into the wilderness ready to 'lasso' the villain.
Once the 'critter' is temporarily caught or suppressed the issue is then
mostly forgotten.
There is no attempt to even address underlying causes of new virus and
diseases emerging for eg., due to super-intensive techniques of animal
husbandry-, recycling of animal offals in animal feed, the use of a variety
of artificial hormones and growth-enhancers and of course from biological
warfare experiments. Nor is there any attempt to mitigate the conditions,
hick as overcrowding, poverty and lack of housing infrastructure, under
which infectious diseases such as S ARS spread so rapidly. The WHO has
failed to pusii policies that tackle other basic social and economic
determinants of public health also - such as conflict, environmental
pollution and privatization of health care.
The MEDIA: Has anybody realty asked how much of the SARS scare is due to the
media's penchant for simplistic, alarmist reporting ? One of the first 'big
' SARS cases to make the headlines was that of Johnny Cheng, a
Chinese-. American businessman who died at a hospital in Hanoi. Vietnam
after dying in from Hong Kong. Just a month ago Hanoi was one of the
’epicentres’ of the SARS pandemic going by media reports. No more. The
country seems to have slipped down the hit list of ‘ no go' places wilii just
63 reported SARS cases and 5 deaths.
How did this ’super-contagious', ’killer' disease get contained in a crowded
country like Vietnam with a very average public health system ? Nobody in
■e media is following the Vietnam story anymore because that is not on the
map of the usual globe-trotting elites. Hong Kong, Singapore and Toronto
are on that MAP and hence the panic about viruses irax eling on the business
4/30/03
class seat
u Ti TAI. (If nothing else, maybe there is a great 'success
story' out there in Vietnam. with details of how a poor, third world
country has successfully contained this deadly new infectious disease.)
And what happened to the media follow up to the various other health scares
we have had in the past decade all around the globe ? Bubonic plague in
India. Ebola in .Africa, the Mad Cow Disease in the UK (I won't lake a dig
at Tony B on this one) ? And why was there virtually no coverage in the
'international media' of the influenza outbreak in Madagascar in mid-2002.
where more than 27 000 cases were reported witliin three months and 800
deaths occurred despite rapid intervention ?
There is an apocryphal story' going around this part of the world which shows
how much of a media 'thing' this SARS scare probably is. The question asked
is why is this new form of flu being called the Severe Acute Respiratory
Syndrome ? ’ Severe' and ’ Acute'- two synonymous terms together - WHY ?
Apparently- the term' Severe' was added (only in early March this year) to
avoid an awkward acronym resulting from what was originally dubbed tire
Acute Respiratory' Syndrome '? What’s the secret here- cover your face and
^ave your — ?
That story is most probably a badjoke-but let me tell you-1 think so is
lhe way lhe entire S.ARS scare is being reported and played out.
I AM NOT SAYING that the deaths due to SARS are not a real, serious tragedy
or that it could not turn into a dangerous pandemic. Far from it. There is
no moral mathematics invoked here, please. Every human life is preciousIraqi or American, Cltinese or Singaporean. A very unique, irreplaceable
Universe of its own- disappears forever with each physical death. All 1 am
pleading for is some more PERSPECTIVE.
WHY are those dying of malaria, tuberculosis. HIV. AIDS and poverty in most
developing countries every day not making the headlines ? Is it not because
those who die unseen, unheard, untreated are not in lhe same league as the
Gold Card holding frequent flyers of our world ? Is it not because there is
such a "tow probability'’ of a TB infected African child coughing in the same
^ir-conditioned corridors as our elites frequent ?
A couple of years ago a senior editor of one of India's major newspapers,
when asked by a women's rights activist io publish a story about high rates
of malnutrition among girl children, is reported to have refused and said '
The readers of our newspaper do not suffer from malnutrition'. Sure, Mr Let
Them Eat Cake- but aren't YOU and YOUR readers who are the CAUSE of
malnutrition Ln India. ( Ahem, what I wanted to say was -' Will someone pass
me that cutting edge of the French Revolution !')
When one hears stories such as these a question arises in my mind. This is
just a nasty, nasty question that I just can't get out of my head. COULD IT
BE that those who die unseen, unheard, untreated are themselves MICROBES in
the worldview of our Masters ? Has the microbe become a metaphor for the
4/30/03
Page 5 of 6
unwashed, unwarned millions who don't fit into the corporate globalisation
of pur Empire builders ?
Good riddance I HEY suj pose, of those teeming, froublesome microbes- of so
little value ;.ic i.-.-jnirc. X hcrobes. who cannot afford io BUY and have
rtGic’ig t/.
; l.
And from <jfs high point of MOR,'J. CLARITY it is just a little leap away to
identifying those other microbes that need to be dealt with. The bearded,
turbaned, different. DISSIDEN I. multi-tongued microbes. To be screened and
warchc/ at c\ cry airline check-point, discouraged, disinfected, disposed
ofi like a dirty secret. Microbes. whose very EXISTENCE, is a form of
biological warfare to SOME.
No. ; realty want to bring this subject up. However depressing the subject
is to me and many of you reading this. It is important to see where our dear
world is headed towards. A world in which there are perishable, pestilent
MICROBES and there arc those HUMAN BEINGS- moulded in the image of GOD.
OK, OK not all of us are microbes of course. Many of us are a slightly
higher caste- tolerated, employed, paid, domesticated, sheep, cattle. And
there is also that special category - well-fed, trained dogs. God bless the
creatures-1 really have nothing against their species. (In fact, some of
them are my best friends) But I can’t help objecting to the worst of canine
Qualities that many of these four-legged ones in our midst display’. Whining
Pnd
,\;ri me Masters, Biting and Barking at the Poor.
I know all this is getting a bit too depressing air.! I don’t like it onebit. I have been reading too much Orwell these days, and that too, on the
front pages of daily newspapers.
So how does one get out of this Animal Farm we all seem to be trapped in ? I
would say- let’s go back to our roots and our traditions- the great
Traditions of the ancient microbes.
Think of it- the microbes- the first form of LIFE on Planet Earth. Microbestnating. multiplying, mutating into higher, more virulent forms of cognitive,
COMBATIVE life. Weathering all storms, RESISTING all predators and surviving
every’ sterile environment. Microbes evolving, exploring, EXPLODING till
cveiy form of LIFE finds its place under the sun.
I have got it figured now. What this globe really needs now is a Movement of
Ixli Microbes and the Mother of All Movements. A million MO AXIS to match the
challenges ahead.
Satya Sagar is a journalist based in Thailand. He can be reached al
sagamama@yahoo. com
4/30/03
Page 6 of 6
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J -T 2 serifFrom:
clauc'io <aviva@netnam.vn>
To:
Sent:
pna-exch <oha-exchange@kabissa.org>
Monday. April 28, 2003 11:47 AM
Subject:
PHA-Exchange> Food for not so childish thoughts (2)
Re: HR Reader 44
From: "George Kent" <kent@hawau.edu>
>3. Moreover. HR have no time limit: up until a specific right is fully
re alb ed, this right is violated. This brings into serious question the
setting of goals to halve poverty or malnutrition1. [So. should we
continue to pursue goals such as halving malnutrition by 2015...?!.
-Why would the first sentence here bring into question the merits of setting
time-bound targets en route to the goal? I could see questioning any
government that set tire targets too low, but the idea of targeting as such.
as a tool of strategic thinking, has merit.
> 6. Rights are to be seen as our exercise of free will and of
choice and are. therefore, dependent on the claim holders' capacity to
have their rights enforced.
- This might be clearer if written something like this: Rights holders and
their representatives (e.g., parents for children) should have the capacity
and the opportunity to take action to insist that those who have the
corresponding duties do in fact cany out their duties.
> To have rights is not dependent on having current capacity to exercise or
assert them.
- This seems to contradict your preceding sentence. I would rewrite it as:
"However. rights holders retain their rights even if they are unable io lake
any action to demand their realization."
> There is a fundamental difference between protecting children —because
they arc dependent (and deserve our
compassion)- and respecting children, because they are powerful.
[Actually, the CRC prohibits those who already have power from exerting that
power or er children].
- V. Tiers does the CRC prohibit that? I am not sure... Even parents?
PHA-Exchange is hosted on Kabissa - Space for change in Africa
-1/28/03
Page 1 of 2
PHM Secretariat
From:
To:
Sent:
Subject:
claudio <aviva@netnam.vn>
jamie <iamie@netnam.vn>
Sunday, April 27, 2003 4:31 PM
PHA-E:;charige> Food for not so childish thoughts
Human Rights Reader 44
An introduction to Children s Rights.
Review of some of the general underlying principles:
1. 'I he motivation to realize ail human rights (HR) should be based on a
sense ofjustice and solidarity: compassion is not the right motivation.
o
C. In this domain. Governments have Obligations of Result (e.g., achieving
ihe Millenium Goals) and Obligations of Conduct (e.g., implementation of a
plan to achieve the latter). Remember that they do not have the option to
indefinitely defer efforts to ensure the fiiU realization of these
obligations: they have io immediately begin to lake steps to fulfill them.
In that sense, we can identify HR violations through the direct action of
States and through their omissions. The latter, because there are minimum
core State obligations to ensure the satisfaction of. at the very least,
minimum levels of each of the violated rights. Remember also that resource
scarcity does not relieve States from these minimum obligations and that all
basic needs are HR (but not vice-versa). HR cannot be prioritized either.
but actions to reduce and end their violation can and should e prioritized
(in the form of concrete, explicit plans).
3. Moreover. HR have no time limit: up until a specific right is fully
realized, this right is violated. This brings into serious question the
setting of goals to ’halve poverty or malnutrition’. [So, should we continue
tfo pursue goals such as halving malnutrition by 2015...?].
4. Always keep in mind that a HR approach does not only change what we
should do, but it will also change why and how we do our work. The first
change is io recognize poor people —and children— as protagonists in their
development; this requires changing the mentality of all sorts of
development workers. There simply cannot be a HR-based society without
individuals who have internalized the HR philosophy (hence this Reader).
oc>
Realizing children's rights:
5. All human beings have HR, whether or not a particular country has
ratified a specific universal instrument. For example, children in the
USA —Much has not yet ratified the Convention ofhe Rights of the Cliild-have even- bit the same rights as children living in countries that have
---- -
4 28/03
Page
o 2 of 2
6. Rights ire tobe seen ■■■ tvr exercise of free wit’and of choice and are^
there! ore. dependent er. the claim holders' capacity to have their rights
enforced, To have rights is not dependent on having current capacity to
exercise or assert them. There is a fundamental difference between
protecting children —because they are dependent (and deserve our
compassion’)— and respecting children, because they arc powerful. [Actually,
the CRC prohibits those who already have power from exerting that power over
children],
~■ UN-sanctioned conventional HR basically regulate the relationships
between individuals and the State. The CRC is different. Towards children,
it recognizes duties of parents and other non-state duty bearers at all
levels of society, including at the international level.
8. Not infrequently, the violations of cliildren' rights are a direct result
of the violation of the rights of their care-givers own HR. To begin with, a
large majority of children whose rights are violated live in poor families
and poor communities. Therefore, a child-rights approach must always also be
focused on the alleviation of the poverty of the family. So, when we
advocate and mobilize for the realization of children's rights, we have to
do that in the larger context of HR. including women's, children's and other
pertinent economic, social and cultural rights.
9. Always keep in mind that rights are not just claims, but claims against
someone! Therefore, in the Children's Rights domain (as much as in other
UR domains), capacity building has to be empowering so as to empower
children's guardians to confront Government inertia, as well as to empower
childrei themseh js (j es, children...) to claim their rights.
Claudio Schuftan. Ho Chi Minh City
aviva.'g netnam. vn
Mostly taken from U Jonsson, Realization of Children’s Human Rights: Charity
or solidarity?. Mimeo. 1997.
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,■'28/ 03
Page 1 of 3
PHM Secretariat
From:
Cc:
nadira.ashraf <nadira.ashraf@aku.edu>
fauziah.rabbani <fauziah.Rabbani@aku.edu>; imtiaz.jehan <imtiaz.jehan@aku.edu>; salman.sabir
<salman.sabir@aku.edu>; israr.syed <israr.syed@aku.edu>; amin.hirani <amin.hirani@aku.edu>;
sarah.saleem <sarah.saleem@aku.edu>; nasiruddin.muhammadali
<nasiruddin.muhammadali@aku.edu>; parvez.nayani <parvez.nayani@aku.edu>; masood.kadir
<masood.kadir@aku.edu>
Monday, May 19, 2003 1:18 PM
RegPHC2003-nak1-e.doc
PHA-Exchange> Continuing Education Program Courses - 2003
Sent:
Attach:
Subject:
Official: Yes
«RegPHC2003-nak1-e.doc»
ANNOUNCEMENT!!!
Continuing education program Courses - 2003
Dear Sir/Madam,
This is with reference to our earlier announcement of February 10 and 25, 2003 regarding short training
courses of year 2003. We are pleased to announce that in addition to our existing courses, we are now also
offering a new course on “Primary Health Care”. Updated list of the courses is as follows:
Course Date
1.
Deadline to Receive Applications
Statistics, Data Management & Analysis, and Computer Skills July 1-30
May 15, 2003
2. Epidemiology, Biostatistics and Surveillance August 1-29 May 30, 2003
3.
Primary Health Care August 6 - Sep. 4
June 30, 2003
4.
Health Systems Research and Management September 8 - 26
July 25, 2003
Detailed information of the courses is available at:
http://www.aku.edu/news/majorevents/chscourse/index.htm whereas brief information on the Primary Health
Care (PHC) course is given below:
PHC Course: A four weeks course (21 working days - eight hours a day, five days a week) will be held from
August 6 - September 4, 2003 at the Department of Community Health Sciences, Aga Khan University,
Karachi. This course mainly focuses to build upon and compliment existing knowledge and skills of frontline
and other related healthcare providers in Primary Health Care and to equip them with necessary tools for
improved performance in Primary Health Care. For more detail visit the above mentioned site. Electronic
version of the registration form is also attached for convenience of those not having access to web site.
Goal of the Course: This course aims to train participants in Primary Health Care philosophy, principles,
concepts and strategies, and focus on key techniques, to supplement their knowledge and hands on
experience; enabling them to provide leadership in effective Primary Health Care as an essential component of
healthcare system.
Course Contents:
Health and Development and Healthcare Systems
Primary Health Care and Community Health
p
5/26/03
Page 2 of 3
•
•
•
•
•
•
Communication Skills and Quality of Care
Community Participation and its Importance for Healthcare
Community Health Program Management
Reproductive Health and Child Survival Strategies
PHC and Communicable and Non-communicable Diseases and Environmental Health
Primary Health Care Revisited
•
Field Based Training on PHC techniques
Teaching Methodology: The basic educational strategy will be "Learning By Doing'’, with participatory
approach. The interactive classroom sessions, group work and panel discussions will be complemented with
relevant field based exposure for experiential learning.
Course Fee: Pak. Rupees 17,600.00, which covers classroom instructions, field visits, course material, simple
lunch and refreshments during working hours. Travel, boarding and lodging during the course period, and
self-care arrangements will be the responsibility of the participant(s) or their parent organization(s).
Accommodation: We can facilitate accommodation arrangements for interested participants at the Higher
Education Commission (HEC) guesthouse, depending on the availability of vacant rooms. This is an average
guesthouse, situated at about 15 minutes walking distance from the Aga Khan University campus. It has single
rooms with double occupancy at approximately Rs. 700 per room per night excluding meals, which are
available at request. The payment must be made directly by the participants or by their sponsoring agencies to
Director, Higher Education Commission, Regional Office & Foreign Students Centre, Stadium Road, Karachi.
Tel: 9231476; Tel/Fax: 9231477, preferably through demand/bank draft in favour of 'Higher Education
Commission, Karachi’. Should you desire accommodation at the HEC Guest House, please inform us
by indicating in the registration forms to arrange accordingly.
The last date of receiving applications is June 30, 2003. Participants will be selected on the basis of criteria
set by the program.
We encourage you/your colleagues, friends to apply as soon as possible for the Health Systems Research and
Management, and PHC Courses as seats are already occupied for other courses. Interested
individuals/organizations should submit a brief bio-data along with filled registration form to Mr. Amin Hirani,
Program Officer, Continuing Education Program, Department of Community Health Sciences. His e-mail
address is: amjn.hirani@aku.edu and telephone contact is 4930051 (Extension 4839) or 48594839 (Direct).
Please feel free to contact us for any further information you may need about the course.
Best regards,
Nadira Ashraf
Coordinator
Educational Administrative Support Unit
Department of Community Health Sciences
Tel:
92-21-4930051 Ext: 4802/4839
92-21-48594802 (Direct)
Fax:
92-21-4934294,4932095
5/26/03
Page 3 of 3
E-mail: nadira.ashraf@aku.edu
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5/26/03
Continuing Education Prognuj
Department of Community Health Sciences
The Aga Khan University, Karachi, Pakistan.
Primary Health Care Training Program
August 6 - September 4, 2003
Full Name (capital letters):
Sex
: Male
__
|
|
Female |
|
Age:
Qualifications:
(with degrees)
Current Designation
Job responsibilities
Organization
Mailing Address
Telephone - Office
Mobile
Fax
E-mail address, if any
Home:
Did you have any training(s) in PHC?
If yes, specify:
Training course
Institu tion:Date:
Are you involved in any PHC projects?
Yes
No Q
If yes, please mention name(s) of the project(s) with date(s) (if any):
Your future goal, objectives, and expectations from the course!
(Please attach one page)
NO
Accommodation Required:
(@ Rs. 700/- per day/room)
If YES, please give your preference
SINGLE
|
|
OCCUPANCY
DOUBLE |
|
OCCUPANCY
Tuition Fees: Pak. Rupees 17,600.00, which covers classroom instructions, field visits,
course material, simple lunch and refreshments (Mode of payment will be
communicated to selected participants).
Please complete this form and mail/e-mail or fax it along with your CV and one page
on your future goal, objectives and expectations from the course by/before, June 30,
2003 to Mr. Amin Hirani, Program Officer, Continuing Education Program, Department
of Community Health Sciences, The Aga Khan University, Stadium Road, P.O. Box
3500, Karachi 74800, Pakistan; Tel: (92) 21 4930051 (Ext: 4839/4802); Direct Lines;
48594839/48594802; Fax:
(92)
21
4934294; E-mail:
amin.hirani@aku.edu /
nadira.ashraf@aku.edu
Page 1 of 2
PHM Secretariat
From:
To:
Sent:
Subject:
Aviva <aviva@netnam.vn>
<pha-exchange@kabissa.org>
Friday, May 23, 2003 4:14 PM
PHA-Exchange> Efforts to overcome patent obstacles
Dear exchangers. I am in Sudan and had 6 ds of problems with my
remotemail so pha-exch was silent. I have solved the problem and am on
line again. Sony, you may get many pending messages in the next 3 ds.
Claudio
Cyour moderator
Medecins Sans Frontieres (MSF) Puts Drug Patents Under The Spotlight
Geneva, 22 May 2003 - A few days before the 192 countries at the World
Health Assembly (WHA) discuss "intellectual property rights, innovation
and public health" (provisional agenda item 14.9), MSF is releasing a
report setting straight common misconceptions about patents and
highlighting country efforts to overcome patent obstacles to accessing
life-saving medicines.
"Patents are social policy tools," explains Ellen't Hoen, MSF Campaign
for Access to Essential Medicines. "When patents are
issued for a method of swinging sideways on a swing, no-one's life is
in the balance. But when it comes to pharmaceuticals, intellectual
property must be weighed against the needs of people whose lives depend
on medicines."
Most developing countries' patent laws are still modelled on developed
country' systems. But in developed countries, patents are regularly
challenged in court and in some cases deemed invalid. In developing
countries, the practice of contesting patents has not been established.
As a result invalid patents remain in place.
"Developing countries should not hesitate to check and challenge the
validity of patents," says Ellen't Hoen. "This is already beginning to
happen in some countries, such as Kenya and Thailand."
An example cited in the report is the case of Bristol-Myers Squibb's
(BMS) ARV ddl. In one of the few cases of a patent being contested in a
developing country, the Thai Central Intellectual Property and
International Trade Court ruled to throw out the patent on a particular
dosage of the drug. The Doha Declaration on TRIPS and Public Health was
cited in the court's brief.
The report also makes public all the information MSF has gathered on 18
drugs in 29 countries so that Ministries of Health and non-profit
purchasers can benefit from the information, and not be bullied into
5/26/03
Page 2 of 2
buying more expensive drugs when it's not necessary.
MSF appeals to the World Health Organization (WHO) and the World
Intellectual Property' Organization (WIPO) to continue this work by
setting up a user-friendly, public database providing comprehensive and
transparent data on pharmaceutical patents of key medicines. This
information should be accompanied by clear advice to countries on how
to overcome patent barriers to medicines, and with technical assistance
in doing so.
You can find the full report "Drugs Patents Under The Spotlight" at the
following address:
www.accessmed-msf.org/documents/patents 2003.pdf and a "highlights"
document summarising the key points of the report at
www.accessmed-msf.org/documents/patents_2003highlights.pdf
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PHM Secretariat
From:
To:
Sent:
Attach:
Subject:
Aviva <aviva@netnam.vn>
<PHA-EXCHANGE@KABISSA.ORG>
Friday, May 23, 2003 6:12 PM
clip_image001.gif
PHA-Exchange> PHC:More Action Less Words please! Revive the spiritof Alma Ata! Press
release from the PHM
22 May 2003 03:12:57 -0700
People's Health Movement
URGENT
PRESS RELEASE
Primary Health Care: More Action Less Words please!
Revive the spirit of Alma Ata !
Geneva, May 21: The People's Health Movement welcomes the proposed
adoption of a resolution affirming the Alma Ata vision of Primary
Health Care (PHC) as the cornerstone of national health systems by
member states of the World Health Organization.
PHM however believes that the WHO, as well as many member states, while
paying lip service to the PHC approach have been in practice promoting
a completely different route, often detrimental, to public health. The
Who's current approach is highly selective and disease focused and
driven by donor initiatives at the expense of people-centred and
holistic approaches.
PHM therefore calls upon the WHO to return to the original Alma Ata
vision that promised 'Health for AH' by providing primary health care
while at the same time tackling the underlying socio-economic and
political causes of disease. Health, according to the PHM is a basic
human right and neither charity nor a mere input to economic growth.
The PHM also warmly welcomes the statements made by the New Zealand,
South African, Nigerian and Thai delegations to WHA, 2003 that
variously called upon the WHO to address inequalities in access to
health care and not to reduce the PHC concept to a set of'nice words'.
The statement of one of these delegations pointing out that PHC is not
just about diseases and technology and requires a comprehensive
approach is also to be applauded. The delegations have welcomed the WHO
resolution on PHC but called for it to be strengthened in a number of
ways.
p L) v-/ H
'There is little point in constructing a perfect building if the
foundation is weak. Primary Health Care is the foundation of health
systems globally" said the delegate from New Zealand.
'We need to set specific targets for Primary Health Care funding' said
a representative of the Nigerian delegation suggesting that 40 % of the
5/26/03
Page 2 of 3
health budget be set aside for Primary Health Care.
According to the PHM, the proposed resolution on PHC to be adopted at
the World Health Assembly, 2003 while talking about the health needs of
the disadvantaged ignores the following factors that affect public
health, especially of the very poor:
Increasing global inequities - the gap between developing and
developed countries is growing
Increasing inequities within countries
Declining life expectancy in many African countries where
HIV/AIDS offers new challenges for PHC which are not acknowledged in
the resolution
The absolute number of people living in poverty has increased
world wide and sharply in some regions.
According to the PHM the major cause of the growing inequities, both
within and among countries, is the increasingly unipolar world economic
order and its impact on the lives and livelihoods of people around the
world. Neither the Who's global report nor the resolutions acknowledge
this impact. Until the world is characterised by fair economic and
trade relationships the promise of Health for All cannot be achieved.
Neo-liberal economic policies and World Bank/IMF inspired ’health
reforms' being pushed through in developing countries have resulted in:
Privatisation of public health services
The introduction of user fees for patients
Lack of public investment in state-run primary health care
systems
Lack of attention to leadership and management development
for PHC
Sharp reductions in basic vaccination coverage since 1990 are stark
evidence of this.
All this has obviously also resulted in the overall deterioration in
quality and equitable delivery of public health services and had a
devastating effect on the ability of the poor to access health care.
PHM calls for wider consultation between WHO and civil society members
to revive the goal of Alma Ata!
'Governments have a fundamental responsibility to ensure universal
5/26/03
Page 3 of 3
access to quality health care, education and other social services
according to people's needs, not according to their ability to pay'
People's Charter For Health. The Charter, the guiding spirit of the PHM
is the largest consensus document on health in the world.
Dr Ravi Narayan
Prof. David Sanders
Co-ordinator- PHM Secretariat
International People's Health
Council & PHM
Dr. Armando De Negri
ALAMES (Latin American Association for Social Medicine) & PFIM
For media enquiries, please call: May 15th till May 24th
Geneva: Local mobile: 078- 876 5437 (dial +41 78 876 5437 from abroad)
France : Mobile : +33 660 839 448
For PHM media enquiries (permanent contacts):
India: Dr. Unnikrishnan PV , +91 (0) 98450 91319
unnik.im@yahoo.com
:
London: Andrew Chetley, London : +44 20 7539
1591 chetley.a@healthlink.org.uk
Thailand: Satya Sivaraman (E-mail: satyasagar@yahoo.com )
I I I I I I +1 IlI I l I l I l I I I 1 I I I I I l l +++
Dr. Unnikrishnan PV , India
E-mail: uimikru@vsnl.com; Ph (m): +91 (0) 98450 91319
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5/26/03
Page 1 of 3
PHM Secretariat
From:
To:
Sent:
Subject:
Aviva <aviva@netnam,vn>
<pha-exchange@kabissa.org>
Saturday, May 24, 2003 9:44 PM
PHA-Exchange> New book - Poverty Health and Development
From: sunil.deepak@aifo.it
Dear all.
AIFO is an Italian NGO. firmly committed to the goals of People's
Health
Movement. Our new book (Health Cooperation Papers volume 17) on Poverty
Health and Development is finally ready. Many persons linked to PHM
have
contributed articles to this book. The book was officially released
during
the NGO forum at the World Health Assembly in Geneva on 21 May 2003.
The
list of articles and authors is given below.
