#WorldinTurmoil: Prioritize Primary Healthcare, Public Health, & Collaboration with Communities: Lessons from Costa Rica & the Pandemic

#WorldinTurmoil: Prioritize Primary Healthcare, Public Health, & Collaboration with Communities: Lessons from Costa Rica & the Pandemic

#WorldinTurmoil: Prioritize Primary Healthcare, Public Health, & Collaboration with Communities: Lessons from Costa Rica & the Pandemic

News

Apr 12, 2023

Few countries can be proud of having comprehensive primary healthcare. One of these countries is Costa Rica. Costa Rica is an example of political commitment and strong leadership. It is a country that has put public health as a priority, and the investments and efforts that the government has made over the last 25 years have borne fruit, especially during challenging times like the COVID-19 pandemic.

Dr María del Rocío Sáenz Madrigal, who was Minister of Health in Costa Rica from 2002 until 2006, is interviewed by Prof. Bettina Borisch, Executive Director of the WFPHA, and talks about how the pandemic showed and exacerbated inequalities, especially for women, in Latin America, measures implemented by Costa Rica, and what it takes to have a strong public health system.

By clicking on the link below, you can read the article on the Croakey Health Media website.

Watch the interview by clicking on the link below.

This article is published as part of the #WorldinTurmoil series.

WFPHA Attended Resumed 4th Meeting of the Intersessional Process for Considering SAICM and the Sound Management of Chemicals and Waste Beyond 2020

WFPHA Attended Resumed 4th Meeting of the Intersessional Process for Considering SAICM and the Sound Management of Chemicals and Waste Beyond 2020

WFPHA Attended Resumed 4th Meeting of the Intersessional Process for Considering SAICM and the Sound Management of Chemicals and Waste Beyond 2020

News

Mar 29, 2023

In 2006, the Strategic Approach to International Chemicals Management (SAICM) was adopted as a voluntary, multi-stakeholder, multi-sectoral policy framework to promote chemical safety around the world. The goal of the SAICM is to achieve the sound management of chemicals throughout their life cycle so that by the year 2020 chemicals are produced and used in ways that minimize significant adverse impacts on the environment and human health. As the SAICM effectively expired in 2020, governments have been examining progress towards that goal and discussing SAICM’s future beyond 2020.

During the fourth session of the Intersessional Process for Considering the SAICM and the Sound Management of Chemicals and Waste Beyond 2020 (IP4), which was held from August 29 to September 2, 2022, in Bucharest, Romania, delegates agreed to suspend IP4 and reconvene in early 2023. The Resumed Session of IP4 was held in Nairobi, Kenya, from February 27 to March 3, 2023.

WFPHA attended the Resumed Session of IP4 along with approximately 500 delegates, representing governments, intergovernmental organizations, industry, civil society organizations, and special constituencies including children and youth. WFPHA was represented by four members of its Environmental Health Working Group (EHWG), including Liz Hanna (EHWG Chair), Peter Orris (EHWG Past Chair), Susan Wilburn (Health Care Without Harm), and Andrea Hannah Rother (the University of Cape Town).

The Resumed Session of IP4 made substantial progress on implementation mechanisms for the new instrument, capacity building, stocktaking, measurability and modalities for considering new issues of concern. The WFPHA delegation actively engaged in the plenary discussions and thematic groups to ensure the principles of human health protection remained central to the focus of the new instrument. The civil society collective presented powerful arguments and successfully interjected to retain ambitious targets and text to prioritize protection of human health and the environment.

Delegates also worked hard to elaborate ambitious targets for the instrument, and determine what issues should be the subject of draft resolutions to be adopted at the Fifth ICCM (ICCM5) to be held in Bonn, Germany, in September 2023. Several delegations have also signaled that they want ICCM5 to consider mandating the creation of a new alliance on pesticides or negotiations on an international code of conduct on chemicals.

Reaching consensus is a highly ambitious aim, especially for a lengthy instrument, and one that addresses national responsibilities to protect human health and the environment from harm. Key portions of the draft instrument required further work before they are put before ICCM5, so it was decided to suspend the IP again and reconvene two days before the start of ICCM5.

Given the contribution to the global health burden, both directly through exposure and indirectly through environmental contamination from poor chemical management, the re-engagement of the EHWG in the SAICM process reaffirmed the importance of consolidated public health expert involvement in global chemical management. Through the EHWG, the WFPHA intends to sustain its involvement.

