This year, World Health Day on April 7th is dedicated to improving food safety from the farm to the plate. This is a timely reminder that food safety is a global public health issue: Foodborne disease causes suffering, death, reduced productivity, loss of wages, decreased trade competitiveness and access to markets and ultimately exacerbate poverty.
Unsafe food containing harmful bacteria, viruses, parasites or chemical substances is the root cause of more than 200 diseases, ranging from diarrhea to cancers. Foodborne and waterborne diseases kill an estimated 1.5 million people annually, including many children under the age of 5.
On March 5, Liberian physicians discharged Beatrice Yardolo, an English teacher, from the hospital, hoping that she would be their last Ebola patient. Unfortunately, last Friday another person in Liberia tested positive for the disease that has killed more than 10,000 people in West Africa.
The bad news was a reminder that the world must remain vigilant and insist that we get to zero Ebola cases everywhere. We also must support Guinea, Liberia, and Sierra Leone in their efforts to build back better health care systems to prevent the next epidemic.
Beatrice survived Ebola, but she and the other survivors have paid dearly because of the outbreak. She lost three of her 10 children to Ebola, her home was encircled in quarantine, and she’s been unable to work. She and her country face a daunting road back to recovery and they remain at risk of Ebola as long as there is a single case in the region.
In Tajikistan, primary health care (PHC) accounts for just 27 percent of public health spending and yet PHC accounts for over 70 percent of all referrals and health visits across the country.
Given this imbalance, in April 2014 the country launched the pre-pilot of a new PHC financing mechanism, using a Performance-Based Financing (PBF) approach, which should significantly improve the quality and coverage of PHC services. The pre-pilot phase focuses primarily on the prevention and early detection of maternal and child health (MCH) related diseases and non-communicable diseases.
Women are emerging as a major force for change. Countries that have invested in girls’ education and removed legal barriers that prevent women from achieving their potential are now seeing the benefits.
Let’s take Latin America. More than 70 million women have joined the labor force in recent years. Two-thirds of the increase in women’s labor force participation in the last two decades can be attributed to more education and the fact that women marry later and have fewer children. As a result, between 2000 and 2010, women's earnings contributed to about 30% of the reduction in extreme poverty in the region.
In fact, for countries to leave poverty behind, both men and women need to get to equal and push the frontiers of equal opportunities even further. But to get there, we need to tackle three issues.
First, violence against women needs to end. More than 700 million women worldwide are estimated to have been subject to violence at the hands of a husband or partner. Domestic violence comes with great cost to individuals but also has significant impact on families, communities, and economies. Its negative impact on productivity costs Chile up to 2% of its GDP and Brazil 1.2%.
Many girls and women have little control over their sexual and reproductive health: If current trends persist, more than 142 million girls will be married off over the next decade while they are still children themselves.
In a couple of days, I’ll join leaders from the worlds of business, governments, politics, arts, and academia at the World Economic Forum in Davos, Switzerland. The Forum is one of the premier events for discussing global risks. Many if not most of these risks are identified in the Forum’s annual Global Risks report.
Take a look back at some of the most popular stories you may have missed in 2014:
1. Raising More Fish to Meet Rising Demand
- natural capital
- food security
- Climate Change
- Agriculture and Rural Development
- The World Region
- South Asia
- Latin America & Caribbean
- East Asia and Pacific
Can the world end extreme poverty by 2030? Will it be able to avert the worst effects of climate change or stop Ebola? These challenges are among the biggest we face today. In 2014, the World Bank Group tapped its knowledge, finance, and influence to confront global problems.
1) Taking on economic growth
In the wake of the financial crisis, developing countries were the engine of the global economy. In 2014, they faced new risks: lower growth, less financing, and lower prices for their commodities. In January and again in June, the World Bank urged developing countries to get their houses in order. Countries need blueprints to maintain the kind of growth that helped cut extreme poverty nearly in half globally in the last couple of decades. With the financial crisis fading, now is the time for developing countries to strengthen their economies so they can keep reducing poverty, according to the twice-yearly Global Economic Prospects.
Just as a patient with a weak immune system is more susceptible to disease, the Ebola crisis reminds us that a nation with a weak health system is more susceptible to epidemics. This lesson is on our minds not only because of the crippling impact of the worst Ebola outbreak in history, but also because today is the inaugural Universal Health Coverage Day.
Today also marks the second anniversary of the United Nations' declaration in support of Universal Health Coverage (UHC), so that no one should fall into poverty to pay for the health care they need. A global coalition of more than 500 organizations, including the World Bank Group and the Rockefeller Foundation, are engaging citizens around the world in support of this goal as both a human right and a smart investment.
This mobilization toward UHC defies a one-size-fits-all approach, recognizing that diverse contexts will drive country-specific paths. Whatever the path taken, it's indisputable that progress towards UHC will bolster weak health systems.
What Happened Then?
A chemical gas spilled from a pesticide factory owned by Union Carbide. More than 40 tons of gas created a dense cloud over more than half a million people and killed thousands. None of the six safety systems at the plant worked to prevent the disaster. The company’s own documents prove the plant was designed with “untested” technology, and that it cut corners on safety and maintenance in order to save money.
The State of Bhopal Today
Today, clean-up of the site is still pending, those who survived the disaster don’t have alternate livelihood opportunities and victims are still suffering.