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The emergence of a global economy has led to the erosion of local autonomy and national sovereignty with an associated emphasis on the spread of liberal, free-market economics. A clear divide is appearing between those benefiting from and those disadvantaged by this process. Among the most important consequences are changes in the patterns of health and the prevalence of disease. While infant mortality is declining in most countries, and many formerly prevalent diseases are being successfully tackled, the move from subsistence to cash economies brings with it changes in diet, alcohol consumption and high levels of smoking; with the result that non-communicable, 'lifestyle illnesses' such as heart disease and diabetes are spreading rapidly. Similarly, growing divisions of wealth add to the problem, bringing diseases relating to poverty and malnourishment as well as those caused by affluence and over-consumption. Issues covered in this book include equitable and sustainable modernization, the determinants of health, the process of marginalization, and survival strategies on the periphery. The authors draw on primary case study material, largely from societies in the Pacific region undergoing modernization, to provide invaluable information for tracking and assessing the full impacts of these changes.
This book discusses globalization and its impact on human health. The population of the world grew from 1 billion in 1800 to 7 billion in 2012, and over the past 50 years the mean temperature has risen faster than ever before. Both factors continue to rise, as well as health inequalities. Our environment is changing rapidly, with tremendous consequences for our health. These changes produce complex and constantly varying interactions between the biosphere, economy, climate and human health, forcing us to approach future global health trends from a new perspective. Preventive actions to improve health, especially in low-income countries, are essential if our future is going to be a sustainable one. After a period of undeniable improvement in the health of the world’s population, this improvement is likely to slow down and we will experience– at least locally – crises of the same magnitude as have been observed in financial markets since 2009. There is instability in health systems, which will worsen if preventive and buffering mechanisms do not take on a central role. We cannot exclude the possibility that the allied forces of poverty, social inequalities, climate change, industrial food and lack of governance will lead to a deterioration in the health of large sectors of the population. In low-income countries, while many of the traditional causes of death (infectious diseases) are still highly prevalent, other threats typical of affluent societies (obesity, diabetes, cardiovascular diseases) are increasing. Africa is not only affected by malaria, TB and HIV, but also by skyrocketing rates of cancer. The book argues that the current situation requires effective and coordinated multinational interventions guided by the principle of health as a common good. An entirely competition-driven economy cannot – by its very nature – address global challenges that require full international cooperation. A communal global leadership is called for. Paolo Vineis is Chair of Environmental Epidemiology at Imperial College. His current research activities focus on examining biomarkers of disease risk as well as studying the effects of climate change on non-communicable diseases. “From morality to molecules, environment to equity, climate change to cancer, and politics to pathology, this is a wonderful tour of global health – consistently presented in a clear, readable format. Really, an important contribution.” Professor Sir Michael Marmot Director, Institute of Health Equity University College London Author of “The Health Gap” “This book is a salutary and soundly argued reminder that the ‘common good’ is not simply what remains after individuals and groups have appropriated the majority of societal resources: it is in fact the foundation on which any society rests and without which it collapses.” Rodolfo Saracci, International Agency for Research on Cancer, Lyon, France
SARS, Governance and the Globalization of Disease provides a comprehensive and original analysis of the historic global SARS outbreak of 2003. David P. Fidler constructs a political pathology of the SARS outbreak, analyzes the government responses to it, places these responses in historical context and assesses the implications of the successful management of the outbreak for handling future pathogenic threats that will arise. The book includes a detailed description of the outbreak and governance responses to it, as well as a focused analysis of China's role in the outbreak.
The current value of global trade has reached a staggering annual figure of $6 trillion in merchandise crossing borders. Such prolific global trading has, at the same time, begun to raise fears of pandemics and concerns for global health. Yet, investment in public health infrastructure and disease control was never designed to cope with international trade of this volume and diversity. Indeed, most health systems lag far behind, especially in poor countries. This has created new vulnerabilities for global populations to the introduction and amplification of infection through trade. Public fears have been further heightened by frightening news reports of deadly diseases such as Mad Cow disease and E. Coli. Risky Trade: Infectious Disease in the Era of Global Trade provides a thorough examination of the actual risks posed by disease in the age of globalization. Drawing on the economics of international trade and epidemiology, the author explores the critical health issues arising from the enormous increase in global trade and travel. Issues covered include: ¢ The scale of the problem with particular reference to the Sakai outbreak of E. Coli; ¢ Risks from particular microbes - Enteric and viral infections; Highly infectious agents; Antimicrobial resistance; and, Stealth agents; ¢ Global outbreaks as a result of human travel and trade; ¢ Prevention, surveillance and control; ¢ The future health of global trading. In addition to highlighting the problems, the book also addresses some of the potential benefits the same globalization can bring to epidemic control through surveillance, diagnostics, treatment and investigation. The empirical approach ties together existing descriptions and case studies of epidemics building a comprehensive framework for examining new events and considering historical experience with infectious outbreaks. The volume will be a valuable guide to students, academics, practitioners, and policy makers in the areas of international trade, health economics, epidemiology, international/public health and disease control.