WFPHA Position at the 4th Meeting of the Intersessional Process for Considering SAICM and the Sound Management of Chemicals and Waste Beyond 2020

WFPHA Position at the 4th Meeting of the Intersessional Process for Considering SAICM and the Sound Management of Chemicals and Waste Beyond 2020

WFPHA Position at the 4th Meeting of the Intersessional Process for Considering SAICM and the Sound Management of Chemicals and Waste Beyond 2020

News

Sep 28, 2022

Chemicals have been made and used throughout history. The industrial revolution drove an explosion in volumes produced. In the aftermath of World War II, chemical companies sought to maintain relevance and market share by reconfiguring wartime production to underpin a peacetime economy. This spurred a wealth of products for mass consumption of metals and plastics to varnishes and pesticides, while marketing campaigns secured their new consumer durables at the center of modern life.

The global chemical industry now contributes an estimated $5.7 trillion USD, or 7% of the world’s Gross Domestic Product (GDP), and supports 120 million jobs worldwide. Global chemicals sales are projected to double by 2030.

Today, chemicals are ubiquitous, in virtually all manufacturing processes, from textiles to automobiles and electronics. Despite delivering significant benefits in living standards, which are most apparent in industrialized societies, they also bring enormous costs. Chemical heavy production processes consume high levels of energy and increasingly scarce water resources, with adverse impacts on human health and the environment.

Chemicals and their wastes are now detectable in all ecosystems; nowhere on the planet is now free of chemical waste. Whereas the true health burden arising from exposures to chemicals is unknown, largely due to inadequate data collection, estimates suggest 16% of all deaths globally are attributable to pollution, which also accounted for economic losses totaling US$ 4∙6 trillion (6∙2% of global economic output) in 2015. Furthermore, 92% of pollution-related deaths, and the greatest burden of pollution’s economic losses, occur in low- and middle-income countries. Only 47% of countries have a poison center, with particular gaps in the African and Eastern Mediterranean regions and in the small island states in the Western Pacific region. Specialized poison centers provide expert advice and assist with the prevention, diagnosis, and management of poisonings.

Initially unregulated, chemical regulation emerged in the 1990s to face an enormous backlog in assessing their safety. The 1998 Rotterdam Convention sought to protect human health and the environment from potential harm from hazardous chemicals through shared responsibility and cooperative efforts among Parties and facilitating information exchange. The Organisation for Economic Co-operation and Development (OECD) commenced a coordinated effort to screen chemicals marketed in Europe and found that 71% of the sampled high-priority chemicals did not meet the minimum data requirements for health hazard screening set by the OECD chemicals program.

Existing multilateral environment agreements, such as the Basel, Rotterdam, Stockholm, or Minamata Conventions, only covered a fraction of the chemicals universe; for that reason, officials and experts continued to seek a vehicle for effective joint action on the many chemicals that existing multilateral environment agreements did not address.

First proposed by the United Nations Environment Programme’s (UNEP) in the mid-1990s, the World Summit on Sustainable Development (WSSD) in 2002 called for the creation of a Strategic Approach to International Chemicals Management (SAICM). Formally established in 2006, SAICM is a voluntary, multi-stakeholder, multi-sectoral policy framework to promote chemical safety around the world, to pursue the goal that, by the year 2020, chemicals would be used and produced in ways that minimize significant adverse effects on human health and the environment.

It became apparent to SAICM’s governing body, the International Conference on Chemicals Management (ICCM), in 2015 that SAICM would not fulfill its ambitious mandate of achieving the sound management of chemicals and waste by 2020. The intersessional process (IP) was established to construct a successor instrument that would fulfill the mission. The IP seeks to prepare recommendations on the future of SAICM and the sound management of chemicals and waste beyond 2020. During the years, a series of IP meetings were held in different places around the world. The fourth session of the Intersessional Process for Considering the SAICM and the Sound Management of Chemicals and Waste Beyond 2020 (IP4) was held from August 29 to September 2, 2022, in Bucharest, Romania.

Represented by Dr Peter Orris, Co-Chair of the WFPHA Environmental Health Working Group, WFPHA attended IP4.

IP4 was expected to develop recommendations to be considered at the Fifth ICCM (ICCM5) to be held in Bonn, Germany, on September 25 to 29, 2023. IP4 succeeded in developing a “zero draft” document that covers the vision, scope, principles, strategic objectives, targets, institutional arrangements, implementing measures, financial considerations, and procedures for designating “issues of concern” for special attention and concerted action. Delegates welcomed this “Co-Chairs’ Single Consolidated Text” in plenary on the final evening as a significant achievement. Delegates also agreed to suspend IP4 and reconvene in early 2023.

