Placing Non-Communicable Diseases (NCDs) on the Agenda for Rio+20: Introduction The Global NCD Burden
|
|
- Randolph Johnson
- 6 years ago
- Views:
Transcription
1 Placing Non-Communicable Diseases (NCDs) on the Agenda for Rio+20: American Cancer Society Input for the United Nations Conference on Sustainable Development in Rio de Janeiro, 4-6 June 2012 Introduction As world leaders and experts meet to secure renewed political commitment for sustainable development, to assess progress to date, and to address new and emerging challenges it is imperative that attention is drawn to the topic of non-communicable diseases (NCDs) and their links to economic development and the environment. NCDs cancer, cardiovascular diseases, respiratory diseases, and diabetes have been increasingly acknowledged as a major health and economic development issue, and one of the most significant emerging challenges to poverty eradication. The magnitude of this threat has been recently acknowledged in the UN High Level Meeting on the Prevention and Control of NCDs and its resulting political declaration (September 2011). The importance of the NCD burden and its links to sustainable development and equity concerns were also highlighted by many member states, experts, and civil society representatives at the recent WHO Meeting on the Social Determinants of Health in Rio de Janeiro (October 2011). The Global NCD Burden NCDs are the leading causes of death in the world, accounting for 63% of global deaths 1. The burden of NCDs is greatest in the developing world, with nearly 80% of NCD deaths occurring in low and middle income countries 2. In addition, vulnerable and socially disadvantaged people in developing countries get sicker and die sooner as a result of NCDs than people of higher socio-economic status 3. Approximately half of all female deaths in low and middle countries are attributable to NCDs 4. Among women ages in low and middle income countries, NCDs account for 37% of total deaths and 18.5% of the overall DALY burden (disability adjusted life years) 5. Even in low income countries the percentage of female deaths attributable to NCDs (32.6%) far exceeds those attributed to maternal conditions (3.6%) and HIV/AIDs (6.3%) 6. Projected increases in NCD incidence and mortality are expected to be greatest in developing countries. Between 2010 and 2020, global NCD deaths are projected to increase by 15%. NCD growth is projected to be highest in the regions of Africa, South-East Asia and the Eastern Mediterranean, where between 2010 and 2020 NCD deaths are projected to increase by over 20% 7. The growth in cancer incidence by 2030 is projected to be over twice as high in low income countries (82% growth) compared to high income countries (40% growth) 8. The increase in NCDs is shifting the global disease burden and placing what has been referred to as a triple disease burden infectious, non-communicable and pregnancy related conditions on people and health systems in developing countries, thereby complicating our ability to ensure the right to health. In combination, these place a tremendous and escalating strain on resource-poor health systems. 9 NCDs thus represent a major and growing socio-economic burden in the developing world, which places undue strain on communities and health systems and is a major contributor to poverty. In the Political Declaration of the recent UN High Level Meeting on the Prevention and Control of NCDs, which has been unanimously adopted by Member States, the link between NCDs and poverty is underscored, noting with grave concern the vicious cycle whereby NCDs and their risk factors worsen poverty, while poverty contributes to rising rates of NCDs, posing a threat to public health and economic and social development. 10 The NCD burden in the developing world is on the rise due to demographic factors and development-related changes in lifestyle, nutrition, and behavior. Chief factors contributing to the NCD burden, its growth worldwide, and its increasing impact in developing countries include: Demographic changes (i.e., and aging population) due to the combination of increasing life expectancy with decreasing fertility rates 11. Changes in diet, working patterns, and activity patterns 12 as a result of economic development, urbanization, and globalization, that have increased exposure to major NCD risk factors (the most significant of which are tobacco, obesity, physical inactivity, and excessive alcohol consumption) 1
2 Some of the main common NCD risk factors are increasing as a result of environmentally problematic economic development policies and practices. For example, increases in obesity, physical inactivity, and air pollution have been fostered by planning and transportation patterns in urban centers that have also promoted environmental degradation. Poor diet (i.e., overnutrition ) and obesity have also been fostered by environmentally unsound rural development practices that diminish the availability of fruits and vegetables and undermine food security. A major impact on the NCD burden can be made by through preventative measures to address the main common NCD risk factors and strengthen access to NCD treatment and management. For example the, global community has the knowledge and tools to prevent more than half of all new cancer cases and cancer deaths worldwide 13. The WHO estimates that approximately 40% of worldwide cancer deaths can be prevented by improving eating habits and physical activity, reducing tobacco use and alcohol consumption, and immunizing against viruses. Health, NCDs, and Sustainable Development The critical importance of health as a foundation of sustainable development has been widely acknowledged. Health and development are intimately interconnected, and environmentally problematic forms of economic development can result in severe environmental health and nutritional problems. The important links between health, the environment, socioeconomic disparities, and poverty are acknowledged in both Agenda 21 and the Rio Declaration on Environment and Development. Within Agenda 21`s section on social and economic dimensions (section I), health figures as a chief focus. Agenda 21 underscores the primary health needs of the world's population as integral to the achievement of the goals of sustainable development and primary environmental care. In particular, Agenda 21 emphasizes preventive and curative health facilities, especially primary health care and maternal health care systems accessible to all as a critical component of sustainable development 14. Furthermore, Agenda 21 affirms that efforts to address health, environmental and socio-economic concerns require intersectoral actions with a particular emphasis on preventative health measures and that there is a need to to coordinate the involvement of citizens, the health sector, the health-related sectors and relevant non-health sectors (business, social, educational and religious institutions) in solutions to health problems 15. The Johannesburg Declaration on Sustainable Development (from the 2002 Earth Summit in Johannesburg, South Africa) reaffirms the central importance of health in sustainable development, stating in paragraph 19 that: We reaffirm our pledge to place particular focus on, and give priority