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<div class=Section1>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>The world in which we live unfortunately does not allow the poor
and the powerless to “offer” anything with which to bargain. That is the reason
for various human grievances and the raison d’être of the struggle. It is the
meaning of “rapport de force” or class conflict, which, under neoliberal single
ideology, are banned concepts. <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'>The poor have offered everything, their lives, their labour, the
resources of their country, and of course their health and wellbeing. But under
the imperative of infinite accumulation, it can never be enough.<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'>They are demanding their rights (and we in rich countries, are
supporting that demand) and these are not amenable to bargaining chips of any
kind. <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'>Neoliberalism (probably deliberately) ignores any distinction
between means and ends - both are subsumed under “cost efficiency” (itself very
narrowly defined). We are appealing unashamedly to fairness and justice as absolute
values. That “appeal” is being translated into political action through 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'>We could possibly use the argument that the powerful countries
have signed up to various human rights treaties and conventions but as we know,
these are not enforceable (but could be made so overnight, bearing in mind that
the WTO agreements are enforceable). But again, this is confusing values which
are absolute with means which are not. <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'>So just a comment on Ted’s point which of course is valid within
a certain framework. I think it is useful to <b>explicitly refuse the bargaining
paradigm altogether</b>. Operating within it, is accepting the current system,
and accepting failure again. <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'>Martin Luther (I think) said “Here I stand. I can do no other”. Without
any belief in the supernatural, it seems to me that statement captures the essence
of the struggle.<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'>The poor stand with empty pockets and no weapons but with
incontestably legitimate demands. Again, they could threaten revolution,
(within the bargaining paradigm). But why should any more poor people die in
the struggle for universally recognized human rights? <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'>Sadly, the confrontation with a deeply violent order, which is
not amenable to peaceful appeal, is likely to produce a violent rather than a peaceful
revolution. Avoiding that outcome must be central to our strategies, as set out
in the People’s Health Charter for example and of course in the UN Charter. <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 friendship, Alison<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>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm'>
<p class=MsoNormal><span lang=EN-US style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>ement.org;
phm-exchange@phm.phmovement.org; 'Marjorie Mbilinyi'<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 lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Hi David (and all other PHM colleagues),<o:p></o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>I did not mean in any way to minimize the urgency of the issues,
and in particular did not mean in any way to suggest that the current economic
crisis does not constitute a health emergency. It does. <o:p></o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>However, if I “demand” a salary increase from the University of
Ottawa, I will be far more credible if I have more on my side than appeals to
fairness, such as the option of leaving the institution and taking students and
grant money with me – or, conversely, if I can offer the institution something
that it wants but can make the offer contingent on its giving me what I want.<o:p></o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><br>
In situations that do not fit this template, speaking in terms of “demands” is,
unfortunately, an indication of weakness rather than of strength, especially
when the language is used in conjunction with appeals to fairness or
justice. Sadly, that is the world in which we live. <o:p></o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Now, back to drafting talking points for my introduction to a
workshop on the health case for human rights against the global marketplace at
the International Society for Equity in Health conference next month, which I
hope many PHM colleagues will attend. <o:p></o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>In solidarity,<o:p></o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Ted Schrecker <o:p></o:p></span></p>
<p class=MsoNormal><span lang=EN-US 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 0cm 0cm 0cm'>
<p class=MsoNormal><b><span lang=EN-US style='font-size:10.0pt;font-family:
"Tahoma","sans-serif"'>From:</span></b><span lang=EN-US style='font-size:10.0pt;
font-family:"Tahoma","sans-serif"'> david sanders
[mailto:sandersdav@yahoo.com.au] <br>
<b>Sent:</b> May 18, 2009 1:19 PM<br>
<b>To:</b> jmukherjee@pih.org; tschrecker@sympatico.ca;
cschuftan@phmovement.org; phm-exchange@phm.phmovement.org; Marjorie Mbilinyi<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>
<p class=MsoNormal><span lang=EN-US><o:p> </o:p></span></p>
<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0>
<tr>
<td valign=top style='padding:0cm 0cm 0cm 0cm'>
<div>
<p class=MsoNormal>Dear All,<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>What would Ted suggest? Should we replace 'demand' by
'humbly request'?<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>PHM IS attempting to mobilise in the countries where
