Globalization and HealthThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

48 records returned

Enhancing global control of alcohol to reduce unsafe sex and HIV in sub-Saharan AfricaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sub-Saharan Africa carries a massive dual burden of HIV and alcohol disease, and these pandemics are inextricably linked. Physiological and behavioural research indicates that alcohol independently affects decision-making concerning sex, and skills for negotiating condoms and their correct use. More than 20 studies in Africa have reported higher occurrence of HIV among people with problem drinking; a finding strongly consistent across studies and similar among women and men. Conflation of HIV and alcohol disease in these setting is not surprising given patterns of heavy-episodic drinking and that drinking contexts are ofte...
Source: Globalization and Health - November 17, 2009 Category: Global & Universal Authors: Matthew ChersichHelen ReesFiona ScorgieGreg Martin Source Type: journals

Transparency in Nigeria's public pharmaceutical sector: perceptions from policy makersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Despite the many reported reforms instituted by NAFDAC, the study findings suggest that facets of the pharmaceutical system in Nigeria remain fairly vulnerable to corruption. The most glaring deficiency seems to be the absence of conflict of interest guidelines which, if present and consistently administered, limit the promulgation of corrupt practices. Other major contributing factors are the inconsistency in documentation of procedures, lack of public availability of such documentation, and inadequacies in monitoring and evaluation. What is most critical from this study is the identification of areas that st...
Source: Globalization and Health - October 29, 2009 Category: Global & Universal Authors: Habibat GarubaJillian KohlerAnna Huisman Source Type: journals

Local suffering and the global discourse of mental health and human rights: An ethnographic study of responses to mental illness in rural GhanaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Efforts to promote the human rights of those with mental illness must engage with the experiences of mental illness within communities affected in order to grasp how these may underpin the use of practices such as mechanical restraint. Interventions which operate at the local level with those living with mental illness within rural communities, as well as family members and healers, may have greater potential to effect change in the treatment of the mentally ill than legislation or investment in services alone. (Source: Globalization and Health)
Source: Globalization and Health - October 13, 2009 Category: Global & Universal Authors: Ursula ReadEdward AdiibokahSolomon Nyame Source Type: journals

Rethinking the conceptual terrain of AIDS scholarship: lessons from comparing 27 years of AIDS and climate change researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Suggesting that AIDS scholars can learn from these key parallels and divergences, the paper offers four directions for advancing AIDS research: (1) focusing more on the differentiation of risk and responsibility within and among AIDS epidemics; (2) taking (back) on board social justice approaches; (3) moving beyond polarized debates; and (4) shifting focus from reactive to forward-looking and proactive approaches. (Source: Globalization and Health)
Source: Globalization and Health - October 5, 2009 Category: Global & Universal Authors: May ChazanMichael BrklacichAlan Whiteside Source Type: journals

The production of consumption: addressing the impact of mineral mining on tuberculosis in southern AfricaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionMigration to and from mineral mines contributes to HIV risks and associated tuberculosis incidence. Health and safety conditions within mines also promote the risk of silicosis (a tuberculosis risk factor) and transmission of tuberculosis bacilli in close quarters. In the context of migration, current tuberculosis prevention and treatment strategies often fail to provide sufficient continuity of care to ensure appropriate tuberculosis detection and treatment. Reports from distant communities suggest that miners pose transmission risks to other household or community members as they travel home undetected or inade...
Source: Globalization and Health - September 28, 2009 Category: Global & Universal Authors: Sanjay BasuDavid StucklerGregg GonsalvesMark Lurie Source Type: journals

An overview of cardiovascular risk factor burden in sub-Saharan African countries: a socio-cultural perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Using an African-centered cultural framework, the PEN3 model, we explore future directions and efforts to address the epidemic of CVD risk in SSA. (Source: Globalization and Health)
Source: Globalization and Health - September 21, 2009 Category: Global & Universal Authors: Rhonda BeLueTitilayo OkororJuliet IwelunmorKelly TaylorArnold DegboeCharles AgyemangGbenga Ogedegbe Source Type: journals