attention to, the fight against the worldwide conditions that pose severe threats to the sustainable development of our people, which include...endemic, communicable and chronic diseases, in particular HIV/AIDS, malaria and tuberculosis Despite the widespread acknowledgement of health as a critical foundation of sustainable development, attention to NCDs in particular has been minimal, overlooking the important links between NCD prevention and control and global sustainable economic development. Given that environmental degradation and NCDs share similar causes and solutions, inclusion of the NCD challenge as part of broader debates about sustainable development and green economies and in the outcome document adopted at Rio in 2012 is essential to ensure more sustainable approaches to economic development. Summary Recommendations for Rio+20 The American Cancer society urges that the Rio+20 meeting and its outcomes document reinforce the central importance of health concerns in global sustainable development policies, strategies, and actions, and that the conception of health within sustainable development be broadened in a manner that holistically integrates NCDs and established health priorities (e.g., maternal and child health and communicable diseases) and encompasses health issues throughout the lifecycle, with a particular emphasis on the most vulnerable populations. NCDs are a major component of future demographic, economic development, and environmental trends globally and it is critical that they part of the dialog, metrics, and policies of sustainable development. It is 2
3 imperative that the potential synergies between NCD control and environmental concerns be incorporated within the agenda of the Rio+20 meeting. In particular, we urge attention to the importance of NCD prevention and control for: Promoting, health, wellness, and poverty alleviation. Monitoring the impacts of development and providing evidence-based support for sustainable development. Strengthening strategies for multisectoral policy development and planning, thereby maximizing their potential for the effective promotion of health, the environment, and sustainable development. Developing rural development and agricultural policies that support food security, nutritional health, and environmental sustainability. Developing urban planning and transportation policies and plans that promote health, environmental, and economic goals. Developing policies and strategies for tobacco control that promote health and sustainable development. 3
4 Potential Synergies between NCD Control and Sustainable Development Policies and actions for NCD control and environmental issues have the potential for important synergies. Some environmental policies may also pose health risks or tradeoffs (e.g., economic and agricultural policies to promote biofuel production can undermine food security and nutrition if not properly designed) that need to be considered in formulating sustainable development policies 17. Inclusion of NCDs in sustainable development discussions is important to better understand the links between health and the environment and to maximize potential synergies between environmental, health, and economic development policies. NCD control can contribute to a variety of elements encompassed within the vision of sustainable development as articulated in Agenda 21, including: promoting food security as a component of sustainable agriculture, protecting and empowering vulnerable communities and groups (e.g., women) in decision making processes, giving attention to rapid urbanization, reducing health risks from environmental pollution and hazards, strengthening basic health care services for women and children, and promoting of health education and provision of essential drugs, and the development and monitoring of health indicators for sustainable development. More broadly, interventions for NCDs can contribute towards progress on the Millennium Development Goals (MDGs). For example, controlling NCDs will make progress towards ending poverty (MDG1) and it will promote gender equity (MDG3) and child health (MDG4). Similarly, reducing adult death rates and disability promotes economic growth and poverty reduction (MDG1); and, given that NCDs are the leading cause of death for women in most countries, preventing NCDs promotes women s health and empowerment (MDG3). NCD prevention efforts can also complement interventions to ensure environmental sustainability (MDG7) through promoting biodiversity-friendly, sustainable food production, limiting production of and exposure to air and water pollution, and limiting occupational exposure to toxic compounds, among other measures. Below is a survey of some specific examples of potential synergies between NCDs and environmental concerns that can contribute to the pursuit of the broader global objective of promoting sustainable development. NCDs, Health, and Poverty Alleviation Improved prevention and control of NCDs diminishes the health and economic burden on vulnerable populations, thereby contributing to poverty alleviation and the promotion of sustainable development. Actions targeting NCDs also support other global health priorities (e.g., maternal and child health, communicable diseases) and are essential to health system strengthening. Improved NCD control will strengthen healthcare systems in ways that will bolster interventions for all diseases and health conditions, including improving and strengthening: public health literacy, human resources, technical capacity, primary care capacity and delivery, diagnostic capacity, infrastructure for secondary and tertiary care, and procurement strategies for essential medications. Priority interventions for NCDs such as tobacco control and improved nutrition would actually benefit maternal and child health 18 For example, reducing smoking and indoor air pollution decreases childhood illness. Improvements in health status and in the quality and accessibility of health care as a result of attention to NCDs are essential for addressing poverty alleviation and promoting sustainable development. NCD Prevention and Sustainable Development Prevention of some of the major NCD risk factors (e.g., poor diet, nutrition, and lack of physical activity) can and should be addressed through sustainable development policies (e.g., policies aimed at food security, sustainable agriculture, sustainable transportation, and urban air pollution). Attention to NCDs within the framework of sustainable development provides important synergies between health and environmental concerns, helping to provide evidence-based support for negative impacts of environmental policies as well as strengthening the potential outcomes of environmental policy and governance structures. Because of overlapping causes between health and environmental concerns, there are potential synergies between educational efforts for NCD prevention/awareness and environmental sustainability. 4