it has affiliates and supporters around the Right to Health. The global
economic crisis should be included in our campaigning. I would
encourage those not active in developing a Right to Health Campaign in
their countries to do so.<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>In solidarity,<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal>David Sanders.<br>
--- On <b>Mon, 18/5/09, Marjorie Mbilinyi <i><marjorie.mbilinyi@tgnp.org></i></b>
wrote:<o:p></o:p></p>
</div>
<blockquote style='border:none;border-left:solid #1010FF 1.5pt;padding:0cm 0cm 0cm 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-bottom:5.0pt'>
<p class=MsoNormal style='margin-bottom:12.0pt'><br>
From: Marjorie Mbilinyi <marjorie.mbilinyi@tgnp.org><br>
Subject: Re: PHM-Exch> PHM press statement (WHA 2009, May 18):
"Declare Global economic downturn a health emergency!"<br>
To: jmukherjee@pih.org, tschrecker@sympatico.ca, cschuftan@phmovement.org,
phm-exchange@phm.phmovement.org<br>
Received: Monday, 18 May, 2009, 3:20 PM<o:p></o:p></p>
<div id=yiv1906783085>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>I
agree, we need to speak as loudly and clearly as possible.</span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>In
Tanzania, government statements on the planned response to the global
financial crisis have emphasised that resource allocations <strong><span
style='font-family:"Arial","sans-serif"'>to infrastructure</span></strong>
will not be reduced -- with the clear implication that resource allocations
to social services will be reduced. In contrast, feminist and health
activists and others are using every opportunity to argue that resources need
to be increased to social services and social protection, while taking direct
action to protect as well as enhance the sustainable livelihoods of women and
men in both rural and urban areas.</span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Marjorie
Mbilinyi</span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Tanzania
Gender Networking Programme (TGNP)</span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal> <o:p></o:p></p>
</div>
<blockquote style='border:none;border-left:solid black 1.5pt;padding:0cm 0cm 0cm 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt'>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>-----
Original Message ----- <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal style='background:#E4E4E4'><b><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'>From:</span></b><span style='font-size:
10.0pt;font-family:"Arial","sans-serif"'> <a
href="http://au.mc01g.mail.yahoo.com/mc/compose?to=jmukherjee@pih.org"
target="_blank" title="jmukherjee@pih.org"><span style='color:blue'>jmukherjee@pih.org</span></a>
<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>To:</span></b><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'> <a
href="http://au.mc01g.mail.yahoo.com/mc/compose?to=tschrecker@sympatico.ca"
target="_blank" title="tschrecker@sympatico.ca"><span style='color:blue'>tschrecker@sympatico.ca</span></a>
; <a
href="http://au.mc01g.mail.yahoo.com/mc/compose?to=cschuftan@phmovement.org"
target="_blank" title="cschuftan@phmovement.org"><span style='color:blue'>cschuftan@phmovement.org</span></a>
; <a
href="http://au.mc01g.mail.yahoo.com/mc/compose?to=phm-exchange@phm.phmovement.org"
target="_blank" title="phm-exchange@phm.phmovement.org"><span
style='color:blue'>phm-exchange@phm.phmovement.org</span></a> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Sent:</span></b><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'> Monday, May 18,
2009 1:42 AM<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Subject:</span></b><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'> 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>
</div>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><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…</span><o:p></o:p></p>
</div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p>
</blockquote>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Cambria","serif";color:#1F497D'>Joia S. Mukherjee, MD,
MPH</span><o:p></o:p></p>
</div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Cambria","serif";color:#1F497D'>Medical Director,
Partners In Health</span><o:p></o:p></p>
</blockquote>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Cambria","serif";color:#1F497D'>Director, Institute for
Health and Social Justice</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Cambria","serif";color:#1F497D'>Assistant Professor,
Harvard Medical School</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Cambria","serif";color:#1F497D'>Division of Global Health
Equity</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Cambria","serif";color:#1F497D'>Brigham and Women's
Hospital</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Cambria","serif";color:#1F497D'>800 Boylston St.</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
lang=FR style='font-family:"Cambria","serif";color:#1F497D'>Boston, MA 02199</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
lang=FR style='font-family:"Cambria","serif";color:#1F497D'>phone:
+1 617-432-3735 </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
lang=FR style='font-family:"Cambria","serif";color:#1F497D'>fax: +1
617-432-6045</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
lang=FR style='font-family:"Cambria","serif";color:#1F497D'><a
href="http://www.pih.org/" target="_blank"><span style='color:blue'>www.pih.org</span></a></span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
lang=FR style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'> </span><o:p></o:p></p>
<div>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm'>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><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!"</span><o:p></o:p></p>
</div>
</div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Dear
