Cambridge International Health Leadership Programme 2006 Globalisation John Wyn Owen Ilona Kickbusch Graham Lister Pam Garside

Globalisation Objectives of the session 1.Appreciation by Health Leaders of Global Health as a Local problem and Local Health as a potential Global Problem. 2. Awareness of Health Leaders of effective formation and communication of Public Health Policy particularly Health Risk which crosses National Boundaries including non communicable disease.

Programme Session 1. Introduction John Wyn Owen Session 2. Globalisation, Disease, Health and Global Governance Ilona Kickbusch Session 3. Discussion Graham Lister Session 4. Group assignment Session 5. Feedback Graham Lister, Ilona Kickbusch Session 6. Learning Points John Wyn Owen, Pam Garside

Globalisation “ A set of Global processes that are changing the nature of human interaction across a wide range of social spheres including the Economic, Political, Cultural and Environmental”

Global Health A Health issue where the determinants circumvent undermine or are oblivious to the Territorial Boundaries of States and this beyond the capacity of Individual countries to address them through domestic institutions

Dimensions of Global Change 3 types of change taking place characterise globalisation: spatial temporal and cognitive (Lee & Collin)

Headlines As Governments fight to preserve their sovereignty of Health Care Policy they have lost the sovereignty over the determinants of health to multi national enterprises, global finance and marketing of consumer and lifestyle goods – foods, tobacco, media, information technology – which have a greater impact than Health Care on Health outcomes (Ilona Kickbusch)

Globalisation “ Globalisation is qualitatively a new phenomenon and more than an increase in dependence or interconnectedness of nations, peoples, capital and information. It is creating new spheres of action through transformation in space time and knowledge with networks not territory or geography as the organisation spheres” (Ilona Kickbusch)

Globalisation creates unprecedented new opportunities and risk. “Making globalisation work for the worlds’ poor is a moral imperative and a first order priority for the British Government” ( Tony Blair )

. Health as a bridge to peace (Bruntland, WHO). Health as a global public good (Kaul, UNDP). Health as currency to make globalisation work replacing weapons, the currency of the cold war. (Maurice Shock)

“ Perhaps Foreign Ministries will be named Departments of Global Affairs as the concept of foreign becomes harder to define……New foreign policy based on linkages recognising natural limits and embracing global responsibility: A Foreign Policy for a world where there is no longer any such place as abroad” ( Peter Hain)