TAILIEUCHUNG - Globalisation and the Impact on Health A Third World View

Health is largely determined by our social, economic, physical and cultural environment. Although, as we move further into the 21st century, we can see improvements for many people, inequalities in health and health outcomes still persist. The differences in life chances are dramatic and there is a direct correlation between low socio- economic status and poor health outcomes4. Health inequalities affect both women and babies. We know that women living in families where both partners are unemployed are up to seven times more likely to die than women from the more advantaged groups5, while babies born in the most deprived areas are up to six times more likely to die. | Globalisation and the Impact on Health A Third World View Evelyne Hong Third World Network 228 Macalister Road 10400 Penang August 2000 twn@ http . prepared for The Peoples Health Assembly DeCember 4-8 2000 Savar Bangladesh 1 Contents Page Introduction 4 The Colonial Enterprise 4 Integration into the Market 5 Post-Colonial Development Strategy 7 Free Market Reform 10 Free Market Rules 11 The Role of the World Bank in Global Economic Reform 13 Structural Adjustment Programmes SAPs 14 Impact of SAPs in Third World 15 Increased Poverty Corruption Social Dislocation and Unrest Social Conditions Worsen SAPs Reform in Peru Famine in Somalia Economic Reform in Vietnam Health System Collapse The Global Assault on Health 22 WHO under Attack The Alma Ata Declaration Undermining Primary Health Care UNICEF s Role in SPHC The Indian Experience with SPHC SPHC in Africa UNICEF and User Fees The Role of the World Bank 27 Privatisation and Profits The World Trade Organisation WTO 30 The Dispute Settlement Body DSB Health Implications The Agreement on the Application of Sanitary and Phytosanitary Measures SPS 34 The Agreement on Technical Barriers to Trade TBT 36 The Agreement on Trade Related Aspects of Intellectual Property TRIPS 37 Negative Impact Privatising Knowledge Trade Marks Price Increase on Medicines Lack of Access to Essential Medicines 2 US Bullies Thailand US Threatens South Africa US Double Standards US Unilateral Action against Argentina BioPiracy Health Threats from Biotechnology The General Agreement on Trade in Services GATS 48 Selling Health Prise Open Markets The Agreement on Government Procurement The Agreement on Competition Policy The Agreement on Investment Corporations Shape Health The Agreement on Agriculture AOA 55 The Globalisation of Culture 57 The Culture of Violence 59 Women for Sale UN Complicity Poverty and Sex Trade The US -UN Sanctions on Iraq 63 Infant and Child Deaths Malnutrition Cancer Epidemic Emerging Diseases .

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