The Global Doctor: Scientific Medicine and Social Movements McGill - - PowerPoint PPT Presentation

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The Global Doctor: Scientific Medicine and Social Movements McGill - - PowerPoint PPT Presentation

Sep 22, 2023 389 likes •844 views

The Global Doctor: Scientific Medicine and Social Movements McGill University Montreal, Canada Richard Horton October 29, 2008 In the beginning To Colonial Practitioners ! a correct description of all the important cases that

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The Global Doctor: Scientific Medicine and Social Movements McGill University Montreal, Canada Richard Horton October 29, 2008

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In the beginning…

“To Colonial Practitioners”! “…a correct description of all the important cases that may occur, whether in England or on any part

  • f the civilised Continent.”
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A revolution in knowledge

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  • Science is a catalyst for

policy change

  • Global partnerships

deliver global impact

  • Doctors can trigger social

action

  • Doctors can be leaders of

political as well as clinical change

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MDGs

  • 1. Eradicate poverty
  • 2. Achieve universal education
  • 3. Promote gender equality
  • 4. Reduce child mortality
  • 5. Improve maternal health
  • 6. Combat HIV, malaria, TB
  • 7. Ensure environmental

sustainability

  • 8. Develop global partnerships
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Global Development Organisation

What does globalisation mean to medicine? “To advocate for global action on human development; to be the lead scientific and technical agency for development; to co-ordinate bilateral and multilateral development programmes; and to set standards for development work.”

Lancet 2002; 360: 582-83

  • Sustainable human development
  • MDGs
  • Collect evidence
  • Build institutions
  • Create partnerships
  • Disseminate information
  • Promote research
  • Strengthen information capacity
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MDG 4 MDG 5 Reduce child mortality Improve maternal health

Reduce under 5 mortality rate Reduce maternal mortality ratio by by two-thirds (1990-2015) three-quarters (1990-2015) Achieve, by 2015, universal access to reproductive health

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Child survival: science, advocacy, and a call to action

“We, a group of concerned scientists and public-health managers, call

  • n: WHO, UNICEF, the World

Bank, the UNDP, and their other UN partners to act on behalf of children by putting child survival at the top of their list of priorities.”

Lancet 2003; 362: 323-27

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The result?

Countdown 2005 Newborn health

  • Profile
  • Policy
  • Partnership
  • Financial support
  • Programme monitoring

Lawn JE et al Lancet 2006; 367: 1541-47

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Maternal and child undernutrition

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Strategic partnerships

  • Ministerial Summit on Health Research
  • Global Forum for Health Research
  • Mexico: Nov 2004
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September 25, 2008, UNGA, NY

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Global science for global policy

  • Chronic disease (2005, 2007)
  • Indigenous health (2006)
  • Energy and health (2007)
  • Health and human rights (2007)
  • HIV prevention (2008)

Pipeline: 8 global health reports in progress (2008-2009)

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Call to Action

  • WHO
  • World Bank
  • Countries
  • NGOs
  • Food and drinks industry
  • Pharmaceutical industry
  • Civil society
  • Academic community
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WHO: Getting political

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Energy and climate change

  • Climate change is a critical planetary

issue

  • It is part of a larger challenge: energy

equity

  • Health is a neglected aspect of energy

1.6 billion people are exposed to adverse health risks because of lack of access to electricity

Wilkinson P. et al Lancet 2007; 370: 117-87.

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Future reports: 2008-09

Right to health India Trade Pakistan Malaria South Africa Cancer Palestine

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Mental health

  • 1. No health without mental health
  • 2. Resource scarcity, inequity, inefficiency
  • 3. Treatment evidence
  • 4. Mental health systems
  • 5. Barriers to change
  • 6. Call to Action

Partners: MacArthur Foundation; KCL; WHO; LSHTM Lancet Mental Health Steering Group

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“And fast by hanging in a golden chain This pendent world…”

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