5 The development and implementation of preventative health and wellness initiatives within government policies and the private sector contribute to a greener economy and avert placing unnecessary burdens on economic and health systems. Attention to NCDs can help improvement monitoring of impacts of sustainable development initiatives and the development of evidence-based policies and strategies for sustainable development. Agenda calls for taking into account demographic trends and factors as essential to formulating integrated national policies for environment and development. Attention to the causes and implications of the NCD burden is an indispensible component of the future demographic trends that needs to inform sustainable development policies and plans. NCDs, the Environment, and Multisectoral Approaches to Sustainable Development Cross cutting measures are essential for promoting sustainable livelihoods and environmental protection. As is the case for environmental issues, addressing NCDs requires a multi-sectoral, wholegovernment approach. Addressing both of these issues, necessitates engaging ministries of health, environment, transportation, agriculture, finance, foreign affairs, and education among others and, therefore, integrated approaches to addressing both issues can be supportive of strengthened models for effective multisectoral actions and institutional frameworks for sustainable development. Agenda 21 acknowledges the virtue of intersectoral approaches that integrate health and environmental concerns, asserting that the linkage of health, environmental and socio-economic improvements requires intersectoral efforts.particularly relevant is the inclusion of prevention programmes rather than relying solely on remediation and treatment. The Political Declaration of the recent UN High Level Meeting on the Prevention and Control of NCDs includes a commitment to promote, establish or support and strengthen, by 2013, as appropriate multi-sectoral national policies and plans for the prevention and control of non-communicable diseases 20. Inclusion of environmental considerations as part of the process of developing these multisectoral policies and plans is fundamental to the promotion of health and sustainable development. NCD Control and Rural Sustainable Development Integration of health and environmental concerns is critical in formulating rural development and agricultural policies aiming to promote food security, improved nutrition, and more environmentally sound land and resource use practices. Attention to the NCD issue can help strengthen support for such policies and potentially improve their impacts on health, wellbeing, and the economy. A recent report (Bringing Agriculture to the Table How Agriculture and Food Can Play a Role in Preventing Chronic Disease) asserts that In the decades to come, the agriculture and food system will need to change to meet the related challenges of rising demand, accessibility and affordability, and improved nutrition and health, necessitating an integrated look at agriculture, food, nutrition, and the growing threat of diet-related chronic diseases. The threat of dual malnutrition brought on by the rise of NCDs needs to be acknowledged and integrated within agricultural and resource utilization policies in order to make healthy foods more available and affordable to consumers at all income levels, thereby fostering more sustainable economic development. The persistence of current trends in agriculture would mean maintaining inequitable food distribution, unhealthy diets, unsustainable environmental threats, and unknown risks from climate change 21. Addressing NCDs requires a multisectoral response that engages agricultural and food productions sectors (among others) in support of health objectives 22. In order promote sustainable development there is a need for integrated approaches to enhancing agricultural production, increasing food access, supporting healthy populations, and protecting the environment. A combined focus on health and the environment is important for developing fiscal policies and subsidies that more fully account for environmental and health externalities and maximize their potential for promoting sustainable development. For example, policy and market instruments to support small scale food producers and farming communities in order to promote food security and improved availability and access to nutritious foods need to be mindful of both under and over nutrition in order to effectively promote sustainable development 23. Conversely, policies targeting the price, availability, and marketing of unhealthy foods need to be cognizant of environmental concerns, ensuring that they do not foster unsustainable resource use practices and maximizing their potential to be leveraged for the promotion of more environmentally sound resource use practices. 5
6 NCD Control, Urbanization, and Urban Green Development Agenda 21 underscores the importance of attention to rapid urbanization and calls for the need for greater attention should be given to preparing for the needs, in particular of women and children, for improved municipal management and local government. It also highlights the links between urban development, poverty, inadequate diets, and environmental hazards and the importance of attention to urban health as an integral component of sustainable development. Furthermore, it the underscores the fact that in urban contexts many factors that affect human health are outside the health sector, thus requiring coordinated actions to address urban health. Given the important links between urbanization and decreases in physical activity, impoverishment of diet, and air pollution, attention to NCD control is a critically important component of urban sustainable development policies and programs. For example, WHO s Health in the Green Economy brief 24 which highlights some potential synergies and tradeoffs between health and climate change policies and interventions asserts that cycling, walking and using rapid transit/public transport can greatly enhance levels of physical activity, helping prevent a range of chronic diseases including cancer, heart disease and diabetes. Green transportation initiatives provide an excellent example of synergies between health and environmental issues. Green urban planning and transportation policies (e.g., investment in and provision of transport network space for pedestrian and bicycle infrastructure, and land use planning that increases density and diversity of uses) can diminish risk factors for respiratory disease, cardiovascular diseases, cancer, diabetes, and obesity, through promoting physical activity and addressing air pollution 25. Tobacco Control and Sustainable Development Tobacco exposure is a risk factor for cancer, cardiovascular disease, respiratory diseases, diabetes, and other diseases, and tobacco-related deaths are the single most preventable cause of death in the world, making it one of the most pressing global health priorities. The WHO FCTC (Framework Convention on Tobacco Control) an international treaty which currently includes 174 parties emphasizes the importance of protection of the environment (Article 18) as part of tobacco control efforts, calling for Combined health and environmental efforts to promote nutrition and food security to promote government policies promote corporate initiatives that are environmentally sound and promote health, including social responsibility initiatives, workplace initiatives, and business practices (e.g., food and beverage industry). The FCTC contains a