If you wish to receive a free copy of the book, please send an email to
Ms.
Felicita Veluri at the folowing address: <felicita.veluri@aifo.it>
The book will be available also on the AIFO webpage (under
publications) for
complete download by the end of June 2003.
http://www. aifo.it/english/homeenglish.htm
With best wishes,
Sunil
Dr. Sunil Deepak
Director, Medical Support Department
AIFO
Via Borselli 4-6
40135 Bologna
Italy
Tel: +390-51-43.34.02
Fax: +390-51-43.40.46
Homepage: www.aifo.it
HCP VOLUME 17 - HEALTH, POVERTY AND DEVELOPMENT
CONTENTS
5/26/03
Page 2 of 3
Foreword, Enzo Venza
Introduction
PART 1: PROCEEDINGS OF INTERNATIONAL WORKSHOP ON POVERTY, HEALTH AND
DEVELOPMENT
Opening Remarks, Enzo Zecchini
Introduction to workshop, Sunil Deepak
Poverty & Development: The Global Context, Mira Shiva
Poverty & Identifying the Poor, Usha Nayar
Strategies - Experiences from CBR, Maya Thomas
Identifying the Poor - Group Discussions
Equity & Access - Experiences from Congo, Chiara Castellani
Equity & Access in Health - Group Discussions
Voices of the Poor - Listening & Understanding, Mira Shiva
Voices of Disabled Persons, Claudio Imprudente
Listening & Understanding - Group Discussions
Poverty Development and Health - Final Document
List of Participants
Workshop Programme
PART 2: PROMOTING CBR IN URBAN SLUM COMMUNITIES
Foreword
Final Document
List of Participants
PART 3: POVERTY, HEALTH & DEVELOPMENT - OTHER ARTICLES
Globalisation - A War Against Nature & People, Vandana Shiva
Follereau Would Say Today, Alex Zanotelli
5/26/03
Page 3 of 3
Marginalization - Experiences from Pakistan, Farhat Rehman
Health for All - Leadership & Social Consciousness, Halfdan Mahler
Health Services in Nepal, Sarmila Shrestha
Rich & Poor Theories of HIV Transmission, Stephen F. Minkin
Reaching the Poorest & Disadvantaged Populations, Thelma Narayan
Experiences From the Field -Tanzania, Mwajuma S. Masaiganah
Gene Research - Myths and Realities, Daniela Conti
ANNEX
People's Health Assembly and People's Charter of Health
List of Authors
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5/26/03
Page 1 of 2
PHM Secretariat
From:
To:
Sent:
Subject:
Aviva <aviva@netnam.vn>
<pha-exchange@kabissa.org>
Saturday, May 24, 2003 10:01 PM
PHA-Exchange> Public-Private Partnerships for Public Health
From: EQUIDAD@LISTSERV.PAHO.ORG
>Public-Private Partnerships for Public Health
>Edited by Michael R. Reich
>Published by Harvard Center for Population and Development Studies,
>2002
>Harvard Series on Population and International Health
>Online book available as PDF file [218p.] at:
>http://www.hsph.harvard.edu/hcpds/partnerbook/Partnershipsbook.PDF
>"
Global health problems require global solutions, and
public-private
partnerships are increasingly called upon to provide these solutions.
>Such
partnerships involve private corporations in collaboration with
>govemments,
>international agencies, and non-governmental organizations. They can
>be very
productive, but they also bring their own problems. This volume
>examines the
Organizational and ethical challenges of partnerships and suggests
>ways to
>address them.
>How do organizations with different values, interests, and worldviews
>come
>together to resolve critical public health issues? How are shared
Objectives
>and shared values created within a partnership? How are relationships
Of
>trust fostered and sustained in the face of the inevitable conflicts,
Oncertainties, and risks of partnership? This book focuses on
public-private
partnerships that seek to expand the use of specific products to
>improve
>health conditions in poor countries. The volume includes case studies
Of
partnerships involving specific diseases such as trachoma and river
>blindness, international organizations such as the World Health
5/26/03
Page 2 of 2
^“Organization, multinational pharmaceutical companies, and products
Such as medicines and vaccines. Individual chapters draw lessons from
Successful
partnerships as well as troubled ones in order to help guide efforts
>to
Seduce global health disparities
"
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5/26/03
Page 1 of 2
PHM Secretariat
From:
To:
Sent:
Subject:
Aviva <aviva@netnam.vn>
<"pha-exchange@kabissa.org;dahlgrengoran"@hotmail.com;>
Saturday, May 24, 2003 10:04 PM
PHA-Exchange> Free Government Health Services
From: EQUIDAD@LISTSERV.PAHO.ORG
Free Government Health Services:
Are They the Best Way to Reach the Poor?
Davidson R. Gwatkin, March, 2003
World Bank
Available online as PDF file [ 13p.] at:
http://poverty.worldbank.org/files/13999_gwatkin0303.pdf
"
Equity is a frequently stated justification for government
involvement in the health care market. This is often taken to mean
directly
providing all segments of the population with a wide range of
government-operated health services at no cost: free universal care.
Yet a look at the record suggests that this goal all too often remains
elusive, especially in poor countries; that governments in fact serve
only a
some of the population; and that the people served are
disproportionately
concentrated among the better-off. When this happens, government health
services, far from promoting equity, work against it.
The purpose of this chapter is to illustrate that there are many ways
for
governments to pursue the goal of ensuring that the poor receive
adequate,
affordable services through alternative approaches to resource
allocation
and purchasing. The first section summarizes the information known
about the
distribution of benefits from government health services across social
groups in order to document the regressive pattern that now frequently
exists and the need for significant changes in approach if the poor are
to
benefit. The second and third sections illustrate the kinds of changes
that
might be considered "
5/26/03
Page 2 of 2
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5/26/03
Page 1 of 4
PHM Secretariat
From:
To:
Cc:
Sent:
Subject:
Carmelita C. Canila, M.D. <carme!ita@ciroap.org>
<pha-exchange@kabissa.org>
Dr. Sothi Rachagan <sothi@ciroap org>
Friday, June 06, 2003 12:36 PM
PHA-Exchange> Resource Management and Cost Containment
The following is one of the articles on Health Care Financing published in Asia Pacific Consumer, No. 30, the quarterly
magasine of Consumers International Office for Asia Pacific based in Kuala Lumpur. For more information, visit our
website, www.consumersinternational.org/roap
Resource Management and Cost Containment
AP Consumer, Health Care for All
No. 30 4/2002
By Sharon Kaur and Dr. Carmelita C. Canila
Health care for all does not always mean increased health expenditure. This article looks at various strategies that may
be employed to save costs and maximise resources.
Health policy reforms alone have not been successful in containing health care cost. While lack of money is often a
governing constraint, it does not mean that progress is not possible without the injection of money into the system. It is
necessary to identify areas of wastage, inappropriate spending and strategies to contain health care cost while improving
quality' of health care provision.
It makes sense to start by spending money on cost-effective interventions that save a lot of lives. A recent experiment in
Tanzania illustrates the impact of rational spending. Researchers were sent to the rural districts of Morogoro and Rufiji.
They carried out a door-to-door survey asking whether anyone had died or been laid low recently, and if so, with what
symptoms. They found that the amount of money local authorities spent on each disease had no relation whatsoever to the
harm it inflicted on local people. Malaria was horribly neglected. It accounted for 30% of the years of life lost but only
5% of the 1996 health budget with a tiny infusion of cash (80 cents per person per year) they redirected money to a more
effective approach to Health Care. Health workers were provided with a simple algorithm to show how to treat common
symptoms, cheapest treatments were offered first, drugs were ordered according to need and people were encouraged to
use preventive methods proven to be effective. Infant mortality then fell by an amazing 28% in a single year.
Below are brief descriptions of six priority areas where cost containment strategies might prove very useful:
1)
Prioritisation of primary health care services
Primary health care has been proven to be a more cost-effective intervention compared to curative services. An
immunisation programme for measles, mumps, and rubella can save approximately $ 14 for every dollar spent.
Programmes that target smoking during pregnancy can save more than $6 for every dollar spent.
Different ministries or departments can contribute to health promotion with healthy lifestyles programmes. These can be
financed using tobacco and alcohol taxes. For example:
Victorian Health Promotion Foundation, Australian State of Victoria gets Aus$ 22M per year from a dedicated levy of
5% on sales of tobacco products
Thai Health Promotion Foundation gets USS30M per year from a dedicated 2% of the tobacco and alcohol taxes.
2)
Health infrastructure
Establishment and maintenance of curative facilities in urban areas incur a greater portion of national health budgets over
and above primary health care activities. This trend must be reversed. There should be an equitable infrastructure build-up
in rural areas to satisfy their primary health care needs. The utilisation of these infrastructures must also be regularly
checked.
3) Utilisation of appropriate technology in health
The rampant use of modem technology in diagnosis and treatment is inappropriate in countries where the primary
determinants of illness are poverty related.
6/10/03
Page 2 of 4
Technology in health care must be based on the assessment of current and future trend of diseases, demographic changes
(ex. population getting older), epidemiological distribution of diseases, and other social factors.
4) Human resource management
Expenditure for human resource management in the public health care system takes a substantial portion from health
budgets. The potential benefits of reforms such as on financing and organisational restructuring are greatly reduced if the
need to improve staff performance is not adequately addressed. Human resources must be managed to effectively meet
people’s health needs. There should be a regular assessment of training needs and evaluations of Performance
Management Systems
5)
Research capabilities of the Ministry of Health.
There is a need for further research into areas of cost containment. This was recognised by one of the members of the
Commission on Macroeconomics and Health, Professor Anne Mills, who said," ...it is important to emphasise that our
knowledge on how best to scale up health care services, particularly in the most constrained countries is limited and that
research on this is badly needed". Timeliness and quality of data are primary pre-requisites for changes to be more
meaningful and substantial.
6)
Procurement, affordability and quality of medicines
Drugs are among the most salient and cost-effective elements of health care. Often 20 - 50% of the recurrent government
health budget are used to procure drugs and medical supplies. The best-cost containment measure in relation to drugs is
the practice of rational drug use.
Rational drug use means patients receive medications:
- Appropriate to their clinical needs.
- In appropriate doses.
- For an adequate period.
- At the lowest cost to them.
Intervention strategies
1. Educational materials - such as standard treatment guidelines, flow charts, newsletters, bulletins and leaflets
- Standard treatment guidelines (STGs) used in Fiji for acute respiratory infections resulted in a 50%
reduction in antibiotic use.
- Drug bulletins are an ongoing source of objective drug information for prescribers. In Sri Lanka, a
controlled study on the use of a newsletter on antibiotic prescribing showed some improvement, albeit
nothing significant.
2.
Introduction of an essential drug list
The 12th Model List of Essential Drugs prepared by a WHO expert committee in 2002 contains 325 individual drugs
including 12 antiretroviral medicines. Today the list contains safe, effective treatments for the infectious and chronic
diseases, which affect the vast majority of the world's population.
3.
Financial interventions
Making people pay for drugs, which used to be provided free of charge, could reduce over consumption of drugs. In
Nepal, improved drug supply and cost sharing resulted in more appropriate prescribing in terms of dosage, but led to more
polypharmacy and excessive drug use. There should be appropriate mechanisms to guard against over-prescribing
practices in such schemes.
4.
Consumer and patient education
In Pakistan, community health workers received training in appropriate drug use in order to provide health education to
mothers. Preliminary results of an evaluative study reveal that health education sessions resulted in considerable change in
knowledge and practice among the mothers.
Indonesia's drug supply during the economic crisis
6/10/03
Page 3 of 4
In mid-1988, Asian currencies underwent rapid devaluation leading to extensive unemployment and massive downturns in
economic production. In Indonesia, the affordability of drugs was a serious problem. The effects of drug price increases
were exacerbated for many people by job loss, as well as the escalating prices of other commodities.
The Ministry of Health took effective focused action. Priority was given to ensuring the availability and affordability of
generic essential drugs in private pharmacies and to ensuring generic drug supply to health centres. Actions taken
included:
- Allocation of additional funds for provision of generic drugs to health centres.
- Continuous monitoring of availability of "key drugs" in the districts.
- Set and published maximum prices for generic essential drugs in the private sector.
As a result, the health centre drug supply system weathered the economic crisis fairly well. Meanwhile the private sector
followed the market and switched to generic supplies for essential drugs.
Fake Drugs
In a recent survey of pharmacies in the Philippines, 8% of drugs bought were fake. A countrywide survey in Cambodia in
1999 showed that 60% of 133 drug vendors sampled sold, as the anti malarial mefloquine, tablets that contained the
ineffective but much cheaper sulphadoxine-pyrimethamine, obtained from stock that should have been destroyed, or fakes
that contained no drug at all. In another recent survey, 38% of tablets sold in five countries in mainland South East Asia as
the new anti-malarial were fake.
WHO Model Formulary
In its efforts to promote safe and cost-effective use of medicines, the World Health Organization (WHO) released the first
edition of the WHO Model Formulary. The formulary is the first ever publication to give comprehensive information on
all 325 medicines contained in the WHO Model List of Essential Drugs. It presents information on the recommended use,
dosage, adverse effects, contra-indications and warnings of these medicines. Correct use of this tool will improve patient
safety and limit superfluous medical spending.
The new formulary is primarily intended to be used as a basis for developing national formularies. It is particularly
relevant for developing countries, where commercial and promotional materials are often the only available source of drug
information to health workers, prescribers and patients.
References:
- Introducing Performance Management in National Health Systems Issues on Policy and Implementation
By Javier Martinez and Tim Martineau An IHSD Issues Note, 2001
- The work of the Commission on Macroeconomics and Health, Bulletin of the World Health Organisation
2002, 80(2), 164.
- Brudon P, Comparative Analysis of National Drug Policies in 12 Countries. WHO/DAP/97 6 Action
Programme on Essential Drugs. Geneva World Health Organisation, 1997:114.
- Le Grand A, Hogerzeil HV, Haaijer Ruskamp FM, Intervention research in rational use of drugs a
review. Health Policyand Planning 14(2) 89-102
- Tvlurder by fake drugs. Time for international action ' British Medical Journal Vol. 324 6 April 2002
- Progress in Essential Drugs and Medicines Policy 1998-1999, World Health Organisation 2000.
- The Economist, Special Report: For 80 cents more - Health care in poor countries, August 17,2002
- WHO Model Formulary is available on the internet at the following address, www.who.int/niedicincs.
Carmelita C.Canila, M.D
Programme Officer
Health & Pharmaceutical
Consumers International
Asia Pacific Office
Lot 5-1 Wisma WIM,
7 Jalan Abang Haji Openg,TTDI,
60000 Kuala Lumpur, Malaysia.
Tel: (603)77261599
Fax: (603) 77268599
6/10/03
< -cretarLt
From:
To:
Sent:
ciaucio «avi\a@netnam vn>
RAv: •cphmsec@touohtennaia.net>
Mn-aay June 16, 2003 8:43 PM
Subject:
Ctetu interesting and encc
agi ig
Just a quick piece of info:
For
weel........
Hua
:nont’:s.
.. pie ...
.
reccivtig an average of 5 requests per
...- ... .. . .
£:.. .. 'Aocdward <wocdwarddavid@hotmaii.cOm>
<p,nmsec@touchtelindia.net>, --'iphc@cisas.org.ni>; <dsanders@uwc.ac.za>; <gk@citecho.net>;
<pamzinKin@.gn.apc.org>: <mikerowson@medact.org>: <marian.stoffers@wemos.nl>;
<r.Kelth@scfuk.org.uk>; <kstzalison@hotmail.com>; <mariameus@club-internet fr>;
:
3riautt@wanadoo.fr>; cpwillard@ohchr.org>; <alison.linnecar@gifa.org>;
<nankoe@yahoo.com>: <ebalem@hotmai!.com>; -mku@wcc-coe.org>: <elizabethchamo;and@wanadoo.fr>. <uque@biuemaii.ch>; <martine.touiotte@wanadoo.fr>;
<Bermonnot@aoi com>: <nance@aids-bells.org>, <epn@wananchi.com>, <eric_ram@wvi.org>,
<monika vonoerMeden@wanadoo.Tr--; <jimonot@citoyen.net>
Saturday, June 07, 2003 1:36 PM
CMHCmtsI .dec
Dialogue on OMH
,
?ror«i.
7o:
Sent:
Attach:
Subject:
9
jy with the WHO team working on the follow-up to
the Cormrission on .Macroeconomics and Heald; (CMH; report, following the
comments • made at their presentation at hie vVHA (mainly stressing the need
y tohi ' •
e
n th. li tk '
asi
th tn teting, I
aiso emc-husised the risk of the health-to-growlh direction skewing
priorities inappropriately, and the need to go beyond the national level to
factoi ' I
conoi .;
tematioi
.
...
icies (debt
id,
structural adjustment, trade agreements, etc). 1 attach a note I sent
yesterday ’ ’ some further points.
Vic
Anyway. '.hey have suggested a continuing dialogue on these issues - so if
anyoiiv liti' ary i.ting they would like io feed into Illis process please do lei
me know. It could be a usefill advocacy opportunity.
At the meeting, S. /
. mt
■
.... then
.
...
ing to
hold a meeting on ('MH follow-up with NGOs in 6-8 months. He sees tills partly
>g
ngaged in service delivery, but also to develop an
alliance f< advocacy. (See my comments in
tote.) tismaymake
sm more open to NGO concerns. If PHM and others ;ould develop a broadly
i position his coul give us a
.....’...
with WH
it
oppi tunity.
DG-de ignate J. VV. I ,e.
n the
Vv Hl - web-site (al http://www.who.int/features/2003/05/enQ. in which he says:
fo.isictifog' iviii he one G ihc key motifs of my tenure as Director-General.
n me. this means paying attention not only to health officials and policy
. pert
'
..
■_
.
.
c organi;. ti >ns that .: ly ■ epri
n he
poor, i ■■ .<■ pursue active outreach to ensure that such organizations have a
'< •' : fow ’.iTIO's agenda.
Xil^
j,
seizing on this to say that the PHM is a natural
ii-ivAc-cicoc. ...id :s r.ad..' and v-ailing, and looking fee ward to a continuing
in making
Pat’C 2 os’ J
{related issues.
•«
v oodward
ul on y
nobile •k ono http ://v\w.v.msn. co. uk'msnmobi!e
: C oit.mc;:.., on I
r. it:
■ C\U1 Follow-Up
i’.'- ..rd, 5 June 2003
havenowchecl de tthe vord n . - 'th relevai
t<gi directit
>”in the
■'
http://vAw.who. ini.gb,'EB VVlLA/PDF/EB105/ee3.pdf.. This is:
"reducing factors oiTisx to human health that arise from environmental, economic,
:•••. cltii and behavioural causes” [and] "promoting an effective health dimension to
social, economic, environmental and development policy" The Strategy was designed
' reflect ’.he values and principles articulated in the Global Strategy for Health for All
:fii . . by th
ty . r .
Assembly ..
' '
wiav.who.intarchives/hfa/ear7.pdf- which states: ‘Werecogi izethe
...........
;. ....
. jeopleasthe iltimate lirnof social and
economic development”. This provides a c lea
t
. lealthatthe
centre of economic policy-making ano economics development more generally,
ugh effects on risks/determinants as well as health services/system:
:'j- .III if '. . ..'/' H
■ www.who.tm.Avha-pdf98Zea5.pdf:
The problem of measuring "physical, ’.rental and serial well-being” was mentioned.
This is an area in which I would have thought that the subjective views <>f the
individuals concerned could be deemed to provide, a reasonable proxy. Given that this
.-
.
.
.
(
ponsibilit}', it should be i
king
social psychology literature, in -.vnich 1 believe the measurement of well-being and
quality of life are important issues, would he a useful starting point. More generally. J.
think it is dangerous to allow the ability to measure things statistically to dictate the
see.......
■.
ure of our work. As The EconomB/ memorably remarked some years
., ...
■
....
. measurable, not to make what
. >rta
'
...
5 the ipression ofdoi ig h 1 tter
Developing the measurement of WHO’s definition of health would be an important
step towards putting health at the centre W economics
Another potentially valuable step in this direction would be to develop a health-based
po’-erty line. The present "Sl-a-day” and “S2-a-day” definitions of poverty are entirely
arbitrary. There is a need for a more objective measure, but problems of inter-country
comparison limit the scop.
si ng a conventional “basket-of-goods1 approach.
Hew th (in the broad or narrow sense > provides a potentially useful alternative. One
could .• e . “acceptable” levels of health (or well-being) indicators, and determine the
level of income (or assets) associated with this on average on the basis of the statistical
wm’irmsh;;: between the two. This would provide a globally comparable measure of
poverty a; co;ding to its health effects, which would have much greater validity han
“doilar-a-day” definitions.
I here wa> some mention.at the meeting of WHO not having lite capacity to work on
the linkages iron' economic policies to health. While this niay very' well be true given
the currera hitm-m resources available, there is nothing to stop WHO from recruiting
Lie huniu.’j resources it needs to do this work. The World Bank employs public hetulh
pro fess tonal s. so why shouldn't WHO emplov development professionals’.’ Both i and
the only ether economist I .-ante across in WHO (excluding "health economists”
focusing on health-sector interventions. health-service financing. etc) left when our
c,
.. e .. . r,\ c c. i iv.„de a pi\.posal for mainstreaming development issue:;.
v rich was weli-r iceived superficially, but no action was taken
■ " t mt Hied tor information.
s;
<ome emphasis at the meeting on easing the financial constraints facing the
i system This is a critical issue, but only one dimension of the problem
I'.tt.’cmte policies more broadly affect, for example, household food scurity and
-in-ntion (through effect’s on incomes, prices, savings, access to and cost of credit, etc)
. ng ■ d In ;■
d
s,
lace ealth i fia et . access o and qual ity of
education. etc, etc. h. is important not to focus narrowly on the level and composition
of public spending on health and related sendees. The framework i developed for
:mff_..,mg the effects of gleba limo ion on health (attached) may provide a useful outline
ci these effects.
dthNGOs . c
....
e ionedthe , . tai ce .'... iking it ai . f
partnership, finding common ground and working together. WHO needs to bring
somethin.’ to the table. and i f it could take a position on issues which could help to
case financiff and other consul mis on imff.it at the international level (eg debt
reduction. the level of aid. structural auiustment programmes, trade agreements), this
■vruff ■’..‘I’’ considerably I should ffsc have mentioned the importance of not giving
pern.;...tai' NCOs the impression ihat you see them Ki/y as a means of programme
del’.very Many also nave strong views on policy, and on what should be delivered and
ly be alienated if tl
re ;en as
trum<
of "" ■
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.
..... utreach to en >ur th<. such
organizations nave a strong voice in sh iff ng
'• s agenda si year caused some
...
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.
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Managem-cat Sciences ibi 1-ka’lh
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PHM Secretariat
; :.;n
To:
Sent:
Attach;
Subject
;.:\ouo:;i.i:Kiia "SV
Ciaudio Schuftan <aviva@netnam.un>
Fnday, Jul" 11. 2003 5:27 PM
Gicba!& HealProspectus doc
Plan of Action anc ove
- IM
Oear Ciaudio.
Did yet get communications | to
They are a!' part of a longish communication to Steering
group Out sent out
three sets so r.at they a-e not overwhelming. As soon as ' hear from the
- a slig .
s sent for excl ;....e
.
.
stag....
... ■ .■....... ■
. ..... so..... ou could
...... elp
■
dit.... proposal. I hs
gone ah ?e.d with the log •■'•m ■■ e.-wci' e
"hile '.'/airing for rhe responses, which are coming in
slowly Bala has agreed to help too V1 Cl! send vou ? first-draft scon
? crisis s
:e ..
to respond io one requ : - ig c-.ee i;ut strategic e'i t ie same, i am forwarding tine
'
message to yo
A/e cou
fan you update any of
.
ece,
. ..
your pieces that march the requirement and . conic ado ar. update cere and there and seijci it on to
-■ch?' Harr's ?nd ivieunoa Sed eefore -e miss the bus? Should have written to you earlier, but
do you think you could respond scon?
Best wishes
xLni X...:r
i ;cyr m;
W
tiunim Mo'emeri!
CHC-Bartgalorc
L' • ’ “
ibu Xt-aya"
it Main. Block K<
.
i ibr all NOV
LhfyiobnH
■ ■
25th anniversary y
■
declaration .isit www.'nieMillionSignatureCampaign. org
O’igina! Message —
*:,-ror. richard harris
PHM .Secretariat
Co. MelindaSeid
2" 2CC3 2.13AM
S.-<
3e: Co : .r.c.-n for voumal issti;? and Bock on Globalization anti Health
Dea- R?
Tnanx you ,:oi ,uui respc.-.se We seiu you via ^n.aii the prospectus for our publication in our foliow-up to
our f-eetin-a ;n Berkeley - evidently you didn't receive it At any rate, we are attaching it to this email and
asso ir-wu'-ng ■; -cow “he eertoria
*
perspective of rhe collection is quite similar to tnat of the PHM ano
3lo ■
Social Justice Me ement iltl jugf
resentec r more"acader c"sty!e Wewould
hke you c:
us somechirg :n iim n«?\t 30 days. It could Le a revised vsisio:; N a paper o ' s-s?v tr a:
>.=.;sa.:.., /.. . o / cr ihar me PHM has produced, but h wouic be best .: was writien nr. . :ore cr
fess. ‘asjc .• ■.I. :/ or pro.essioaal style i»vitti citations;. We would like to place .t as tw iast essay in liie
Ciwc-^in a.- -, re: ?i ■ it m our concluding essay where we will potm to the.PHM as a progressive
' -.-"c-- =
r •■> r
"I and corporate-dominated forces met cm current;/ oromot
tn?
:’hb?- i•; -. ■■ t.?a!t?: car? nro.md lb ■ orld Let us !• : ov.
? •:?? be of any h< <■ For far:naftm^ and
s: /■? ?'.:?•■£. r.lecse cc.'su
;o-. m?:'s Instructions for Aetho.s at
edu.'pqclt/'instnjctions.htrn
_
• , ,/.e .. - -
■/
■ ct
.
‘
‘•••.'io-.-' i r.t
PH’." Secretariai
Frcm:
To:
Co:
Sent:
Attach:
Subject:
toha;c: i;ar'S <c. r.gonnet102@attoi.com>
PHM Secretariat <cFtnsec@toucntelindia.net>
Melinda S&id <seictmj@nhs4.hhs.csus.edu >
Thu'sca;, May 29 2X3 2.'0AM .
