Health is global Global health is local

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Health is globalGlobal health is local

• Peter Piot
• Institute for Global Health
• Imperial College London

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Tropical medicine
International Health
Global Health
Geographic medicine
Colonial
Post-colonial
End of cold war
Globalisation
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Number of people receiving ART in low- and
middle-income countries, by region, 20022008
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A Major Unfinished agenda

• Infectious diseases (aids,TB,malaria and more)
• Maternal mortality
• Child health
• Neglected tropical diseases
• Reproductive health
• Malnutrition
• Primary health care

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A new agenda for Global Health

• Finalize the unfinished agenda!
• Chronic diseases and mental health
• Urbanization, climate change, water, population
• Deliver new prevention treatment technologies
• More effective health systems

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Chronic diseasea problem with a solution

• Tobacco control
• Salt and alcohol reduction
• Healthy diet and weight control
• Physical activity
• Indoor pollution reduction
• Secondary prevention and poly-pill

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Source United Nations Population Division. The
World at Six Billion (1999)
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A new agenda for Global Health HOW?

• Multi-disciplinary and multi-sectoral
• New funding opportunities
• New RD models
• Innovation in health delivery
• Tiered pricing
• Address structural drivers

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New models for RD

• Product development partnerships
  (malaria,TB,microbicides, NTD)
• Global HIV Vaccine Enterprise
• Wellcome Trust-Merck vaccine initiative, India
• GSK DDW, NovartisVIGH, Tibotec
• Patent pool
• BUT need to continue traditional public and
  private mechanisms !

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A new agenda for Global Health WHO?

• Shift the locus of agenda setting partnerships
• Invest in capacity and excellence
• Address health work force inequalities
• Involve business at large
• Nothing for the people without the people
• New global governance

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