A review of co-morbidity between infectious and chronic disease in Sub Saharan Africa: TB and Diabetes Mellitus, HIV and Metabolic Syndrome, and the impact of globalizationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The impact of these co-morbidities in Sub Saharan Africa is likely to be large. An increasing prevalence of diabetes may hinder efforts at tuberculosis control, increasing the number of susceptible individuals in populations where tuberculosis is endemic, and making successful treatment harder. Roll out of anti-retroviral treatment coverage within Sub Saharan Africa is an essential response to the HIV epidemic however it is likely to lead to a growing number of individuals suffering adverse metabolic consequences. One of the impacts of globalization is to create environments that increase both diabetes and car...
Source: Globalization and Health - September 13, 2009 Category: Global & Universal Authors: Fiona YoungJulia CritchleyLucy JohnstoneNigel Unwin Source Type: journals

"I washed and fed my mother before going to school": Understanding the psychosocial well-being of children providing chronic care for adults affected by HIV/AIDS in Western KenyaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With improved accessibility to life-prolonging antiretroviral therapy, the treatment and care requirements of people living with HIV and AIDS resembles that of more established chronic diseases. As an increasing number of people living with HIV and AIDS in Kenya have access to ART, the primary caregivers of poor resource settings, often children, face the challenge of meeting the requirements of rigid ART adherence schedules and frequent relapses. This, and the long-term duty of care, has an impact on the primary caregiver's experience of this highly stigmatised illness - an impact that is often described in relation to ps...
Source: Globalization and Health - August 22, 2009 Category: Global & Universal Authors: Morten SkovdalVincent Ogutu Source Type: journals

Rethinking global health research: towards integrative expertiseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Bamako Call for Action on Research for Health stresses the importance of inter-disciplinary, inter-ministerial and inter-sectoral working. This challenges much of our current research and postgraduate research training in health, which mostly seeks to produce narrowly focused content specialists. We now need to compliment this type of research and research training, by offering alternative pathways that seek to create expertise, not only in specific narrow content areas, but also in the process and context of research, as well as in the interaction of these different facets of knowledge. Such an approach, developing 'i...
Source: Globalization and Health - July 29, 2009 Category: Global & Universal Authors: Malcolm MacLachlan Source Type: journals

Perceptions of short-term medical volunteer work: a qualitative study in GuatemalaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The perceived impact of short-term medical volunteer projects in Guatemala is highly variable and dependent upon the individual project. In this exploratory study, project characteristics were identified that are consistently perceived to be either positive or negative. These findings have direct implications for anyone involved in the planning and execution of short-term medical volunteer projects, including local and foreign medical team members, project planners and coordinators, and health authorities. Most importantly, this preliminary study suggests avenues for future study and evaluation of the impact o...
Source: Globalization and Health - February 26, 2009 Category: Global & Universal Authors: Tyler Green, Heidi Green, Jean Scandlyn and Andrew Kestler Source Type: journals

The bioscience revolution and the biological weapons threat: levers and interventionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In December 2008, the US Commission on the Prevention of Weapons of Mass Destruction Proliferation and Terrorism, released a report, World At Risk. The Report points to the fact that, not only is the use of a weapon of mass destruction in a terrorist attack before the end of 2013 more likely than not, but also to the fact that terrorists are more likely to be able to obtain and use biological weapons than nuclear weapons. This paper examines the recommendations of the report in the context of the historic and geopolitical changes, in particular globalization. The authors highlight the "dual-use" dilemma, as described in th...
Source: Globalization and Health - February 16, 2009 Category: Global & Universal Authors: Mark D'Agostino and Greg Martin Source Type: journals