G:obs!& -i.r.^rcspjcrus.cicc
Re: Contooutro.n for Journal Issue and Book on Globalization and Health
Dear Ravi
Tha ■. fou u your espouse We sent you via email the prospectus for bur publication ii out follow-up to our
Jhe
n Berkele
eceive it Atanyrate we are attaching it to this email and also
including it oefov, me et rtonc.l perspective of th? collection is r >:.t? similar to that of the PHM and the larger
Globa! Soc'a! Justice ‘.to..
although prese:
'■ t xa "?.cc demic" sto'e. Wewouk: like you to sand us
sc
ing
or Mac
le
.. 13C ays Itcouldbea .
paperoress . hat you have already rvritte
one
P- J. ;as pr: juceo, but it vsuk; ice best if it was .; .ne:. ,. a mere or less "academic' or
orofessionai st-.e
citations}. 'We would like to piace it as :r.e last assay in the collection and refer co it in
our ccnciuv.:--v esse’’ wnere vv- vziif •?oinr to rhe PHM ?./> e oiooreni/'/e counrerferce to the neoiiberal ano
corcorate-dom nates forces that are ci -rently promot’ng the Mchaimtion of health care around tre world.
Let us kno-v " .•? can be of any Leto Her for-tatting a: d style criteria ptease consul the journal's
:r:st. dozens ' . n --../.httpi/jsaswe.b,qtpledo.edu/pgdt/instructions. mu Becau - ti
I
. essence,
;. ou car. submit >,a contribution to us as an email attar i.r.’.e.ot (ir. M3 Word if possible), it does no; have to
5®P
—
p Lczc^-e
I crocP
txT.O/',^k?uv^
be too long - perhaps around 15 -'plus or minus) double spaced pages.
Warmest rege rds,
+]
Richard Harris ano ••.•te-mda Seici
( ■
’
.... 3ttdCt
Sthe
SpeCIUSf0 tf1eCo
—
ve
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a.
\jz Bo/s?
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’ rssage.....
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.
„
: PHM Secretariat
nchardharris
’“Bookongiom
,M„„„
K,
vnke.c(l
.
cuear Ricnard
)\ -T. Zp_<
Greetings fra n People's Healtt Movement.Secretariat (.Global) at CHC E nc tore!
cs~>^>
he-h^l^ </ Pt^ -
-;/■ have just retynred after a hectic two week trip in Europe attending.a-PHM
ot' c ' and a PHM Geneva ■ Alma Ata Anniversary dialogi e as ■ fell as the World Health
:><: dmd/iz:.:. ' to the WHA - over 75 delegates from 30 countr :
ksn&ko s-e>-,cQ_
recall your request for an essay, but vas expecting a tetter with further details including nun serofwords
.
etc Howsoonis as soon as possible' Do you have a deadline? If you have a note on the Editorial
/<s^x.
■
, ■ -. , - o his special journal or book, please do send it to focus the article better Best si res,
b&p ez■
< - (at: - 1 ■
V
frra- an
jCoordinator. Pi t k‘s ' lealth
; . nent S ...< taria
. I)
Prospectus for Special Issue/Collection of Essays on Globalization anti Health
by
Richard L. Harris and Meiinda J. Seid
*
V 'e are organizing end c. -editing a collection of essays that will be published as a special issue of the new
jouma of e s "
■
Global! eipgment and . echnologv and also as a book by Brill Academic
Publish :rs fhe focus of this collection of essays will be on the effects of globalization on the health of people in
both
landtl ; southern hemispheres, of the planet. The issue will include both single country,
tpai . e and gid . am lyses. We are inv iting prospective contributors to focus their contributions on the
he itire ■ ipulation of a single country, the populations of various countries --grou js of countries, or
th..? ’-c'.’:’po:wk-l:ons such as women. children, youth and tlx-poor. Since there are many competing
definition and conceptualization! of globalization, contribut rs will be expected tp define their use of this key
ewy_.
■ •
■■ ■ s<t of their particular analysis, Ihe collection of essays will emphamzFtHeTmpactof
global
dngareasofhe
h alth re but vill iotb< limited to these areas:
1
;
’
;
,
5
1
A
i
:
I
I
I
•
■
•
*
•
*
=
■
»
*
•
’
•
■
•
3
•
=
■
Changes in the structure and delivery ol health services
Access to health care
Maternal and child health outcomes
Infant and adult mortality
Health care costs and finances
Public health policies and issues
Communicable as well as non-communicable, ''life-style" diseases
The privatization of health care
The economic, social and natural environments of health
Changes in diet and nutrition
Marketing and Consumption of alcohol, tobacco and other drugs (ATOD)
HIV'AIDS
Pharmaceutical patents and use
Dissemination of medical technology and/or information
Biotechnology
Sanitation and hygiene
Alternative treatments and options for care
Government regulation of health care
Global public health initiatives and campaigns
; e are '■ ;il tg cont "ibut ons that are in publishe I works and that de n >1 ex :eed 25 double-spaced pages in
•er,g:h . i.: 12 pc i.tt font), '..'hey should be submitted in English, in a standard word-processing format such as MS
' ord. with references at the end ®feach manuscript, and copies of the manuscript should be provided in both an
electronic 'diskette or email attachment) and printed version. The anticipated date for submission of this
roifoc'tior. ,:G ..w .ys to the publisher is March I, 2003. We will contribute an introductory essay and concluding
essay that provide an integrative overview of the issues and topics addressed in the issue and a summary and
synthesis of the conclusions. Please consult the Instructions for Authors at:
http://sa.sweb.utoledo.edu'pgdt/instructipns.htm
* Richard L. Harns i > Professor of Global Studies at California State University. Monterey Bay: and Mciinda J.
Seid is Professor of Health Science at California State University, Sacramento. We are the co-editors mid
contribute., s to a collection of essays entitled Critical Perspectives on Globalization and Xcohberalism m the
1 Jerefoning Coyntrws published as the Spring 2000 special issue of the Journal of Developing Societies and as a
bock by
Publishers (Leiden. Kbln and Boston, 2000). Contact: richard harris@csumb.edu and
seidmj@hhs4.hhs.csus.edu
J C;. 0 ’' V V ci <3^ ]! - G 31 G. 7 il V Sec'©tana? iphmsec@toucbxelindia.net.rsdav J’j'’.? 19 2003 5:17 PM
: CMv '?:a.-es:T.g sec sneojraging
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>ut Rome is the only option that would work for me. I need to be in Africa for
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meeting >s present me evaluation report, a draft of which should begmg co circulate in early September.
! best wishes,
Andrew
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r^eetrq :s r-rss
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rs ?od a. draft of which should beging to circulate in ear!;.- September.
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PHM-Secretariat
From:
To:
Sent:
Subject:
"PHM-Secretariat" <secreta-:.--.<2ph~.c-:ement.erg>
<PHA-Exchange@i<abissa.crg>
Friday. August 27. 2004 5.31 PM
PHA-Exchange> Edition 2: A
from tne Secretariat. Aug 27 2004
For PH.A. Exchange
A view from the Secretariat
Edition: 02
Aug 27U| 2004
Dear Friends.
Continuing with the previous update. thi> is to keep you informed about some more of the PHM Activities all.
over the world.
PHM Mauritius. Africa
Mouvement Sante Communataire (PHM Mauritius) held its first International Health Fonim as an Alma Ata
Anniversary initiative on 31 ■’ July and P August 2 ?The Creole and Bhojpuri translations ol the People's
Charter for Health were launched. PHM Global was represented by Prof. David Sanders (PHM South Africa)
and Dr. Zafniliah Chowdhury (PHM Bangladesh). A more detailed report will be featured on. the Exchange
shortly. [Mr. Jagadish Goburdhun t mscmu.ffvahoo.co. in) and Dr. P.udul Boodhun (rudulff intnetmu)].
PHM Geneva, Europe
Some PHM members and C'ETD I Geneva are planning a book on Neo liberal obstacles to Health for All for
release at People’s Healtli Assembly in Ecuador. The book will be action oriented with tire aim of
encouraging and mobilizing people through awareness raising of the neo-liberal obstacles to Health tor All
and to showing that action can be taken to counter it by providing examples of success in resistance.
To increase the widest possible representation in the book, the group may organize workshops on die themes ■
chapters at PHA II for inputs, comments and additions.
Il will be multi-Sectoral in focus and editions in French. English. Spanish are planned All PHM members are
invited to contribute and circulate [contact Alison
> and Claudio <A21audioffhctnc.net nam.vn)
for further details].
PHM Italy. Europe
AIFO Italy, the PHM focal point in it.-.ly mid PHM Africa are inviting articles in English, French, Portuguese, Italian
from activists. NGOs and grass roots organizations based in Africa related to experience of innovative approacl-.es in
community involvement; community participation; community awareness; improving access and awareness and healtli
care for disadvantaged groups: and creative methods for health promotion and strengthening of local organizations.
Articles selected by an International Jury will be part of a book to be released and distributed at PHA II. The
objective is to give more international voice to health activists in Africa; advocate greater support; strengthen
networking; and enhance involvement of Africa in PHM and PHA 11 [For further details contact Sunil Deepak
- sunil.deepakffaifo.itl.
Karachi, Pakistan
Dr. Kausar Khan, Professor of Social Sciences at Aga Khan University and a PHM supporter informed us of
her recent experience of teaching tile People's Charter for Health and using the Russian version of die Chatter
as a discussion document among students in Tajikistan in a 3 week course on Community based social
development The students have shared their endorsement, through her. (kausar.sklian[ffaku.edu).
[If any ofyou have used the charter or any other PHM materials in your training programed and courses,
please let us know]
IFMSA - PHM Evolving Linkage
Ir.
•siaiivsi.il Federation of Medical Students .Association (IFMS.A) co-facilitated a workshop on Medical
educate
PHA
ecen .. 1
At Geneva. May 2004, the PHM Coordinator met around 12-141FMSA
o.1 .gu e-V\ HA and a tier a short orientation. invited them to actively link into PHM by joining GHW and PHA II
::\f . rives . /o ', v _• ■ ai>e encouraged to involve their members, who are bilingual (English Spanish) to help Latin
AmericanPHM with PHA II.
.
Spy. t;:e president of 1FMSA writes ■ ’■Ils excellent to hear from you. I know that Andreas has already been
• ..ikine to seme youth organizations about volunteers for the PHA in Ecuador (lurt§§co’.<;cjftnsa.org). At the moment we
are all in Macedonia with around 600 students from 80 countries arriving tomorrow for our General Assembly. Thank's
again and delighted to have our links with PHM revived”
Global Health Watch
Tliis initiative towards an Alternative World Health report is evolving though meetings, teleconferencing and
email dialogue with the objective of providing a platform for academics, policy analysis, activists and non
governmental organizations to promote the accountability of global institution that effect health (WHO, WTO,
G8, World Bank r. identify unfair, injustice policies and practices at global and national level: highlight needs
of the poor and reinvigorate tlie principles of Health for Ail; shift health policies to recognize political, social
and economic barriers to health; and advocate alternative to market driven approach.
Tlie GHW initiative, a collaborative effort of PHM with Global Equity Gauge Alliance and Medact have
called for case- studies short essays and testimonies for tlie 2005 report. (visit www.ghwtch.oig.uk for further
details and contributions)
Looking forward to hearing from all of you
Best wishes
lite PHM Secretariat Team
:i~e of tire purposes or these short updates tiom the secretariat tn the excltange ts to invite the PHM ital conduits” to disseminate the information further to the e-marginalised groups with whom they are
walking. [Digital conduits are tlie PHM friends who are moderately e-onabled and could act as a conduits to
disseminate information and bring die voices of the e-marginalised into this newsletter. So do circulate tins
newsletter to others, who cannot access)
PS-
PHA-Exchange is hosted on Kabissa - Space for change in Africa
To post, write to: PHA-Exchange@lists kabissa.org
Website: http:.' lists.kabissa.org/mailmaiiflistinfo'pha-exchange
9/1/04
Page 1 of 2
PHM-Secretariat
From:
To:
Sent:
Subject:
..........
........
- -
------
“PHM-Secretariat" <secretariat@phmovement.org>
<PHA-Exchange@kabissa.org>
Friday, August 13, 2004 4:07 PM
A view from the Secretariat - Edition 01 - August 10th 2004
A view from the Secretariat
Edition: 01
2004
10U’ Aug
Dear PHM Friends,
Greetings from People’s Health Movement Global Secretariat!
We are starting this conununication initiative from the secretariat to share with all of you a ‘grand stand’ view of
the growing People’s Health Movement all over the world. As the hub of the PHM wheel, which has spokes
reaching to all the country and regional circles, issue circles and PHM partners all over the world, we receive
daily through email, post, and visitors and other means of communication a very special view of the PHM
activities all over the world. We are starting this new column in the PHM Exchange with an overview of July
2004.
This is not a comprehensive report. It is just a communication of some highlights since nowadays, there are too
many to include. We hope it inspires you to join, support and do likewise. Please keep the secretariat informed of
any PHM related activity that you or others initiate. And thanks to those all over the world, whose commitment
lias inspired tliis communication.
Best wishes from die PHM Secretariat Team
PHM Global Secretariat Team
July 2004 has been a significant month for die People’s Health Movement 44 mondis beyond the first People’s
Health Assembly at GK Savar, Bangladesh (December 2000), the movement is beginning to evolve into a multi
dimensional initiative at various levels - local, national, regional and international level. Small and not so small
events and processes are taking place all over the world indicating drat die PHM has come to stay and is growing.
Thailand
The People’s Charter for HIV / AIDS bringing together the voices and concerns of a large number of PHM
members and people living with or tackling the HIV / AIDS epidemic was released at tire end of the XV
International AIDS Conference on 16th July 2004. The Charter had been finalized at a special discussion at a
satellite symposium attended by delegates and AIDS activists from many parts of the world and PHM activists
from Ecuador, Germany, India, Iran, Philippines, Palestine, Thailand, USA, UK, Zimbabwe etc., An .Asian
People's Alliance for Combating HIV & AIDS (APACHA) was formed to take this activity further.
(hiv@plimovement.org)
India
The first Regional Public Hearing on die Denials of Right to Health Care was held in Bhopal, facilitated by Jana
Swasthya Abhiyan (PHM India) in collaboration widi the National Human Rights Commission. 50 documented
cases of denial were presented. This was part of the Right to Health Care campaign, a major initiative launched by
PHM India in 2004. (for more details visit www.plimovement.org/india under section ‘Campaign’)
Pakistan
PHM Circle in Pakistan was, reinvigorated and launched through a week’s tour of Islamabad, Karachi and Lahore
by the PHM Global Coordinator and the PHM India National Convener. A series of meetings and dialogue were
held with civil society, academics and policy makers, media and the community. The People's Health Charter
8 13/04
Page 2 of 2
.translated into I rdu and Sindhi were distributed (for more details visit www. thene twork. org .pk/phm .htm).
USA
The US Health Care system was put on trial at the Boston Social Forum
held in July. PHM joined a host of
organizations, who organized the health track of the forum on the Theme ‘Making Health a Human Right’. Dr.
Balasubramanian (Sri Lanka) , a key PHM Steering group member was on lite International Jury representing
PHM. The workshop topics included Racial and Ethnic inequities; Health care workers’ struggle; Immigrant
access to health care; Global Trade - Democracy and Health; Pharmaceutical Apartheid in tire African AIDS
programs; Liberation Medicine; Health consequences of WTO, among others. Significantly the flyer of the Health
Track mentioned that it was based on the preamble to tlie People’s Charter “Achieving optimal Health for All
means that powerful interests have to be challenged that corporate globalization has to be opposed and that
political and economical priorities have to be drastically changed. [For more details write to Denise Zwahlen of
Doctors for Global Health, PHM at denisezwahlen@yahoo com and visit www.bostonsocialforum .org [.
Latin America
It has become the focus of a lot of PHM Global initiatives in tire year to come. Ecuador as host of the Second
People’s Health Assembly in July 2005, will host tire first International PHA - II Advisory committee meeting to
start the detailed planning process in September 2004.
In Mexico City in November 2004, PHM has been invited to facilitate a special dialogue on role of Civil Society
on Health Research linked to the next Global Forum for Health Research Forum 8 (contact: David Sanders at
lmartin@uwc.ac.za)
In January 2005, tire next Internationa! Health Forum in Defense of People’s Health will take place at Porto
Alegre, Brazil, before tire World Social Forum (contact Armando - armandon@portoweb.com.br)
In July 2005, the second People’s Health Assembly will be hosted by the National Front for the Health of tire
People (Frente Nacional Por la salud de los Pueblos) in collaboration with fraternal networks and organizations.
The first announcement for tins has been made and the same can be accessed on our website at the following
weblink http://www.plimovement.org/pha-II . You could write to tlie PHA-H secretariat at
phall@plimovement.org
PHM Evaluation
A report entitled ‘Keeping the promise: The People’s response to Health For All’ (arising out ot tlie
evaluation of the process tliat led to tlie People’s Health Assembly 2000 and the development of tlie PHM in tlie
last four years) has identified learning experiences and challenges for tills movement. The report will be widely
distributed soon.
In its final chapter it records “Now, in mid 2004, it is safe to begin to describe PHM as a young, strong and
growing movement, one that is drawing on a wealth of wisdom, knowledge and experience from around the
world, and one that offers hope tliat social change to improve People’s Health can become more of a reality”.
The events of July 2004 definitely give us hope in that direction.
Best wishes
The PHM Secretariat Team
8/13/04
7/27/04
Page 1 of 1
PHM-Secretariat
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<claudio@ hcmc. netnam. vn>
"PHM-Secretariat" <secretariat@phmovement.org>
Tuesday, July 27, 2004 3:33 PM
For Ravi from Clau (2)
Thank you, Ravi.
I see now that it is not an accross the board problem with WHO. So, of course,
what you suggest is rniore logical.
Anything I can help on the proposals,! will.
Well stay in touch, OK?
A Hug
Claudio
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uJ t-7 /-)
d\
7/27/04
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PHM-Secretariat
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<claudio@hcmc.netnam.vn>
Monday, July 26, 2004 5:04 PM
Re: For Ravi from Clau
Dear Claudio,
Greetings from PHM Secretariat (Global)!
Post Mumbai - so much has happened that I have been unable to write the
fortnightly column, though I do see it as a missed opportunity. Hope to
start this from 30th July, then 15th and 30th of every month. Regarding WHO,
rather than breaking with every unit because of Jim and Ian's style, I feel
we should just ignore the HIV I AIDS unit and continue advocacy with some of
the others who are responding - Research unit / Equity unit of EIP etc.
The CEUM initiative is a good one and I hope you and Alison can be actively
involved and ensure the PHM input into the process.
Will request Andy to keep you informed about the fund raising proposal. The
core project to Dutch Government is in and the DFID proposal is in the
process of been redone after the first stage proposal. Maria has a PHA - II
proposal.
All these are being forwarded to you separately. Please acknowledge and
follow up.
Best wishes
Ravi Narayan
---- Original Message----From: <claudio@hcmc.netnam.vn>
To: <secretariat@phmovement. org>
Sent: Friday, July 23, 2004 6:47 PM
Subject: For Ravi from Clau
> IE Ravi,
>
> I just left Gva. Met Eu and A and talked on the phone with Nance (although
with
> her NOT on the Gva PHM NGO issue).I heard your flop visit to see Jim Kim
and
> heard about your response letter. Eu and I agreed we have to make a quick
> choice: if we are ignored, we should consider breaking with WHO. Perhaps
we
> achieve more in the opposition.
> A and I had a meting with CEUM. They were interested to publish a book on
JMnil - Print
•Pace 1 rvf 1
from:
claudio@hcmc.netnam.vn
DATE: Fri, 23 Jul 2004 20:17:24 +0700
to:
subject:
<secretariat@phmovement.org>
For Ravi from Clau
Hi Ravi,
v
I just left Gva. Met Eu and A and talked on the phone with Nance (although with
her NOT on the Gva PHM NGO issue).! heard your flop visit to see Jim Kim and
heard about your response letter. Eu and I agreed we have to make a quick
choice: if we are ignored, we should consider breaking with WHO. Perhaps we
achieve more in the opposition.
A and I had a meting with CETIM. They were interested to publish a book on
health and neoliberalism. A and I sugested they participate with PHM and
publish the book with the chosen core preparatory papers for PHAII with the
advantage that such papers will be sanctioned by a wide PHM membership and
will
thus have an invaluable added weight. They liked the idea. We have to work with
Maria on this, because IPHC is also looking into the topics for papers.
I had asked you several times about the fundraising proposal. Where does this
stand? Can I be of any help? perhaps in editing. I have a good experience in
these docs.
A hug
Clau
I urge you to write that fortnightly column for pha-exch. Short and crisp is
good.
This mail sent through Netnam-HCMC ISP: http://www.hcmc.netnam.vn/
k ■ lo-e-a
7
A
A
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Main Identity
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"cehatpun" <cehatpun@vsnl com>
"CHC" <chc@sochara.org>; "N. B. Sarojini" <sama_womenshealth@vsnLnet>; "Ekbal"
<ekbal@vsnl.com>; "Vandana Prasad" <chaukhat@yahoo com>, "FMRAI" <fmrai@vsnl.net>
"Sundaraman" <sundar2@123india.com>, <ctddsf@vsnl.com>; "Sundararaman"
<sundararaman.t@gmail.com>
Monday, January 02, 2006 12:41 PM
Re: meeting with P. Hota
Dear friends,
Mr. Hota is out of Delhi from 5th to 12th Jan (see his reply below) - he has suggested that we meet Ms.
Jalaja but 1 am doubtful if that would be of any use - preferable to meet Hota later.
Do give your views on this - and when we could plan to meet Hota later. I am likely to be in Delhi again
around 23rd Jan.
With regards,
Abhay
1/27/2003
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Main Identity
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"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org>
Sunday, December 04, 2005 10:12 AM
PHA-Exchange> Course Reader: Health Equity - Research To Action (fwd)
fromEQUIDAD@LISTSERV.PAHO.ORG
> COURSE READER
> Health Equity - Research To Action
> Lexi Bambas and Qamar Mahmood
> Course Reader was compiled from the Health Equity - Research to Action
> Trainer's Manual
> by the School of Public Health, University of the Western Cape. 2004
> Available online as PDF file [72p.] at:
> http; /1www. gega.org.za/down I o ad/Resea rchtp Act i o nO4.pdf
> <http://www.gega.org,za/downlpad/Researcht_oAction04,pdf>
> " An Equity Gauge is a health development project that uses an active
> approach to monitoring and addressing inequity in health and health care.
> It moves beyond a mere description or passive monitoring of equity
> indicators, to a set of concrete actions designed to effect real and
> sustained change, in reducing unfair disparities in health and health
> care. This entails an on-going set of strategically planned and
> coordinated actions, involving a range of different actors, who cut across
> a number of different disciplines and sectors. An Equity Gauge is
> therefore innovative, logical, challenging and effective...."
> Content:
> 1 Introduction to the Course
> 2 Course Aims and Objectives
> 3 Programme: Health Equity - Research to Action
> 4 Concepts of Equity
> 5 The Equity Gauge Approach
> 6 Developing an Equity Plan
> 7 Assessment & Monitoring: The First Pillar of the Equity Gauge
> 8 Advocacy: The Second Pillar of the Equity Gauge
12/5/2005
Page 2 of 2
> 9 Community Empowerment and Participation: The Third Pillar
> 10 Planning Action For Equity
> 11 Course Readings and Additional Readings of Interest
>
The Equity Gauge: Concepts, Principles, and Guidelines
> * English version
> <http://www.gega.org.za/download/gega_guide.pdl<- [1,23mb pdf file]
> * French version
> <http://www.gega.org.za/../download/gega_guide_fr.pdf> [852kb]
> * Spanish version
> <http://wwyv.gega.org,za/d_own.load/gega_guide_esp,pd£ > [662kb]
PHA-Exchange is hosted on Kabissa - Space for change in Africa
To post, write to: PHA-Exchange@lists.kabissa.org
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12/5/2005
UNITED STATES LIBRARY OF CONGRESS
FIELD OFFICE
AMERICAN CENTER, 24, KASTURBA GANDHI MARG
NEW DELHI-110001 (INDIA)
E-MAIL: 72410.743@conipuscrvc.com
TELEPHONE: 3316841
FAX 91-11 -373-6066
Web address: http://lcweb.loc.gov/acq/ovop/delhi/dellii.html
June 05, 2000
Request for permission to microfiche
publications of your organization
Dear Dr. Narayan:
Tire Library of Congress Office in India acquires government, commercial and institutional
publications for the Library of Congress, Washington, D.C., and other research institutions in the
United States which offer facilities for Indic studies. In the operation of this program, we receive a
number of publications which are:
a.
not available in sufficient number for all our
participants to receive one copy each;
b.
mimeographed;
c.
on such poor quality paper that they will not
stand the test of time; or
d.
important documents needing special preservation care.
This Office has, therefore, implemented a program of making microfiche editions of such
publications enabling libraries to continue to obtain valuable research material, preserve them for
posterity and also to conserve shelf space in the libraries. A brief explanation of the microfiche
program is attached for your information.
The publications issued by your organization are of great interest to research scholars and to
depository libraries in the United States. We plan to microfiche your publications for the Libraiy of
Congress only. For our program participants we will buy the hard copies of these if available and
as required. If not, they can solicit copies from the Library's Photoduplication Service, at cost. As
we wish to preserve these valuable publications issued by your Office for use by future generations
of researchers worldwide, we would appreciate it if you could extend your cooperation and grant us
permission to microfiche your publications for deposit in the Library of Congress. In return for this
we will provide you with diazo prints of each of your titles that we microfiche.
Contd...2.
-2-
Enclosed is a form letter granting us permission to microfiche your publications for Library
of Congress. For authorization, please sign and fill in your name and title.
We hope you will also assist us in our program and give us the necessary authorization. We
look forward to hearing from you at your earliest convenience.
Thank you.
