Why do we need SD goals on climate change, environment and health - PowerPoint PPT Presentation

Why do we need SD goals on climate change, environment and health Roberto Bertollini, M.D, MPH Chief Scientist and WHO Representative to the EU World Health Organization Joint DEVE-ENVI public hearing European Parliament Name of presentation Brussels, June 22 2015 Date of presentation

Health – a precious global good • Higher on the political and social agenda of countries and internationally • An important global economic and security issue • A major investment sector for human, economic and social development • A major economic sector in its own right • A matter of human rights and social justice

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CMH (2001): the link between health and economic development Name of presentation Date of presentation

LE and health Name of presentation Date of presentation

Impact of health on economic growth and development Labour-force participation • Absenteeism due to illness: 4.2 days/ worker (EU, 2009) • Average cost of absenteeism: 2.5% of GDP • Reduced age of retirement (2.8 years) due to poor health • Less likelihood to work (66%, males; 42%, females) due to chronic diseases • Macroeconomic growth • 1% increase in life expectancy = 6% growth in GDP (OECD) • 10% decrease in CVD = 1% per capita income growth (2009) Name of presentation Date of presentation

SDG health goal 3 and its 13 targets 3.3 End epidemics of HIV, TB, malaria 3.3 End epidemics of HIV, TB, malaria 3.8 Achieve 3.4 Reduce and NTD, and combat hepatitis, and NTD, and combat hepatitis, universal health mortality due to NCD and water-borne diseases and other water-borne diseases and other coverage improve mental health communicable diseases communicable diseases 3.5 Strengthen prevention 3.2 Reduce and treatment of substance child and neonatal To ensure To ensure abuse ( narcotics, alcohol ) mortality healthy lives and healthy lives and 3.6 Reduce mortality 3.1 Reduce due to road traffic maternal mortality promote promote injuries wellbeing for all wellbeing for all 3.a Strengthen 3.7 Universal access to implementation FCTC at all ages at all ages sexual and reproductive (tobacco) health-care services 3.9 R educe deaths and illness 3.d Enhance capacity for early due to pollution and warning, risk reduction and contamination management of national and global health risks 3.c Increased health financing 3.b Access to affordable and health workforce in essential medicines and developing countries technologies

Targets for SDG 3 Targets for SDG 3  Reduce the global maternal mortality ratio to less than 70 per 100,000 live births  End preventable deaths of newborns and under-five children  End the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-borne diseases, and other CDs  Reduce by one-third pre-mature mortality from non-communicable diseases (NCDs) through prevention and treatment, and promote mental health and wellbeing  Achieve universal health coverage (UHC), including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all

Targets for SDG 3 Targets for SDG 3  Reduce the global maternal mortality ratio to less than 70 per 100,000 live births  End preventable deaths of newborns and under-five children  End the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-borne diseases, and other CDs  Reduce by one-third pre-mature mortality from non-communicable diseases (NCDs) through prevention and treatment, and promote mental health and wellbeing  Achieve universal health coverage (UHC), including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all

Ten main causes of disease and disabilities 2004 and 2030 (assuming a reduction of 50% of DALYs due to infectious diseases)) WHO. The global burden of disease: 2004 update. Geneva World Health Organization, 2008

Total deaths by broad cause group by WHO region, World Bank income group and by sex, 2008. Source: WHO Global status report on noncommunicable diseases 2010

Why does the burden of NCDs constitute one of the major challenges for development in the 21 st century? 12,000,000 • 14.2 million people between 10,000,000 30-70 die every year from NCDs 8,000,000 • 86% of deaths 6,000,000 between the 4,000,000 ages 30-70 occur in developing 2,000,000 countries

United Nations General Assembly First High-level Meeting on NCDs (New York, 19-20 September 2011) 2011 Second high-level Meeting on NCDs (New York, 10-11 July 2014) 2014 to take stock of the progress made since 2011 Third High-level Meeting on NCDs to report on progress achieved since 2014 2018

Targets for SDG 3 Targets for SDG 3  Reduce the global maternal mortality ratio to less than 70 per 100,000 live births  End preventable deaths of newborns and under-five children  End the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-borne diseases, and other CDs  Reduce by one-third pre-mature mortality from non-communicable diseases (NCDs) through prevention and treatment, and promote mental health and wellbeing  Achieve universal health coverage (UHC), including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all

Universal Health Coverage (UHC) Universal Health Coverage (UHC)  2 main UHC objectives – Covering all essential health services – Providing financial protection  Coverage must be at all levels of health systems  Coverage depends on the nature of interventions  Coverage must include all countries  UHC must be equitable  Individual countries must promote and implement UHC

Health is linked to many other SDGs and targets Goal 6: Ensure availability and sustainable management of Goal 1: End poverty water and sanitation for all Health Target 1.3: Implement social Target 6.1: achieve universal protection systems for all and equitable access to safe and affordable drinking water Goal 4: Ensure inclusive and equitable Goal 2: End hunger, achieve food security education ……….. and improved nutrition Target 4.2: ensure access to early Target 2.2: end malnutrition, achieve targets for reductions child stunting and childhood development, care and pre- wasting primary education … Goal 5: Achieve gender equality and empower all Goal 16: Promote peaceful and inclusive women and girl s societies for sustainable development, …….. T arget 5.2: end all forms of violence against all Target 16.1: reduce all forms of violence and related death rates everywhere women and girls …. Other goals and targets e.g. 10 (inequality), 11 (cities), 13 (climate change)

Health in the context of the SDGs Health in the context of the SDGs Humans [are] the central concern of sustainable development […] living a healthy and productive life in harmony with nature – Principle 1 of the Rio Declaration (1992)  Health can be a contributor to sustainable development  Health can benefit from sustainable development  Health challenges can hamper sustainable development

Health and SDGs Health and SDGs “ Health has an obligatory place on any post-2015 development agenda. Better health is a good way to track the world’s true progress in poverty elimination, inclusive growth, and equity.” Dr Margaret Chan Director-General of WHO Address to the Sixty-seventh World Health Assembly, Geneva, Switzerland 19 May 2014

Thank You!