The strategic targeting of females by transnational tobacco companies in South Korea following trade liberalisationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Given the high male smoking rates in South Korea, tobacco control efforts have given limited attention to girls and women. The limited data available on female smoking behaviour suggests that, despite legal restrictions and social stigma, smoking among females has increased since market opening, notably within younger age groups. In addition to more detailed trend data, there is an urgent need for the development and implementation of gender-sensitive tobacco control measures. Part of South Korea's accession to the FCTC should include emphasis on measures to address the strategic targeting of Korean females by ...
Source: Globalization and Health - January 30, 2009 Category: Global & Universal Authors: Kelley Lee, Carrie Carpenter, Chaitanya Challa, Sungkyu Lee, Gregory N Connolly and Howard K Koh Source Type: journals

Global influences on milk purchasing in New Zealand - implications for health and inequalitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionSimilar to other developed nations, widening income disparities and health inequalities have resulted from economic globalization in New Zealand; with regard to nutrition, a proportion of the population now faces food poverty. Further, rates of overweight/obesity and chronic diseases have increased in recent decades, primarily affecting indigenous people and lower socio-economic groups. Economic globalization in New Zealand has changed the domestic milk supply with regard to the consumer and may shed light on the link between globalization, nutrition and health outcomes. This paper describes the economic changes ...
Source: Globalization and Health - January 19, 2009 Category: Global & Universal Authors: Moira B Smith and Louise Signal Source Type: journals

The role of business in addressing the long term implications of the current food crisis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Before the onset of the current food crisis, the evidence of a severely neglected nutrition crisis was starting to receive attention. Increased food prices are having severe impacts on the nutritional status of populations. Our current food system has evolved over decades in a largely unplanned manner and without consideration for the complexity and implications of linkages between health, nutrition, agricultural, economic, trade and security issues. The underlying causes for the nutrition crisis include the above, as well as decades of neglect with regard to nutrition, and agricultural science (especially in emerging mark...
Source: Globalization and Health - December 5, 2008 Category: Global & Universal Authors: Derek Yach Source Type: journals

Shifting paradigms: how the fight for 'universal access to AIDS treatment and prevention' supports achieving 'comprehensive primary health care for all'Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In a recent issue of Globalization and Health, Yu et al. examine the impact of HIV/AIDS programs on health care systems. This commentary considers their position and confirms that the former actually supports the latter aim; the two approaches are not at odds with one another, but could be viewed as complementary. A key requirement towards meeting both objectives is to ensure sustained international aid. (Source: Globalization and Health)
Source: Globalization and Health - November 18, 2008 Category: Global & Universal Authors: Gorik Ooms Source Type: journals

Oil for health in sub-Saharan Africa: health systems in a 'resource curse' environmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: From a public health point of view, the resource curse represents a fundamental failure of dominant development theories, rather than a delay in creating the proper economy and governance environment for social progress. The scope of research on the resource curse should be broadened to include more accurate or comprehensive indicators of destitution (including health components) and more open perspectives on causal mechanisms. (Source: Globalization and Health)
Source: Globalization and Health - October 21, 2008 Category: Global & Universal Authors: Philippe Calain Source Type: journals

Adaptation costs for climate change-related cases of diarrhoeal disease, malnutrition, and malaria in 2030Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The investment needs in the health sector to address climate-sensitive health outcomes are large. Additional human and financial resources will be needed to prevent and control the projected increased burden of health outcomes due to climate change. (Source: Globalization and Health)
Source: Globalization and Health - September 19, 2008 Category: Global & Universal Authors: Kristie L Ebi Source Type: journals

Investment in HIV/AIDS programs: Does it help strengthen health systems in developing countries?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines and assesses the evidence and proposes ways forward.DiscussionConsiderably increased resources have been brought into countries for HIV/AIDS programs by major Global Health Initiatives. Among the positive impacts are the increased awareness of and priority given to public health by governments. In addition, services to people living with HIV/AIDS have rapidly expanded. In many countries infrastructure and laboratories have been strengthened, and in some, primary health care services have been improved. The effect of AIDS on the health work force has been lessened by the provision of antiretroviral tre...
Source: Globalization and Health - September 16, 2008 Category: Global & Universal Authors: Dongbao Yu, Yves Souteyrand, Mazuwa A Banda, Joan Kaufman and Joseph H Perriens Source Type: journals