In the closing session, Dr Peter Orris spoke to express our commitment of continued participation in this process and our concern about the lack of centrality to the human health impacts of chemicals. “We pledge our continued involvement in this process and urge the movement of human health to the center of the emphasis in thought and speech. This is necessary, not purely as it is the center of most of our concerns, due to the burden of disease that unsafe practices have on the peoples of the world, but also as an absolute necessity to make this often-invisible burden, visible, to all humans, requiring effective remedial action. We have seen what such a knowledge has done to mobilize countries and populations to combat climate change, and more recently the COVID-19 pandemic. We must mobilize such a force for safe sustainable chemicals. This will require preventive human health evaluation of all chemicals brought into use for products or industrial processes.”

GPHW2023: The International Health Regulations & the Pandemic Treaty: An Interview with Dr Rüdiger Krech

GPHW2023: The International Health Regulations & the Pandemic Treaty: An Interview with Dr Rüdiger Krech

GPHW2023: The International Health Regulations & the Pandemic Treaty: An Interview with Dr Rüdiger Krech

News

Mar 19, 2023

Theme: A World in Turmoil: A Discussion to Be Continued

Date and Time: 07 April 2023 | 10:30 – 11:00 (CEST)

Event Description: Dr Rüdiger Krech, Director of the Department of Health Promotion at the World Health Organization (WHO), shares his ideas on the WHO Pandemic Treaty and explains why we need an additional instrument to the International Health Regulations (IHR).

Event Type: Interview

Event Format: Virtual

Language(s): English

Organiser(s): WFPHA

How to Attend In-person: N/A

How to Attend Virtually: Facebook

Registration: N/A

GPHW2023: ISMOPH: Information Session & Briefing

GPHW2023: ISMOPH: Information Session & Briefing

GPHW2023: ISMOPH: Information Session & Briefing

News

Mar 19, 2023

Theme: A World in Turmoil: A Discussion to Be Continued

Date and Time: 07 April 2023 | 18:00 – 19:00 (CEST)

Event Description: The International Students’ and Young Professionals’ Meeting on Public Health (ISMOPH).

Event Type: Panel Discussion & Round Table

Event Format: Virtual

Language(s): English

Organiser(s): WFPHA

How to Attend In-person: N/A

How to Attend Virtually: Zoom

Registration: https://us06web.zoom.us/webinar/register/WN_nbr_bqRiRCSPPx18bZ89HQ 

GPHW2023: Health of Mothers: Integration of Oral Health and Tobacco Control into Antenatal Care in an Indian Context

GPHW2023: Health of Mothers: Integration of Oral Health and Tobacco Control into Antenatal Care in an Indian Context

GPHW2023: Health of Mothers: Integration of Oral Health and Tobacco Control into Antenatal Care in an Indian Context

News

Mar 18, 2023

Theme: Making Health a Human Right

Date and Time: 06 April 2023 | 13:00 – 14:00 (CEST)

Event Description: This workshop showcases the collaboration of the Oral Health and Tobacco Control WFPHA workgroups to analyze improvements in maternal health through integration of oral health and tobacco control into primary and antenatal care (ANC) systems, focusing on the Indian context. Tobacco use during pregnancy is a significant public health problem in India, with prevalence of 7.5%, and active dental caries affects about two-thirds of pregnant women. The Indian national oral health strategy in 2023 focuses heavily on tobacco cessation, and the government has rolled out the Ayushman Bharat (Health and Wellness Centres) initiative, with emphasis on oral health. However, there is room for improvement in integration of oral health and tobacco control into ANC systems. WFPHA collaborated with the Public Health Foundation of India to support the effective integration of oral health and tobacco control programs into ANC, and this workshop will demonstrate the analysis process. A scoping review will identify existing national and international maternal tobacco prevention and cessation frameworks and analyze them on scientific evidence, addressed workforce, best practices, contextual differences, jurisdiction and legal quality. National maternal tobacco control strategies do not always contain clear guidelines for primary care and dental providers, and are highly diverse between countries in context, practice, and targeted healthcare workforce. This scoping review and analysis aims to understand core elements of these frameworks, which can be used for future development of maternal tobacco control frameworks and mutual learning between countries.

Event Type: Workshop/Online Training

Event Format: Virtual

Language(s): English

Organiser(s): WFPHA Oral Health and Tobacco Control Working Groups

How to Attend In-person: N/A

How to Attend Virtually: Facebook

Registration: N/A