East Asia and Pacific
While the last half century has seen major advances in global health, new challenges are now threatening these hard-won health gains. One of these is antimicrobial resistance (AMR), or drug-resistant infections which can no longer be treated by antibiotics and other antimicrobial drugs. AMR is on the increase globally both in humans and animals.
La adopción de los Objetivos de Desarrollo Sostenible (ODS) durante las reuniones de la Asamblea General de las Naciones Unidas celebradas recientemente fue una noticia digna de festejo: el futuro al que aspiramos ahora incluye oficialmente la cobertura sanitaria universal, tal como se define en el ODS 3, meta 8. (i) Esa misma semana, también nos enteramos de que un grupo de economistas de 44 países había manifestado públicamente (i) que “la cobertura de salud universal tiene sentido desde el punto de vista económico”. Según parece, la marea ha cambiado en favor de brindar atención médica esencial a todo aquel que la necesita, sin generar dificultades financieras.
L’adoption des Objectifs de développement durable (ODD) lors de la récente assemblée générale des Nations Unies a apporté une excellente nouvelle : désormais, l’avenir que nous voulons inclut, entre autres, la couverture santé universelle, telle que définie par l’ODD n° 3, cible 8. La même semaine, un groupe d’économistes venant de 44 pays a déclaré publiquement (a) que la couverture santé universelle était « économiquement justifiée ». Il semble donc qu’un changement de cap s’opère pour permettre à tous ceux qui en ont besoin d’accéder à des soins de santé sans rencontrer de difficultés financières.
The launch of the Sustainable Development Goals (SDGs) at the recent U.N. General Assembly meetings brought especially welcome news: The future we want now officially includes universal health coverage (UHC), as defined under SDG 3, target 8. We also heard, the same week, from a group of economists from 44 countries, who publicly stated that “UHC makes economic sense.” It seems the tide has turned toward making essential health care available to all who need it, without creating financial hardship.
For the first time in history, more than half the human population lives in cities, and the vast majority of these people are poor. In Africa and Asia, the urban population is expected to increase between 30-50% between 2000 and 2020. This shift has led to a range of new public health problems, among them road traffic safety. Road crashes are the number 1 killer among those aged 15-29, and the 8th leading cause of death worldwide. The deadly impact from accidents is aggravated by pollution from vehicles, which now contributes to six of the top 10 causes of death globally.
Tobacco kills one-third to one-half of all people who use it, on average 15 years prematurely. The World Health Organization (WHO) has a target of a 30% reduction in smokers by 2025; but this is one target that would be great to exceed. Alcohol-attributable cancer, liver cirrhosis, and injury caused 1.5 million deaths globally in 2010.
Recently, the representatives of ministries of finance and ministries of health, as well as a host of civil society organizations and international organizations, met in Manila to consider lessons to be drawn from the international experience surrounding so-called sin taxes.
2014 is already shaping up to be another exciting year for the global movement for universal health coverage (UHC). I was just with World Bank Group President Jim Kim in Myanmar, where we are putting our previously announced global targets for universal health coverage into action.
On Jan. 29, 2014, World Bank Group President Jim Yong Kim spoke about Thailand’s effort to achieve universal health coverage at the Prince Mahidol Award Conference in Bangkok. In just one year, the country’s universal health coverage scheme added 18 million uninsured citizens to the rolls of the insured. Kim also addressed Thailand’s success in reducing new HIV infections by more than 90% from 1990 to 2013, which saved $18 billion. Read Kim’s full remarks.
This past week, I attended a couple of interesting seminars at the World Bank’s Human Development Forum on how some mineral-rich countries have been able to translate their newfound riches into sustained economic growth, improved living conditions, and better nutrition, health and education levels for their populations.