Why do we need SD goals on climate change, environment and health

Why do we need SD goals on climate change, environment and health Roberto Bertollini, M.D, MPH Chief Scientist and WHO Representative to the EU World Health Organization Joint DEVE-ENVI public hearing European Parliament Brussels, June 22 2015 Name of presentation Date of presentation

Health a precious global good Higher on the political and social agenda of countries and internationally An important global economic and security issue A major investment sector for human, economic and social development A major economic sector in its own right A matter of human rights and social justice

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CMH (2001): the link between health and economic development Name of presentation Date of presentation

LE and health Name of presentation Date of presentation

Impact of health on economic growth and development Labour-force participation Absenteeism due to illness: 4.2 days/ worker (EU, 2009) Average cost of absenteeism: 2.5% of GDP Reduced age of retirement (2.8 years) due to poor health Less likelihood to work (66%, males; 42%, females) due to chronic diseases Macroeconomic growth 1% increase in life expectancy = 6% growth in GDP (OECD) 10% decrease in CVD = 1% per capita income growth (2009) Name of presentation Date of presentation

SDG health goal 3 and its 13 targets 3.3 End epidemics of HIV, TB, malaria and NTD, and combat hepatitis, water-borne diseases and other communicable diseases 3.2 Reduce child and neonatal mortality 3.8 Achieve universal health coverage 3.4 Reduce mortality due to NCD and improve mental health To ensure healthy lives and promote wellbeing for all at all ages 3.1 Reduce maternal mortality 3.7 Universal access to sexual and reproductive health-care services 3.d Enhance capacity for early warning, risk reduction and management of national and global health risks 3.b Access to affordable essential medicines and technologies 3.5 Strengthen prevention and treatment of substance abuse (narcotics, alcohol) 3.6 Reduce mortality due to road traffic injuries 3.a Strengthen implementation FCTC (tobacco) 3.9 Reduce deaths and illness due to pollution and contamination 3.c Increased health financing and health workforce in developing countries

Targets for SDG 3 Reduce the global maternal mortality ratio to less than 70 per 100,000 live births End preventable deaths of newborns and under-five children End the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-borne diseases, and other CDs Reduce by one-third pre-mature mortality from non-communicable diseases (NCDs) through prevention and treatment, and promote mental health and wellbeing Achieve universal health coverage (UHC), including financial risk protection, access to quality essential health care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all

Ten main causes of disease and disabilities 2004 and 2030 (assuming a reduction of 50% of DALYs due to infectious diseases)) WHO. The global burden of disease: 2004 update. Geneva World Health Organization, 2008

Total deaths by broad cause group by WHO region, World Bank income group and by sex, 2008. Source: WHO Global status report on noncommunicable diseases 2010

Why does the burden of NCDs constitute one of the major challenges for development in the 21st century? 12,000,000 10,000,000 8,000,000 6,000,000 4,000,000 2,000,000 14.2 million people between 30-70 die every year from NCDs 86% of deaths between the ages 30-70 occur in developing countries

United Nations General Assembly 2011 First High-level Meeting on NCDs (New York, 19-20 September 2011) 2014 2018 Second high-level Meeting on NCDs (New York, 10-11 July 2014) to take stock of the progress made since 2011 Third High-level Meeting on NCDs to report on progress achieved since 2014

Universal Health Coverage (UHC) 2 main UHC objectives Covering all essential health services Providing financial protection Coverage must be at all levels of health systems Coverage depends on the nature of interventions Coverage must include all countries UHC must be equitable Individual countries must promote and implement UHC

Health is linked to many other SDGs and targets Goal 1: End poverty Target 1.3: Implement social protection systems for all Health Goal 4: Ensure inclusive and equitable education.. Target 4.2: ensure access to early childhood development, care and preprimary education Goal 5: Achieve gender equality and empower all women and girls Target 5.2: end all forms of violence against all women and girls. Goal 6: Ensure availability and sustainable management of water and sanitation for all Target 6.1: achieve universal and equitable access to safe and affordable drinking water Goal 2: End hunger, achieve food security and improved nutrition Target 2.2: end malnutrition, achieve targets for reductions child stunting and wasting Goal 16: Promote peaceful and inclusive societies for sustainable development,.. Target 16.1: reduce all forms of violence and related death rates everywhere Other goals and targets e.g. 10 (inequality), 11 (cities), 13 (climate change)

Health in the context of the SDGs Humans [are] the central concern of sustainable development [ ] living a healthy and productive life in harmony with nature Principle 1 of the Rio Declaration (1992) Health can be a contributor to sustainable development Health can benefit from sustainable development Health challenges development can hamper sustainable

Health and SDGs Health has an obligatory place on any post-2015 development agenda. Better health is a good way to track the world s true progress in poverty elimination, inclusive growth, and equity. Dr Margaret Chan Director-General of WHO Address to the Sixty-seventh World Health Assembly, Geneva, Switzerland 19 May 2014

Thank You!