EQ4: How can the impacts of health risks be managed?

Aim: Who are the different agencies involved in health risk? Who are the international players?

How is Health becoming GLOBALISED?

• Health workers move between countries• NGO’s e.g. doctors without borders• World health organisation, UN• TNC’s like GSK research and distribution• Infectious diseases crossing borders – bird flu

and HIV AIDS, which means crisis plans have to be put together.

• Sharing of research • Panorama sharing information on unreliable

drugs • Exports and imports of medicines

• Complete a diagram of all the players and agencies involved

• Fill in table as you look at each player – consider what you have already looked at – e.g NHS UK, WHO, local Uganda ABC work etc

International National Local

Agencies

e.g. UK NHS

TNCs

e.g. UK pfizer

NGOs

WHO• PA p373-4 – core functions of WHO• Directing and co-ordinating authority for health

for UN• Core functions set out in documents on VLE

(good case studies in here)• WHO work directed by principle of EQUITY

therefore priority should be given to poor, disadvantaged and vulnerable

• MDG related to health are the cornerstones of their agenda (see 4.1)

• Increasing emphasis on climate change - http://www.who.int/topics/climate/en/

TNCs

• AstraZeneca – see PA p374• Pfizer

– Global Health Fellows programme – see VLE– Mobilize Against Malaria

http://www.pfizer.com/responsibility/global_health/pfizer_malaria_partnership.jsp

– Connect HIV http://www.pfizer.com/responsibility/global_health/connect_hiv.jsp

– http://www.youtube.com/watch?v=Hh99CN5tLrc&feature=channel_page

• GlaxoSmithKline – read the sheets on GSK to shed some light on how and why TNCs have become involved in the global health issues

NGOs

• Medecins Sans Frontieres – see PA p374

Oxfam Oxfam’s health programme addresses four broad themes: •access to basic health services (including the issue of financing) •access to essential medicines •access to water and sanitation •responding to HIV/AIDS Oxfam programme work focuses on reducing inequities, including those based on gender, and improving the quality of services. Local projects support some of the most marginalised and impoverished groups. Others address the health needs of communities affected by conflict or natural disasters. Drawing on this experience and on research findings, Oxfam seeks to work with others to change policies, practices, ideas, and beliefs that affect poor people’s health.This text is just from the introduction, see here for the more detailed version: http://www.oxfam.org.uk/resources/issues/health/introduction.html

National

• UK – NHS – lots already done – publicly funded – successes? Issues?

• France – EU example• USA – have you watched Sicko yet?

Obama Articles• Cuba – PA p374-5 and ensuing slides• China – see two articles on VLE

CUBA: Cigars and Clinics

http://news.bbc.co.uk/player/nol/newsid_5230000/newsid_5237000/5237070.stm?bw=bb&mp=wm&news=1&ms3=6&ms_javascript=true&bbcws=2

Read the BBC comment on Cuba and watch the clip http://news.bbc.co.uk/1/hi/programmes/newsnight/5232628.stm

Guardian article compares Cuba and UK

Local

• Uganda• China – see PA p 375 + recommended

barefoot doctor article• + what else have you come across in your

reading?• E.g. Zimbabwe Cholera etc