mixture of demand and supply side interventions for tobacco control. Among the three supply side interventions is Provision of support for economically viable alternative activities, including for tobacco workers and growers (Article 17). Supply side measures targeting tobacco cultivation can provide environmental benefits (and health benefits to rural workers) and need to incorporate a sustainable development framework in promoting alternative agricultural and land use programs. Increasing taxes on tobacco products is seen as one of the most effect ways to diminish demand and promote tobacco control 26. Resources raised through these taxes can potentially be applied to supporting economically and environmentally sustainable alternative agricultural activities. Implementing comprehensive national tobacco control strategies also brings additional potential economic benefits, thereby supporting sustainable development efforts. Smoke-free workplaces create a healthier workforce that benefits businesses by reducing absenteeism, improving productivity, and lowering healthcare costs and insurance premiums 27. Secondhand smoke imposes a heavy financial burden on businesses in the form of increased medical costs for employees, lost productivity due to illness, higher insurance premiums, and other costs. 28 6
7 1 World Health Organization Global status report on noncommunicable diseases NCD Alliance Non-communicable Diseases: A priority for women s health and development. 5 WHO The global burden of disease: 2004 update. Geneva, World Health Organization. 6 7 WHO Global status report on noncommunicable diseases. 8 World Health Organization Global status report on noncommunicable diseases 9 Beaglehole et al Priority actions for the non-communicable disease crisis. The Lancet 377 (9775): Political declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Noncommunicable Diseases Raymond, Susan, Henry Greenberg, and Stephen Leeder Beyond reproduction: Women s health in today s developing world. International Journal of Epidemiology PATH The growing chronic disease burden: implications for reproductive health. Outlook 26(1). 13 American Cancer Society Global Cancer Facts & Figures 2nd Edition. 14 Earth Summit Agenda Available at: 15 Earth Summit Agenda Available at: 16 The Johannesburg Declaration on Sustainable Development Available at 17 World Health Organization Health in the Green Economy Policy Briefings: Health Co-benefits of Climate Change Mitigation. Available at 18 Beaglehole et al. Priority actions for the non-communicable disease crisis. The Lancet, Volume 377, Issue 9775, Pages , 23 April United Nations Earth Summit Agenda 21. Available at: 20 Political declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Noncommunicable Disease Nugent, Rachel Bringing Agriculture to the Table How Agriculture and Food Can Play a Role in Preventing Chronic Disease. The Chicago Council Food and Agriculture Organization of the United Nations (FAO) Greening the Economy with Agriculture: Concept Note. 24 World Health Organization Health in the Green Economy Policy Briefings: Health Co-benefits of Climate Change Mitigation. Available at World Health Organization Building blocks for tobacco control: a handbook. Geneva: World Health Organization 27 Reed H The effects of increasing tobacco taxation: a cost benefit and public finances analysis. London: Landman Economics for Action on Smoking and Health. 7
8 28 Ross H Economics of smoke-free policies. In, The SmokeFree Europe Partnership, Smoke free Europe makes economic sense: A report on the economic aspects of Smoke free policies. May p SmokefreeEurope A.pdf. 8
Health 2020: Agriculture and health through food safety and nutrition
Sector brief on Agriculture July 2015 Health 2020: Agriculture and health through food safety and nutrition Synergy between sectors: working together for better agriculture and health outcomes Summary
More informationRIO+20 and Health R O A D S L E A D I N G F R O M T H E R I O S U M M I T ( U N C E D ) I N T O
RIO+20 and Health R O A D S L E A D I N G F R O M T H E R I O S U M M I T ( U N C E D ) I N 1 9 9 2 T O 2 0 1 2 W I L F R I E D K R E I S E L, F O R M E R E X E C U T I V E D I R E C T O R, H E A L T H
More informationAnnex Johannesburg Declaration on Sustainable Development
Chapter I Resolutions adopted by the Summit Resolution 1* Political Declaration The World Summit on Sustainable Development, Having met in Johannesburg, South Africa, from 26 August to 4 September 2002,
More informationFRUIT AND VEGETABLES FOR HEALTH INITIATIVE
FRUIT AND VEGETABLES FOR HEALTH INITIATIVE The benefits of the daily consumption of fruit and vegetables for human health have been extensively researched and documented. Dietary guidelines in many countries
More informationUnited Nations Environment Programme
UNITED NATIONS EP UNEP/EA.3/Res.4 Distr.: General 30 January 2018 Original: English United Nations Environment Assembly of the United Nations Environment Programme United Nations Environment Assembly of
More informationPARALLEL THEMATIC SESSION B: USES OF ICT FOR ENHANCING EDUCATION AND HEALTH
PARALLEL THEMATIC SESSION B: USES OF ICT FOR ENHANCING EDUCATION AND HEALTH Roundtable on Governance and Uses of ICT for Reaching the Millennium Development Goals (MDGs) co-organized by the Division for
More informationDublin Declaration on Human Resources for Health: Building the Health Workforce of the Future. That further shore is reachable from here
Dublin Declaration on Human Resources for Health: Building the Health Workforce of the Future That further shore is reachable from here - Seamus Heaney We, the representatives of governments and key stakeholders
More informationMANDATES ARISING FROM THE SIXTH SUMMIT OF THE AMERICAS. We, the Heads of State and Government of the Americas, resolve:
SIXTH SUMMIT OF THE AMERICAS OEA/Ser.E April 14-15, 2012 CA-VI/doc.6/12 Rev.2 Cartagena de Indias, Colombia 23 May 2012 Original: Spanish MANDATES ARISING FROM THE SIXTH SUMMIT OF THE AMERICAS We, the
More informationMINISTÈRE DES AFFAIRES ÉTRANGÈRES ET EUROPÉENNES 20 December /5 6th World Water Forum Ministerial Process Draft document
MINISTÈRE DES AFFAIRES ÉTRANGÈRES ET EUROPÉENNES 20 December 2011 1/5 6th World Water Forum Ministerial Process Draft document 1. We the Ministers and Heads of Delegations assembled in Marseille, France,
More informationThe role of the health sector in the Strategic Approach to International Chemicals Management towards the 2020 goal and beyond
SIXTY-NINTH WORLD HEALTH ASSEMBLY WHA69.4 Agenda item 13.6 28 May 2016 The role of the health sector in the Strategic Approach to International Chemicals Management towards the 2020 goal and beyond The
More informationCouncil of the European Union Brussels, 19 September 2014 (OR. en)
Council of the European Union Brussels, 19 September 2014 (OR. en) 13364/14 AGRI 588 NOTE From: To: Subject: Presidency Delegations Informal meeting of the Agriculture Ministers in Milan "How can EU agriculture
More informationEnergy After Rio: Prospects and Challenges
Energy After Rio: Prospects and Challenges Energy After Rio: Prospects and Challenges United Nations Development Programme (Foreword - Abstract Introduction) in collaboration with International Energy
More informationwithin a country's borders in a specific time.