Sincerely yours,
(Mrs.) Lygia M. Ballantyne
Director
Attachments: as above
Dr. Thelma Narayan
Coordinator
Community Health Cell
Society for Community Health Awareness
Research & Action
367, Srinivasa Nilaya, Jakksandra
I Main, I Block, Koramangala
BANGALORE - 560 034
Karnataka
MICROFICHE PROGRAM
The United States Library of Congress which is located in Washington, D. C. serves the
Congress of the United States, the nation, and the world as a reference and research library. It is
considered a leader in the dissemination of bibliographic information. As part of its worldwide
interests and responsibilities, the Library of Congress has established offices in a number of
African, Asian and Latin American countries.
The New Delhi Office was established in 1962 with the purpose of acquiring and processing
publications produced in India. Later the responsibility was added for the acquisition and
bibliographic control of publications from Bangladesh, Bhutan, Burma, the Maldives, Nepal, Sri
Lanka, Mongolia and Tibet. The New Delhi Office does not retain a collection of the materials it
acquires but ships all copies to the Library of Congress in Washington and a number of other
research libraries in the United States. Titles selected for the Library of Congress are assigned a
Library of Congress Control Number (LCCN) / cataloged by the New Delhi office and included
in The South Asian Bibliographer, a bi-monthly bibliography published and distributed by Sage
Publications (New Delhi/London/Thousand Oaks) in collaboration with the New Delhi Office.
In response to the need of libraries to economize on storage space, the Library of Congress
Office in India began microfilming selected newspapers and official gazettes from India in 1965.
The master negatives are stored in the Library of Congress in Washington and reels of positive
microfilm are available from the Library's Photo-duplication Service.
In 1977 the New Delhi Office acquired a microfiche camera-processor enabling it to
produce microfiche as well as microfilm. The Office produces microfiche copies of documents of
research value which are printed or mimeographed on poor quality paper or are available in
insufficient copies to meet the needs of research libraries and scholars throughout the world. As
with the microfilm produced by the New Delhi Office, the master negative microfiche is
deposited in Washington. Positive film prints are available at cost from the Library of Congress,
a non-profit organization. All necessary copyright clearances are obtained before fiching any
material.
Director
U.S. Library of Congress Office
American Center
24, Kasturba Gandhi Marg
NEW DELHI-110 001
Dear Madam:
Thank you for your letter of June 05, 2000 requesting microfiche permission. We hereby
authorize you to microfiche our publications. We would appreciate receiving the diazo prints of our
publications which you may microfiche.
With best wishes,
Sincerely yours,
Dr. Thelma Narayan
Coordinator
Community Health Ceil
Society for Community Health
Awareness Research & Action
367, Srinivasa Nilaya, Jakksandra
I Main, I Block, Koramangala
BANGALORE-560 034
Karnataka
Page 1 of 3
Main Identity
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"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org >
Sunday, December 04, 2005 10:43 AM
PHA-Exchange> 2005 world summit at the UN
2005 WORLD SUMMIT
HIGH-LEVEL PLENARY MEETING | 14-16 SEPTEMBER 2005 UNITED NATIONS
2005 WORLD SUMMIT OUTCOME
The world's leaders, meeting at United Nations Headquarters in New York from 14 to 16 September, agreed to
take action on a range of global challenges:
DEVELOPMENT
» Strong and unambiguous commitment by all governments, in donor and developing nations alike, to achieve the
Millennium Development Goals by 2015.
» Additional S50 billion a year by 2010 for fighting poverty.
» Commitment by all developing countries to adopt national plans for achieving the Millennium Development
Goals by 2006.
» Agreement to provide immediate support for quick impact initiatives to support anti-malaria efforts, education,
and healthcare.
» Commitment to innovative sources of financing for development, including efforts by groups of countries to
implement an International Finance Facility and other initiatives to finance development projects, in particular in
the health sector.
» Agreement to consider additional measures to ensure long-term debt sustainability through increased
grantbased financing, cancellation of 100 per cent of the official multilateral and bilateral debt of heavily indebted
poor countries (HIPCs). Where appropriate, to consider significant debt relief or restructuring for low and middle
income developing countries with unsustainable debt burdens that are not part of the HIPC initiative.
» Commitment to trade liberalization and expeditious work towards implementing the development dimensions of
the Doha work programme.
•
TERRORISM
» Clear and unqualified condemnation—by all governments, for the first time—of terrorism "in all its forms and
manifestations, committed by whomever, wherever and for whatever purposes."
» Strong political push for a comprehensive convention against terrorism within a year. Support for early entry into
force of the Nuclear Terrorism Convention. All states are encouraged to join and implement it as well as the 12
other antiterrorism conventions.
» Agreement to fashion a strategy to fight terrorism in a way that makes the international community stronger and
terrorists weaker.
12/5/2005
Page 2 of 3
peacebuilding, peacekeeping, and peacemaking
» Decision to create a Peacebuilding Commission to help countries transition from war to peace, backed by a
support office and a standing fund.
» New standing police capacity for UN peacekeeping operations.
» Agreement to strengthen the Secretary-General's capacity for mediation and good offices.
RESPONSIBILITY TO PROTECT
» Clear and unambiguous acceptance by all governments of the collective international responsibility to protect
populations from genocide, war crimes, ethnic cleansing and crimes against humanity.Willingness to take timely
and decisive collective action for this purpose, through the Security Council, when peaceful means prove
inadequate and national authorities are manifestly failing to do it.
HUMAN RIGHTS, DEMOCRACY AND RULE OF LAW
» Decisive steps to strengthen the UN human rights machinery, backing the action plan and doubling the budget
of the High Commissioner.
» Agreement to establish a UN Human Rights Council during the coming year.
» Reaffirmation of democracy as a universal value, and welcome for new Democracy Fund which has already
received pledges of $32 million from 13 countries.
» Commitment to eliminate pervasive gender discrimination, such as inequalities in education and ownership of
property, violence against women and girls and to end impunity for such violence.
» Ratification action taken during the Summit triggered the entry into force of the Convention Against Corruption.
MANAGEMENT REFORM
» Broad strengthening of the UN’s oversight capacity, including the Office of Internal Oversight Services,
expanding oversight services to additional agencies, calling for developing an independent oversight advisory
committee, and further developing a new ethics office.
» Update the UN by reviewing all mandates older than five years, so that obsolete ones can be dropped to make
room for new priorities.
» Commitment to overhauling rules and policies on budget, finance and human resources so the Organization can
better respond to current needs; and a one-time staff buy-out to ensure that the UN has the appropriate staff for
today's challenges.
ENVIRONMENT
» Recognition of the serious challenge posed by climate change and a commitment to take action through the UN
Framework Convention on Climate Change. Assistance will be provided to those most vulnerable, like small
island developing states.
» Agreement to create a worldwide early warning system for all natural hazards.
INTERNATIONAL HEALTH
» A scaling up of responses to HIV/AIDS, TB, and malaria, through prevention, care, treatment and support, and
12/5/2005
Page 3 of 3
the mobilization of additional resources from national, bilateral, multilateral and private sources.
» Commitment to fight infectious diseases, including a commitment to ensure full implementation of the new
International Health Regulations, and support for the Global Outbreak Alert and Response Network of the World
Health Organization
HUMANITARIAN ASSISTANCE
» Improved Central Emergency Revolving Fund to ensure that relief arrives reliably and immediately when
disasters happen
» Recognition of the Guiding Principles on Internal Displacement as an important international framework for the
protection of internally displaced persons.
UPDATING THE UN CHARTER
» A decision to revise and update the Charter by:
• Winding up the Trusteeship Council, marking completion of UN’s historic decolonisation role;
• Deleting anachronistic references to "enemy states" in the Charter.
The full text of the document is available on the Summit website: www.un.org/summit2005
ISSUED BY THE UNITED NATIONS DEPARTMENT OF PUBLIC INFORMATION—SEPTEMBER 2005
PHA-Exchange is hosted on Kabissa - Space for change in Africa
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12/5/2005
Pasjc i <>r 1
Community Health Cell
From:
To:
Sant:
Subject:
<Prashanth_Vasu@mckinsey.com>
<chc@.sochara.org>; <secretariat@phmovement.org>
Tuesday, February 14, 2006 9:18 AM
PHFI - Cal! with Rajat Gupta and Prashanth Vasu
Hi Ravi.
Per our discussion yesterday. Rajat and I shall call you at 6:00pm on monday, 20-feb-06 at your residence, dont
expect it to go for more than 30 mins.
look forward to talking to you.
regards,
prashanth
Prashanth Vasu
McKinsey & Company
Taj Palace Hotel
2. Sardar Patel Marg
Diolomatic Enclave. New Delhi 110 021
Ph : 91 -11 -2302 3580 / 5562 1245
Fax : 91-11-2687 3227
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2/14/2006
Main identity
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"PHM - Secretariat" <secretariat@phmovementorg>
<odw@aber.ac.uk
*
"Claudio" <c!audio@hcmc.netnam.vn>
Thursday, December 16, 2004 6:17 PM
Re: PHA-Exchange
*
Globalization and Health Book
Dear Owain,
Greetings from the PHM Global Secretariat!
If you read the note carefully ‘it is the first academic book on Globalisation and Health’ which includes
a contribution from PHM and cares to comment, substantially, on PHM and the People’s Charier on
Health (now translated into over 50 languages)’. Being an old ‘Globalisation and Health’ hand I have
kept track of all the books - with or without ‘Globalisation’ in the title but so far they have not noted the
evolution of the movement from below. I know Kelly and others at the London Schoo! so its not
ignorance about books on the subject or about authors, but taking note of an increasing visibility and
credibility of the movement. For over four years now academics have been too far removed from grass
roots realities to notice a strong evolving movement from below, consisting of strong public health
oriented professionals committed to a Health for All goal and building up a countervailing pressure on
the system that is getting distorted towards ‘Health for those who can pay' by neo-Iiberal economics. At
the recently concluded WHO Interministerial summit on Health Research/Global Forum for Health
Research - Forum 8 at Mexico city 16 -20 Nov. 2004, there were twelve of us from the Movement
who made 18 inputs as paper's and discussants. It was just refreshing to note the independent assessment
and comments of Richard and Melinde in their- new book. That’s all.
I would be glad to get the reference list just incase I have missed some books.
Best wishes,
Ravi Narayan
MD (AJLMS), DTPH (London), DIH (UK).
Coordinator
PHM Secretariat (Global)
12/17/04
Page 1 of 1
isentr
LC--
From:
To:
Cc:
Sent:
"Claudio" <claudio@hcmc.netnam vn>
"Owain Williams" <odw@aber.ac.uk> Z
"PHM - Secretariat" <secretariat@phmovement.org>
Thursday, December 16, 2CO4 9:34 AM
Subject:
Re PHA-Exchange> Globalization and Health Book
point well taken. Owain. Thanks
Ciaudio
Dear all
I’m afraid this is far from the first book on Globalization and health. Try for instance books recently publisl
Kelley Lee (2003 I think) titled - Globalization and Health’. There are others in and around the theme but
lacking Globalization in the title. I can provide references if anybody needs them.
Cheers
V
Owain
is
Dr Owain Williams
Centre for Health and International Relations
Canolfan lechyd a Gwleidyddiaeth Ryngwladol
Department of International Politics
University of Wales, Aberystwyth
Penglais, Aberystwyth
Ceredigion SY23 3DA
tel: 01970 621799
fax: 01970 622709
Z
>This is the first academic book on Globalization and Health, which not only has a small
contribution about PHM as a counter initiative to the ill effects of globalization on health, but Z / x
also has some interesting comments about the significance of PHM in t
globalization context in the introductory and concluding chapters of the book....
. z/
C Ic^a.cAx
Page 1 of 2
Main Identity
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"Claudio" <claudio@hcmc.netnam.vn>
"pha-exch" <pha-exchange@kab1ssa.org>
Tuesday, February 22, 2005 4^03 PM
PHA-Exchange> Politics of health website (reminder)
The Politics of Health Knowledge Network - Invitation to Participate
HealthWrights and the International People's Health Council (IPHC) is developing an online resource called 'Politics of Health Knowledge
Network' (see www.politics.ofhealth.org). This will be a user-friendly information-sharing tool providing solid facts and well analyzed data,
so that concerned people can better respond IN A MORE POLITICALLY ADEQUATE WAY to the most urgent health-related issues
confronting humanity
The 'Politics of Health' web site will summarize and place in the larger MACRO context a spectrum of major health-related concerns It
will, FOR EXAMPLE, map the connections linking the AIDS/TB pandemic to the world's 3 biggest industries (mititary/arms, illicit drugs,
and oil). It will examine how giant corporations and globalizING trade policies Affect human and environmental health, why tobacco is
becoming the world's number one killer, and how efforts to reduce poverty and global warming have been stymied. It will explore the new
partnerships of UN organizations (UNICEF, WHO) with the pharmaceutical companies and FAST food industry ("the McDonaldization of
Primary Health Care") and the World Bank's takeover of Third World policy AND POVERTY ALLEVIATION planning. All of the above will
BE lieD into the way that big money buys public elections and undermines democratic processES.
For the many problems the Network WILL map out. it will try to include examples and suggestions for positive alternatives and organized
actions. EMPHASIZING GIVING information ON how to connect WITH OTHERS AND NETWORK.
This online resource is just getting started. The first topic we are beginning to develop is the 'Politics of AIDS.' We plan to present
published data and reference materials in a way that provides the 'big picture' on AIDS policy, education, prevention and treatment We
also hope to bring together voices from around the world BY POSTING a diversity of case studies showing how local events are
influenced by policies at the macro level.
please help us make this information tool a success. We seek contributions from people in the People's Health Movement, IPHC,
Medact, the International Forum on Globalization, and SO MANY other progressive groups in making this resource grow. If you have a
story to tell or a lesson to highlight, please send it TO US by email AT politicsofhealth@igc.org. MORE specifically, we are looking for.
Key Data and Talking Points. We ask your help in pulling together key, well-referenced data, relevant to the politics of health, which
make clear points and can be used in constructing useful, convincing arguments. Especially useful are "talking points", I.E , POINTS that
juxtapose facts in an eye-opening way. (For example, "Of the world's 100 biggest economies, 51 are transnational corporations and only
49 are nations." Or "WHO estimates that an additional $1 billion per year is needed to halve the incidence of TB by 2020. “The world
spends S10/CAPITA per year on perfumes and cosmetics, $15 Billion a year on golf, $30 billion a year on pet food, and $4,000 billion a
day on international speculative investments (the global casino)."
Policy and Situational Analysis - We are looking for clear, well-referenced analysEs of government or global policies, and critiques of
international bodies OR OFFICIAL DOCUMENTS (right now, especially concerning AIDS, but also on any other health-related issue) We
particularly want give an opportunity to TRADITIONALLY marginalized groups to voice their concerns Send us your own writings, or any
information/articles you consider important, on political aspects of the AIDS/TB or other public health issues.
Links and Interaction. We especially want to draw on information/experiences that show how one particular concern ties into others, and
how different forces affecting health interconnect. For example, the links between AIDS and TB are evident But we would also like help
in documenting the links BETWEEN HIV/AIDS AND poverty, socioeconomic polarization (and its many causes), debt burden, SAPs,
gender and racial inequality, chronic nutritional deficits, drug companies, patent laws, trade policies, religious dogma, and -perhaps
above all else - the multinational attempt to combat AIDS by disciplining the behavior of victims rather than confronting the need to build
a more equitable, PEOPLE'S health-FRIENDLY, and sustainable socioeconomic environment.
Case Studies - Voices from around the world, especially those in remote locallTIEes and villages, sharing success stories, as well as
failures in their fight against AIDS (or other health issueS). You could tell us your own story and what impact your work is having. Again,
we especially want stories that draw a link between policies at the macro level and how they Affect people’s health and lives at the micro
level. A brief write-up will be adequate. A drawing or photo that drives home a key point can give the story more power, and will help bring
the web site to life.
Positive Alternatives and Organized Action - To balance the discouraging data and critical analysEs with positive alternatives and
possibilities of action, we hope to devote a separate section to 'Positive Alternatives'. We will document actions taken and advocacy
efforts to reform or transform unhealthy policies, from the local to THE global level. To contribute, you could describe a problem/issueS
BEING faced by your community and then provide the actionS/strateglES taken to improve the situation. Others facing similar problems
can learn from your experience.
2/23/05
Page 2 of 2
Please note: The PHA-exchange has generated a tremendous wealth of materials on every aspect of the Politics of Health. If well
organized and indexed, it could be an invaluable resource, much of which we would like to make available through the Politics of Health
Knowledge Network But this will be a huge job. Is anyone linked to the PHA-exchange doing any kind of culling, organization by themes,
or indexing of the messages that pour in? Has anybody pulled out the "best articles” or data on a particular theme, and filed it in an
organized way? Or is anybody prepared to take on any of these responsibilities? It would be a way of making the PHA-exchange a much
more powerful and useful instrument, and through the Politics of Health Knowledge Network we hope to contribute to that process by
making the data and information more easily and widely accessible. Anyone interested? Please contact us.
Also please note:
THE Politics of Health is taking shape almost entirely based on voluntary efforts and will remain a collectively owned and sustained
resource.
We are looking not only for persons to send in useful material. We also desperately need persons willing to help with the organization
and presentation of the data and information. We are still figuring out the best way to present the information and lay out the web site, to
PULL the related subjects together, and to map them within the larger picture.
We need all the help we can get. If you think there is any way you might help, please contact us.
Looking forward to your interest and involvement.
David Werner,
Shefali Gupta,
'Politics of Heath Knowledge Network'
Email, politicsofhealth@igc.org
Website: www.politicsofhealth org
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2/23/05
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'•P’S - C>, ii Society" <civilsociety@ipsnews.net>
<prasanna@phmovement.org>
Thursday, December 16, 2004 10:19 PM
The PHM was mentioned in an IPS story
Dear Friend,
leSSe visit the yenefSl newS Site uf the Intel r TeSS SemCe at httijjVijjSnew'S.Het 01 yO uileCtly to
the story in which the PHM was mentioned:
The Cost of Dying Without Having Been Born
http://ipsnews.net/new nota.asp?idnews=26386
IPS is an independent, professional news agency with a focus on the South, development, civil society and
the process of globalisation and those excluded from it.
To comment on an IPS story or on our coverage in general, please contact us at civilsociety@ipsnews.net
With best wishes,
The IPS team
12/17/04
Page I of 2
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"Claudio" <claudio@hcmc netnam.vn>
"pha-exchange" <pha-exchange@lists kabissa org>
Thursday, August 04, 2005 5:58 AM
PHA-Exchange> TREATY TO PREVENT WATER-RELATED DISEASES IN EUROPEENTERS
INTO FORCE
> > :: I REATY TO PREVENT WATER-RELATED DISEASES IN EUROPE ENTERS IN I O FORCE
>>*
>>*
Copenhagen/Rome -* The Protocol on Water and Health to the 1992
> > Convention on Protection and Use of Transboundary Watercourses and
> > International Lakes enters into force on 4 August 2005, following
> > ratification by the minimum 16 countries: Albania, Azerbaijan,
> > Belgium, the Czech Republic, Estonia, Finland, France, Hungary,
> > Latvia. Lithuania. Luxemburg, Norway, Romania, the Russian Federation,
> > Slovakia and Ukraine. The Protocol will improve health by contributing
> > to the prevention, control and reduction of water-related diseases. Il
> > covers both the provision of safe drinking-water and adequate
> > sanitation and the basin-wide protection of water resources. The
> > Protocol calls on the ratifying countries:
>>
>>
>>
>>
>>
* to strengthen their health systems;
* to improve planning for and management of water resources;
* to improve the quality of water supply and sanitation services;
* to address future health risks: and
* to ensure safe recreational water environments.
> > In the WHO European Region, the implementation of the Protocols
> > provisions is jointly coordinated by the WHO Regional Office for
> > Europe and the United Nations Economic Commission for Europe (UNECE).
> > Its a significant date for public health. The Protocol on Water and
> > I lealth is the worlds first legally binding international agreement in
> the fight against water-related diseases,says Dr Marc Danzon. WHO
> > Regional Director for Europe. This is an effective instrument to help
> > ratifying countries achieve the Millennium Development Goals.
> > Transboundary water resources are common in the Region. Some countries
> > depend on their neighbours for over 5090% of their water, so
> > international cooperation is crucial to ensure the sustainable use of
> > such resources.
> > Lack of safe drinking-water and poor sanitation threaten the health of
> > millions of people in the WHO European Region. While most of the
> > Regions 877 million people lake clean water for granted, too many
> > still lack a regular supply:
>>
>>
* almost 140 million (16%) do not have a household connection to a
drinking-water supply;
„
1/1/99
Page 2 of 2
S5 million (10%) do not have improved sanitation; and
oxer 41 million (5%) lack access to a safe drinking-water supply.
' > \\ ater-related diseases of microbiological origin that are identified
■ lor priority action include cholera, bacillary dysentery.
entcrohaemorrhagic/ Escherichia coli/. typhoid (and paratyphoid) and
> \ iral hepatitis A. The countries that are Parties to the Protocol will
'• rex iexx their systems for disease surveillance and outbreak detection,
' > and implement the most appropriate measures to reduce disease,
> > including vaccination or water treatment and distribution measures.
> > Chemical contaminants of drinking-water and related diseases are also
> > under review.
> > This aspect of implementing the Protocol contributes to achieving the
> > txxo Millennium Development Goals that include improving water supply
> > and sanitation and reducing child mortality. The incidence of
> > infectious diseases caused by poor-quality drinking-water is often
> > highest in children aged 611 months. In the WHO European Region, this
> > risk factor causes over 13 000 deaths from diarrhoea among children
> > aged 014 years (5.3% of all deaths in this age group) each year, with
> > the countries of central and Eastern Europe and central Asia bearing
> > the largest share of the burden.
> > The entry into force of the Protocol is not the end. but the beginning
> > of a process intended to increase the number of European citizens with
> > access to safe drinking-water and basic sanitation,concludes Dr
> > Roberto Bertollini, Director of the Special Programme on Health and
> > Environment at the WHO Regional Office for Europe. We encourage
> > countries to ratify the Protocol, thus developing a national and
> > international system to manage and use water resources safely and
> > sustainably, for the benefit of human health.
> > further information on the Protocol and the water and sanitation
> > programme of the WHO Regional Office for Europe is available on the
> > Regional Office web site (_http://www.euro.who.int/watsan_).
> > **
Thirty-six countries signed the Protocol during or after the Third
> > Ministerial Conference on Environment and Health, held in London,
> > United Kingdom in 1999. Progress made under the Protocol since then
> > includes the building of a framework for setting country-specific
> > targets, harmonized data collection and reporting, and water-related
> > disease surveillance.
**
PI lA-Exchangc is hosted on Kabissa - Space for change in Africa
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1/1/99
Page 1 of 1
Main Identity
From:
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Cc:
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Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exch" <pha-exchange@kabissa.org>
"goran" <dahlgren38@telia.com>
Tuesday, December 14, 2004 5:59 PM
PHA-Exchange> Understanding China's (uneven) progress against poverty
Understanding China’s (uneven) progress against poverty
Learning from Success
Martin Ravallion and Shaohua Chen, World Bank Development Research Group
Finance & Development December 2004
Volume 41, Number 4
Available online as PDF file at: http://www imf.org/external/pubs/ft/fandd/2004/12/pdf/ravallio.pdf
“
Over the past 25 years, China has made huge strides in its battle against poverty as it has
transformed into one of the most dynamic
economies in the world. China's poverty rate today is probably slightly lower than the average for the
world as a whole.
But around 1980 the incidence of poverty in China was one of the highest in the world.
What might the many developing countries that have been less successful against poverty learn from
China's experience? And
what can China learn for its continuing efforts against poverty?
The study shows that, while the incidence of poverty in China fell dramatically, progress was uneven
Rural areas accounted for the
bulk of the gains to the poor, although migration to urban areas helped. However, for China to make more
progress against poverty, it
will have to confront the problem of rising inequality
"
China’s (Uneven) Progress Against Poverty
Working Paper No.: 3408 - September, 2004
Research Paper [PDF 57p.] at: http://econ.worldbank.org/files/38741_wps3408.pdf
12/15/04
i^age I
Main Identity
From:
To:
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Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exch" <pha-exchange@kabissa.org>
Tuesday. December 14, 2004 5:58 PM
PHA-Exchange> Study on the Impact of the Implementation of the CRC
From: Ruggiero. Mrs. Ana Lucia (WDQ
Study on the Impact of the Implementation of the Convention on the Rights of the Child
The UNICEF Innocenti Research Centre (IRC), Florence, Italy
United Nations Children's Fund (UNICEF) 2004
Summary available online as PDF file [30p.J at: httpVAwAv.unlceficdc.org/publicaiions/pdf/CRC Impact summarvreport.pdf
“
2004 marks the fifteenth anniversary of the adoption and subsequent ratification of the United
Nations Convention on the Rights of the Child (CRC). The CRC is currently closer to being universally
accepted than any other international human rights treaty. The CRC is also unique in that it so fully
embodies civil, economic, political, social and cultural rights.
Critical questions: is the impact of the Convention on the Rights of the Child (CRC) real or rhetorical?
How has it been implemented? Ultimately, what has been the effect of the CRC on the daily lives of
children? How far has the enjoyment of their human rights been advanced? What has been its effect in
terms of generating social change?
The study celebrates the achievements that have taken place since the adoption of the CRC, in regions
the -world over. At the same time, it is a study that acknowledges the many challenges that remain, in
implementing a treaty with such a broad scope.
...The study focuses on the general measures of implementation of the CRC in 62 countries, with a
particular emphasis on legal and institutional reforms at the national level aimed at ensuring the effective
application and enforcement of the
12/15/04
Page 1 of 1
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"PHM - Secretariat" <secretariat@phmovementorg>
<odw@aber.ac.uk>
"Claudio" <claudio@hcmc.netnam.vn>
Thursday, December 16, 2004 6:17 PM
Re: PHA-Exchange> Globalization and Health Book
Dear Owain,
Greetings from the PHM Global Secretariat!
If you read the note carefully ‘it is the first academic book on Globalisation and Health’ which includes
a contribution from PHM and cares to comment, substantially, on PHM and the People’s Charter on
Health (now translated into over 50 languages); Being an old ‘Globalisation and Health’ hand I have
kept track of all the books - with or without ‘Globalisation’ in the title but so far they have not noted the
evolution of the movement from below. I know Kelly and others at the London School so its not
ignorance about books on the subject or about authors, but taking note of an increasing visibility and
credibility of the movement. For over four years now academics have been too far removed from grass
roots realities to notice a strong evolving movement from below, consisting of strong public health
oriented professionals committed to a Health for All goal and building up a countervailing pressure on
the system that is getting distorted towards ‘Health for those who can pay’ by neo-liberal economics. At
the recently concluded WHO Inlenninisterial summit on Health Research/Global Forum for Health
Research - Forum 8 at Mexico city 16 -20 Nov. 2004, there were twelve of us from the Movement
who made 18 inputs as papers and discussants. It was just refreshing to note the independent assessment
and comments of Richard and Melinde in their new book. That’s all.