Global affordability of fluoride toothpasteEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Significant inequalities in the affordability of this essential preventive care product indicate the necessity for action to make it more affordable. Various measures to improve affordability based on experiences from essential pharmaceuticals are proposed. (Source: Globalization and Health)
Source: Globalization and Health - June 13, 2008 Category: Global & Universal Authors: Ann S Goldman, Robert Yee, Christopher J Holmgren and Habib Benzian Source Type: journals

The 'diagonal' approach to Global Fund financing: a cure for the broader malaise of health systems?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThis evolution might be critical for the future of AIDS treatment in low-income countries, yet it is proposed at a time when the Global Fund to fight AIDS, Tuberculosis and Malaria is starved for resources. It might be unable to meet the needs of much broader and more expensive proposals. Furthermore, it might lose some of its exceptional features in the process: its aim for international sustainability, rather than in-country sustainability, and its capacity to circumvent spending restrictions imposed by the International Monetary Fund. SummaryThe authors believe that a transformation of the Global Fund to fight...
Source: Globalization and Health - March 25, 2008 Category: Global & Universal Authors: Gorik Ooms, Wim Van Damme, Brook K Baker, Paul Zeitz and Ted Schrecker Source Type: journals

Dangerous medicines: Unproven AIDS cures and counterfeit antiretroviral drugsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionCountries, charged with fulfilling the right to health and committed to expanding access to ART must explicitly recognize their obligation to combat unproven AIDS treatments and ensure the availability of a safe and efficacious drugs supply. International donors must help support and coordinate these efforts. (Source: Globalization and Health)
Source: Globalization and Health - February 27, 2008 Category: Global & Universal Authors: Joseph J Amon Source Type: journals

Convergence of obesity and high glycemic diet on compounding diabetes and cardiovascular risks in modernizing China: an emerging public health dilemmaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As China is undergoing dramatic development, it is also experiencing major societal changes, including an emerging obesity epidemic, with the prevalence of overweight and obesity doubling in the past decade. However, the implications of a high glycemic index (GI) and glycemic load (GL) traditional Chinese diet are adversely changing in modern times, as a high-glycemic diet is becoming a greater contributor to diabetes and cardiovascular risks in a population with rising obesity and decreasing physical activity. Specifically, a high GI diet adversely impacts metabolism and appetite control regulation, and notably confers su...
Source: Globalization and Health - February 26, 2008 Category: Global & Universal Authors: Eric L Ding and Vasanti S Malik Source Type: journals

The Unite for Diabetes campaign: Overcoming constraints to find a global policy solutionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Despite the fact that diabetes and other non-communicable diseases represent a significant proportion of the global burden of disease, proportionate global action has not occurred. A 2003 article reported on global constraints to the implementation of effective policies to curb non-communicable disease epidemics. These constraints include a lack of global advocacy, insufficient attention from funding agencies and governments, partnerships and interactions, capacity and resources, and global norms and standards, as well as orientation of health services to acute care. Building on these ideas, this paper will review the prog...
Source: Globalization and Health - February 19, 2008 Category: Global & Universal Authors: Karen Siegel and K.M. Venkat Narayan Source Type: journals

Tobacco industry issues management organizations: Creating a global corporate network to undermine public healthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The massive scale and scope of this industry effort illustrate how corporate interests, when threatened by the globalization of public health, sidestep competitive concerns to coordinate their activities. The global network of national and regional manufacturing associations created and nurtured by INFOTAB remains active, particularly in relation to the recently negotiated global health treaty, the Framework Convention on Tobacco Control. Policymakers should be aware that although these associations claim to represent only national or regional interests, they are allied to and coordinated with a confederation ...
Source: Globalization and Health - January 17, 2008 Category: Global & Universal Authors: Patricia A McDaniel, Gina Intinarelli and Ruth E Malone Source Type: journals