PAMUN XIII RESEARCH REPORT QUESTION OF: MEASURES TO REDUCE FOOD INSECURITY IN LEDCs I. Introduction of Topic: With over 925 million people facing food and nutrition insecurity, and malnutrition causing
More informationUNITED NATIONS WEEK Madrid 2016
UNITED NATIONS WEEK Madrid 2016 Dr Maria Neira Director of the Department Public Health, Environmental and Social Determinants of Health World Health Organization 1950 2015 2050 RURAL SOURCE: UNITED 100
More informationROLE OF UNDP IN ENSURING ENVIRONMENTAL SUSTAINABILITY: MILLENIUM DEVELOPMENT GOAL (MDG)7 IN UGANDA
ROLE OF UNDP IN ENSURING ENVIRONMENTAL SUSTAINABILITY: MILLENIUM DEVELOPMENT GOAL (MDG)7 IN UGANDA PRESENTED BY DANIEL OMODO MCMONDO PROGRAMME OFFICER, ENVIRONMENT UNDP COUNTRY OFFICE, UGANDA 0 0 WHAT
More informationUNDAF UGANDA - DRAFT. UNDAF Results Framework Summary
UNDAF Results Framework Summary Vision: A Transformed Ugandan Society from a Peasant to a Modern and Prosperous Country within 30 years Strategic Intent # 1: Governance By end 2020, Good Governance is
More informationEnd poverty in all its forms everywhere
End poverty in all its forms everywhere 1.1 By 2030, eradicate extreme poverty for all people everywhere, currently measured as people living on less than $1.25 a day 1.2 By 2030, reduce at least by half
More informationRIO 2012 Issues Briefs Prepared by UNCSD Secretariat No. 5
RIO 2012 Issues Briefs Prepared by UNCSD Secretariat No. 5 Sustainable Cities 1. Introduction This brief is aimed at providing a basic reference fact sheet relative to international time bound commitments
More informationDraft Background Paper
2 nd IEF - OFID Symposium on Energy Poverty 15-16 November 2011, OFID Headquarters, Vienna, Austria Global initiatives and regional cooperation to eradicate energy poverty Draft Background Paper October
More informationSwift and coordinated action is needed to halve hunger and extreme poverty everywhere by 2015
PREPARATORY MEETING FOR 2005 ECOSOC HIGH-LEVEL SEGMENT 16-17 March 2005 Achieving the internationally agreed development goals, including those contained in the Millennium Declaration, as well as implementing
More informationdeveloping regions with only 6 percent of cultivated area equipped for irrigation onn the entire continent compared to 20 percent at the global level;
DECLARATION Towards African Renaissance: Renewed Partnership for a Unified Approach to End Hunger in Africa by 2025 under the Framework the Comprehensive Africa Agricultural Development Programme The High
More informationEnergy and Public Health
Energy and Public Health Dr. Carlos Dora, PhD Former Coordinator Environment and Health, WHO, Geneva Professor Environment and Health Governance and Justice, Columbia University, New YOrk Energy and Health
More informationStrategic objective No. 3: Enhance the coverage and effectiveness of social protection for all
Strategic objective No. 3: Enhance the coverage and effectiveness of social protection for all 102. The need to improve social protection has been at the centre of ILO action since its inception. Despite
More informationCL 158/3 Web Annex 2: Output indicators and targets
October 2017 CL 158/3-WA2 E CL 158/3 Web Annex 2: Output indicators and targets 2018-19 This document can be accessed using the Quick Response Code on this page; an FAO initiative to minimize its environmental
More informationHeart and Stroke Foundation of Nova Scotia
Heart and Stroke Foundation of Nova Scotia 2005 HAVING AN IMPACT Canadian Institute for Economic Evaluation February 6 to 9 th Clare O Connor Director, Policy and Government Relations Context Among highest
More informationHongsa Health Surveillance Start-up and Approaches
Hongsa Health Surveillance Start-up and Approaches Suranee Phusuwan Introduction Lao People's Democratic Republic is committed to graduate from the list of Least Developed Countries by 2020 and to be the
More informationThe role of the health sector in the Strategic Approach to International Chemicals Management towards the 2020 goal and beyond
SEVENTIETH WORLD HEALTH ASSEMBLY A70/36 Provisional agenda item 16.2 4 May 2017 The role of the health sector in the Strategic Approach to International Chemicals Management towards the 2020 goal and beyond
More informationBackground. Q1: Why is biodiversity important for sustainable development? KEY MESSAGES (Revised June 11 th, 2013)
Biodiversity and Sustainable Development the relevance of the Strategic Plan for Biodiversity 2011-2020 and the Aichi Biodiversity Targets for the post-2015 development agenda and the Sustainable Development
More informationMEASUREMENT AND MONITORING OF UNIVERSAL HEALTH COVERAGE
1 MEASUREMENT AND MONITORING OF UNIVERSAL HEALTH COVERAGE Technical meeting; Singapore, 17-18 September 2013 World Health Organization World Bank Ministry of Health Singapore PURPOSE OF THE MEETING SUMMARY
More informationSustainable Development Goals: Transforming our World with Innovation
4 Sustainable Development Goals: Transforming our World with Innovation Eng. Maritza VARGAS Independent Environmental and Sustainability Consultant Sustainable Development Goals On September 25th, 2015
More informationConference conclusions and Action Agenda
PRE- FINAL VERSION AS OF 16:00 CET, FRIDAY 8 JULY 2016 FINAL VERSION TO BE AVAILABLE ONLINE FROM TUESDAY 12 JULY 2016 Conference conclusions and Action Agenda The Paris Agreement, adopted on 12 th December
More informationSTRATEGY AND VISION FOR FAO'S WORK IN NUTRITION
STRATEGY AND VISION FOR FAO'S WORK IN NUTRITION STRATEGY AND VISION FOR FAO'S WORK IN NUTRITION FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS Rome, 2014 The designations employed and the presentation
More informationSpecial High-Level Event A New Rural Development Paradigm and the Inclusive and Sustainable New Communities Model Inspired by the Saemaul Undong
Republic of Korea Special High-Level Event A New Rural Development Paradigm and the Inclusive and Sustainable New Communities Model Inspired by the Saemaul Undong Organized by UNDP, OECD and the Ministry
More informationPresented by Dave Griggs Director, Monash Sustainability Institute" Sustainable Development Goals and the role of energy"! "
Presented by Dave Griggs Director, Monash Sustainability Institute" Sustainable Development Goals and the role of energy"! " Monash Sustainability Institute 2 The changing human enterprise, from 1750 to
More informationfoodfirst: The Future of Farming and Food Security in Africa
foodfirst: The Future of Farming and Food Security in Africa Mr Graziano da Silva, Director-General FAO It is an honor to be here today at the foodfirst Conference: The Future of Farming and Food Security
More informationIslamic Declaration on Sustainable Development. (within the Framework of the Islamic World s Participation in the Rio+20 Summit)
Islamic Declaration on Sustainable Development (within the Framework of the Islamic World s Participation in the Rio+20 Summit) Islamic Declaration on Sustainable Development (within the Framework of
More informationMDB joint statement for Rio+20
MDB joint statement for Rio+20 June 20, 2012 Delivering on the promise of sustainable development: Our commitment to the Rio+20 agenda for inclusive green growth We, the undersigned multilateral development
More informationENERGY AND POVERTY IN TANZANIA
EASE PROGRAMME IN TANZANIA ENERGY AND POVERTY IN TANZANIA (Some Issues and Challenges) E.N.SAWE TaTEDO General Overview and Suggestions 1.0 Presentation Outline Introduction-The Ease programme The Challenges
More informationCARICOM Regional Food and Nutrition Security Explained
Promoting CARICOM Food and Nutrition Security CARICOM Regional Food and Nutrition Security Explained VI working Group Meeting (GT2025) of the Hunger Free Latin America and the Caribbean Initiative International
More informationMapping Mining to the Sustainable Development Goals: An Atlas
With the support of: White Paper Empowered lives. Resilient nations. Mapping Mining to the Sustainable Development Goals: An Atlas July 2016 About the Columbia Center on Sustainable Investment The Columbia
More informationFAO POLICY ON GENDER EQUALITY: Attaining Food Security Goals in Agriculture and Rural Development
FAO POLICY ON GENDER EQUALITY: Attaining Food Security Goals in Agriculture and Rural Development INTRODUCTION: Gender equality is central to FAO s mandate to achieve food security for all by raising levels
More informationCOFI:AQ/2013/SBD.2 (English only) GLOBAL AQUACULTURE ADVANCEMENT PARTNERSHIP (GAAP) PROGRAMME
GLOBAL AQUACULTURE ADVANCEMENT PARTNERSHIP (GAAP) PROGRAMME 1 Introduction Hunger and malnutrition are the most devastating problems worldwide and are inextricably linked with poverty. In 2010-12, almost
More informationEducation for Innovative Societies in the 21st century
Sunday, 16 July, 2006 09:26 GMT 13:26 Moscow Local Time: 13:26 G8/2006 RUSSIA St.Petersburg, July 16, 2006 Education for Innovative Societies in the 21st century 1. Education is at the heart of human progress.