I would be glad to get the reference list just incase I have missed some books.
Best wishes,
Rava Narayan
MD (AHMS), DTPII (London), DIH (UK).
Coordinator
PHM Secretariat (Global)
c/oCHC
No. 359 (old No. 367)
Srinivasa Nilaya, Jakkasandra 1st. Main
1st Block, Koramangala
Bangalore - 560 034. India
Tel: 00-91-80-51280009
Fax: 00-91-80-25525372
Entail: secretariat^phinoveineitt.org
Website: www.phrnovement.ors
pfrT1
Dear Owain.
Greetings front the PHM Global Secretariat!
If you read the note carefully ‘it’s the first academic book on Globalisation and Health’
which includes a contribution from PHM and cares to comment, substantially, on PHM
and the People’s Charter on Health (now translated into over 50 languages). Being an old
‘Globalisation and Heahh’ hand I have kept track of all the books - with or without
‘Globalisation’ in theatre but so far they have not noted the evolution of the movement
from below. I know Kelly and others at the London School so its not ignorance about
books on the subject or about authors, but taking note of an increasing visibility and
credibility’ of the movement. For over four years now academics have been too far
removed from grass roots realities to notice a strong evolving movement from below,
consisting of strong public health oriented professionals committed to a health for All
goal and building up a countervailing pressure on the system that is getting distorted by
neo-liberal economics,to Heahh-f^rtliosewvhe-caa-pay^erieatalion. At the recently
concluded WHO Interministeria! summit on Health Research/Global Forum for Health
Research - Forum 8 at Mexico citvfliere weretwelve of us from the Movement who
, „.
,
-a
.
K-e.
made 18 mputs as papers and discussants. It was just^inuependettt assessment and
comments of Richard and Melinde in their new book. That’s all.
I would be glad to get the reference list just incase 1 have missed some books.
Best wishes,
t
MD (AHMS), DTPH (London), DIH (UK).
O
CI
<o
pt-frl & teff'xA
t^oSe
Page 1 of 3
Main Identity
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Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exch” <pha-exchange@kabissa.org>
"Kent" <keni@hawaii.edu>
Wednesday, December 15, 2004 12:28 PM
PHA-Exchange> Food for the right thoughts in health fedback
From: "George Kent'' <kent@hawaii.edu>
A few comments on Human Rights Reader 91
> > THE HUMAN RIGHTS DISCOURSE IN HEALTH. (Part 1 of 2)
(Claudio's reactions added)
> > 2.... This is to be seen in good
> > part as a failure of beneficiaries themselves to act as empowered
> > claim holders placing their demands from a power base that can
> > force non-performing duty bearers to provide tire services and resources
> > needed to reverse those violations.
(gkl) Rights holders normally do not have a clear idea of the services to
> which they are entitled on the basis of international human rights.
> It is essential to have human rights law concretized in national
> law to spell out how the national government understands it obligations.
(csl) Agree.
> > 3....We have become quite good at doing detailed Situation Analyses
> > of unfulfilled needs and entitlements.
(gk2) We have? Can we cite some good examples? Do we have ANY examples of
such analyses undertaken by the rights holders themselves?
(cs2) I think there are a few. For example, the people of Iringa province in
Tanzana on the 1980s come to mind.
(gk2a) Sound human rights education should prepare rights
holders to do situation analyses.
(cs2a) Agree.
»... But these only list and sometimes characterize the multiple
violations of »the right to health. So these represent diagnoses only.
(gk3) Only? This is a major achievement! I have not yet seen any
analysis that distinguishes between health service deficiencies in
general, and those particular deficiences that represent violations of
the human right to health.
(cs3) True.
»... Moreover, entitlements and needs do not carry' correlative duties for
> duty-bearers. Rights do!
(gk4) In my usage of the term, entitlements do have correlative duties.
How are you using the term?
(cs4) I am sure needs do not carry correlative duties. Entitlements, I
declare my ignorance. Will check.
> > 4.... Capacity' Analyses have also been
> > called Accountability Analyses, because seeking accountability'
> > provides claim holders with the opportunity to understand how duty
> > bearers have discharged their obligation and provides duly bearers
> > with the opportunity' to explain their conduct.
12/15/04
Page 2 of 3
(gk5) Capacity- alone does not automatically imply obligation. Thus 1
prefer the tenn "Accountability Analysis." hi using tins term, do you
mean the process of figuring out who is accountable in general temis, or
do you mean the actual process of calling the duty bearer to account in
relation to a specific violation?
(cs5) Calling the duty bearers to acount in relatoin to a specific
violation
The literature calls this 'capacity analysis'; not my invention.
> > 5 After carrying out these capacity analyses, we have to -in an
> > organized way, through proactive community mobilization- embark
> > with the beneficiaries in doing-something-about-those-violations.
(gko) I prefer to speak of them as rights holders, rather than
beneficiaries. The rights holders themselves should participate actively
in the analyses, insofar as that is feasible.
(cs) Agree.
> > 7. ...Unfulfilled-needs-and-entitlemenls-seen-as-violations-of-human> > rights, on the ether hand, DO bind duty' bearers legally under
> > international law and, among other, under the Constitution of the
> > World Health Organization (WHO).
(gk7) Human rights law alone is
not concrete enough to give rights holders a clear idea of what they
should expect from their national governments and other duty bearers.
National governments should be pressed to make their commitments very
clear by passing appropriate national legislation that
say's how they will carry' out their obligations.
(cs7) Agree.
> > 8.... There is
> > thus now a growing body of international HR law and practice to
> > help us identify the specific interventions and policies that are
> > needed to achieve human (people's) rights goals in health.
(gk8) I would say much of this work should be about lobbying for
appropriate national law that is designed to concretize existing
obligations under international human rights law.
(cs9) Agree.
> > 10. ...It needs to be emphasized here that reaching the MDGs also will
> > have to pass through breaking the poverty syndrome behind pretty'
> > much all the indicators of the MDGs. In our case, looking at these
> > goals only' through the prism of tire right to health will only
> > advance our cause in the health indicators (goals), i.e., a very
> > partial victory.
(gk9) The leaders of the MDG process at the global level are not
proposing strategies that can seriously be expected to achieve the
goals. They are simply elevating the levels of disappointment. Perhaps
we can get serious strategic efforts to achieve the goals within a few
countries. Which are the most likely candidates? Where are these goals
being taken seriously?
(cs9) Agree. Do no have an answer to the two questions.
>>11. ...The HR cause gives us the possibility to advance our political
> > agenda towards equity, towards the indispensable stnictural
> > changes that need to be made for health and other social services
> > to receive the resources they need to reverse the corresponding
> > rights currently being violated.
12/15/04
Page 3 of 3
(gklO)There is the danger that in strategizing the task of sharply
> improving health, food, and economic situations, many poor countries
> look to rich countries for assistance of various kinds. Ail the evidence
> tells us the rich really don't care enough to do what needs to be done.
•• have the problems, and on their strong leaders. They need to do their
> own strategizing, because the strategies proposed by the rich are based
> largely on protecting the interests of the rich.
(cslO) Agree, but have my doubts about 'their strong leaders".
> > 12. ...If not willing to cooperate, we now can face duty bearers
> > accusing them of violating international law. And that is a
> > tactical advantage. We can now demand structural cltanges under the
> > wing of international law.
(gkl 1) Yes, international human rights law is of enormous value in
that it clearly articulates widely accepted nonns. However, there is
still a need for concretization of these norms at the national level,
and for serious political work to assure that these norms are met. This
means there is a need to mobilize serious strategic thinking, not among
tire supposed patrons of the poor, but among the poor themselves.
(csl 1) Agree.
12/15/04
Page I of 5
"Dr.Dabade" <drdabade@sancharnet.in>
<PHA-ncc@yahoogroups.com>; "drug action India" <drugactionindia@healthyskepiicisrn.org>
Tuesday, May 03, 2005 7:43 PM
Lha-ncc] Fw: FDA Calls Efforts i-or Bayer illegal
Dear All
An interesting article about misdeeds of Bayer
GOPAL
Dr Gopai Dabade,
57, Tejaswinagar,
Dnarwad 5§000z,
Karnataka, INDIA
Tel +91(0)836-2461722
drdabade@sancharnet.in
9
— Original Message —
’rm CBGnetwork
■• c.a.woolfson@socsci.gla.ac.uk
' Tuesday, May 03, 2005 3:21 PM
US: FDA Calls Efforts For Bayer Illegal
Washington Post, April 30, 2005
F3)A CarDs EfffoTls For Kayer KEEegail
.awEnakers’ Sieia for Drag Fliirran Teste Limits
The German pharmaceutical giant Bayer suffered a serious setback last year when a federal
administrative law judge backed a proposed ban on a drug used to fight poultry infections at factory
farms. The judge cited growing scientific evidence suggesting that the practice was reducing the
effectiveness of antibiotics vital to human health.
Facing defeat in a three-year legal battle, Bayer sought help in a new arena — Congress. In a letter
written in the office of Rep. Charles W. "Chip" Pickering Jr. (R-Miss.), and with the assistance of a
Bayer lobbyist who was a longtime Pickering friend, 26 House members argued that the poultry
medicine was "absolutely necessary to protecting the health of birds." It called on Lester M. Crawford,
acting commissioner of the Food and Drug Administration, to set aside the judge's decision regarding
the class of drugs. The Bayer product is known as Baytril.
The Baytril case provides an unusual look at an attempt by lawmakers to influence the executive
branch's handling of an important public health issue involving parochial economic interests ar.d
complex science. In stepping in, the congressmen entered a murky area and overstepped legal limits or.
their involvement, FDA officials said. While members of Congress frequently write to agencies as part
of regular oversight, they are not supposed to intervene in formal, trial-type proceedings.
Less than a month after the July 22, 2004, letter, the FDA informed the legislators in writing that their
attempt to sway Crawford violated federal rules intended to shield him and other decision makers in
similar quasi-judicial proceedings from outside pressure. They admonished the lawmakers that they
were ''not allowed" to communicate with Crawford because the lengthy public record of testimony and
documentary evidence was closed.
5/4/05
Page 2 of 5
Ficxering, who is vice chairman of the House Energy and Commerce Committee, which has jurisdiction
ever the FDA, strongly defends the letter. A statement from his office said he "acted under legislative
sranch rules, representing his constituents and defending their interests." The congressman, it added,
"believes the medicine discussed in the letter is vital to maintaining the jobs and businesses in
Mississippi based on poultry, and he stands by the content of the letter." Crawford, now awaiting
confirmation as FDA commissioner, is still considering Bayer's formal appeal of the judge's decision
upholding the proposed ban. The FDA has declined to say whether he saw the congressmen's letter.
Baytril is still being used in the poultry business.
Federal rules require communications from outside channels, such as the lawmakers' letter, to be made
part of the public record of the case so that all sides are aware of them. But in this case the letter was not
placed in the public docket until December, more than four months after it was sent, because of what the
FDA said was an "inadvertent oversight."
"They are weighing in on the side of parochial economic interests against the public health, and that's
disappointing," said Margaret Mellon, director of food and environment programs at the Union of
Concerned Scientists.
Aiatib'otte ResistaEse
The October 2000 decision by the FDA's Center for Veterinary Medicine to withdraw approval for
Baytril was a milestone in the agency's attempts to protect human health. It was the FDA's first formal
withdrawal notice for an animal drug based on concerns that it could make human drugs less effective.
The decision set the stage for current regulatory steps that could lead to bans on other animal drugs, such
as penicillin and tetracycline.
Baytril is a fluoroquinolone antibiotic, among the strongest class available to treat humans suffering
from food poisoning and a broad range of bacterial infections, including anthrax. When the FDA's
veterinary division approved Baytril in 1996, public health advocates warned that it could lead to an
increase in bacteria impervious to Cipro, Bayer's highly successful fluoroquinolone for humans.
in withdrawing approval, the CVM cited a study that found rising levels of fluoroquinolone-resistant
bacteria in supermarket chicken and in people who prepared and ate chicken. Cipro-resistant bacteria, all
but unknown in the 1990s, soared to 13 percent of the bacteria sampled in 1997. Follow-ups showed
resistance rising to 20 percent in 2002 before dropping slightly in 2003. The FDA's findings and
proposed action were supported by the Centers for Disease Control and Prevention, the American
Medical Association, the Union of Concerned Scientists, and two agencies at the Department of
Agriculture.
None of the research pointed to Baytril as the sole culprit. Public health officials had long recognized
that the overprescribing of antibiotics increased resistance to the drugs in humans. But the data
persuaded the FDA's veterinary regulators to propose banning Baytril and SaraFlox, a .similar product
from Abbott Laboratories. Abbott agreed to withdraw its product. But Bayer contended the FDA data
were so flawed that there would be repercussions for the entire animal-drug industry if they went
unchallenged. Forty to 70 percent of U.S. antibiotics are used in agriculture.
Robert Walker^ spokesman for Bayer's Animal Health Division in Shawnee Mission, Kan., denies that
Baytril is a significant contributor to the spread of resistant bacteria, saying there are "a lot of other
factors at play." He added: "We don't feel there's anything from a scientific standpoint that supports
taking it off the market." Bayer has argued that although only 2 percent of chickens were treated with
Baytril, the industry would lose millions of dollars a year if it were removed as an option. The company
noted that the incidence of human infections resistant to Cipro-type medicines has declined sharply. The
congressmen's letter said cases in which Cipro did not work dropped from 3.28 per 100,000 in 1997 to
5/4/05
Page 3 of 5
2.62 per 100,000 in 2001.
Bayer's appeal triggered a review that over the next 38 months produced thousands of pages of
documents and days of testimony before FDA Administrative Law Judge Daniel J. Davidson. To wage
the legal battle, Bayer Healthcare, the subsidiary that oversees animal drug production, hired
McDermott, Will and Emery of Chicago, the world's 14th-largest law firm. The Animal Health Institute
(AHI), the main trade group of animal-drug makers, quickly joined Bayer in contesting the ruling.
Bayer and AHI got little public help from the huge, vertically integrated retail chicken producers that are
the main users of Baytril. While the broiler industry, as it is known, views Baytril as "a valuable
medication that ought to be available," said Richard Lobb, spokesman for the National Chicken Council,
many big companies that sell chicken under their own labels to customers in supermarkets were
unwilling to publicly embrace the use of antibiotics. "It's not something we're up there banging away on"
in Congress, Lobb said.
Bayer and AHI pursued other avenues. AHI filed petitions with the FDA and the CDC under a new
business-friendly law, the Data Quality Act, seeking a "correction" of the information the agencies were
putting out about Baytril. And in 2002, AHI hired former senator Robert W. Kasten Jr. (R-Wis.), paying
him $75,000 a year to facilitate contacts with top officials at the Department of Health and Human
Services on the Baytril matter. The department was the FDA's parent and was then led by former
governor Tommy G. Thompson, a longtime Kasten political ally. AHI was "writing letters and not
getting answers back," Kasten said. He said he arranged meetings with "legal people around the
secretary" and may have mentioned the matter to Thompson. He also recalled at least one meeting with
Crawford, then number two at the FDA.
Separately, Bayer Healthcare hired lobbyist Wayne Valis to work with administration officials on the
validity of the government data on fluoroquinolones. Valis recalled setting up one or more meetings
with officials at the White House office that oversees regulatory issues, as well as with officials from the
FDA and several other agencies.
Bayer was unsuccessful in getting the corrections it sought from the FDA or the CDC, however, and in
March 2004, Davidson strongly backed the veterinary division's proposed ban in a 68-page decision. He
said the evidence "does not establish that the social and economic benefits [of this class of antibiotics]
outweigh the risks to public health." Davidson cited recent studies of bacteria in chicken showing
increased levels of drug resistance. A 1999-2000 sampling of retail meat in the Washington area also
mentioned in his ruling found that 35 percent of the suspect bacteria was resistant to Cipro-type drugs.
Cash amd Catfislh
By then, Bayer had already begun looking for help in Congress. Christopher Myrick, a lobbyist hired by
Bayer in early 2004, had a long-standing connection to Pickering. They both grew up in Jones County,
Miss., and their families knew each other well, attending church and school together, according to the
congressman's office. When Pickering - whose father was a federal judge and former state GOP
chairman - decided to run for a House seat in 1995, Myrick was one of his first contributors.
Myrick, a former Senate staff member, has been counsel to pharmaceutical giant Wyeth/American
Home Products Corp., and has held leadership posts on trade associations, including AHI, according to
his resume. In March 2004, he attended a small Pickering fundraiser for drug company representatives at
the 116 Club, a Capitol Hill favorite of southern lawmakers that serves home-style catfish on request,
along with chicken, dumplings and crab.
The event raised $11,000, Pickering spokesman Brian Perry said. Lobbyists for Merck, Pfizer, Abbott
5/4/05
Page 4 of5
Laboratories and Hoffinann-LaRoche chipped in, campaign finance records show. Myrick contributed
$1,000, and two partners in his lobbying firm, Larson, Dodd, Stewart & Myrick, donated to Pickering
then or later in the year. Myrick did not return a phone call seeking comment.
Bayer representatives met with Pickering's congressional staff on June 17 and 23, according to his
office. Perry identified the participants as Myrick and Julie Spagnoli, Bayer HealthCare's new chief
Washington representative. Bayer, he said, "produced verbiage" for the letter and "brought in a lot of the
material." "We put together a kit to educate members of the media on the issue. It's most likely that is
what she [Spagnoli] shared with them," said Walker, the spokesman for Bayer's Animal Health
Division. "But I must stress generation of the letter was not due to Bayer writing it."
Pickering's office said a senior House Democrat, Rep. Bobby R. Etheridge (N.C.), and members of the
House Agriculture Committee were given a chance to make changes. In all, 18 Republicans and eight
Democrats signed. Among them were the House's third-ranking Republican, Whip Roy D. Blunt (Mo.);
John A. Boehner (Ohio), second-ranking Republican on the Agriculture Committee; and Nathan Deal
(R-Ga.), who recently became chairman of the Energy and Commerce Committee's health panel.
9
Blunt's office explained his stance by saying, "The poultry industry is a $1.77 billion industry in
Missouri's 7th District, creating nearly 16,000 jobs for Congressman Blunt's constituents." Ten of the 26
signers, including Pickering, Etheridge and Blunt, received campaign contributions from Bayer's
political fund in 2003 and 2004.
Rep. Sherrod Brown (Ohio), ranking Democrat on the Energy and Commerce Committee health panel,
said he learned of it only when told about it in March.
The lawmakers, who did not mention either Bayer or Baytril by name, urged Crawford to "go the extra
mile" to ensure FDA action on fluoroquinolones was based on valid science. But last Aug. 17, the FDA
responded that the Code of Federal Regulations prohibited such contacts at that stage. The code,
however, specifies no criminal penalties.
9
In defending the decision to send the letter while Crawford was reviewing the case, Pickering's office
cited a 1970 advisory opinion of the House ethics committee saying a member may contact a federal
agency to "call for reconsideration of an administrative response which he believes is not supported by
established law, federal regulation or legislative intent." Lawyers specializing in ethics issues say
Congress's oversight duties give members considerable leeway to contact officials, but there are limits
during formal proceedings such as those the FDA is conducting. The House Ethics Manual states, "Since
1976, the Government in the Sunshine Act has prohibited anyone from making an ex parte
communication to an administrative agency decision-maker concerning the merits of an issue that is
subject to formal agency proceedings."
Such an intrusion amounts to "unfair and undue congressional interference in a judicial proceeding,"
said Stanley Brand, a former chief counsel of the House. Donald Kennedy, a former FDA commissioner,
said: "I never received any letters like that when I was in the position of making a quasi-judicial
decision, and should not have. It is clearly improper."
(By Dan Morgan and Marc Kaufman)
Coalition against BAYER-dangers (Germany)
www.CBGnetwork.org
CBGnetwork@aolcom
Fax: (+49)211-333 940 Tel: (+49)211-333 911
please send an e-mail for receiving the English newsletter Keycode BAYER free of charge.
German/ltalian/French/Spanish newsletters also available.
5/4/05
Page 5 of 5
Please support us. Our international campaigns are expensive to run. We receive no public support and depend
entirely on your donations.
Please send checks to: CBG, Postfach 15 04 18, 40081 Duesseldorf, Germany
or by bank transfer to bank account number 8016 533 000 at GLS Bank, Germany
sort code: 430 609 67
BIC/SWIFT Code: GENODEM1GLS (Bank Identifier Code)
IBAN: DE88 4306 0967 8016 5330 00 (International Bank Account Number)
Please note that bank transfers within Europe are usually no more costly than within your own country, if you
quote the BIC and IBAN
Advisory Board
Prof. Juergen Jungmger, designer, Krefeld,
Prof. Dr. Juergen Rochlitz, chemist, former member of the Bundestag, Burgwald
Wolfram Esche, attorney-at-law, Cologne
Dr. Sigrid Muller, pharmacologist, Bremen
Eva Bullmg-Schroeter, former member of the Bundestag, Ingolstadt
Prof. Dr. Anton Schneider, construction biologist, Neubeuern
Dorothee Sblle, theologian, Hamburg (died 2003)
Dr. Janis Schmelzer, historian, Berlin
Dr. Erika Abczynski, pediatrician, Dormagen
5/4/05
1
-mb mgrr ' " r--r?'
<D"s-exchanc!e@iists.kabissa.org>
Tmrscay, mne 02. 2C05 !t:28 AV
?SA-Exohange> a ns and crafts at the assembly
’ ?. 700.: region richindiger.ecus art and craft? in days past did travellers long for the handlooms of
7
country because they blazed with colour and life? Have the people of your region in possession
of a knowledge of eco-friendly alternatives tc a high-consumption lifestyle. Does your region have
craft collectives that are reviving indigeneous art and craft forms? Well then, bring your shawls.
Leads, sculptures and wall-hangings to Cuenca. Share the skills of your people with the world.
Bring samples of art and craft from your region that is distinctive to your region.
Bring a mobile exhibition or a video that shows the people and the story behind the craft
3 ring art and craft for sale
. Organize materials and resource persons for demonstrations at the assembly.o
Things to remember
o ooif you. are sel.ing crafts do remember to print some simple one or two page fliers
with a few pictures of your products, pricing information and the story behind your
ctsits.
o Avoid bringing food as there are restrictions about carrying food across borders.
'hariprem@eth.net
■? rm
"nisha Susan" <nisha@phmovement.org>
<pha-exchange@lists.kabissa.org>
Tuesday, May 31, 2005 1:14 PM
?HA-Exchange> Bring a pinch of harmony
s5.-?;:
- ■
; e pmdhi &■
roccgnitlcn of ths important role of traditional medicine Track Two of the Second People's Health Assembly in
Cuenca wiii focus on the Intercultural Encounters and Health. It is estimated that in Africa up to 80% of the
population use traditional medicine rar primary health care. Even in the industrialized First World where these
systems of medicine are called alternative 50% of the population are estimated to have used alternative medicine
al iaast once, “he provision of safe and effective traditional medicine is therefore a critical tool to increase access
tc health care.
multiple systems of medicine are thriving in Ecuador and a Harmony Point will be an important part of the
Assembly at Cuenca to promote holistic care (of even the delegates!) This desk will offer care by indigeneous
physicians and heaithworkers.
san do:
3 -Ing delegates who are practitioners of traditional medicine so that demonstrations and workshops can be
arranged.
2. : nng samples of indigenous medicine from your region for the exhibition of traditional medicine from
around the world.
3. t'lng special tools used to make indigenous medicine
4 “ ir e literature (posters, charts, leaflets, instructional manuals) on traditional healing practices from your
1
i SGion.
5.
Bring fiims/videos on traditional and indigenous systems of medicine.
Please note that if you are bringing herbs they need to be packaged as it may not be a good idea to carry
fresh herbs across borders.
