Dr Gro Harlem Brundtland is to stand down as director general of the World Health Organization (WHO) in July 2003, after only one term. This will be the first time that a WHO director general has not been in office for at least two consecutive terms. In an interview with the BMJ immediately after the announcement, she said that her decision reflected the fact that she would be 69 at the end of a second term. "I don't want to get into a situation in my life where I'm not fully energetic and able to do my job," she said.
Equity in Health
Joint UN Programme on HIV/AIDS (UNAIDS) Executive Director, Peter Piot, attended the World Summit on Sustainable Development in Johannesburg to deliver a simple message: until HIV/AIDS is brought under control, initiatives to promote sustainable development will be a waste of time. He spoke to IRIN about the need for political leadership, and the progress being made by African countries in dealing with the epidemic.
The 1990 World Summit for Children pledged to provide universal access to safe water by the end of the century. Why then do 2.2 million people still die each year from preventable diseases associated with a lack of safe water, inadequate sanitation and poor hygiene?
Ruling party Swapo has asked Government to set aside more funds to buy drugs to prolong the lives of people infected with HIV - the virus that causes AIDS. The recently concluded Swapo Congress said all patients with AIDS-related illnesses should have access to AIDS drugs.
Globalisation has fuelled impoverishment, ill health and marginalisation of the world’s poor and in its wake many of the human development gains for poor countries have been reversed. The powers of international monetary and trade institutions that drive the globalisation agenda and supersede policies of national governments such as the WTO, IMF and World Bank need to be checked in line with human rights and social development goals. Particular, agreements such as TRIPS pose a dire threat for the health of millions of people by making it legal for access to live saving drugs to be blocked as with HIV/AIDS/STIs/TB. Declining health status under structural adjustment programmes provides ample evidence of the costs for humanity as national and government capabilities have been eroded.
The link between climate and cholera outbreaks has become stronger in recent decades, say researchers from the University of Michigan in the United States, the University of Barcelona in Spain, and the International Center for Diarrheal Disease Research in Bangladesh. In a previous study published in the journal "Science," the researchers found evidence that El Nino-Southern Oscillation (ENSO), a major source of climate variability from year to year, influences cycles of cholera. They looked only at climate and disease data from Bangladesh for the past two decades.
EFFORTS to combat three of Africa's most devastating diseases HIV/AIDS, tuberculosis (TB) and malaria have been given a major boost, with the announcement of a à 600m European Union (EU) programme to fund clinical trials in sub-Saharan Africa.
WHO Director-General, Dr Gro Harlem Brundtland, told a meeting of health ministers from ten famine struck southern African countries that, based on available evidence, genetically modified grain being provided as food aid is not likely to negatively effect human health.
The head of the United Nations AIDS programme has warned that meaningful sustainable development cannot be achieved if the AIDS epidemic is allowed to devastate human resources and capacities. "If we continue to allow AIDS to drain human resources at an increasing rate, sustainable development will be impossible," said Dr Peter Piot, Executive Director of the Joint United Nations Programme on HIV/AIDS (UNAIDS). "Quite simply, if you do not survive, you cannot develop."Dr Piot was speaking to the plenary session of the World Summit on Sustainable Development (WSSD), taking place from 26 August to 4 September.
In a deep disappointment to many developing countries and the European Union (EU), targets and time frames for the adoption of renewable energy have been scrapped from the final text of the world summit implementation plan. The US and the Organisation of Petroleum Exporting Countries (Opec), with Venezuela and Saudi Arabia at the fore, joined forces with Japan and Canada to sink an attempt, led by the EU, for a global renewable energy target. With the energy issue out of the way, ministers were finalising the clause on health care the sole outstanding issue. The US and the Vatican were still voicing adamantly their opposition to text that could in any way be interpreted to include abortion.