More informationFrom MDGs to SDGs: Addressing Zero Hunger Challenge in LDCs
From MDGs to SDGs: Addressing Zero Hunger Challenge in LDCs Dr. Xuan LI Senior Policy Officer Food and Agriculture Organization (FAO) of the United Nations Third session of the Committee on Macroeconomic
More informationSustainable Development Goals
Sustainable Development Goals September 2015 Building on the 8 Millennium Development Goals (MDGs), the 17 Sustainable Development Goals with 169 targets to be achieved by 2030, were formally launched
More informationTHE EQUATION IS SIMPLE.
THE EQUATION IS SIMPLE. AIR POLLUTION CLIMATE CHANGE HEALTH 6.5 An estimated 6.5 million people die annually from air pollution related diseases. Many health-harmful air pollutants also damage the climate.
More information6 th International Summer School 2014 Comprehensive Land Policy- Fundamental for Sustainable Urban and Rural Development (12-13 Nov.
Ministry of Land Management, Urban Planning, and Construction KINGDOM OF CAMBODIA Nation Religion King 6 th International Summer School 2014 Comprehensive Land Policy- Fundamental for Sustainable Urban
More informationCURRENT ISSUES IN INTELLECTUAL PROPERTY: A PATIENT PERSPECTIVE
CURRENT ISSUES IN INTELLECTUAL PROPERTY: A PATIENT PERSPECTIVE Consumer Advocare Network s submission to WHO's Second Public Hearing on Public Health Innovation and Intellectual Property The Consumer Advocare
More informationWORKSHOP ENGAGING CITIZENS TO COUNTER CORRUPTION FOR BETTER PUBLIC SERVICE DELIVERY AND ACHIEVEMENT OF THE MILLENNIUM DEVELOPMENT GOALS
WORKSHOP ENGAGING CITIZENS TO COUNTER CORRUPTION FOR BETTER PUBLIC SERVICE DELIVERY AND ACHIEVEMENT OF THE MILLENNIUM DEVELOPMENT GOALS OPENING SESSION: WELCOMING REMARKS AND INTRODUCTION TO THE WORKSHOP
More informationPage 1 of 6. (As adopted during the last session of UNFF10 on Saturday 20 April 2013)
Resolution of Working Group One on Progress in implementation of the non-legally binding instrument on all types of forests (Item 3), Regional and subregional inputs (Item 4), Forests and economic development
More informationThe Role of AU/NEPAD in Social Protection
The Role of AU/NEPAD in Social Protection Study Tour - Social Protection in Brazil Brasilia, Brazil 26 August 2008 Boitshepo Bibi Giyose Food and Nutrition Security Advisor AU/NEPAD NEPAD - what is it?
More informationHEALTH AND SUSTAINABLE DEVELOPMENT IN THE GLOBAL ECONOMY. Key Issues Brief*
HEALTH AND SUSTAINABLE DEVELOPMENT IN THE GLOBAL ECONOMY Key Issues Brief* (*Prepared by Dr Y von Schirnding, WHO, for World Bank/DSE Workshop, 10-12 July 2001, Berlin; based on edited excerpts from recent
More informationClimate Change and Children: A Human Security Challenge
Climate Change and Children: A Human Security Challenge 1 1. Climate change, human security and the world s children 1.1 Human security and climate change Human security is complementary to national security.
More informationPutting food on the table for socially disadvantaged Australians: Food security as a social determinant
Putting food on the table for socially disadvantaged Australians: Food security as a social determinant Martin Laverty Founding Chair, SDoHA Federation CEO, Royal Flying Doctor Service What I ll cover
More informationASEAN Community in a Global Community of Nations
ASEAN Community in a Global Community of Nations JOINT DECLARATION ON COMPREHENSIVE PARTNERSHIP BETWEEN THE ASSOCIATION OF SOUTHEAST ASIAN NATIONS (ASEAN) AND THE UNITED NATIONS (UN) We, the Heads of State/Government
More informationThe Lima Declaration
The Lima Declaration Representatives of international volunteer cooperation organisations and volunteer-involving organisations from around the world gathered in Lima 19 th 22 nd October 2014 for the annual
More informationMillennium Villages A Revolution is Possible
Millennium PROMISE ENSURE OURS IS THE LAST GENERATION TO KNOW POVERTY Ensure ours is the last generation to know poverty. Millennium Villages A Revolution is Possible Printing courtesy of Alvin J. Bart
More informationending child hunger and undernutrition
ending child hunger and undernutrition Informal consultation to the WFP Executive Board Rome, October 9 2006 Initiating partners: 1. a global initiative 2. a strategic framework 3. the cost of ending child
More informationGSK Public policy positions
The Sustainable Development Goals The Issue The Sustainable Development Goals (SDGs) were adopted by world leaders at the United Nations (UN) Sustainable Development Summit in September 2015. They include
More informationVANUATU NATIONAL PLAN OF ACTION ON FOOD AND NUTRITION SECURITY
VANUATU NATIONAL PLAN OF ACTION ON FOOD AND NUTRITION SECURITY 2013-2015 1 Table of Contents Introduction and Background... 3 Brief Country Profile... 3 Food Security situation... 4 Health and Nutrition
More informationChair s conclusions. The Chair summarised the discussions as follows and will forward his conclusions to the summit chair.