Colleagues,</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><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”?</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><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.</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>In
solidarity,</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Ted
Schrecker</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm'>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><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!”</span><o:p></o:p></p>
</div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:12.0pt'>From:
<<a href="http://au.mc01g.mail.yahoo.com/mc/compose?to=unnikru@yahoo.com"
target="_blank"><span style='color:blue'>unnikru@yahoo.com</span></a>><br>
and: <a
href="http://au.mc01g.mail.yahoo.com/mc/compose?to=secretariat@phmovement.org"
target="_blank"><span style='color:blue'>secretariat@phmovement.org</span></a>,
<o:p></o:p></p>
</div>
<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0>
<tr>
<td valign=top style='padding:0cm 0cm 0cm 0cm'>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:
auto'>For immediate circulation:<o:p></o:p></p>
</div>
<div style='border:none;border-bottom:solid windowtext 1.0pt;padding:0cm 0cm 1.0pt 0cm'>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:
auto'><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:0cm;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:0cm;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:0cm;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:0cm;margin-bottom:.0001pt'><b><span style='font-size:11.0pt;
font-family:"Arial","sans-serif"'> </span></b> <o:p></o:p></p>
<p style='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><b><span style='font-size:11.0pt;
font-family:"Arial","sans-serif"'>Consider the facts:</span></b> <o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:10.0pt;
margin-left:36.0pt;text-indent:-18.0pt;mso-list:l4 level1 lfo3'><![if !supportLists]><span
style='font-size:10.0pt;font-family:Symbol'><span style='mso-list:Ignore'>?<span
style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><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></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:10.0pt;
margin-left:36.0pt;text-indent:-18.0pt;mso-list:l4 level1 lfo3'><![if !supportLists]><span
style='font-size:10.0pt;font-family:Symbol'><span style='mso-list:Ignore'>?<span
style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><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></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:
auto;margin-left:36.0pt;text-indent:-18.0pt;mso-list:l4 level1 lfo3'><![if !supportLists]><span
style='font-size:10.0pt;font-family:Symbol'><span style='mso-list:Ignore'>?<span
style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><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></p>
<p style='mso-margin-top-alt:5.0pt;margin-right:0cm;margin-bottom:0cm;
margin-left:18.0pt;margin-bottom:.0001pt'><span style='font-size:11.0pt;
font-family:"Arial","sans-serif"'> </span> <o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:
auto;margin-left:36.0pt;text-indent:-18.0pt;mso-list:l1 level1 lfo6'><![if !supportLists]><span
style='font-size:10.0pt;font-family:Symbol'><span style='mso-list:Ignore'>?<span
style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><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></p>
<p style='mso-margin-top-alt:5.0pt;margin-right:0cm;margin-bottom:10.0pt;
margin-left:18.0pt'><span style='font-size:11.0pt;font-family:"Arial","sans-serif"'> </span>
<o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:10.0pt;
margin-left:36.0pt;text-indent:-18.0pt;mso-list:l0 level1 lfo9'><![if !supportLists]><span
style='font-size:10.0pt;font-family:Symbol'><span style='mso-list:Ignore'>?<span
style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><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></p>
<p style='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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:5.0pt;margin-right:0cm;margin-bottom:10.0pt;
margin-left:36.0pt'><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:5.0pt;margin-right:0cm;margin-bottom:10.0pt;
margin-left:36.0pt'><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:5.0pt;margin-right:0cm;margin-bottom:10.0pt;
margin-left:36.0pt'><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='margin-bottom:10.0pt'><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='margin-bottom:10.0pt'><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 style='color:blue'>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 style='color:blue'>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 ....</span><o:p></o:p></p>
</td>
</tr>
</table>
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<p class=MsoNormal>_______________________________________________<br>
PHM-Exchange People's Health Movement<br>
To post, write to: PHM-Exchange@phm.phmovement.org<br>
Website: http://phm.phmovement.org/listinfo.cgi/phm-exchange-phmovement.org<o:p></o:p></p>
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<p class=MsoNormal>_______________________________________________<br>
PHM-Exchange People's Health Movement<br>
To post, write to: <a
href="http://au.mc01g.mail.yahoo.com/mc/compose?to=PHM-Exchange@phm.phmovement.org"><span
style='color:blue'>PHM-Exchange@phm.phmovement.org</span></a><br>
Website: <a
href="http://phm.phmovement.org/listinfo.cgi/phm-exchange-phmovement.org"
target="_blank"><span style='color:blue'>http://phm.phmovement.org/listinfo.cgi/phm-exchange-phmovement.org</span></a><o:p></o:p></p>
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<p class=MsoNormal><span lang=EN-US style='font-size:10.0pt;font-family:"Calibri","sans-serif"'><o:p> </o:p></span></p>
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style='font-size:10.0pt;font-family:"Calibri","sans-serif"'>
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