For further enquiries please contact Dr.Hari John: harikumarijohn@yahoo.co.in
Warm regards,
rtisha Susan
5/31/05
Main Identity
"Claudio” <claudio@hcmc netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org>
Tuesday, August 02, 2005 7:37 AM
PHA-Exchange> International Conference: Creating Healthy Societiesthrough Inclusion and
Equity
From:
To:
Sent:
Subject:
i-’rom: Ruggiero. Mrs. Ana Lucia (WDC)
International Society for Equity in Health - ISEqH Fourth International Conference
September 11 to September 13, 2006 - Adelaide, Australia
The Conference Theme: Creating Healthy Societies through Inclusion and Equity
Website: http://www.iseqh.org/temp_conf2006.htm
In addition the conference will focus on two new topics, to encourage the presentation and discussion of
research and evaluation on the achievement of equity
«
aboriginal health, acknowledging the need to address the inequities experienced by many
indigenous communities; and
»
arts and equity in health, exploring ways to evaluate how working through the arts improves
social inclusion and enhances equity in health
Working Definitions
Equity in health: The absence of systematic and potentially remediable differences in one or more
aspects of health across populations or population groups defined socially, economically.
demographically, or geographically
Inequity in health: Systematic and potentially remediable differences in one or more aspects of health
across populations or population groups defined socially, economically, demographically, or
geographically
Equity (policy and actions): Active policy decisions and programmatic actions directed at improving
equity in health or in reducing or eliminating inequalities in health
Equity (research): Research to elucidate the genesis and characteristics of inequity in health for the
purpose of identifying factors amenable to policy decisions and programmatic actions to reduce or
eliminate inequities
Important Dates
Page 2 of 2
Submission of Abstracts
until March 1, 2006
Selection of Abstracts
by April 15, 2006
Early registration
until July 11,2006
Conference
September 11 to 13. 2006
Additional Information: International Society for Equity in Health
263 McCaul Street 4th floor
Toronto. Canada, M5T 1W7
email iseqh.info@utoronto.ca phone: +1-416-978-3763 fax +1-416- 946-3147
1/1/99
Page I of 3
Main Identity
From:
To:
Sent:
Subject:
"Jennifer Staple" <Jennifer.Staple@aya yale.edu>
<pha-exchange@lists.kabissa.org>
Friday, August 05, 2005 11'36 PM
PHA-Exchange> Final Call for Abstracts - International Healthconference
CALL FOR ABSTRACTS - Unite For Sight's 3rd Annual International Health Conference
"Empowering Communities to Bridge Health Divides"
ABSTRACT SUBMISSION DEADLINE: AUGUST 15
When. April 1-2. 2006
Where: Yale University. New Haven, Connecticut
Theme: "Empowering Communities to Bridge Health Divides"
W ho should attend? Anyone interested in medicine, health education, health promotion, public health.
international health, international service, or eye care
Conference Goal: To empower conference attendees to identify health needs and to develop solutions
to improve access to care for the medically underserved
How to Register - Early Bird Registration!
hup: 'ww w.uniteforsight.org/2006_annual_conference.php
Early Bird Registration Rate: $25 student rate; $30 for all others
How to Submit Abstract: http://www.uniteforsight.org/2006_conference_posters.php
Abstract Categories - Submission Deadline August 15
1. International Medicine and International Health
2. Public Health
3. Scientific Research
-I Advocacy and 1 lealth Policy
5. Nonprofits in Health
FEATURED SESSIONS - Additional Speakers To Be Announced
Keynote Address
"Environment. Behavior and Health: Societies Matter" Al Sommer, MD, Ml IS
The Health of Women and Children: A Global Overview
"Women's Health: A Global Overview, " Allan Rosenfield, MD
"Strengthening Community Capacity for Maternal, Newborn and Child Health," Charles MacCormack
"The (. 'hallenges of Pediatric AIDS in Africa - A Lesson in Hope and Humanity" Shaffiq Essajec,
BMBCh
Strategies in Global Health
"Global Health Governance in a Time of Rapid Change: Opportunities and Concerns" Derek Yach,
MBChB. MPH
"( 'ommunily Approaches to Achieve Global Health Goals. " Jacob Kumaresan. MD. MP! 1. Dr.PI I
Andre-Jacques Neusy, MD. DTM&H
Nora Groce. PhD
"Public-Private Partnership as a Strategy for Addressing Global Health Issues: Lessons Learned from
1/1/99
Page 2 ol'3
I he Meciizan Donation Program," Brenda Colatrella
Community Strategies to Improve Eye Care
"I inline on I 'ision 2020: the Right to Sight," Louis Pizzarello, MID
"Harriers to Eye Care: Results of Qualitat ive Research," Rosie Janiszewski. MS. CHES
llene Gipson. PhD
"Teaching the Teachers: Empowering Refugee Communities Through School-Based Education. " Valda
Ford. MPH. MS. RN
"(ommunil) Strategies To Improve Eye Care, " Satya B. Verma, OD, FAAO
Janet Leasher. OD. MP! 1
"I olunteer Optometric Services to Humanity Globalizing Eye Care" Harry I. Zeltzer, OD
"Strategic planning for trachoma control in nine endemic countries," A. Sam-Abbenyi, MD, MSc
Building Capacity' Through Surgical Eye Care
"Sustainable Surgical Eye Care Delivery. " Victoria Sheffield and John Barrows. MPH
I larry S. Brown. MD
"('hallenges and Successes ofSurgical Eye Care in Africa," Cathy Schanzer. MD
Refractive Error: From Needs To Eyeglass Empowerment
"Estimates of Functional Blindness and Impaired Vision Due To Uncorrected Refractive Error. " Brien
A. Holden. PhD. DSc. OAM
"('ommunily-Based, Self-Sustaining, Easy-to-Replicale InFOCUS Vision Stations: Helping to Meet and
Increasing Feedfor Primary Vision Care, Head-On" Ian B. Berger, M.D.. M.P.I I. Dr.Pl I
"Social Entrepreneurship and Presbyopia" Jordan Kassalow, OD. MPH
Joshua Silver. PhD
Glaucoma Angles and Approaches
"What is Glaucoma?" Robert Ritch, MD
"Glaucoma Care For The Medically Underserved in the U.S. "Martin Wand. MD
"Glaucoma Screening in a High Risk Population of New Haven. " Bruce Shields, MD
"Population Based Glaucoma Screening, Why Not To Do It," James Standefer. MD
Leon W. 1 lerndon, MD
Roger W. Martin
Vision Screening Strategics
Bruce Moore, OD
I rik Weissberg, OD
Vision and Clinical Research
Shachar Tauber, MD
"The Ethics Behind Clinical Research in Developing Nations." Matthew D. Paul. MD
Breakout Workshop Sessions
Cultural Competency
"Lessons from the Camps: Why You Should Not Hug the Monk and other Faux Pas, " Valda Ford. MPI I.
MS. RN
Best Practices: Microfinance's Role in Sustainable Development
Jordan Kassalow. OD. MPH
"Fonkoze: Providing Financial and Educational Services to Haiti's Poor" Sharmi Sobhan and Anne
1/1/99
Page 3 of 3
I Listings. PhD
Lessons from India: Health Outreach and Capacity Building
"Lok Swasthya .Sen a a Model Health Cooperative in Ahmedabad. India. " Chirag Shah. MD. MPII
Jacqueline de Chollet
Keith lauro
Clinical and Pubic Health Approaches to Eye Care
"l-'rom Eye Charts to Eye Clinics: Building Community Health Infrastructure," Sachin Jain. MD. MPI I
Candidate
". I I ision of Possibilities: Merging Clinical and Public Health Perspectives in Ocular Health. " Kohit
Ramchandani. MPH
"Eye Health Among Internally Displaced Persons in Northern Uganda: Restoring the Lost Hopes. "
Kenneth Daniel. MD Candidate
1/1/99
Page I of 2
Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam vn>
"pha-exchange" <pha-exchange@hsts.kabissa.org>
Wednesday, August 10, 2005 7.36 PM
PHA-Exchange> CLAUDIO Re: a new paradigm in public health research
> >.A new paradigm: Research for health and for life?
> >RI .SEARCHI IN SOCIAL MEDICINE AND PUBLIC HEALTH:
> >L Development is about people.
> >2. Each research project in these areas has to be judged by the criterion
of whether it serves the purposes of development —and this purpose is the
wellbeing of people who. for centuries or decades, have been marginalized.
> >3. The question that researchers are NOT asking is WHY a given problem is
given consideration for being researched.
> >4. Social and health problems require that we look al them from three
perspectives:
-scientifically (to find out what CAN be done):
-Ethically (to find out what SHOULD be done): and
-politically and ideologically (to determine what MUST be
done).
> >5.
- Science is (or purports to be) objective.
-Ethics is normative.
-Politics is pragmatic (.notice is taken of the difference
between
politics >and 'politiquing').
> >6.
-Science advances by observation and logical deduction.
-Ethics advances by reaching consensus through dialogue and
reflection.
-Politics advances promoting a consciousness-raising
dialogue.
> >7. Research in social medicine and public health must always be carried
out with a scientific, an ethical AND a social/political perspective and
thus
get involved in studying the factors that dis-empower and empower
marginalized populations and people.
Why? Because if we do not agree on the causes/determinants of
dis-empowerment of people it is impossible for us to agree on what actions
we need to pul forward and pursued.
8. "We find what we look for"
8/1 I/O5
Page 2 <>1'2
> >9. I hereforc. lor researchers io pursue/go after research funds available
in public health is to follow the ideology of those who make these funds
available. They are thus bound to 'find what the funders are looking for".
Claudio Schuftan. Ho Chi Minh City
claudio ii hcmc.netnam.vn
8/11/05
Page 1 of 4
Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org>
Wednesday. August 10, 2005 6 27 AM
PHA-Exchange> A Pilot E-Learning course on Strengthening theEssential Public Health
Functions
From: Ruggiero, Mrs. Ana Lucia (WDC)
Strengthening the Essential Public Health Functions
Course Code: HNP382-37-337
A PILOT E-LEARNING COURSE
APPLICATION DEADLINE: 15 September 2005
ORGANIZERS: The World Bank Institute and the Pan American Health Organization
Website
http7/wblnOOI 8. worldbank org/wbi/wbicatalogue nsf/vewExternalEvents/E1FDB31A5C65E9EE85257054004E3H
OpenDocument
Dates: From October 05, 2005 to February, 01, 2006
Cost: No Fees.
Delivery Mode: Fully Web-based/Fully Online-asynchronous (EL) Language. English
Hmmm!
Claudio
BACKGROUND OF THE COURSE:
At the UN Millennium Summit in September 2000, the 189 states of the United Nations reaffirmed their
commitment to work towards a world in which elimination
of poverty and sustainable development would have the highest priority. The World Bank and the Pan American
Health Organization (PAHO) along with numerous
organizations, are committed to an unprecedented global effort to work towards the Millennium Development
Goals (MDGs) as part of their corporate mandates
Since the Summit, it has become apparent that the achievement of the Millennium Development Goals (MDGs) is
at risk in many parts of the world Nearly over a
half of the targets and the MDGs directly or indirectly concern health and at present there are several alarming
trends in health indicators that need to be addressed in order to achieve the MDGs Moreover, poor health
contributes to declines in per capita income and productivity, ultimately undermining these countries? efforts to
reduce poverty
As the World Bank analysis of MDGs shows in the Health. Nutrition and Population Millennium Development
Goals,?Rising to the Challenges?, effective interventions exist, the challenge is to strengthen the health sector
through, stronger policies and institutions; improved household practices: improved service delivery, tackling of
human resources and pharmaceutical market constraints, sustainable financing and the strengthening of core
public health functions.
With regard to the latter, there is a growing consensus on the need to strengthen the public health capacity of
national health systems as an indispensable condition to attain, and more importantly, to sustain the health
MDGs. However, the consensus is broader in scope, as all nations, rich and poor, have to address health
challenges linked to their socio-epidemiologic and demographic profiles and trends, in a context of globalization
PAHO. in collaboration with the Centers for Disease Control and Prevention (CDC) and the Latin American
Center for Health Systems Research (CLAISS), developed a set of 11 Essential Public Health Functions that
captures the role of national health authorities in public health. An instrument was prepared to assess the
performance of these functions and further applied in 42 countries and territories in the Region of the Americas,
providing a rich experience and strong empirical basis for the development of specific plans of action
Similarly, the World Bank recognized the importance of embracing the principles and practices of public health
through a public health note and the adoption of a Poverty Reduction Strategy framework.
4?
To ensure the relevance and quality of its content and delivery, the e-learning course has been designed and
organized by leading experts in the fields of
public health and distance learning. Along with these technical content experts, the course designers have
•sA
7Z
he n v e
^P
u
Page 2 of 4
ensured that the course blends technical knowledge and policy relevance with the right mix of interactivity and
practical examples to stimulate the learner.
OBJECTIVES
The overall objective of the course is to develop leadership and competencies in the performance and
assessment of the Essential Public Health Functions
(EPHF). as a critical component in strengthening national capacity in public health.
At the end of the course participants will be able to
•
apply the conceptual framework that supports the Essential Public Health Functions (EPHF)
•
describe and analyze each of the EPHF in detail:
»
apply the methodology and diagnostic tools to assess and monitor the performance of the
EPHF at the national and sub-national levels;
»
design plans of action and strategies to strengthen public health functions and capacities
within a specific country context;
•
analyze the contribution of health systems and EPHF to achieve the MDG making use of the
provided framework:
•
employ strategies for encouraging participation of key stakeholders in achieving public health
objectives and reorienting health care services; and
°
identify health problems that require cross-sectoral strategies to address them
COURSE STRUCTURE
The course is structured around the 11 Essential Public Health Functions as identified by PAHO and will be
clustered in an introductory module and 3 tracks
Participants will be required to take the introductory module and the first track (basics and organization) and then
to choose one from the other two tracks (the strategy and policy track or the access and quality track).
Participants can also take all three tracks if they have the interest and availability to do so.
Required:
Introductory Module
Track 1: Basis and Organization
1 Health Situation Monitoring
2. Surveillance and Risk Control
3 Human Resource Development
4 Emergencies and Disasters
Choose either track 2 or track 3:
Track 2. Strategy and Policy
5. Policy Development
6 Regulation
7 Health Promotion
8 Research
Track 3: Access and Quality
9 Quality of Services
10 Equitable Access
11 Social Participation
12. Inter-sectoral Action for Health
COURSE FORMAT
You will take the pilot course entirely through the internet (World Wide Web). Upon acceptance as
participant you will be given a course ID and password, with which you will be able to access the
course site. The format of the course relies heavily on 'action learning' which means that you will be
required to actively participate in all online activities, which will mainly consist of reading the course
content and posting assignments and reacting to other participants' postings. As most of the weeks'
assignments are based on team work and joint products, it is imperative that you are able to log in
and work on the course regularly so that your team can effectively produce the team products, and
that you can adhere to deadlines. Active participation is required to qualify for receiving a completion
certificate.
Technical Requirements: Participation in the course requires an internet connection, the Internet
Explorer browser and the Acrobat Reader and Flash
Player (vs 6 or higher). More detailed technical requirements will be sent upon confirmation of
participation
8/10/05
Page 3 of 4
3 he working language of the course will be English Because of the nature of internet based learning
you will have to have good to excellent English writing skills, since all the communication within the
course will be in written format.
Since this is an e-learning course there will be no travel involved We require that you be able to set
aside 8 to 10 hours per week to devote to the training. It is important that you get your manager’s
approval for this time commitment prior to applying to this course. We advise spreading the workload
out over the week, working everyday on it for an hour or two, rather than doing it all in one day. This
will enable you to actively participate in all discussions and respond to your fellow participants'
postings in a timely manner and thus satisfying the completion requirements for this course
Given that the course is a first offering (a pilot), your feedback on the course will be used for future
improvement of the course
DURATION AND COURSE LOAD: Three tracks of 5, 4 and 4 weeks respectively - 8 to 10 hours per
week.
Participants are required to do the introductory module and Track 1 and either Track 2 OR Track 3.
See below for more information about the tracks.
DATES. TRACK 1 :October 5 - November 9 2005,
TRACK 2 November 23 • December 21 2005 and
TRACK 3: January 4 - February 1 2006
PARTICIPANTS: Technical cadres of Ministries of Health, mid-level policy makers, World Bank staff, PAHO and
WHO staff, other development agency and donor agency staff and other agents of change
REGIONS TARGETED: There will be 25 slots for participants from the Caribbean Community and Common
Market (CARICOM) region, the remainder of the 25 slots are open for participants from any region of the world
APPLICATIONS
On behalf of the course organizers, we take great pleasure in inviting you, or a member of your staff.
to participate in this event Please feel free to forward
this announcement io anyone you think might be interested to participate or nominate a participant
We would also like to invite you to nominate participants from countries you work with We are
particularly interested in receiving nominations from Ministries of Health, Finance/Planning,
Parliament, etc, as well as NGOs. private sector organizations, the donor community and others
working in this field. We encourage teams from each country to participate and collaborate in this
course
Please apply online for this offering at.
http //wblnOOl 8, worldbank.org/wbi/wbicatalogue. nsf/ExtApp?OpenForm&code=HNP382-37337&trail=ByDate
(Make sure you copy the entire URL in your browser, starting from “http" to "ByDate'')
If you have problems locating the electronic application form, please send an email to
jhmdriks@worldbank.org Upon acceptance you will receive information
how to log on to the course.
FEES
For this pilot only there will be no fees.
For any other information contact Jo Hindriks at jhindriks@worldbank.org
LANGUAGE: English only
GENERAL COURSE CONTACT: Jo Hindriks atjhindriks@worldbank.org
APPLY: Please go to the online application form at:
8/10/05
Page 4 of 4
This message from the Pan American Health Organization. PAHO/WHO. is part of an effort to disseminate
information Related to: Equity. Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials. Gender. Violence: Poverty. Health Economics. Health Legislation. Ethnicity. Ethics:
Information Technology - Virtual libraries; Research & Science issues [DDZIKM Area]
"Materials provided in this electronic list are provided "as is".Unless expressly stated otherwise. the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members’
PAHO/WHO Website: http://wvw.paho.org/
EQUITY List - Archives - Jom/remove http.//listserv.paho.org/Archives/equidad html
8/10/05
Page I of 3
Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@Iists.kabissa.org>
Thursday, August 11, 2005 7:55 AM
PHA-Exchange> Bellagio Conference on International Nurse Migration
Krom: Ruggiero. Mrs. Ana Lucia (WDC)
Bellagio Conference on
International Nurse Migration
This project from AcademyHealth also interfaced with other ongoing international initiatives concerned with
migration, such as the Joint Learning Initiative and the new U.N Commission on Migration. Sponsors included:
Rockefeller Foundation, Nuffield Trust, Canadian Nursing Association, Canadian Health Services Research
Foundation and the Agency for Healthcare Research and Quality.
Bellagio. July 5-10, 2005
Website http://www.academyhealth.org/international/nursemigration/recommendations.htm
Nursing shortages in the United States, Canada. United Kingdom and many other developed
countries, have become a global problem. In recent years, provider organizations in developed
countries have been actively recruiting nurses from English-speaking countries. With an expected
shortage of 270.000 nurses in the U.S. by the year 2010. the potential impact of private sector
recruitment of nurses on health systems in poor countries, especially those that are small, is
devastating While some supply countries, such the Philippines and India, have traditionally promoted
emigration of professionals to generate remittances most now view the recruitment of nurses as a
looming threat The greatest damage however, will be in the countries with high burden of HIV/AIDS,
such as the Sub Saharan African countries, where a stable health workforce a prerequisite for any
effective aid efforts
For the first phase of this project, nine case studies, three from developed countries and six from
developing countries, were commissioned. Researchers gathered data on the existing stocks of
nurses, as well as the inflow and the outflow from the professional and their countries They also
performed a stakeholder analysis of the interests and viewpoints of multiple sectors within their
countries in relation to this issue. The nine teams then met in July 2005. together with representatives
from major international agencies, to deliberate three questions'
1) What are the continuing information gaps that need to be addressed in order to inform policy?
2) What domestic policies that address the flow of nurses in both rich and poor countries are
politically feasible?
3) What is the potential for international agreements on the recruitment of nurses?
The project also interfaced with other ongoing international initiatives concerned with migration, such
as the Joint Learning Initiative and the new U N. Commission on Migration Sponsors include
Rockefeller Foundation, Nuffield Trust, Canadian Nursing Association, Canadian Health Services
Research Foundation and the Agency for Healthcare Research and Quality
Recommendations developed at the Bellagio meeting, power point presentations, a participant list
and a photograph of the group may be found below
Recommendations
Presentations:
United Kingdom: Jim Buchan, Professor, Queen Margaret University College, Scotland
'^PowerPoint Slides | ffipDF Handout of Slides
P FF H
? OV-)
8/1 1/05
Page 2 of 3
Sub-Saharan Africa Synthesis: Delanyo Dovofo, Independent Consultant
^PowerPoint Slides | ®PDF Handout of Slides
India Binod Khadria. Professor of Economics. Zakir Husain Centre for Educational Studies,
Jawaharlal Nehru University
cLlPowerPoint Slides | W1PDF Handout of Slides
Commonwealth Policies Peggy Vidot. Chief Programme Officer. Health Section, Social
Transformation Programmes Division. Commonwealth Secretariat
■jJPowerPoint Slides | ffiPDF Handout of Slides
United States. Linda Aiken, Professor and Director, Center for Health Outcomes and Policy
Research, University of Pennsylvania
^PowerPoint Slides | ®PDF Handout of Slides
Canada: Lisa Little Health Human Resources Consultant Manager, HHR Component, Canadian
Nurse Practitioner Initiative,Canadian Nurses Association
^PowerPoint Slides | 'EpDF Handout of Slides
Jamaica Jean Yan, Chief Scientist Nursing and Midwifery, EIP/HRH, World Health Organization
'•LJPowerPoint Slides | ®PDF Handout of Slides
Caribbean Review Marla Salmon. Dean and Professor, Nell Hodgson Woodruff School of Nursing
Director. Lillian Carter Center for International Nursing, Emory University
‘^PowerPoint Slides | ®PDF Handout of Slides
Philippines: Marilyn Elgado-Lorenzo Director, Institute of Health Policy and Development Studies
National Institutes of Health-Philippmes, University of the Philippines. Manila
“/^PowerPoint Slides | ffipDF Handout of Slides
China: Zack Fang, Consultant, Health Administration Program. Washington University. School of
Medicine. Vice President. Corporate Development
First Call Team, Inc
^PowerPoint Slides | ®PDF Handout of Slides
WHO Stakeholders Meeting on Nurses' and Midwives' Contributions to MDGs: Jean Yan. Chief
Scientist Nursing and Midwifery, EIP/HRH, World Health Organization
“L] PowerPoint Slides | ®PDF Handout of Slides
Joint Learning Initiative: Kim Beazor, Chief Operating Officer. The Nuffield Trust
'iJpowerPoint Slides | ®PDF Handout of Slides
8/11/05
Page 1 of 1
ravi narayan
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"Ravi Narayan" <ravi@phmovement.org>
Saturday, October 01,2005 9:55 AM
Claudio on his 60th birthday
Dear Ravi,
This is to again thank you and the whole team for the terrific job you did. PHM is light years from where it was
when you took over.
I am looking forward to the 12 briefs which put the finger right on the key issues for the imediate future.
I have not succeeded to get the list of emails from PHA2 attendees from Abraham after like 3 emails. Who
can I ask for it? I need to put these people up in pha-exch! Pls advise.
Page 1 oT1
Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa org>
Friday, September 16, 2005 4:59 PM
PHA-Exchange> on PAHO's new PHC policy
From: David Werner
Dear Dr Maria Magdalena Herrera,
Thank you for sending us the draft of the Primary Health Care Renewal statement drafted by the Pan American
Health Organization. Overall I think it is excellent. It delights me to see PAHO taking action to restore and
revitalize Primary Health Care, with emphasis on the Comprehensive rather than Selective approach, and with
a stronger focus on Health as a Human Right. I am glad to see that stress is placed on the underlying "man
made” causes of poor health which lie outside the health sector, including poverty, poorly regulated economic
globalization, and lack of participatory democratic process. The undermining of the UN by the United States is
surely another contributing factor.
I would, however, like to see more detailed analysis, and exploration of strategies for change, in relation to
these sociopolitical and macro-economic causes of poor health, rather than talking in such vague (and therefore
probably ineffective) terms. This "politically safe" shying away from detailed analysis and the need for regulatory
measures with teeth on both the national and global scale, is one of the reasons that Comprehensive PHC never
got off the ground.
By the same token, in the PHC Renewal statement most of the talk of the need for "greater equity" is limited to
health services. However the area where greater equity is most important for the health of the most vulnerable
populations lies in the arena of global trade and macro-economic policies. Achieving greater equity in this area
will requires strong international regulations, with a restructuring of the World Bank, IMF, and WTO so as to make
these powerful bodies more responsive to human and environmental needs, and less beholden to the corporate
"growth at all costs" agenda. These measures need to be spelled out clearly, with proposals of how "Health as a
Human Right" can be used as a political tool to mobilize action for change - i.e.the step by step transformation
of our unhealthy and unsustainable macro-economic system Short of progress toward such far-reaching
structural change, Primary Health Care Renewal, as well as the watered-down "Health for at least a few more" by
the year 2015 (the MDGs), will go the way of Health for all by the Year 2000.
Good luck. You'll need it it's an uphill battle!
But the Primary Health Care Renewal statement is a good start. Have courage!
Sincerely,
David Werner
The document in question is available from healthwrights
healthvvrights@igc.org
PHA-Exchange is hosted on Kabissa - Space for change in Africa
To post, write to: PHA-Exchange@lists.kabissa.org
Website: http://lists.kabissa.org/mailman/listinfo/pha-exchange
9/19/05
Page I of 2
Main Identity
From:
To:
Cc:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa org>
<afro-nets@healthnet.org>
Wednesday, September 14, 2005 5:39 PM
PHA-Exchange> Population Challenges and Development Goals
Population Challenges and Development Goals
Department of Economic and Social Affairs, United Nations 2005
Available online as PDF file [70p ] at:
http://www un.org/esa/population/publications/pop_challenges/Population_Challenges pdf
World population reached 6.5 billion in 2005 But considerable diversity in population size and growth lies
behind this number. The population of many countries,
particularly those in Africa and Asia, will increase greatly in the coming decades In contrast, owing to
below-replacement fertility levels, some developed countries are expected to experience significant
population decline.
Half the world's population is expected to live in urban areas by 2007. The number of very large urban
agglomerations is increasing. Nonetheless, about half of all urban-dwellers live in small settlements with
fewer than 500,000 inhabitants. In addition to becoming more urban, the world population is also
becoming older and the proportion of older persons is expected to continue rising well into the twenty-first
century.. ..”
Content:
Introduction
Part One - WORLD DEMOGRAPHIC TRENDS
I. Population size and growth
II Urbanization and city growth
III. Population ageing
IV. Fertility and contraception.
V. Mortality, including HIV/AIDS
VI. International migration
VII. Population policies
VIII. Conclusions to part one
Part Two - ACHIEVING THE INTERNATIONALLY AGREED DEVELOPMENT GOALS
IX Population trends relevant for development
X. Importance of human rights
XI. Achieving sustainable development and ensuring environmental sustainability
XII. Eradication of poverty
XIII. Reduction of hunger
XIV. Achievement of universal primary education
XV. Gender equality and the empowerment of women.
XVI. Improvement of health
XVII. Challenges ofchanging population and age distributions
XVIII. Developing a global partnership for development
XIX Conclusions to part two
i~ c
9/19/05
Page 1 of 2
Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org>
Sunday, September 04, 2005 10'08 AM
PHA-Exchange> Food for a soul searching thought
Human Rights Reader 118
WOULD YOU CONSIDER YOURSELF TO BE (AT LEAST PART-TIME) A
HEALTH AND HUMAN RIGHTS ACTIVIST?: A VERY INFORMAL AND
TENTATIVE QUIZZ. (*
)
Going through the following questions may give you a clue...
Do you engage in any of the following?:
• Advancing people’s health rights, be it in Primary Health Care, in patients rights
or in equitable access to treatment?
• Having employers’ taking responsibility to protect workers’ health?
• Resisting and opposing the known damaging health impacts of globalization?
• Resisting moves towards privatization of essential health services?
• Protecting the rights of people living with HIV and AIDS?
Do you contribute to bring power to the people through any of the following?:
• Strengthening people’s voices in decision-making through organizing and uniting
beneficiaries and through building their political consciousness?
