Health and sustainable development: can we rise to the challenge?

Health and sustainable development: can we rise to the challenge?
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DOI:
10.1016/s0140-6736(02)09777-5
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发表时间:
2002-08-24
期刊:
影响因子:
168.9
通讯作者:
von Schirnding, Y
von Schirnding, Y
中科院分区:
医学1区
文献类型:
--
作者:
von Schirnding, Y

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即将召开的可持续发展世界首脑会议是一个前所未有的机会,可以将健康问题置于环境和发展议程的更重要位置。世界领导人将努力应对我们这个时代的一些重大挑战——如何以不破坏环境的方式消除贫困并满足世界发展需求。首要议程是水、能源、健康、农业和生物多样性。改善世界贫困人口获得清洁水、卫生设施和安全家庭能源的机会将对幼儿的主要杀手——肺炎和腹泻产生巨大影响。同样,改善环境管理可能会对许多传染病的结果产生重大影响。与此同时,如果人们的消费模式和生活方式能够建立在更加可持续和健康的基础上,非传染性疾病日益流行的趋势就可以得到扭转。共同的健康、环境和发展议程可以解决大部分与环境相关的疾病负担,反之亦然。卫生部门越来越需要与其他部门合作,而不是单独工作。需要新的工具来确保跨部门行动融入卫生部门开展业务的方式。改善协调可能是我们帮助地球重新走上健康和可持续发展道路的最重要方式之一。
The forthcoming World Summit on Sustainable Development is an unprecedented opportunity to place health higher on the environmental and development agenda. The world's leaders will be grappling with some of the major challenges of our times-how to eradicate poverty and meet the world's development needs In a way that does not destroy the environment. Topping the agenda are water, energy, health, agriculture, and biodiversity. Improvement of access of the world's poor people to clean water, sanitation, and safe sources of household energy would have a huge effect on the main killers of young children-pneumonia and diarrhoea. Similarly, improved environmental management could substantially affect many infectious disease outcomes. At the same time, the growing epidemic of non-communicable diseases could be reversed if people's consumption patterns and lifestyles could be put on a more sustainable and healthy footing. A shared health, environmental, and development agenda could address the large share of the burden of disease that is environmentally related, and vice versa. The health sector Increasingly needs to work in partnership with others rather than work alone. New tools are needed to ensure that intersectoral action becomes embedded in the way that the health sector does business. Improving coordination might be one of the most important ways in which we can help put the planet back on a healthy and sustainable path.