Globalization and Health

Topics: Poverty, Third World, Africa Pages: 139 (50871 words) Published: December 6, 2012
GloGlobalisation and the Impact on Health
A Third World View

Evelyne Hong Third World Network 228, Macalister Road 10400 Penang August 2000,

prepared for The Peoples’ Health Assembly December 4-8, 2000 Savar, Bangladesh


Page Introduction The Colonial Enterprise Integration into the Market Post-Colonial Development Strategy Free Market Reform Free Market Rules The Role of the World Bank in Global Economic Reform Structural Adjustment Programmes (SAPs) Impact of SAPs in Third World Increased Poverty Corruption Social Dislocation and Unrest Social Conditions Worsen SAPs Reform in Peru Famine in Somalia Economic Reform in Vietnam Health System Collapse The Global Assault on Health WHO under Attack The Alma Ata Declaration Undermining Primary Health Care UNICEF’s Role in SPHC The Indian Experience with SPHC SPHC in Africa UNICEF and User Fees The Role of the World Bank Privatisation and Profits The World Trade Organisation (WTO) The Dispute Settlement Body (DSB) Health Implications The Agreement on the Application of Sanitary and Phytosanitary Measures (SPS) The Agreement on Technical Barriers to Trade (TBT) The Agreement on Trade Related Aspects of Intellectual Property (TRIPS) Negative Impact Privatising Knowledge Trade Marks Price Increase on Medicines Lack of Access to Essential Medicines 4 4 5 7 10 11 13 14 15




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US Bullies Thailand US Threatens South Africa US Double Standards US Unilateral Action against Argentina BioPiracy Health Threats from Biotechnology The General Agreement on Trade in Services (GATS) Selling Health Prise Open Markets The ‘Agreement’ on Government Procurement The ‘Agreement’ on Competition Policy The ‘Agreement’ on Investment Corporations Shape Health The Agreement on Agriculture (AOA) The Globalisation of Culture The Culture of Violence Women for Sale UN Complicity Poverty and Sex Trade The US -UN Sanctions on Iraq Infant and Child Deaths Malnutrition Cancer Epidemic Emerging Diseases Health System Collapse The Asian Financial Crisis Socio Economic Causes of Ill Health Threat to Life Support Systems Debt-Induced Disasters Diseases Out of Control Global Microbial Traffic Altered Ecosystems Climate Change Global Warming Spreads Diseases Conclusion Global Level Initiatives Reform of the WTO Debt Cancellation Democratisation of the UN Stengthening the Role of WHO National Level Initiatives Role of Government Local Level Initiatives References 48

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Globalisation and the Impact on Health
A Third World View
‘Man’s struggle against oppression is a struggle between memory and forgetfulness’ Milan Kundera Introduction The Human Development Report 1999 notes the following trends in this era of globalisation: • More than 80 countries still have per capita incomes lower than they were a decade or more ago • Inequality has been rising in many countries since the early 1980s • The income gap between the world’s richest fifth and its poorest fifth has more than doubled to 74 to 1 over the past three decades. • Sustained economic growth has not reduced unemployment in Europe at 11% for a decade affecting 35 million. • One person in eight in the richest countries of the world is affected by poverty, long term unemployment, a life shorter than 60 years, an income below the poverty line or a lack of literacy needed to cope in society. • State provided care is suffering cutbacks • Public services have deteriorated markedly the result of economic stagnation, structural adjustment programmes or dismantling of state services • Debt servicing for the 41 poorest countries amounted to $11.1 billion in 1996 • Some 50 million migrants are women, 30 million in the Third World • AIDS is now a poor people’s epidemic with 95% of all HIV infected victims in the Third World • Some 1.3 billion people do not have access to clean water • About 840 million are malnourished • One in seven...
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