• Promoting a vision of health guided by goals for Health For All as a right?
• Challenging the current paths of globalization by engaging in the struggles over
trade policies (e.g., GATS, TRIPS) and over global policies and practices affecting
the health of the poor?
• Advancing health rights at the national political level and directly engaging on
health issues at the local level?
•
•
•
•
•
•
Advancing health by participating in the struggles over income and employment,
food security, poverty and discrimination?
Supporting the informal economy as an important income generator for the poor?
Denouncing the negative impact of corporate practices and commercial interests in
health?
Denouncing the privatization attempts of essential public services (water, sanitation,
health care, electricity) and the lack of access of the poor to the same public services?
Denouncing public-private partnerships that give undue weight to the private sector
in decision-making in the public domain?
Advocating for grater real beneficiaries’ participation thus fostering greater
transparency and accountability in the decision-making over the use of resources for
9/5/05
Page 2 of 2
health?
Do you directly engage yourself in health issues in the interest of equity, justice and
health rights:
• By getting involved in the struggle over equity in general and over gender equality
in particular, especially in response to the HIV and AIDS pandemic (including
access to treatment, home care and ancillary services)?
• By demanding trans-national corporate responsibility in regards to health and
nutrition issues and to safe working conditions worldwide?
• By monitoring and denouncing injustices in the distribution, migration of and
investment in health workers and in the protection of their working conditions?
• By demanding greater investment in the public sector health services?
• By supporting thre incorporation of traditional health services into PHC?
• By struggling for universal access to quality health care and to PHC?
• By getting involved in the protection of poor households from inequitable cost
burdens related to their health and health care?
• By actively promoting public literacy in health, in health systems and in treatment
alternatives?
Do you regularly get involved in discussions with health workers, traditional health
workers, rural, urban and minority civil society members and with labor unions in
processes related to health and welfare?
Do you work with others in fostering a unified and shared analysis that can lead to shared
goals and strategies in the area of health as a right?
Do you get involved in strategies and campaigns related to all the above, and in building
common tactical platforms by identifying key common opportunities and critical
constraints, as well as major strategic allies and opponents?
Does whatever you do of the above lead to agreements on mechanisms and actions to:
Strengthen linkages and build networks?
Empower beneficiaries?
Encourage the sharing of resources? and
Prioritize solidarity action?
(*):
This quiz is to be graded by each of you in private consultation with your own self.
9/5/05
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Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org>
Tuesday, September 06, 2005 9:21 AM
PHA-Exchange> Key issues guide on service delivery indifficultenvironments
From: "Ingrid Young" <1.YoiLng@ids.ac.uk>
> New HRC/Eldis key issues guide on service delivery in difficult
> Environments
> The HRC/Eldis Health Systems Resource Guide has recently
> launched a new feature.
> 500 million people, including around 200 million people living
> in extreme poverty, live in countries that have been categorised
> as difficult environments, poor performing countries, fragile
> states, or failed states. The international community has in> creasingly recognised the human cost of not engaging with these
> countries and that new approaches are needed to meet the needs
> of poor people in these environments. However, most analyses on
> how to address the basic quality of life of poor people say very
> little about the most effective aid instruments and channels
> that support basic social services for the poor.
> This HRC/ELDIS key issues guide provides an in-depth exploration
> of service delivery in fragile states and other difficult envi> ronments. Produced in collaboration with subject experts and
> drawing heavily on country case studies, it explores major prob> lems in delivering services that benefit the poor, reviews evi> dence, and outlines policy and operational recommendations to
> help improve donor interventions. Access the guide at:
> http://www.eldis.org/healthsystems/sdde/index.htm
> Ingrid Young
> DFID Health Resource Centre
> Institute of Development Studies
> at the University of Sussex,
> http://www.eldis.org/hivaids/
> http://www.eldis.org/healthsystems/
> http://www.eldis.org/liealth/
9/6/05
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Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa org>
Monday, August 15, 2005 8:50 AM
PHA-Exchange> Food for a capital thought (4)
From: "Caleb Otto" <calebotto@yahoo.com>
Thanks. Caleb. 1 have a few comments in Upper Case.
Cordially.
Claudio
Thanks for sharing such food for thought and ammunition for our work. I
have read all comments with great interest as 1 am trying to learn more
about issues of Human Rights, poverty alleviation or elimination and other
social issues, including politics of distribution of resources.
Recently I saw or heard a commentary on the
dimishing base of'political capital' of Mr. Bush, the
US President. Such thinking leads me to agree with
Theodore MacDonald, that advancing the issue of HR
as a form of capital might be misleading and even
harmful. I BEG TO DISAGREE.
1 am saying this because:
(1) While I agree that HR is usually 'accumulated'
over time and in various amounts or at different
levels, this is where the harm could be done -1
believe that HR is so essential that it should not be
viewed or advanced as something that can be
distributed in pieces (while this may be the reality,
it is not what it is supposed to be and should,
therefore, not be advocated or advanced as such). IN OUR SOCIETIES, THE
RIGHTLESS DO ACQUIRE THEIR RIGHTS BY STRUGGLE, i.e., BY PROGRESSIVELY
CLAIMIMG THEIR RIGHTS AND SUCCEDING, IN A DIALECTICAL POWER STRUGGLE.
THAT
IS WHY HR ARE ACQUIRED "IN PIECES". YOU ARE RIGHT: THIS IS NOT WHAT IT IS
SUPPOSED TO BE, BUT IT IS "THE REALITY" AS YOU SAY.
(2) HR are not like a political power which can have a
minimum base that is effective. I AM AFRAID, IN THE REAL WORLD, THEY ARE A
POLI TICAL CAPITAL AND THUS TRANSLATE INTO POWER.
Every single person is born with all of his/her HR intact, and it is for
the society to protect it from become fragmented (OR DENIED),
rather than to put the pieces together from the start. NOT EVERYBODY AGREES
WITH THE FIRST PART OF YOUR STATEMENT, SO. THRU INTENSE SOCIAL MOBILIZATIN
OF CLAIM HOLDERS. WE HAVE TO "PUT THE PIECES TOGETHER". IT IS OUR DUTY AS HR
ACTIVISTS.
Thanks for the opportunity to participate in the discussion.
Caleb Otto
8/16/05
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Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org>
Friday, August 12, 2005 7:43 AM
PHA-Exchange> The media and their control
Lauric Garrett, the only reporter to win all three ofjournalism's big "P
awards (the Peabody, the
Polk and the Pulitzer). The author of two major public health books,
Betrayal of Trust and The Coming Plague:
Newly Emerging Diseases in a World out of Balance, she was a science
correspondent at National
Public Radio before joining the science-writing staff of Newsday in 1988.
Garrett resigned from Newsday earlier this year after winning the paper both
the Polk and Peabody
awards. She cited a deteriorating climate for journalism: "All across
America, she wrote, "news
organizations have been devoured by massive corporations — and allegiance
to stockholders, the
drive for higher share prices, and push for larger dividend returns trumps
everything that the
grunts in the newsrooms consider their missions."
Specifically, the newsroom conditions that allowed her to
travel to Africa and India to report on AIDS, or take six months to report
from the former Soviet
Union, no longer existed. "A 32-part series on the collapse of public health
in the former Soviet
Union?" she said. "I don't know any institution today that would publish
that."
Today. Garrett is Senior Fellow for Global Health at the Council on Foreign
Relations. Her story'
"The Next Pandemic?" was published in the July/August issue of Foreign
Affairs, the Council's
bi-monthly magazine.
8/12/05
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
"mohammad ali barzgar" <rn_barzgar@hotmail.corn>
<secretariat@phmovement org>
Sunday, October 09, 2005 12:59 AM
CONDOLENCE FOR THE LOSS OF LIFE BY EARTHQUAKE
Dear Ravi,
1 was shocked to hear the tragedic news of Earthquake of India,Pakistan and
Afghanistan.On behalf of my colleagues in PHM of Iran and my own behalf I
condole the great people of India specially our friends in PHM ,and the
Government of India for the loss of life and devastation caused by the
quake.I am sure the great people of India with the support from theire
government and civil societies will reconstruct the devastation.In the
meantime we expect from international communities and friendly countries
show theire sympathy and solidarity in such a difficult time. With deep
sarrow and sympathy.Dr.M.A.Barzegar,PHM Iran.
•______________ __ ____________
pA1"4
> Yahoo! for Good
> Click here to donate to the Hurricane Katrina relief effort.
Express yourself instantly with MSN Messenger! Download today it's FREE!
http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/
10/10/05
Page 1 of 1
ravi narayan
From:
To:
Sent:
Subject:
"Passanna" <passanna@haiap.org>
<Undisclosed-Recipient: ;@host334.ipowerweb.com>
Monday, October 10, 2005 10:03 AM
Earthquake
Dear All.
We are hoping against hope that this email will find all of you and your family are safe. Our thoughts
are with you in these very difficult days.
Wishing you more and more courage,
Passanna and the rest at HAIAP
10/10/05
Page 1 of 1
Main Identity
From:
To:
Cc:
Sent:
Subject:
"Pam Zinkin" <pamzinkin@gn.apc.org>
<PHM_Steering_Group_02-03@yahoogroups.com>
'"Alexis Benos'" <benos@med.auth.gr>
Friday, October 07, 2005 5:22 AM
RE: [PHM_Steering_Group_02-03] Two comments for consideration
Just to say that Aliexis Benos email is benos@med.auth.gr
He is the PHM Europe person chosen at the PHA2 and I am just there for support during the handover but also I
am continuing with keeping track of the translations etc.
Pam
From: PHM_Steering_Group_02-03@yahoogroups.com [mailto:PHM_Steering_Group_02-03@yahoogroups.com]
On Behalf Of PHM - Secretariat
Sent: 06 October 2005 13:58
To: PHM_Steering_Group_02-03@yahoogroups.com
Subject: Re: [PHM_Steering_Group_02-03] Two comments for consideration
Dear Fran. Maria and friends,
10/7/05
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
"Dr.Dabade" <drdabade@sancharnet.in>
"cehatpun" <cehatpun@vsnl.com>, <pha-ncc@yahoogroups.com>
Monday, October 10, 2005 7:04 PM
Re: [pha-ncc] NRHM PPP concept note
Dear All,
I was just wondring what the person from Germany of GTZ doing in PPP? (Dr. J. P. Steinmann, GTZ). Is GTZ
a donor?. The other person is from EC. (Ms. Frederika Meijer), EC Is EC European Community. Does it
represent the European Union?
More on hearing from you.
Best wishes
GOPAL
10/11/05
Page 1 of 2
ravi narayan
From:
To:
Cc:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"Fran Baum" <fran.baum@flinders edu.au>
"Ravi Narayan" <ravi@phmovement.org>
Tuesday, October 18, 2005 10:44 AM
Launch of the UCL International Institute for Society and Health and IHMEC/Lancet Lecture 2005
International Institute for Society and Health
Michael Marmot, Malcolm Grant, Department of Epidemiology and Public Health, University College London. UK
Richard Horton, Editor of The Lancet, London, UK
The Lancet 2005; 366:1339-1340 - DOI:10.1016/S0140-6736(05)67545-9
Website http://www.thelancet.com/iournals/lancet/article/PIIS01406736Q5675459/fulltext
[Free subscription]
“
The number of funds and foundations, charities, and non-governmental organisations devoted to
global health has expanded dramatically in recent years. This pluralist expression of commitment to the
neglected diseases of poverty is one of the surprising benefits of globalisation. It reflects a widened
circumference of concern about the world's peoples. And it comes at a time of heightened anxiety about
not only our failures to deliver on promises to achieve international development goals, but also the
worsening environment in which we might make good on those promises. AIDS, wars, terrorism, and
natural disasters are combining to slow progress to barely perceptible levels. Now more than ever, we
need new thinking to provoke us and reliable evidence to guide us through the shared predicaments we
face Universities should be leading this work. In no area is this clearer than in health .. ."
"
University College London is, this week, launching its UCL International Institute for Society and
Health (IISH). The institute is founded on the assumption that understanding and solutions to globalhealth problems need to be based both on best biomedical science and best social science. IISH is,
therefore, an interdisciplinary collaboration of economists, anthropologists, sociologists, urban planners,
and scientists working in maternal and child health, cardiovascular disease, infectious disease, and
ageing. . "
Launch of the UCL International Institute for Society and Health and IHMEC/Lancet Lecture 2005
Website. http://www.ihmec.ucl.ac.uk/events/Lee/Leedetails.htm
UCL International Institute for Society and Health
The International Institute for Society and Health (IISH) is a unique interdisciplinary collaboration of
leading academics working on health and society in a global context. Its aim is to conduct research, to
review evidence, to advocate, and to develop action for improving the health of populations globally, in
developed and less developed countries. Its mission is to take action on the social determinants of health,
to provide solutions to global health problems, and to improve the health and well being of all, especially
the poorest.
The Institute will link UCL's strengths in biotechnology and medicine with the humanities and social
sciences, in order to tackle the problems of global health and will be guided by the core values of Social
Justice, Sustainable Human Development and Global Commitment.
International Health and Medical Education Centre/Lancet Lecture 2005
“. . This year the annual IHMEC/Lancet lecture was given by Professor Daniel Kahneman, Nobel Prize
winner 2002, speaking on 'Progress in the Study of Well-being'.
An interdisciplinary conversation has been held for several decades, concerning the nature of well-being,
approaches to its measurement, its relation to health and its distribution across social classes and over
continents. The pace of this conversation has picked up considerably in recent years and its main
10/18/05
Page 2 of 2
character has changed as economists joined it. The lecture will present a view of the main issues that are
currently debated and describe some recent developments in the measurement of well-being and misery.
Following the lecture there was a discussion between Professor Kahneman and Richard Horton, Editor of
the Lancet, exploring the international health dimensions of Daniel Kahneman's research.
Professor Kahneman is Professor of Public Affairs at the Woodrow Wilson School of Public and
International Affairs at Princeton University. He was awarded the 2002 Nobel Prize in economic sciences
for "having integrated insights from psychological research into economic science, especially concerning
human judgement and decision making under uncertainty".
Kahneman's work, it's said, has laid the foundation for a new field of research by discovering how human
judgement may take shortcuts that systematically depart from basic principles of probability
"
10/18/05
Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa org>
Saturday, October 15, 2005 3.54 PM
PHA-Exchange> giving money rather than food or other kinds of aid
From: "Rosemary Cairns" <rosemary. Icairns<T.Community.Royal Roads. ca>
> You may want to have a look at the Humanitarian Practice Network
> Paper entitled "Cash relief in a contested area: lessons from
> Somalia", written by Began Ali, Fanta Toure and Tilleke Kiewied.
> It is HPN Network paper number 40. published March 2005. I he HPN
> website is http://www.odihpn.org
> " I he paper concludes that, even in areas of political instabil> ity. cash relief can be an effective and viable alternative.
> There can be no 'blueprint' for the use ofcash across all emer> gencies and in all circumstances. However, evidence is growing
> to suggest that, where circumstances arc amenable, there is
> scope for increasing the use ofcash as an instrument in humani> tarian response." (From HPN website)
> Several other papers discuss the idea of distributing cash
> rather than aid. or outline projects where this has been done.
> but I don't have details handy at the moment. I will look for
them and post them later, if anyone is interested.
PI lA-Fxchange is hosted on Kabissa - Space for change in Africa
To post, write to: PHA-F.xchange@lisls.kabissa.org
Website: http://lists.kabissa.org/mailman/listinfo/pha-exchange
i il I
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org >
Friday, October 14, 2005 7:28 PM
PHA-Exchange> Why Did The Poorest Countries Fail to Catch Up?
From: Ruggiero, Mrs. Ana Lucia (WDC)
Why Did The Poorest Countries Fail to Catch Up?
Branko Milanovic is lead economist in the World Bank Research Department
Carnegie Endowment for International Peace, November 2005
Available online as PDF file [38p.] at: http://www.-carn_egieendowment,org/files/CP62,Milanpvic.FINAL.pdf
"....... DURING THE PAST TWENTY YEARS, THE POOREST COUNTRIES of the world have fallen
further behind the middle-income and rich countries. The median per capita growth of the poorest
countries was zero. This is an unexpected outcome because, from the perspective of economic theory,
both globalization and economic-policy convergence imply that poor countries should grow faster than the
rich.
The main reasons why this has not happened lie in poor countries' much greater likelihood of being
involved in wars and civil conflicts. This factor alone accounts for an income loss of about 40 percent over
twenty years. Slower reforms in poor countries compared with faster reforms in middle income countries
played some, albeit a minimal, role. Increased flows from multilateral lenders did not help either because
the net effect of the flows on growth rates is estimated to have been zero.
Finally, neither democratization nor better educational attainment of the population can be shown to have
had any notable positive impact on poor countries’ growth. Reducing the prevalence of conflict seems to
be the first and most important step toward restoring growth.
PHA-Exchange is hosted on Kabissa - Space for change in Africa
To post, write to: PF1A-Exchange@lists.kabissa.org
Website: http://lists.kabissa.org/mailman/listinfo/pha-exchange
10/17/05
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
_____________
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org>
Sunday, October 09, 2005 10:52 AM
PHA-Exchange> hanging Social Institutions to Improve the Status ofWomen in Developing
Countries
From: Ruggiero, Mrs. Ana Lucia (WDC)
Changing Social Institutions to Improve the Status ofWomen in Developing Countries
Johannes Jutting and Christian Morrisson
Organisation for Economic Co-operation and Development (OECD) POLICY BRIEF No. 27 - 2005
Available online at: http://www.oecd.org/dataoecd/24/32/35155725 pdf
" To address gender inequality in a country properly requires knowledge of the sources and the depth
of discrimination. Valid indicators that capture various aspects of gender inequality are indispensable for
informed policy making. The existing indicators tend to focus on gender disparities related to access to
education, health care, political representation, earnings or income and so forth.
The aggregate indices that have received the most attention are the UNDP's Gender Development Index
(GDI) and the Gender Empowerment Measure (GEM) The UNDP’s Human Development Reports cover
both regularly for individual countries The GDI is an unweighted average of three indices that measure
gender differences in terms of life expectancy at birth, gross enrolment and literacy rates and earned
income. The GEM is an unweighted average of three other variables reflecting the importance of women
in society. They include the percentage ofwomen in parliament, the male/female ratio among
administrators, managers and professional and technical workers, and the female/male GDP per capita
ratio calculated from female and male shares of earned income.
Both of these indices have a fundamental problem. They measure the results of gender discrimination
rather than attempt to understand its underlying causes. The school enrolment ratio and the percentage
of women among managers, for example, are useful in comparing different country situations, but neither
explains why these differences arise. They ignore the institutional frameworks that govern the behaviour
of people and hence the treatment ofwomen. In most developing countries, especially poor ones, cultural
practices, traditions, customs and social norms hold the keys to understanding the roots of gender
*
discrimination...."
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10/10/05
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Main Identity
From:
To:
Sent:
Subject:
"Claudio" <claudio@hcmc.netnam.vn>
"pha-exchange" <pha-exchange@lists.kabissa.org>
Wednesday, October 19, 2005 8:59 AM
PHA-Exchange> Transparency International Corruption Perceptions Indexis out today
From: RKoppenleimei@bonline.de
The Transparency International Corruption Perceptions Index is out today
(8:30 GMT). The complete data and explanatory material is available at
http://www.ICGG.orq
■ ■
Passau University, 18 October 2005:
The new CPI index is out today: and
judging from history, there will soon be a wave of international
anti-corruption investigations based on its work.
In the past ten years the CPI has caused over ninety high-profile
investigations around the world.
The unequivocal message from these
investigations: corruption is disastrous to societies. The very people who
deserve our help are the most victimized: the honest, the poor and the
powerless. The honest are deprived because they do not participate in the
shady deals; the poor are worse off because they cannot afford the costly
bribes; the powerless are victimized because they cannot escape the
extortionate demands of a greedy environment.
The CPI has become an important tool in fighting corruption.
It has placed
the fight against corruption firmly on the public agenda.
It has helped
spark major legislative reform. And it has helped change the popular
perception that corruption was always "someone else's problem": Firms point
to politicians as causing corruption; politicians mention unscrupulous
private interests as being at the core of the problem; rich countries
delegate responsibility to corrupt leaders of less developed countries; for
poor countries the problem rests with bribe-willing multinationals. By
putting countries in an integrity-league the CPI provides a simple
sports-like logic. Whatever one may think about other countries in the
league, one's home country is placed in a sequence of countries rather than
being on top by force of xenophobic prejudice.
International investors also dislike countries perceived to be corrupt,
fearing arbitrary decision making and a poor protection -of their property.
Countries with a higher score in the CPI, to the contrary, suffer less from
capital flight and are preferred as safe havens. According to recent
research, if a country were to improve its score in the CPI by 1 point (out
of 10), foreign direct investment would increase by 15 percent.
Here is the bad news:
the following countries, some of them very
high-income, have deteriorated in the CPI since 1995. A reduction in the
score (in descending order of significance) was observed in Poland,
Argentina, Philippines, Zimbabwe, Canada, Indonesia, Ireland, Malaysia,
Israel, Slovenia, Czech Republic, United Kingdom and Venezuela.
Prosperity is no guarantee against corruption. This is best seen in the
oil-rich countries, scoring poorly in the CPI. For example, this year, for
the first time, Equatorial Guinea enters the index. Its recent boom in oil
extraction contrasts to its 152 position in the CPI, one of the lowest this
year. This underpins that high income from natural resources produces ample
10/19/05
Page 2 of 2
opportunities for corruption, rather than helping development.
But there is hope. Corruption is not a fate. It prospers where business,
society and politics turn a blind eye to its damaging effects.
Here is the good news; countries can improve their ranking in the CPI. They
can "compete for integrity".
The South Korea government had announced its
goal to belong to the top-ten countries in the CPI.
They improved their
ranking from 47 in 2004 to 40 this year. This is one of the starkest
improvements - and evidence that the right type of competition has been
initiated by the CPI.
There are other signs of positive change, recent research at the University
of Passau indicates significant improvements between 1995 and 2005 occurred
(in descending order of significance) in Estonia, Italy, Spain, Colombia,
Finland, Bulgaria, Hong Kong, Australia, Taiwan, Iceland, Austria, Mexico,
New Zealand and Germany.
These are the places to look at when seeking good precedent. Given the
international attention and support given to anti-corruption programs, the
prospects of a sustainable reduction of corruption are higher than ever.
Some poorer countries in the CPI are already indicative -that poverty need
no longer place a country in a downward spiral. Countries such as Chile,
Barbados, Uruguay, Jordan and Botswana score rather well in this year's
index. They are also prime candidates for improved economic and social
development
In a recent study two authors, Lee and Ng, show that firms from countries
scoring badly in the CPI are valued lower by international investors. If a
country improves by 1 point in the CPI, the valuation of stocks of its
domestic firms increases by roughly 10 percent. This illustrates that
fighting corruption is not only a moral obligation - it ’is increasingly
part of good business.
PHA-Exchange is hosted on Kabissa - Space for change in Africa
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10/19/05
Page 1 of 2
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From:
To:
Sent:
Subject:
"Ravi Duggal" <raviduggal@vsnl.com>
"MFC eforum" <mfriendcircle@egroups.com>; <pha-ncc@yahoogroups.com>
Friday, October 21, 2005 10:38 PM
[pha-ncc] Fw: [EQ] Nanny or Steward? The role of government in public health
From: Ruggiero, Mrs. Ana Lucia (WDC)
To: EQUiDAD@USTSERV.PAHO.ORG
Sent: Friday, October 21, 2005 6:57 PM
Subject: [EQ] Nanny or Steward? The role of government in public health
Nanny or Steward? The role of government in public health
Karen Jochelson
The King's Fund, London, UK October 2005
Available online at: http://www.kingsfund.orq.uk/resources/publications/nannv or.html
“
The past year has seen some contentious debates about public health in the United Kingdom,
focusing on a ban on smoking in public places, food labelling and food advertising to children. Some
people have argued that any government intervention in these areas is ‘nanny statist' - an unnecessary
intrusion into people's lives and what they do, eat and drink. Others have argued that only the state can
effectively reduce the poverty that is so often the root cause of ill health...."
".. .This paper suggests that there is a strong argument to be made for government intervention to
safeguard public health. Legislation brings about changes that individuals on their own cannot, and sets
new standards for the public good. Rather than condemning such activity as nanny statist, it might be
more appropriate to view it as a form of 'stewardship'.
Stewardship implies government has a responsibility for protecting national health, and to serve in the
public interest and for the public good (Saltman and Ferroussier-Davis 2000). It suggests a protective
function, where individuals are protected from harm by others and sometimes from themselves.
Stewardship implies that paternalistic government is acceptable under certain conditions, and the debate
should focus both on defining these conditions and the likely benefits.
The first part of this paper looks briefly at the options open to governments that want to influence
individual and collective behaviour to reduce health risks. It then examines the 'nanny state’ debate,
looking at examples from the past and today. It looks at how government views its activities, and what
opinion polls tell us about public views of government intervention.
The second part of this paper looks at historical and contemporary evidence on the impact of state
intervention on public health through case studies on alcohol, smoking and road safety. The final part
draws some conclusions about the role of government, the impact of government intervention, and the
nature of stewardship
"
Content:
Introduction
Part 1: Government or individuals - whose responsibility is health?
Historical antecedents
Current debates
The public view
Part 2: Assessing the evidence
Alcohol
Smoking
Road safety: seatbelts and drink-driving
Conclusions
Education
Taxation
10/24/05
Page 2 of 2
Restrictive measures
Impact on inequalities
References
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics,
Information Technology - Virtual libraries; Research & Science issues [DD/ IKM Area]
“Materials provided in this electronic list are provided "as is".Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members".