Potsdam, 15-17 March 2007 Chair s conclusions The Environment Ministers of the G8 countries as well as of Brazil, China, India, Mexico and South Africa, the European Commissioner responsible for the environment
More informationSt. Petersburg Declaration
DRAFT 20 October 2005 Elements of St. Petersburg Declaration We, the representatives of the Governments from Europe and North Asia, countries from other continents and the European Commission, participating
More informationThe relationship between HIV and food security by André Croucamp July 2009 South Africa
The relationship between HIV and food security by André Croucamp July 2009 South Africa The 2001 United Nations General Assembly Special Session Declaration of Commitment on HIV/AIDS and the 2006 Political
More informationPreventing NCD deaths through better air quality
Preventing NCD deaths through better air quality This section outlines compatibility and harmonization of data on deaths attributable to risks to health with the NCD strategy, without the scope of comprehensively
More informationINVESTMENT ON PHARMACEUTICALS: THE VIEW OF MINISTRY OF HEALTH
INVESTMENT ON PHARMACEUTICALS: THE VIEW OF MINISTRY OF HEALTH Dra. SRI INDRAWATY, Apt.,M.Kes. Director General of Pharmaceutical Service and Medical Device PRESENTED ON : EU-INDONESIA BUSSINESS DIALOGUE
More informationTurkmenistan-UN Results Matrix [ ]
Strategic Area 1: Quality Data and Progress Monitoring Turkmenistan- Results Matrix [2016-2020] National Development Goals 1 : Attention to policy reform, institutional capacity development, planning,
More informationG20 Initiative for Rural Youth Employment Supporting the Next Generation in Rural Development, Agriculture and Food Security in developing countries
G20 Initiative for Rural Youth Employment Supporting the Next Generation in Rural Development, Agriculture and Food Security in developing countries 1. We acknowledge that rural youth employment in developing
More informationInternational Perspectives On Disaster Risk Management. Dr. Puji Pujiono Regional Adviser on Disaster Risk Reduction UN ESCAP 30 September 2014
International Perspectives On Disaster Risk Management Dr. Puji Pujiono Regional Adviser on Disaster Risk Reduction UN ESCAP 30 September 2014 Principal Drivers: International Laws Preamble of UN Charter:
More informationCFS contribution to the 2018 High Level Political Forum on Sustainable Development global review
Document CFS OEWG-SDGs/2018/03/20/02 CFS contribution to the 2018 High Level Political Forum on Sustainable Development global review Transformation towards sustainable and resilient societies In depth-review
More informationFood and Nutrition Security: Role of Temperate Fruit Crops
Food and Nutrition Security: Role of Temperate Fruit Crops Keynote Presentation at the 9 th International Symposium on Temperate Zone Fruits in the Tropics and Subtropics 26-28 March 2013, Chiang Mai,
More informationConcept note. United Nations Economic Commission for Africa Southern Africa Office
United Nations Economic Commission for Africa Southern Africa Office Distr. LIMITED ECA-SA/AEGM.Agr-in/2014/Info. 1 January 2015 Ad hoc Expert Group Meeting on Agro-industry Development for Food and Nutritional
More informationYouth Call for Action Health workers are an investment, not a cost
Youth Call for Action Health workers are an investment, not a cost We, the representatives of the present and the future health workforce, including students and young professionals from across the health
More informationStrategic objective No. 2: Create greater opportunities for women and men to secure decent employment and income
EMPLOYMENT Strategic objective No. 2: Create greater opportunities for women and men to secure decent employment and income 66. Closing the employment gap is at the heart of the decent work agenda. Unemployment
More informationSocio economic aspects of decentralised water projects in Africa
Socio economic aspects of decentralised water projects in Africa http://www.aquaya.org/tag/mobile water/ 16. - 17. October 2014 Prof. Dr.-Ing. Matthias Friedle 1 Socio-economic impacts Socio economics
More informationHarmonizing Gender in the Three Rio Conventions and the GEF
Harmonizing Gender in the Three Rio Conventions and the GEF IUCN GENDER OFFICE Contents Introduction: Why Gender Mainstreaming?...4 Gender & the Rio Conventions...8 IUCN: Facilitating the Gender Mainstreaming
More informationSTATEMENT APEC WOMEN AND THE ECONOMY FORUM 23 MAY 2014, BEIJING CHINA
STATEMENT APEC WOMEN AND THE ECONOMY FORUM 23 MAY 2014, BEIJING CHINA We, APEC ministers, heads of delegations, senior officials, representatives of non-governmental organizations and private sector leaders,
More informationSafe food as global imperative World Food Day 2010 United against hunger. Jarmila Turkalj, AMES, B.Sc.of Food Technology
Safe food as global imperative World Food Day 2010 United against hunger Jarmila Turkalj, AMES, B.Sc.of Food Technology OBJECTIVES OF WORLD FOOD DAY encourage attention to agricultural food production
More informationLancet article* on medicine prices, availability and affordability Questions and Answers, January 2009
Lancet article* on medicine prices, availability and affordability Questions and Answers, January 2009 *Cameron A, Ewen M, Ross-Degnan D, Ball D, Laing R. Medicine prices, availability, affordability in
More informationTowards a sustainable health workforce in the WHO European Region: framework for action
Regional Committee for Europe 67th session EUR/RC67/10 +EUR/RC67/Conf.Doc./5 Budapest, Hungary, 11 14 September 2017 1 August 2017 170677 Provisional agenda item 5(c) ORIGINAL: ENGLISH Towards a sustainable
More information2009/20 Social dimensions of the New Partnership for Africa s Development
