2. Public health & Globalisation Dr. Babar T Shaikh The Aga Khan University Karachi, Pakistan

3. Public health & Globalisation Enabling Objectives  To understand what is public health  To learn about basic components of public health  To learn about global opportunities available

4. Public health & Globalisation Performance Objectives By the end of this presentation, we will learn to:  Conceptualize what public health is  Apply basic knowledge of public health to our health needs  Acquire knowledge about globalisation

5. Public health & Globalisation Public health D efinition: the organized local and global efforts to prevent death, disease and injury, and promote the health of populations. Goals: Improve population health; Reduce health inequalities.

6. Public health & Globalisation Globalisation The intensification of global flows of capital, goods, ideas and people across borders and the institutions and rules established to regulate these flows.

7. Globalisation and health OpennessCross border flows technology Regional/global rules and institutions National Policies GCP/HSD June 2000 Health risks Health systems Level and distribution of household income Education Water Energy Transport Other sectors Health Outcomes

8. Public health & Globalisation Public health in globalising world  Domestic action alone insufficient  Health achievements critical to international development goals

9. Public health & Globalisation Global risks for health  Exclusion from global markets  Private ownership of knowledge  Migration of health professionals  Cross border transmission of disease  Environmental degradation  Conflict

10. Public health & Globalisation Global opportunities for health  Inclusion/ connection  New market incentives for R&D  New resources for effective interventions  Knowledge dissemination  New rules to control cross border risks

11. Public health & Globalisation Public health crisis in developing countries  Poverty (2.5 billion), debt, inequalities;  Population growth (80 million);  Double burden of disease: HIV/AIDS;  Weak public health infrastructure;  Public sector reform.

12. Public health & Globalisation WHO’s response  Strategic directions;  Priority for: diseases of the poor, tobacco;  Support for national health systems;  New: Partnerships and relationships; Resources; Rules ; Optimism.

13. Public health & Globalisation Globalisation, trade and health A policy, research and training programme  Develop knowledge and skills  Promote policy coherence  Contribute to: global public goods for health, global health funds, international rules for health

14. Public health & Globalisation WTO Agreements and public health  GATT  Technical barriers to trade  Intellectual property and trade : TRIPS  Services : GATS

15. Public health & Globalisation Globalisation and health: policy measures  Equitable and sustainable growth  Openness- gradual, sequenced and paced  Produce global public goods, control the bads  Increase transfer of financial and technical resources  Strong national health policies, institutions, regulations and programmes  Engage across sectors and borders