Can a bank crisis break your heart?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Objective To assess whether a banking system crisis increases short-term population cardiovascular mortality rates. Design International, longitudinal multivariate regression analysis of cardiovascular disease mortality data from 1960 to 2002 Setting High and low income countries. Results A system-wide banking crisis increases population heart disease mortality rates by 6.4% (95% CI: 2.5% to 10.2%, p (Source: Globalization and Health)
Source: Globalization and Health - January 15, 2008 Category: Global & Universal Authors: David Stuckler, Christopher M Meissner and Lawrence P King Source Type: journals

Canada's implementation of the paragraph 6 decision: is it sustainable public policy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: CAMR is symbolically meaningful but in practice, limited. The Rwanda case will be noteworthy in terms of the future of the legislation. To meet its intended international health objectives, this legislation needs to be better informed of developing country needs and global pharmaceutical market imperatives. Finally, we contend that serious public policy change cannot strike a balance between all vested interests. Above all, any feasible policy that aims to facilitate compulsory licensing must prioritize public health over trade or economic interests. (Source: Globalization and Health)
Source: Globalization and Health - December 6, 2007 Category: Global & Universal Authors: Jillian C Cohen-Kohler, Laura C Esmail and Andrea Perez Cosio Source Type: journals

Transformational leadership, transnational culture and political competence in globalizing health care services: a case study of Jordan's King Hussein Cancer CenterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The KHCC case underscores the utility of the transformational leadership model in an international health care context. To understand leadership in globalizing health care services, KHCC suggests culture is broader than organizational or societal culture to include an informal global network of medical professionals and Western technologies which facilitate global interaction. Additionally, political competencies among leaders may be particularly relevant in globalizing health care services where the goal is achieving international standards of care. Western communication technologies facilitate cross-border i...
Source: Globalization and Health - November 16, 2007 Category: Global & Universal Authors: Jeffrey L Moe, Gregory Pappas and Andrew Murray Source Type: journals

Health, human rights, and the conduct of clinical research within oppressed populationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionUsing examples of HIV prevention trials in Thailand, hepatitis-E prevention trials in Nepal and malaria therapeutic trials in Burma (Myanmar), we address the inadequacies of ethical guidelines in conducting research within oppressed populations. We review existing legislature in the United States and United Kingdom that may be used if trial hardships exist. We conclude by making considerations for any research conducted within oppressed populations. (Source: Globalization and Health)
Source: Globalization and Health - November 8, 2007 Category: Global & Universal Authors: Edward J Mills and Sonal Singh Source Type: journals

Global Public Goods and the Global Health Agenda: Problems, Priorities and PotentialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The 'global public good' (GPG) concept has gained increasing attention, in health as well as development circles. However, it has suffered in finding currency as a general tool for global resource mobilisation, and is at risk of being attached to almost anything promoting development. This overstretches and devalues the validity and usefulness of the concept. This paper first defines GPGs and describes the policy challenge that they pose. Second, it identifies two key areas, health R&D and communicable disease control, in which the GPG concept is clearly relevant and considers the extent to which it has been applied. We po...
Source: Globalization and Health - September 22, 2007 Category: Global & Universal Authors: Richard D Smith and Landis MacKellar Source Type: journals

Globalizing queer? AIDS, homophobia and the politics of sexual identity in IndiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
[Abstract]: Queerness is now global. Many emerging economies of the global South are experiencing queer mobilization and sexual identity politics raising fundamental questions of citizenship and human rights on the one hand; and discourses of nationalism, cultural identity, imperialism, tradition and family-values on the other. While some researchers argue that with economic globalization in the developing world, a Western, hegemonic notion of lesbian, gay, bisexual and transgender (LGBT) identity has been exported to traditional societies thereby destroying indigenous sexual cultures and diversities, other scholars do not...
Source: Globalization and Health - July 11, 2007 Category: Global & Universal Authors: Subir K. Kole Source Type: journals