While much progress has been made on achieving the Millenium Development Goals over the last decade, the number and complexity of global health challenges has persisted. Growing forces for globalization have increased the interconnectedness of the world and our interdependency on other countries, economies, and cultures. Monumental growth in international travel and trade have brought improved access to goods and services for many, but also carry ongoing and ever-present threats of zoonotic spillover and infectious disease outbreaks that threaten all. Global Health and the Future Role of the United States identifies global health priorities in light of current and emerging world threats. This report assesses the current global health landscape and how challenges, actions, and players have evolved over the last decade across a wide range of issues, and provides recommendations on how to increase responsiveness, coordination, and efficiency â€" both within the U.S. government and across the global health field.
An analysis of infectious disease as a threat to national security that examines the destabilizing effects of the 1918 Spanish Flu pandemic, HIV/AIDS in sub-Saharan Africa, SARS, and Mad Cow Disease. Historians from Thucydides to William McNeill have pointed to the connections between disease and civil society. Political scientists have investigated the relationship of public health to governance, introducing the concept of health security. In Contagion and Chaos, Andrew Price-Smith offers the most comprehensive examination yet of disease through the lens of national security. Extending the analysis presented in his earlier book The Health of Nations, Price-Smith argues that epidemic disease represents a direct threat to the power of a state, eroding prosperity and destabilizing both its internal politics and its relationships with other states. He contends that the danger of an infectious pathogen to national security depends on lethality, transmissability, fear, and economic damage. Moreover, warfare and ecological change contribute to the spread of disease and act as “disease amplifiers.” Price-Smith presents a series of case studies to illustrate his argument: the Spanish influenza pandemic of 1918-19 (about which he advances the controversial claim that the epidemic contributed to the defeat of Germany and Austria); HIV/AIDS in sub-Saharan Africa (he contrasts the worst-case scenario of Zimbabwe with the more stable Botswana); bovine spongiform encephalopathy (also known as mad cow disease); and the SARS contagion of 2002-03. Emerging infectious disease continues to present a threat to national and international security, Price-Smith argues, and globalization and ecological change only accelerate the danger.
Essential reading for social and medical scientists and all those interested in infectious diseases and public health, AIDS and the Twenty-First Century examines the social and economic origins and impacts of the HIV/AIDS epidemic. HIV/AIDS is not only a medical problem. It is an indication of the scale of the global crisis in public health. Accessibly written, this book is necessary reading for policymakers, students and all those who are concerned about the relationship between poverty, inequality and infectious diseases.
The intersection between international law and infectious diseases is the subject of this book. The globalization of public health and related international law, the International Health Regulations, and international law on trade, human rights, and armed conflict are among
Modern transportation allows people, animals, and plants-and the pathogens they carry-to travel more easily than ever before. The ease and speed of travel, tourism, and international trade connect once-remote areas with one another, eliminating many of the geographic and cultural barriers that once limited the spread of disease. Because of our global interconnectedness through transportation, tourism and trade, infectious diseases emerge more frequently; spread greater distances; pass more easily between humans and animals; and evolve into new and more virulent strains. The IOM's Forum on Microbial Threats hosted the workshop "Globalization, Movement of Pathogens (and Their Hosts) and the Revised International Health Regulations" December 16-17, 2008 in order to explore issues related to infectious disease spread in a "borderless" world. Participants discussed the global emergence, establishment, and surveillance of infectious diseases; the complex relationship between travel, trade, tourism, and the spread of infectious diseases; national and international policies for mitigating disease movement locally and globally; and obstacles and opportunities for detecting and containing these potentially wide-reaching and devastating diseases. This document summarizes the workshop.