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<div class=Section1>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>So, let’s move thousands of people into the streets…we ( a group
of PHM , HIV and MHC activists and others) are going to start working on this…18
months from now, we want 100,000 people on the mall…<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>

<div>

<p class=MsoNormal><span style='font-family:"Cambria","serif";color:#1F497D'>Joia
S. Mukherjee, MD, MPH<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-family:"Cambria","serif";color:#1F497D'>Medical
Director, Partners In Health<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-family:"Cambria","serif";color:#1F497D'>Director,
Institute for Health and Social Justice<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-family:"Cambria","serif";color:#1F497D'>Assistant
Professor, Harvard Medical School<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-family:"Cambria","serif";color:#1F497D'>Division
of Global Health Equity<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-family:"Cambria","serif";color:#1F497D'>Brigham
and Women's Hospital<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-family:"Cambria","serif";color:#1F497D'>800
Boylston St.<o:p></o:p></span></p>

<p class=MsoNormal><span lang=FR style='font-family:"Cambria","serif";
color:#1F497D'>Boston, MA 02199</span><span lang=FR style='font-family:"Cambria","serif";
color:#1F497D'><o:p></o:p></span></p>

<p class=MsoNormal><span lang=FR style='font-family:"Cambria","serif";
color:#1F497D'>phone: +1 617-432-3735<o:p></o:p></span></p>

<p class=MsoNormal><span lang=FR style='font-family:"Cambria","serif";
color:#1F497D'>fax: +1 617-432-6045<o:p></o:p></span></p>

<p class=MsoNormal><span lang=FR style='font-family:"Cambria","serif";
color:#1F497D'>www.pih.org</span><span lang=FR style='font-family:"Cambria","serif";
color:#1F497D'><o:p></o:p></span></p>

</div>

<p class=MsoNormal><span lang=FR style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>

<div>

<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>

<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span
style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>
phm-exchange-bounces@phm.phmovement.org
[mailto:phm-exchange-bounces@phm.phmovement.org] <b>On Behalf Of </b>Ted
Schrecker<br>
<b>Sent:</b> Sunday, May 17, 2009 6:32 PM<br>
<b>To:</b> 'Claudio Schuftan'; 'pha-exchange'<br>
<b>Subject:</b> Re: PHM-Exch>PHM press statement (WHA 2009, May 18):
"Declare Global economic downturn a health emergency!"<o:p></o:p></span></p>

</div>

</div>

<p class=MsoNormal><o:p> </o:p></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Dear Colleagues,<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Although I could not agree more strongly with the substance of
the communiqué below, might I add a note of caution about the language of
“demands”?<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Social movements are most effective in articulating their
objectives as “demands” when they can bring tens/hundreds of thousands of
people into the streets, or can exercise some analogously strong influence
within the more rarefied context of multilateral fora such as WHA.  Can
PHM realistically claim to be able to do this?  If not, then I suggest
moderating the language, although not of course the underlying ethical
argument.<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>In solidarity,<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Ted Schrecker<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>

<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>

<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span
style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>
phm-exchange-bounces@phm.phmovement.org
[mailto:phm-exchange-bounces@phm.phmovement.org] <b>On Behalf Of </b>Claudio
Schuftan<br>
<b>Sent:</b> May 17, 2009 1:50 PM<br>
<b>To:</b> pha-exchange<br>
<b>Subject:</b> PHM-Exch> PHM press statement (WHA 2009, May 18): “Declare
Global economic downturn a health emergency!”<o:p></o:p></span></p>

</div>

<p class=MsoNormal><o:p> </o:p></p>

<p class=MsoNormal><o:p> </o:p></p>

<div>

<p class=MsoNormal style='margin-bottom:12.0pt'>From: <<a
href="mailto:unnikru@yahoo.com">unnikru@yahoo.com</a>><br>
and: <a href="mailto:secretariat@phmovement.org">secretariat@phmovement.org</a>,
<o:p></o:p></p>