Globalization and social determinants of health: Introduction and methodological background (part 1 of 3)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Globalization is a key context for the study of social determinants of health (SDH). Broadly stated, SDH are the conditions in which people live and work, and that affect their opportunities to lead healthy lives. In this first article of a three-part series, we describe the origins of the series in work conducted for the Globalization Knowledge Network of the World Health Organization's Commission on Social Determinants of Health and in the Commission's specific concern with health equity. We explain our rationale for defining globalization with reference to the emergence of a global marketplace, and the economic and po...
Source: Globalization and Health - June 19, 2007 Category: Global & Universal Authors: Ronald Labonte and Ted Schrecker Source Type: journals

Globalization and social determinants of health: The role of the global marketplace (part 2 of 3)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Globalization is a key context for the study of social determinants of health (SDH): broadly stated, SDH are the conditions in which people live and work, and that affect their opportunities to lead healthy lives. In the first article in this three part series, we described the origins of the series in work conducted for the Globalization Knowledge Network of the World Health Organizations Commission on Social Determinants of Health and in the Commissions specific concern with health equity. We identified and defended a definition of globalization that gives primacy to the drivers and effects of transnational economic inte...
Source: Globalization and Health - June 19, 2007 Category: Global & Universal Authors: Ronald Labonte and Ted Schrecker Source Type: journals

Globalization and social determinants of health: Promoting health equity in global governance (part 3 of 3)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is the third in a three-part review of research on globalization and the social determinants of health (SDH). In the first article of the series, we identified and defended an economically oriented definition of globalization and addressed a number of important conceptual and metholodogical issues. In the second article, we identified and described seven key clusters of pathways relevant to globalization's influence on SDH. This discussion provided the basis for the premise from which we begin this article: interventions to reduce health inequities by way of SDH are inextricably linked with social protection, ...
Source: Globalization and Health - June 19, 2007 Category: Global & Universal Authors: Ronald Labonte and Ted Schrecker Source Type: journals

Balancing intellectual monopoly privileges and the need for essential medicinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This issue of Globalization and Health presents a paper by Kerry and Lee that considers the TRIPS agreement and the recent policy debate regarding the protection of public health interest, particularly as they pertain to the Doha Declaration. In this editorial, we consider the debate, the conclusions thereof, and identify five questions that should be considered by key stakeholders in ongoing discussions. (Source: Globalization and Health)
Source: Globalization and Health - June 12, 2007 Category: Global & Universal Authors: Greg Martin, Corinna Sorenson and Thomas Faunce Source Type: journals

TRIPS, the Doha declaration and paragraph 6 decision: what are the remaining steps for protecting access to medicines?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Despite being hailed as a "watershed in international trade", the Doha Declaration and Paragraph 6 decision have not resolved the problem of access to affordable medicines. The way forward must begin with a simplification of their content, to enable actual implementation. More fundamentally, once agreed, public health protections under TRIPS must be recognised as taking precedent over measures subsequently adopted under other trade agreements. This requires, above all, setting aside such protections as a basic need and shared goal from trade negotiations at all levels. (Source: Globalization and Health)
Source: Globalization and Health - May 24, 2007 Category: Global & Universal Authors: Vanessa Bradford Kerry and Kelley Lee Source Type: journals

Non-communicable diseases and global health governance: enhancing global processes to improve health developmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper assesses progress in the development of a global framework for responding to non-communicable diseases, as reflected in the policies and initiatives of the World Health Organization (WHO), World Bank and the UN: the institutions most capable of shaping a coherent global policy. Responding to the global burden of chronic disease requires a strategic assessment of the global processes that are likely to be most effective in generating commitment to policy change at country level, and in influencing industry behaviour. WHO has adopted a legal process with tobacco (the WHO Framework Convention on Tobacco Control), b...
Source: Globalization and Health - May 22, 2007 Category: Global & Universal Authors: Roger S Magnusson Source Type: journals

