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<p class=sthd1 style='margin-left:.5in'><b><font size=2 color=maroon
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:maroon'>WHO
called to return to Alma-Ata Declaration<o:p></o:p></span></font></b></p>

<p class=sthd1 style='margin-left:.5in'><b><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:navy'>World Health Organization
– May 2006 <o:p></o:p></span></font></b></p>

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 style='width:481.5pt;margin-left:.5in'>
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  <p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
  10.0pt;font-family:Arial;color:navy'>Website: <a
  href="http://www.who.int/social_determinants/links/events/wha2006/en/index.html"><font
  color=navy><span style='color:navy'>http://www.who.int/social_determinants/links/events/wha2006/en/index.html</span></font></a>
  <o:p></o:p></span></font></p>
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<p style='margin-left:.5in'><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399'>"Managing the
Politics of Equity and Social Determinants of Health" - the title of the
informal briefing the Commission held at the 59th World Health Assembly. The
briefing drew sharper focus on the necessity of major health stakeholders to
step up action on the social causes of ill-health. High-level policy makers,
civil society members and WHO staff attended the briefing, proclaimed as a
"historical moment" by a floor delegate. Among the attendees was Dr
Halfdan Mahler considered to be the father of the Alma Ata Declaration and
former WHO Director-General from 1973 to 1988. <o:p></o:p></span></font></p>

<p style='margin-left:.5in'><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399'>"He gave us the
dream. He launched new ideas and made us realize that it was possible to
achieve health for everybody," Commissioner, Dr Giovanni Berlinguer noted.
Dr Berlinguer outlined the evolution of global health politics over the past
three decades and lamented the impact of changes in the political economy which
saw public health recoil under the shadow of major financial institutions. He
told delegates that the setting up of the Commission on Social Determinants of
Health was an opportunity to add momentum to a global movement that wanted to
see health inequalities addressed. <o:p></o:p></span></font></p>

<p style='margin-left:.5in'><st1:country-region w:st="on"><st1:place w:st="on"><font
  size=2 color="#333399" face=Arial><span style='font-size:10.0pt;font-family:
  Arial;color:#333399'>Bolivia</span></font></st1:place></st1:country-region><font
size=2 color="#333399" face=Arial><span style='font-size:10.0pt;font-family:
Arial;color:#333399'>'s Health Minister Dr Nila Heredia pointed out her
country's challenges to address inequalities in health, stating the low health
budget and historical factors as some of the major obstacles (see her
presentation below). She mentioned poverty, poor housing and low levels of
education, particularly among women, as some of the key social determinants of
health in <st1:country-region w:st="on"><st1:place w:st="on">Bolivia</st1:place></st1:country-region>.
The government was exploring several programs to address health inequalities
which included a "zero malnutrition" program and the promotion of a
social security system that would allow segments of society to gain free access
to health. <o:p></o:p></span></font></p>

<p style='margin-left:.5in'><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399'>Civil society
representative, Dr Hani Serag challenged WHO and the Commission to address the
"profound determinants such as violence, wars, and neo-liberal
policies" and to allow the different components of the Commission to work
independently. Dr Serag further challenged WHO to return to the principles of
the Alma-Ata Declaration (see below). <o:p></o:p></span></font></p>

<p style='margin-left:.5in'><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399'>Commissioner Dr Ndioro
Ndiaye stressed the importance of including sectors outside the health domain
to be part of the developing healthy societies: "If we do not look at the
intersectoral angle, that health is not just a medical problem … we will
not succeed." The Commission already engages different ministries and
sectors outside health to work collaboratively on social determinants of health
and equity. <o:p></o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'><a
href="http://www.who.int/entity/social_determinants/links/events/alma_ata/en/index.html"><font
color="#333399"><span style='color:#333399'>The Declaration of Alma-Ata</span></font></a>
<o:p></o:p></span></font></p>