<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0>
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  <p class=MsoNormal>For immediate circulation:<o:p></o:p></p>
  </div>
  <div style='border:none;border-bottom:solid windowtext 1.0pt;padding:0in 0in 1.0pt 0in'>
  <p class=MsoNormal><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>Press
  Release: Geneva , 18 May, 2009 </span></b><span style='font-size:11.0pt;
  font-family:"Arial","sans-serif"'>                       </span>
  <o:p></o:p></p>
  </div>
  <p style='margin:0in;margin-bottom:.0001pt'><b><i><span style='font-size:
  14.0pt;font-family:"Arial","sans-serif"'>“Declare Global economic downturn a
  health emergency!”</span></i></b> <o:p></o:p></p>
  <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:14.0pt;
  font-family:"Arial","sans-serif"'> </span></b> <o:p></o:p></p>
  <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:14.0pt;
  font-family:"Arial","sans-serif"'>“Economic Recession is a threat to the
  world’s health”</span></b> <o:p></o:p></p>
  <p style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:11.0pt;
  font-family:"Arial","sans-serif"'> </span></b> <o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>The
  People’s Health Movement urges the World Health Organization and member
  governments to <b>“declare the economic recession currently gripping the
  globe as a health emergency”. </b></span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>Health
  activists gathered here in Geneva for the World Health Assembly (18-22 May)
  are expected to lobby the UN health body and governments to declare global
  downturn a health emergency. </span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>People’s
  Health Movement (PHM) is a global coalition of grass root health workers,
  health professionals, human rights, peace and social activists.  </span>
  <o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>“Recession
  is hitting the poor people hard and their health and survival”</span></b><span
  style='font-size:11.0pt;font-family:"Arial","sans-serif"'> said a PHM
  spokesperson. </span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>“While
  it is too early to make a rigorous assessment, recession’s potential impact
  on health is much greater than that of <i>‘Swine flu’</i>, through impacts on
  poverty and social spending”.</span></b> <o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>“The
  current paradigm of ‘development’ has aggravated poverty and ill-health for
  the poor, especially in the global south”,</span></b><span style='font-size:
  11.0pt;font-family:"Arial","sans-serif"'> said Prof. David Sanders, a public
  health expert from South Africa . <b>“The current financial crisis will
  worsen this”</b>, he said. </span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>“Donors
  need to place health needs of poor people at the centre of their response
  strategies” </span></b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>said
  Dr. Zafrullah Chowdhury from Bangladesh . Dr. Chowdhury, a leading advocate
  for affordable health care for poor people from Bangladesh , urged donors to
  do a ’reality check’ and shred what he alleged was their ‘imperial attitude’.</span>
  <o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>PHM
  warns that the financial crisis is likely to result in greater dependence of
  southern countries on donor assistance. </span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>Previous
  precedents indicate that the effects of the global crisis will be quickly
  felt by the poor, across the globe. Focussing on a few priority diseases will
  further amplify the health challenges for the poor people.</span> <o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>Consider
  the facts:</span></b> <o:p></o:p></p>
  <ul style='margin-top:0in' type=disc>
   <li class=MsoNormal style='margin-bottom:10.0pt;mso-list:l3 level1 lfo3'><span
       style='font-size:11.0pt;font-family:"Arial","sans-serif"'>50 million
       workers may lose jobs if the economic crisis worsens, warns the
       International Labour Organization. </span><o:p></o:p></li>
   <li class=MsoNormal style='margin-bottom:10.0pt;mso-list:l3 level1 lfo3'><span
       style='font-size:11.0pt;font-family:"Arial","sans-serif"'>The UN and all
       its agencies and funds spend about $20 billion each year or about $3 for
       each person in the world. In contrast, Global military expenditure in
       2007 was US $ 1339 billion or about US $202 for each person in the
       world.</span><o:p></o:p></li>
   <li class=MsoNormal style='mso-list:l3 level1 lfo3'><span style='font-size:
       11.0pt;font-family:"Arial","sans-serif"'>Over 1 billion people across
       the globe go hungry every day. One in five people in developing
       countries is chronically undernourished </span><o:p></o:p></li>