Closing the access gap for health innovations: an open licensing proposal for universitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article centers around a proposal outlining how research universities could leverage their intellectual property to help close the access gap for health innovations in poor countries. A recent deal between Emory University, Gilead Sciences, and Royalty Pharma is used as an example to illustrate how equitable access licensing could be put into practice.DiscussionWhile the crisis of access to medicines in poor countries has multiple determinants, intellectual property protection leading to high prices is well-established as one critical element of the access gap. Given the current international political climate, system...
Source: Globalization and Health - February 1, 2007 Category: Global & Universal Authors: Samantha Chaifetz, Dave A Chokshi, Rahul Rajkumar, David Scales and Yochai Benkler Source Type: journals

An economic perspective on Malawi's medical brain drainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionMany see this brain drain of medical staff as wrong with developed countries exploiting poorer ones. The effects are considerable with Malawi facing high vacancy rates in its public health system, and with migration threatening to outstrip training despite efforts to improve pay and conditions. This shortage of staff has made it more challenging for Malawi to deliver on its Essential Health Package and to absorb new international health funding. Yet, without any policy effort Malawi has been able to demonstrate its global competitiveness in the training (production) of skilled health professionals. Remittances fr...
Source: Globalization and Health - December 18, 2006 Category: Global & Universal Authors: Richard Record and Abdu Mohiddin Source Type: journals

An economic perspective on Malawi's medical "brain drain"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionMany see this "brain drain" of medical staff as wrong with developed countries exploiting poorer ones. The effects are considerable with Malawi facing high vacancy rates in its public health system, and with migration threatening to outstrip training despite efforts to improve pay and conditions. This shortage of staff has made it more challenging for Malawi to deliver on its Essential Health Package and to absorb new international health funding.Yet, without any policy effort Malawi has been able to demonstrate its global competitiveness in the training ("production") of skilled health professionals. Remittances...
Source: Globalization and Health - December 18, 2006 Category: Global & Universal Authors: Richard Record and Abdu Mohiddin Source Type: journals

The global health governance of antimicrobial effectivenessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Antimicrobial resistance is a growing threat to public health the world over. Global health governance strategies need to address the erosion of antimicrobial effectiveness on three levels. Firstly, mechanisms to provide incentives for the pharmaceutical industry to develop antimicrobials for diseases threatening the developing world need to be sought out. Secondly, responsible use of antimicrobials by both clinicians and the animal food growing industry needs to be encouraged and managed globally. And lastly, in-country and international monitoring of changes in antimicrobial effectiveness needs to be stepped up in the co...
Source: Globalization and Health - April 25, 2006 Category: Global & Universal Authors: Greg Martin Source Type: journals

Antibiotic resistance as a global threat: Evidence from China, Kuwait and the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Antimicrobial resistance is a serious and growing problem in all three countries. To date, there is not strong international convergence in the countries' resistance patterns. This finding may change with the greater international travel that will accompany globalization. Future research on the determinants of drug resistance patterns, and their international convergence or divergence, should be a priority. (Source: Globalization and Health)
Source: Globalization and Health - April 7, 2006 Category: Global & Universal Authors: Ruifang Zhang, Karen Eggleston, Vincent Rotimi and Richard J Zeckhauser Source Type: journals

Uneven dietary development: linking the policies and processes of globalization with the nutrition transition, obesity and diet-related chronic diseasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In a "nutrition transition", the consumption of foods high in fats and sweeteners is increasing throughout the developing world. The transition, implicated in the rapid rise of obesity and diet-related chronic diseases worldwide, is rooted in the processes of globalization. Globalization affects the nature of agri-food systems, thereby altering the quantity, type, cost and desirability of foods available for consumption. Understanding the links between globalization and the nutrition transition is therefore necessary to help policy makers develop policies, including food policies, for addressing the global burden of chroni...
Source: Globalization and Health - March 28, 2006 Category: Global & Universal Authors: Corinna Hawkes Source Type: journals