Resolution 2009/20 Social dimensions of the New Partnership for Africa s Development The Economic and Social Council, Recalling the outcomes of the World Summit for Social Development, held in Copenhagen
More informationIGF Geneva 2016 MPF-SDG Comparative Analysis. Perrine Toledano CCSI, Head: Extractive Industries
IGF Geneva 2016 MPF-SDG Comparative Analysis Perrine Toledano CCSI, Head: Extractive Industries SDG and MPF: Can they connect? The Sustainable Development Goals (SDGs) form the post-2015 global development
More informationWorkshop Key Messages. German Habitat Forum Berlin, June 1-2, 2016
Workshop Key Messages German Habitat Forum Berlin, June -2, 206 June, 206 A Refugees and Migration in an Urban Context Apply spatial solutions such as allowing modular and flexible approaches, e.g. in
More informationGlobal Landscapes Forum. Outcome Statement. 2013, Warsaw, UNFCCC
Global Landscapes Forum Outcome Statement 2013, Warsaw, UNFCCC Global Landscapes Forum: Outcome Statement Global Landscapes Forum: Outcome Statement Recommendations 1. Apply landscape approach principles
More informationIndicators for cross-cutting themes arranged by goals and targets
Indicators for cross-cutting themes arranged by goals targets Many important issues, such as gender equality, health, consumption production, or nutrition are tracked by indicators arranged under different
More informationSocio-economic Indicators for Vulnerability Assessment in the Arab Region
Socio-economic Indicators for Vulnerability Assessment in the Arab Region Tarek Sadek Water Resources Section Sustainable Development & Productivity Division-ESCWA Presentation outline Concepts of vulnerability
More informationA Nexus Approach For The SDGs
A Nexus Approach For The SDGs Interlinkages between the goals and targets* * Goal 17 is understood to be linked to all the goals in addressing means of implementation and will therefore not be considered
More informationWHO Social media toolkit for COP November 2016 Marrakesh, Morocco
WHO Social media toolkit for COP 22 7-18 November 2016 Marrakesh, Morocco Health Environment and Climate Change at COP 22 The Paris Agreement, adopted on 12th December 2015, marks the beginning of a new
More informationCFS contribution to the 2018 High Level Political Forum on Sustainable Development global review
CFS contribution to the 2018 High Level Political Forum on Sustainable Development global review Transformation towards sustainable and resilient societies In depth-review of SDGs 6, 7, 11, 12, 15, 17
More informationDevelopment plans of Viet Nam: Achievements, challenges and orientation to successful SDGs
Development plans of Viet Nam: Achievements, challenges and orientation to successful SDGs Prof. Dr. Nguyen The Chinh General Director of ISPONRE-Vietnam Contents Sustainable Development Framework Achieving
More informationWhy the world needs an urban SDG?
Why the world needs an urban SDG? UN General Assembly Open Working Group 7 th Session, 7 January 2014 Aromar Revi Indian Institute for Human Settlements, Bangalore, India Cynthia Rosenzweig NASA Goddard
More informationEnvironment and Health Decision-Making in Developing Countries
Environment and Health Decision-Making in Developing Countries A global review conducted by the WHO UNEP Health and Environment Linkages Initiative (HELI) Presented by Twisuk Punpeng, Department of Health
More informationEconomic and Social Council
United Nations [E/2016/75] Economic and Social Council Distr.: General English only ` ` ` ` ` ` ` ` ` ` ` ` ` 2016 session 24 July 2015-27 July 2016 Agenda items 5, 6 and 18 (a) High-level segment High-level
More informationChronic Hunger Falling, But One in Nine People Still Affected
Chronic Hunger Falling, But One in Nine People Still Affected Gaelle Gourmelon December 1, 2014 A lthough the proportion of people experiencing chronic hunger is decreasing globally, one in nine individuals
More informationBackground Paper: Promoting Sustainable and Inclusive Growth
2017/ISOM/008 Agenda Item: 4.2 Background Paper: Promoting Sustainable and Inclusive Growth Purpose: Information Submitted by: Papua New Guinea Informal Senior Officials Meeting Port Moresby, Papua New
More informationGlobal Forum for Food and Agriculture Communiqué 2018
20 January 2018 the English Version is authentic Global Forum for Food and Agriculture Communiqué 2018 "Shaping the Future of Livestock sustainably, responsibly, efficiently" Preamble We, the agriculture
More informationCOMMISSION OF THE EUROPEAN COMMUNITIES
COMMISSION OF THE EUROPEAN COMMUNITIES Brussels, 9.6.2004 COM(2004) 416 final Volume I COMMUNICATION FROM THE COMMISSION TO THE COUNCIL, THE EUROPEAN PARLIAMENT, THE EUROPEAN ECONOMIC AND SOCIAL COMMITTEE
More informationAgriculture for Improved Nutrition & Health IFPRI. Executive Summary. CGIAR Research Program 4
CGIAR Research Program 4 Proposal Submitted by: International Food Policy Research Institute IFPRI ILRI BIOVERSITY CIAT CIMMYT CIP ICARDA ICRAF ICRISAT IITA WORLD FISH Agriculture for Improved Nutrition
More informationHUMAN RIGHTS AND THE 2030 AGENDA FOR SUSTAINABLE DEVELOPMENT
HUMAN RIGHTS AND THE 2030 AGENDA FOR SUSTAINABLE DEVELOPMENT SDG-Folder_03.1CC.indd 1 31/10/2017 13.02 At the Danish Institute for Human Rights, we develop analysis, tools and guidance on the links between
More informationSustainable Development Investments (SDIs)
Sustainable Development Investments (SDIs) Taxonomies May 2017 SDI definition We invest in solutions that contribute to the UN Sustainable Development Goals. These investments meet our financial risk and
More informationThematic Committee 6-8 June The South African Housing Policy: operationalizing the right to adequate housing
Thematic Committee 6-8 June 2001 1. The South African Housing Policy: operationalizing the right to adequate housing The South African Housing Policy: operationalizing the right to adequate housing Report
More information