Global Health in Historical Perspective
Hoorcollege 1 Global health introduction Prof J Lange, Dr A Belonje
Polio
Why is this a global health problem
Quickly spread (cross boarder) migration
Huge impact on public health
Challenges
Keeping the vaccine at a certain level
Culture
Collaborating with so many organizations
Education programme way to deal with the virus (involve important influential people from the
community)
Global health
Focus on health problems that affect LMIC
Emphasis on health issues that concern many countries or that are affected greatly by
transnational determinants, or on solutions
Involves many disciplines and promotes interdisciplinary collaboration
Synthesis of population based prevention with individual level clinical care
Global health is collaborative transnational research and action for promotion health for all
Care for chronic conditions needs urgent attention, partly emphasised by the achievements in
the treatment of HIV, with recognition of the challenge to deliver existing treatments and
approaches on a global scale.
It is complex
o Speed of globalisation
o A two-way flow between developed and developing countries
o Many diverse disciplines involved
Millennium development goals
o Develop a global partnership for development
o Eradicate extreme poverty and hunger
o Achieve universal primary education
o Promote gender equality and empower women
o Reduce child mortality
o Improve maternal health
o Combat HIV/aids, malaria and other diseases
o Ensure environmental sustainability
Current challenges
Infectious diseases
o Variations of familiar microbial agents (MDR-TB)
o Endemic unaffected areas (e.g. West Nile)
o Newly emerging (e.g. SARS, H1N1 influenza A)
o Zoonoses (avian influenza, Q-fever)
o Malaria
o Tuberculosis traveling, immune system, hiv
o HIV
o Neglected diseases
Many underlying causes are human initiated social and environmental changes
o Climate and ecosystem disturbances
o Trends in food and meat consumption and production
o Close proximity of humans and animals in household settings
o Unsafe medical practices
o Human rights violations
Chronic diseases
o Cardiovascular disease
o Diabetes
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