  </ul>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;
  margin-left:.25in;margin-bottom:.0001pt'><span style='font-size:11.0pt;
  font-family:"Arial","sans-serif"'> </span> <o:p></o:p></p>
  <ul style='margin-top:0in' type=disc>
   <li class=MsoNormal style='mso-list:l1 level1 lfo6'><span style='font-size:
       11.0pt;font-family:"Arial","sans-serif"'>Every day, almost 16,000
       children die from hunger-related causes - one child every five seconds. </span><o:p></o:p></li>
  </ul>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:.25in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'> </span>
  <o:p></o:p></p>
  <ul style='margin-top:0in' type=disc>
   <li class=MsoNormal style='margin-bottom:10.0pt;mso-list:l2 level1 lfo9'><span
       style='font-size:11.0pt;font-family:"Arial","sans-serif"'>The crisis
       undermines human rights. UN Human Rights Council expressed “grave
       concern” that the crises threatens to undermine the achievement of the
       internationally agreed development goals including the Millennium
       Development Goals.</span><o:p></o:p></li>
  </ul>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>“The
  loss of livelihoods, impending cutbacks in welfare spending and intensified
  food crisis for the world’s poor is going to result in a significant increase
  in avoidable deaths around the world”</span></b><span style='font-size:11.0pt;
  font-family:"Arial","sans-serif"'> said Dr. Amit Sengupta, a leading health
  analyst from India . In India , 80 percent of expenditure on healthcare is
  through out-of-pocket payments.</span> <o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>Loss
  of jobs or income could leave a vast majority of these unable to pay for
  their treatment. </span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>“It
  is time to shift gears. The current situation demonstrates the need for a new
  world health order and a new approach to development”,</span></b><span
  style='font-size:11.0pt;font-family:"Arial","sans-serif"'> said David
  Woodward, a development economist from the United Kingdom . It is essential
  that poor people are put at the centre of this new order, he said. Typically
  those in poor, developing countries are likely to suffer the most. </span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>The
  PHM demands immediate measures</span></b><span style='font-size:11.0pt;
  font-family:"Arial","sans-serif"'> by the international community and
  individual governments: </span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:.5in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>a)</span><span
  style='font-size:7.0pt'>      </span><span
  style='font-size:11.0pt;font-family:"Arial","sans-serif"'>To ensure adequate
  resources made available to revitalise public health systems. Pay urgent
  attention to the needs of the poor rather than the revival of failed big
  commercial banks. </span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:.5in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>b)</span><span
  style='font-size:7.0pt'>      </span><span
  style='font-size:11.0pt;font-family:"Arial","sans-serif"'>To allocate funds
  for the restoration of jobs and livelihood opportunities in low income
  communities. </span><o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:.5in'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>c)</span><span
  style='font-size:7.0pt'>      </span><span
  style='font-size:11.0pt;font-family:"Arial","sans-serif"'>To strengthen
  social welfare programs in developing countries and for homeless and
  unemployed people in developed countries, and not to use the economic crisis
  downturn as an excuse to cut funds of welfare related programmes.</span> <o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'>Bridget
  Lloyd, Global co-ordinator: People’s Health Movement.</span></b> <o:p></o:p></p>
  <p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;
  margin-left:0in'><b><span lang=IT style='font-size:11.0pt;font-family:"Arial","sans-serif"'>For
  media enquiries: E-mail: </span></b><span style='font-size:11.0pt;font-family:
  "Arial","sans-serif"'><a
  href="http://uk.mc506.mail.yahoo.com/mc/compose?to=secretariat@phmovement.org"
  target="_blank"><span lang=IT>secretariat@phmovement.org</span></a> </span><span
  lang=IT style='font-size:11.0pt;font-family:"Arial","sans-serif"'>/  </span><span
  style='font-size:11.0pt;font-family:"Arial","sans-serif"'><a
  href="http://uk.mc506.mail.yahoo.com/mc/compose?to=media@phmovement.org"
  target="_blank"><span lang=IT>media@phmovement.org</span></a> <b> </b></span><b><span
  lang=IT style='font-size:11.0pt;font-family:"Arial","sans-serif"'>Mobile :</span></b><span
  lang=IT style='font-size:11.0pt;font-family:"Arial","sans-serif"'> +41 76 753
  2979</span><o:p></o:p></p>
  </td>
 </tr>
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