Toward a treaty on safety and cost-effectiveness of pharmaceuticals and medical devices: enhancing an endangered global public goodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
o Expert evaluations of the safety, efficacy and cost-effectiveness of pharmaceutical and medical devices, prior to marketing approval or reimbursement listing, collectively represent a globally important public good. The scientific processes involved play a major role in protecting the public from product risks such as unintended or adverse events, sub-standard production and unnecessary burdens on individual and governmental healthcare budgets. o Most States now have an increasing policy interest in this area, though institutional arrangements, particularly in the area of cost-effectiveness analysis of medical devices, ...
Source: Globalization and Health - March 28, 2006 Category: Global & Universal Authors: Thomas A Faunce Source Type: journals

The developing world in The New England Journal of MedicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The medical information gap between rich and poor countries as judged by publications in the NEJM appears to be larger than the gap in the funding for research. Under-representation of developing world health issues in the medical literature is a global phenomenon. International medical journals cannot rectify global inequities, but they have an important role in educating their constituencies about the global divide. (Source: Globalization and Health)
Source: Globalization and Health - March 16, 2006 Category: Global & Universal Authors: Bernard Lown and Amitava Banerjee Source Type: journals

Globalization, migration health, and educational preparation for transnational medical encountersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Unprecedented migration, a core dimension of contemporary globalization, challenges population health. In a world of increasing human mobility, many health outcomes are shaped by transnational interactions among care providers and care recipients who meet in settings where nationality/ethnic match is not an option. This review article explores the value of transnational competence (TC) education as preparation for ethnically and socially discordant clinical encounters. The relevance of TC's five core skill domains (analytic, emotional, creative, communicative, and functional) for migration health and the medical-school cur...
Source: Globalization and Health - January 30, 2006 Category: Global & Universal Authors: Peter H Koehn Source Type: journals

HIV/AIDS mitigation strategies and the State in sub-Saharan Africa – the missing link?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionDonor and International Institutions' strategies to mitigate HIV/AIDS in sub-Saharan Africa are premised on a single optimal model of the State, one which focuses on the decentralised delivery of public goods alone (such as healthcare) – the service delivery state. The empirical evidence, though sparse, of "successful" and "unsuccessful" sub-Saharan Africa states' performance in mitigating HIV/AIDS does not support this model. Rather, the evidence suggests an alternative model that takes a country context specific approach – encompassing political power, institutional structures and the level of health techno...
Source: Globalization and Health - January 17, 2006 Category: Global & Universal Authors: Abdu Mohiddin and Deborah Johnston Source Type: journals

Policy lessons from comparing mortality from two global forces: international terrorism and tobaccoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This comparison highlights the way risk perception may determine different policy responses to global forces causing mortality. Nevertheless, the large mortality differential between international terrorism and tobacco use has policy implications for informing the rational use of resources to prevent premature death. (Source: Globalization and Health)
Source: Globalization and Health - December 15, 2005 Category: Global & Universal Authors: George Thomson and Nick Wilson Source Type: journals

TRIPS, the Doha Declaration and increasing access to medicines: policy options for GhanaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There are acute disparities in pharmaceutical access between developing and industrialized countries. Developing countries make up approximately 80% of the world's population but only represent approximately 20% of global pharmaceutical consumption. Among the many barriers to drug access are the potential consequences of the Trade Related Aspects of Intellectual Property Rights (TRIPS) Agreement. Many developing countries have recently modified their patent laws to conform to the TRIPS standards, given the 2005 deadline for developing countries. Safeguards to protect public health have been incorporated into the TRIPS Agre...
Source: Globalization and Health - December 9, 2005 Category: Global & Universal Authors: JC Cohen, M Gyansa-Lutterodt, K Torpey, LC Esmail and G Kurokawa Source Type: journals