PAHO/WHO Website. http.7/www.paho.org/
EQUITY List - Archives - Join/remove: http.7/listserv.paho.orq/Archives/equidad.html
10/24/05
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
"Ted Lankester" <tedlankester@hotmail.com >
<secretariat@phmovement.org>; <claudio@hcmc.netnam.vn>
Tuesday, October 25, 2005 8:43 PM
RE: Fw: Onto your mailing list
Thankyou- and best wishes to you Ravi. Keep up the vital work and influence- SO needed
Best regards
Ted
From: "PHM - Secretariat" <secretariat@phmovement.org>
To: "Claudio " <ciaudio@hcmc. netnam. vn>
CC: "TedLankester" <tediankester@hotmaii.com>
Subject: Fw: Onto your mailing list
Date: Mon, 24 Oct 200516:58:19 +0530
Dear Claudio,
Please put Ted on the PHM Exchange. He has been a long-standing community health promoter
10/26/05
Page 1 of 1
Main Identity
From:
To:
Sent:
Subject:
<claudio@hcmc.netnam.vn>
<escr-right-to-health@yahoogroups.com>
Wednesday, October 26, 2005 9:05 PM
PHA-Exchange> The Patients' Charter of the Tuberculosis Community (2)
>From George Kent <kent@lrawaii.edu>: Comments by Claudio
> The draft charter on tuberculosis begins with a claim of a right to
> free care for tuberculosis. This needs some explanation and perhaps
> qualification because, as it stands, I think many people who might
> otherwise be supportive will not be able to get past that point. AGREE
> Are you saying that all tuberculosis victims have this right,
> everywhere, whether they are rich or poor? THAT IS WHAT IS BEING PROPOSED, AS
I UNDERSTAND IT.
> Are you claiming that this is an existing right, under current
> international human rights law? ALTHOUGH IT MAY BE CLAIMED, IT CLEARLY IS NOT
SUCH.
What would be tire basis for that? A BASIS, THERE WOULD BE, AS TB IS A WORLDWIDE
PUBLIC HEALTH PROBLEM MOSTLY AFFECTING THE POOR WHOSE RIGHTS ARE
VIOLATED.
If you are saying this is a new right that you propose, that is another
> matter. THAT IS WHAT IT SEEMS TO IMPLY.
> If free care is—or is proposed to be—a right, who carries the
> correlative obligation? GOVERNMENT HEALTH SERVICES.
That needs to be discussed fully.
> I'd like to hear more about these issues.
> Aloha, George AND CLAUDIO
> On Oct 10, 2005, at 5:16 AM, Claudio wrote:
> > From: loud.n.clear
> > Greetings,
> > We have been collecting input for the first draft (below) of the
> > Patients' Charter, encouraging people with TB, TB-HIV and MDR-TB to
> > "Write Your Rights!".
10/28/05
Page 1 of 2
Main Identity
From:
To:
Sent:
Attach:
Subject:
<claudio@hcmc.netnam.vn>
<pha-exchange@lists.kabissa.org>
Wednesday, November 02, 2005 1:34 AM
unnamed.htm
PHA-Exchange> preventive interventions and implications forchild-survival strategies
— from "Ruggiero, Mrs. Ana Lucia (WDC)" <ruglucia@PAFIO.ORG>
Co-coverage of preventive interventions and implications for
child-survival strategies: evidence from national surveys
Cesar G Victora, Bridget Fenn, Jennifer Bryce, Betty R Kirkwood
Lancet 2005; 366: 1460-66, October 22, 2005
Universidade Federal de Pelotas, Pelotas, RS, Brazil and London School
of Hygiene and Tropical Medicine, London, UK
Summary' at:
http://www.thelancet.com/journals/lancet/article/PIIS014067360567599X/ab
stract
Professor Cesar G. Victora email: cvictora@terra.com.br
In most low-income countries, several child-survival interventions are
being implemented. We assessed how these interventions are clustered at
the level of the individual child (Bangladesh, Benin, Brazil, Cambodia,
Eritrea,Haiti, Malawi, Nepal, and Nicaragua).
The percentage of children who did not receive a single intervention
ranged from 0
3% (14/5495) in Nicaragua to 18
*
*8%
(1154/6144) in
Cambodia. The proportions receiving all available interventions varied
from 0
8% (48/6144) in Cambodia to 313
*
*%
(733/5495) in Nicaragua. There
were substantial inequities within all countries. In the poorest wealth
quintile, 31% of Cambodian children received no interventions and 17%
only one intervention; in Haiti, these figures were 15% and 17%,
respectively.
Inequities were inversely related to coverage levels.
Countries with higher coverage rates tended to show bottom inequity
patterns, with the poorest lagging behind all other groups, whereas
low-coverage countries showed top inequities with the rich substantially
above the rest.
Interpretation
The inequitable clustering of interventions at the level of the child
raises the possibility that the introduction of new technologies might
primarily benefit children who are already covered by existing
interventions. Packaging several interventions through a single delivery
strategy, while making economic sense, could contribute to increased
^5 n)y
11/3/05
Page 2 of 2
inequities unless population coverage is very high. Co-coverage analyses
of child-health surveys provide a way to assess these issues.
This mail sent through Netnam-HCMC ISP: http://www.hcmc.netnam.vn/
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11/3/05
- -n ■
<cla_o!o@hcmc.netnam.vn>
<pha-exohange@l:sts.kabissa.org>
Tuesday, November 08, 2005 8:42 AM
?HA-Exchange> WHA Resolution on "Global -rameworkon Medics: Researchand Development ’
3?/a' <bala@haiap.org>
Greetings from Sri Lanka. I need your assistance.
NGOs, working on issue of Access to Medicines, including HAI have drafted
resolution or. "Globa! Framework on Medical Research and Development"
soliciting the support of members of the Executive Board of WHO to sponsor
and suooort this resolution. The resolution is attached.
The current Chair of tine Executive Board is the Minister of Health from
Pakistan. Ministries of Health from your countries are also current
We shall very much appreciate if you will be able to lobby your ministry
get the M: :stert: sponsor and support this resolution. You may wis
see the fo. wing inks for background informal:
http://www.cptech.org/workingdrafts/mdtreaty.html
http://www.cptech.org/workingdrafts/rndsignonletter.htinl
http://www.cptech.org/workingdrafts/mdtreaty4.pdf
Best wishes,
Er K Balasubramaniam
Advisor and Coordinator
Health Action international Asia - Pacific
V/k^
1.1/8/C 5
Medical Research and Development Treaty (MRDT)
Discussion draft 41
Table of Contents
Preamble..................................................................................................................................2
General Provisions And Basic Principles........................................................................ 2
2.1 Objectives of the Treaty............................................................................................... 2
2.2 Mechanisms to Support Research and Development............................................ 2
2.3 Relations to other agreements.....................................................................................3
3 Governance............................................................................................................................ 3
3.1 Assembly for Medial Research and Development (AMRD)............................... 3
3.2 Council for Medical Innovation (CMI).................................................................... 3
3.2.1 Elected Members................................................................................................... 3
3.2.2 Civil Society Members......................................................................................... 4
3.3 Secretariat....................................................................................................................... 4
3.4 Meetings...........................................................................................................................4
3.5 Finances.......................................................................................................................... 5
3.6 Observers........................................................................................................................ 5
4 General Obligations.............................................................................................................. 5
4.1 Qualified medical research and development......................................................... 5
4.2 Minimum levels of investment in medical research and development............. 5
5 Priority Medical Research.................................................................................................. 6
5.1 Committee on Priority Medical Research and Development............................... 6
5.2 Identification of priority medical research targets................................................. 6
5.3 Minimum support for priority medical research.................................................... 6
6 Methods of finance............................................................................................................... 7
7 Decentralization and Diversity.......................................................................................... 7
8 Measurement of QM RD and PM RD................................................................................ 8
9 Open Public Goods............................................................................................................... 8
10 Technology transfer to developing countries................................................................ 8
11 Exceptionally Productive and Useful Projects............................................................... 9
12 Incentives to support priority research, open research, technology transfer to less
developed countries, and exceptionally productive and useful projects...........................9
12.1 Special Credits.............................................................................................................. 9
12.2 Caps on Special Credits............................................................................................. 9
13 Access to publicly funded research............................................................................... 10
13.1 Obligations to provide incentives for open access research............................10
13.2 Equitable pricing of government funded inventions,........................................ 10
14 Changes in patent laws.................................................................................................... 10
14.1 Mechanisms to limit patents on inventions which are derived from certain
open public goods databases'............................................................................................. 10
14.2 Minimum exceptions to patent rights for research purposes.......................... 11
15 Exceptions in laws for copyright and related rights to support research.............. 11
16 Relationship with Other Agreements........................................................................... 11
17 Transition Arrangements................................................................................................ 12
18 Reservations....................................................................................................................... 12
19 Appendix A: Abbreviations........................................................................................... 12
1
2
1 February 7, 2005
Preamble.
1
The State Parties to this Treaty (hereinafter referred to as the “Parties”) seek to
create a new global framework for supporting medical research and
development that is based upon equitable sharing of the costs of research and
development, incentives to invest in usefid research and development in the
areas of need and public interest, and which recognizes human rights and the
goal of all sharing in the benefits of scientific advancement.
General Provisions And Basic Principles
2
2.1 Objectives of the Treaty
Members seek to promote a sustainable system of medical innovation that will:
i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
ix.
ensure adequate and predictable sources of finance for medical research
and development,
allocate fairly the costs of supporting medical research and
development,
identijy priority areas of research and development,
encourage the broad dissemination of information and sharing of
knowledge, and access to useful medical inventions,
enable medical researchers to build upon the work of others,
support diversity and competition,
utilize cost effective incentives to invest in promising and successful
research projects that address health care needs,
enhance the transfer of technological knowledge and capacity in a
manner conducive to social and economic welfare and development, and
promote equitable access to new medical technologies, so that all share
in the benefits of scientific advancement.
2.2 Mechanisms to Support Research and Development
The treaty will provide:
i.
ii.
iii.
iv.
Obligations for minimum levels of investment in medical research and
development,
Processes for priority setting,
Obligations and Incentives to support
a. Medical research and development, including priority research and
development,
b. broader dissemination of scientific information and knowledge,
c. enhanced transfer of technology and capacity for research and
development in developing countries, and
Obligations and standards for transparency, including mechanisms to
report, measure and understand the nature of the scientific, economic and
social dimensions of investment flows in medical research and
development.
2.3 Relations to other agreements
Members agree that in creating a global framework for minimum levels of investment
in medical research and development it is possible and appropriate to rely less upon
other, indirect mechanisms. Members thus agree to forgo certain WTO TRIPS
dispute resolution cases, or bilateral or regional trade sanctions, in areas where
compliance with the terms of the Treaty provides an alternative and superior
framework for supporting innovation.
3
Governance
3.1 Assembly for Medial Research and Development (AMRD)
An Assembly for Medical Research and Development (AMRD) is hereby established.
Every Party entering the treaty is a voting member of the AMRD. The first session of
the AMRD shall be convened [by the World Health Organization] not later than one
year after the entry into force of this Agreement.
3.2 Council for Medical Innovation (CMI)
The AMRD shall establish a Council on Medical Innovation (CMI), serving fixed
terms.
3.2.1 Elected Members
The CMI shall have [18] elected members.
ALTERNATIVE 1
Half of the members of the CMI will be elected among member nations
classified as high income by the World Bank. Half will be elected among
member nations classified as middle or low income by the World Bank.
ALTERNATIVE 2
One third of the members of the CMI will be elected among member nations
classified as high income by the World Bank. One third will be elected among
member nations classified as high middle income by the World Bank. One
third will be elected among member nations classified as low middle income
or low income by the World Bank.
No country will have more than one representative.
[
3.2.2 Civil Society Members
The elected members of the CM1 will appoint [ten] addition non-voting members
representing civil society. ]
Secretariat
3.3
The AMRD shall designate a permanent secretariat and make arrangements for its
functioning. [Until such time as a permanent secretariat is designated and established,
secretariat functions under this Treaty shall be provided by the World Health
Organization.]
Secretariat functions shall:
i.
ii.
iii.
iv.
v.
vi.
vii.
make arrangements for sessions of the AMRD, the CMI and subsidiary
bodies and provide services as required;
transmit reports received by it pursuant to the Treaty;
provide support to Members, particularly developing country Members
and Members with economies in transition, on request, in the compilation
and communication of information required in accordance with the
provisions of the Treaty;
prepare reports on its activities under the Treaty;
ensure the necessary coordination with the competent international and
regional intergovernmental organizations and other bodies;
enter into such administrative or contractual arrangements as may be
required for the effective discharge of its functions; and
perform other secretariat functions specified by the Treaty and by any of
its protocols and such other functions as may be determined by the
AMRD or the CMI.
3.4 Meetings
The AMRD will determine the venue and timing of subsequent regular sessions at its
first session.
Extraordinary sessions of the AMRD shall be held at such other times as may be
deemed necessary by the AMRD, or by request of the CMI, or at the written request
of any Member, provided that, within six months of the request being communicated
to the Secretariat of the Treaty, it is supported by at least one-third of the Parties.
4
The CM! will meet at least once every year.
3.5 Finances
The AMRD shall adopt financial rules for itself as well as governing the funding of
any subsidiary bodies it may establish as well as financial provisions governing the
functioning of the Secretariat. At each ordinary session, it shall adopt a budget for the
financial period until the next ordinary session.
3.6 Observers
The AMRD shall establish the criteria for the participation of observers at its
proceedings.
4
General Obligations
4.1 Qualified medical research and development
Members agree to support certain medical research and development. Qualified
medical research and development (QMRD) includes:
i.
ii.
iii.
iv.
v.
Basic biomedical research,
Development of biomedical databases and research tools,
Development of pharmaceutical drugs, vaccines, medical diagnostic tools,
Medical evaluations of these products, and
The preservation and dissemination of traditional medical knowledge.
4.2 Minimum levels of investment in medical research and
development
The minimum support for QMRD will depend upon the capacity of each country.
Minimum levels of support shall depend upon national income. Higher income
countries will contribute more in both absolute and relative terms.
ALTERNATIVE I
Depending upon the classification of the country, using the World Bank definition of
income groups, the minimum support for QMRD, as a share of GDP, are as follows:
i.
ii.
iii.
iv.
High Income, 15 basis points (.0015)
High Middle Income, 10 basis points (.001)
Lower Middle Income, 5 basis points (.0005)
Low Income, 0 basis points of GDP (0)
ALTERNATIVE 2
The obligation of each party to support QMRD will increase with per capita income.
The relevant rates as a share of national income are as follows:
1 basis point of GDP for the per capita income from $300 to $999,
5 basis points of GDP for the per capita income between $ 1,000 and $4,999,
10 basis points of GDP for the per capita income between $5,000 and $9,999,
15 basis points of GPD for the per capita income between $ 10,000 and
$19,999, and
v. 20 basis points of GDP for the per capita income of $20,000 or more.
i.
ii.
iii.
iv.
The CM! will review the minimum levels every two years. Minimum levels can be
changed by consensus, or with support of two-thirds majorities of the high-income
members and two-thirds majority of the developing country members.
5 Priority Medical Research
5.1
Committee on Priority Medical Research and
Development
The CMI will appoint a Committee on Priority Medical Research and Development
(CPMRD).
The CPMRD will meet at least once a year to evaluate targets for priority research,
and to make recommendations to enhance priority health care research, and improve
access to knowledge, technology and products.
5.2
Identification of priority medical research targets
Every two years the CPMRD will adopt global targets for priority medical research
and development (PMRD) in the following areas:
a.
b.
c.
d.
e.
f.
g.
5.3
Vaccine development
Neglected diseases
Global infectious diseases
Databases, research tools and other public goods
Health systems and appropriate technology
Preservation and dissemination of traditional medical knowledge
Other appropriate priority research
Minimum support for priority medical research
Depending upon the classification of the members by income (using World Bank
definitions), the initial minimum share of GDP devoted to PMRD is the following:
ALTERNATIVE 1
a.
b.
c.
d.
High Income, 2 basis points, at least half for neglected diseases,
High Middle Income, 1 basis point
Lower Middle Income, .5 basis points
Low Income, 0 basis points of GDP
ALTERNATIVE 2
The obligation of each party to support PMRD will increase with per capita income.
The relevant rates as a share of national income are as follows:
i.
ii.
iii.
iv.
v.
.2 basis point for GDP for the per capita income between $300 and $999,
.5 basis points of GDP for the per capita income between $1,000 and $4,999,
1 basis points of GDP for the per capita income between $5,000 and $9,999,
2 basis points of GDP for the per capita income between $10,000 and $19,999,
3 basis points of GDP for the per capita income of $20,000 or more.
The CMI will review the minimum levels every two years. Minimum levels can be
changed by consensus, or with support of two-thirds majorities the high-income
members and two-thirds majority of the developing country members.
6 Methods of finance
Projects that support QMRD (including PMRD) are selected by Member States.
Eligible finance mechanisms include:
i.
ii.
iii.
iv.
v.
vi.
Public sector support for QMRD
Tax expenditures, such as tax credits for QMRD investments
Philanthropic expenditures on QMRD
QMRD financed by businesses or non-profit organization pursuant to
government obligations,
National expenditures on relevant medical products, to the degree that
such expenditures create incentives for investments in QMRD,
Innovation prizes or other innovation incentives, to the degree that such
expenditures support QMRD.
7 Decentralization and Diversity
Parties are free to decide themselves on specific investments and finance mechanisms
for QMRD (including PMRD). Members are free to embrace a diversity of
management approaches to support QMRD, including the direct funding of profit or
non-profit research projects, market transactions such as purchases of medicine that
provide incentives for research and development, payment of royalties to patent
owners, tax credits, innovation prizes, investments in competitive research
7
intermediators, research and development obligations imposed on sellers of medicines
or other alternatives that have the practical effect of either directly or indirectly
financing QMRD.
Every two years the CMI will publish a report illustrating different mechanisms
members have used to directly and indirectly finance QMRD.
Measurement of QMRD and PMRD
8
The CMI shall adopt regulations providing for measurement and reporting of
investment flows for QMRD and PMRD. These regulations shall be consistent with
the following principles:
i.
No double counting. The mechanisms to finance QMRD (including PMRD)
can be complex, involving mixed sources of finance and transnational flows of
products and investments. The regulations shall provide that each investment
only be counted once.
ii.
Source of finance rather that location of investment. For purposes of
measuring support for QMRD and PMRD, measurement will be based upon
the source of finance rather than the location of R&D activity.
Explanatory note: For example, ifproducts are purchased in one country, but
R&D is performed in another county, the country that paidfor the products
would be credited with finance of R&D, even though the R&D itself was
performed elsewhere.
iii.
Evidence based estimates. In cases where measured investments are based
upon estimates of the relationship between outlays on products or incentives
and actual R&D investments, the estimates shall be based upon the best
empirical evidence of such relationships.
The CMI will establish an advisory committee that will adopt and periodically revise
“best practices” models for sharing of economic and scientific data.
9
Open Public Goods
The CMI shall appoint a committee on open public goods (COPG). The CORG will
adopt regulations that identify qualified open public good projects (QOPGP).
10 Technology transfer to developing countries
Members agree to report on collaborative research projects that enhance technology
transfer and capacity building in developing countries. The CMI shall appoint a
committee on technology transfer (CTT). The CTT will establish regulations to
define qualifying technology transfer projects (QTTP).
R
11 Exceptionally Productive and Useful Projects
The CM1 will appoint a committee on exceptionally productive and useful projects
(CEPUP). The CEPUP will establish procedures for the identification of
exceptionally productive and useful projects (EPUP), and the assignment of credits
for such projects.
12 Incentives to support priority research, open
research, technology transfer to less developed
countries, and exceptionally productive and useful
projects
The CMI will provide economic incentives for members to invest in priority research,
open research, technology transfer to less developed countries, and exceptionally
productive and useful projects.
12.1 Special Credits
Investments in PMRD, QOPGP, QTTP and EPUP qualify for special credits that can
be used in funding a members’ minimum contribution to QMRD. The initial values
of the special credits are:
50 percent of PMRD,
50 percent QOPGP
50 percent of QTTP, and
The credit assigned by the CEPUP for EPUP.
The CMI may periodically revise the weights for PMRD, QOPGP and QTTP. The
global total credits for EPUP may not exceed [10] percent of global minimum PMRD
obligations.
The PMRD, QOPGP, QTTP and EPUP credits may be traded between countries.
The CMI may periodically revise the weights.
12.2 Caps on Special Credits
No more than [one third] of QMRD can be satisfied by the special credits. The CMI
can periodically revise the caps on special credits.
o
13 Access to publicly funded research
13.1 Obligations to provide incentives for open access
research
The CMI will appoint a committee on open access research (COAR). The COAR will
adopt best a practices model for the support of open access research. Within [5]
years, ever}' member will adopt procedures concerning obligations for research
supported by the public sector to be made available to the public through open access
archives or repositories.
13.2Equitable pricing of government funded inventions,
Within three years the CMI will adopt regulations that ensure equitable access to
government funded inventions.
14 Changes in patent laws
14.1 Mechanisms to limit patents on inventions which are
derived from certain open public goods databases'
The COPG will adopt procedures whereby persons, organizations or communities that
seek to establish certain qualifying open public goods databases (QOPGD) apply for a
time limited period during which no patent applications can be submitted that rely
upon the data from the QOPGD.
Explanatory note: For example, when it was first created, the developers of the
HapMap database (see licensing terms below) asked that patents not be filedfor a
period of three years. The license did create problems in terms of the dissemination
of the information, and was eventually eliminated, but only after it had served its
basic purpose, which was to protect the public good against misappropriation by
private patents for a critical period of time.
DO NOT translate the text in this box
EXCERPTS FROM THE ORIGINAL TERMS AND CONDITIONS FOR
ACCESS TO AND USE OF THE GENOTYPE DATABASE
2. You may access and conduct queries of the Genotype Database and
copy, extract, distribute or otherwise use copies of the whole or any part
of the Genotype Database's data as you receive it, in any medium and
for all (including for commercial) purposes, provided always that:
a. by your actions (whether now or in the future), you shall not restrict
tn
the access to, or the use which may be made by others of, the Genotype
Database or the data that it contains;
b. in particular, but without limitation,
i. you shall not file any patent applications that contain claims to
any composition of matter of any single nucleotide polymorphism
("SNP"), genotype or haplotype data obtained from the Genotype
Database or any SNP, haplotype or haplotype block based on data
obtained from the Genotype Database; and
ii. you shall not file any patent applications that contain claims to
particular uses of any SNP, genotype or haplotype data obtained from
the Genotype Database or any SNP, haplotype or haplotype block
based on data obtained from, the Genotype Database, unless such
claims do not restrict, or are licensed on such terms that that they do not
restrict, the ability of others to use at no cost the Genotype Database or
the data that it contains for other purposes; and
14.2Minimum exceptions to patent rights for research
purposes
The CMI will adopt regulations that provide for minimum exceptions to patents rights
for research purposes. Members will enact such minimum exceptions within 5 years.
15 Exceptions in laws for copyright and related rights
to support research
The CMI will adopt a best practices model for exceptions in laws on copyright and
related rights, including laws on databases.
16 Relationship with Other Agreements
a.
In order to better enhance medical innovation, Parties are encouraged to
exceed the investment standards required by this Agreement, and nothing in
this Agreement shall prevent a Party from exceeding the investment
obligations of this Agreement.
b.
The purpose of the Agreement is to establish an international system that deals
directly with sustainable investment in medical innovation, with the intention
of both providing sustainable sources of finance for such innovation and fairly
allocating the cost burdens of such innovation.
c.
The provisions of the Agreement shall in no way affect the right of Parties to
enter into bilateral or multilateral agreements, including regional or sub
regional agreements, on issues of or additional to the Agreement, provided
11
that such agreements are compatible with their obligations under the
Agreement, including (d).
d.
Members agree, for products defined as QMRD, to forgo dispute resolution
cases on Articles 27 through 34 and Article 39.3 of the WTO TRIPS
Agreement, and similar provisions in regional or bilateral trade agreements, or
in unilateral trade policies. Members further agree to forgo dispute resolution
cases in regional or bilateral trade agreements, or in unilateral trade polices,
that concern pricing of medicines. However, members may enter into bilateral
or regional agreements to increase investments in medical research and
development.
e.
The Parties concerned shall communicate any agreements on issues relevant to
the Treaty to the Council on Medical Innovation through the Secretariat.
17 Transition Arrangements
Members will have [5] years to enact policies consistent with the Treaty.
18 Reservations
[There will be no reservations to this agreement]
19 Appendix A: Abbreviations
AMRD
CEPUP
CMI
COAR
COPGP
CPMRD
CTT
EPUP
MRDT
PMRD
QMRD
QOPGP
QTTP
Assembly for Medical Research and Development
Committee on exceptionally productive and useful projects
Council on Medical Innovation
Committee on open access research
Committee on open public goods projects
Committee for Priority Medical R&D
Committee on technology transfer
Exceptionally productive and useful projects
The Medical Research and Development Treaty
Priority medical research and development
Qualified Medical Research
Qualified open public good projects
Qualifying technology transfer projects
io
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ravi narayan
From:
To:
Cc:
Sent:
Subject:
"Tobias Eigen and Kim Lowery" <community@kabissa.org>
"Claudio Schuftan" <claudio@hcmc.netnam.vn>
"Ravi Narayan" <ravi@phmovement.org>
Thursday, November 10, 2005 5:46 AM
Action Needed: Kabissa board member election
tin: Claudio Schuftan and Ravi Narayan
People’s Health Movement (PHM)
Dear Claudio Schuftan and Ravi Narayan,
We are writing to you today to invite you to participate in the
election of the new Community Representative on the Kabissa board
running from November 9-23 We are proud to announce that our three
nominees are:
- Bisi Olateru-Olagbegi, Women’s Consortium of Nigeria
- Neema Mgana, African Regional Youth Initiative
- Omeire Edward. Ceasefire Project
To leant more about the nominees and to vote, please click the
following link now to access your special ballot:
http://www.kabissa.org/election/index.php?code=lflovw5blgji
IMPORTANT: Each organization has only ONE vote. This e-mail has been
sent to both the primary and secondary contact people we have on file
for your organization. When you vote, you vote for the entire
organization - the second person will NOT be able to submit a second
vote, so be sure to coordinate this within your own organization.
The Board's community representative will be crucial in bringing
perspective to the changing technological needs of our member
organizations. This person will serve as a liaison between the greater
Kabissa community and the Board, which will allow the Board to better
understand the needs of the community members. With this greater
understanding, the Board will be able to communicate and connect more
effectively with the Kabissa community as it grows.
Please vote today by clicking the link:
http://www.kabissa.org/election/index.php?code=lf I ovwoblgji
Sincerely yours,
Tobias Eigen and Kim Lowery
Co-Executive Directors
Kabissa - Space for Change in Africa
http://www.kabissa.org
iU
1^2-
11/10/05
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- Media
PHM EXCHANGE-II.pdf
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