<p class=shd2 style='margin-left:.5in'><b><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'>Presentations<o:p></o:p></span></font></b></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'><a
href="http://www.who.int/entity/social_determinants/resources/bolivia.pdf"><font
color="#333399"><span style='color:#333399'>Equidad y determinantes sociales de
la salud [pdf 119kb]</span></font></a> <br>
Presentation by Dr Nila Heredia, Minister of Health, Bolivia <br>
<br>
<a href="http://www.who.int/entity/social_determinants/resources/canada.pdf"><font
color="#333399"><span style='color:#333399'>Canada’s Participation and
Response [pdf 146kb]</span></font></a> <br>
Presentation by Jim Ball, Public Health Agency of Canada <br>
<br>
<a href="http://www.who.int/entity/social_determinants/resources/egypt.pdf"><font
color="#333399"><span style='color:#333399'>Addressing Unhealthy Policies [pdf
367kb]</span></font></a> <br>
Presentation by Drs Hani Serag, Alaa Shukrallah, People’s Health Movement<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>

<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in'><font size=1 color=navy face=Arial><span
style='font-size:9.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>

<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in'><font size=1 color=navy face=Arial><span
style='font-size:8.0pt;font-family:Arial;color:navy'> </span></font><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>*      *     
*     * </span></font> <o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><font size=1 color=navy face=Arial><span
lang=EN-GB style='font-size:7.5pt;font-family:Arial;color:navy'>This message
from the Pan American Health Organization, PAHO/WHO, is part of an effort to
disseminate <br>
information Related to: Equity; Health inequality; Socioeconomic inequality in
health; Socioeconomic <br>
health differentials; Gender; Violence; Poverty; Health Economics; Health
Legislation; Ethnicity; Ethics; <br>
Information Technology - Virtual libraries; Research & Science
issues.  [DD/ IKM Area] </span></font><span lang=EN-GB> </span><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><font size=1 color=navy face=Arial><span
lang=EN-GB style='font-size:7.5pt;font-family:Arial;color:navy'>“Materials
provided in this electronic list are provided "as is".Unless
expressly stated otherwise, the findings <br>
and interpretations included in the Materials are those of the authors and not
necessarily of The Pan American <br>
Health Organization PAHO/WHO or its country members”.</span></font><font
size=1 color=navy face=Arial><span lang=EN-GB style='font-size:8.0pt;
font-family:Arial;color:navy'> <br>
</span></font><font size=1 color=navy face=Arial><span lang=EN-GB
style='font-size:7.5pt;font-family:Arial;color:navy'>---------------------------------------------------------------------------------------------------</span></font><font
color=navy><span lang=EN-GB style='color:navy'> </span></font><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><font size=1 color=navy face=Arial><span
lang=EN-GB style='font-size:7.5pt;font-family:Arial;color:navy'>PAHO/WHO
Website: <a href="http://www.paho.org/" title="http://www.paho.org/"><font
color=navy title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span style='color:navy'><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/"><span
title="http://www.paho.org/"><span title="http://www.paho.org/">http://www.paho.org/</span></span></span></font></span></span></a></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>
</span></font><o:p></o:p></p>

<p class=MsoNormal style='margin-left:.5in'><font size=1 color=navy face=Arial><span
lang=EN-GB style='font-size:7.5pt;font-family:Arial;color:navy'>EQUITY List -
Archives - Join/remove: <a
href="http://listserv.paho.org/Archives/equidad.html"
title="http://listserv.paho.org/Archives/equidad.html"><font color=navy
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span style='color:navy'><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html">http://listserv.paho.org/Archives/equidad.html</span></span></span></font></span></span></a></span></span><o:p></o:p></span></span></font></p>

</span>

<p class=MsoNormal style='margin-left:.5in'
title="http://listserv.paho.org/Archives/equidad.html"><font size=1 color=navy
face=Arial title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span lang=EN-GB
style='font-size:9.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></span></font></p>

</span>

<p class=MsoNormal style='margin-left:.5in'
title="http://listserv.paho.org/Archives/equidad.html"><font size=1 color=navy
face=Arial title="http://listserv.paho.org/Archives/equidad.html"><span
title="http://listserv.paho.org/Archives/equidad.html"><span lang=EN-GB
style='font-size:9.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></span></font></p>

</span>

<p class=MsoNormal><font size=3 face="Times New Roman"><span lang=EN-GB
style='font-size:12.0pt'><o:p> </o:p></span></font></p>

</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></div>

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