Lec7_FrielEtAl_PublicHealth - Downloaded from bmj.com on 17...

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doi:10.1136/bmj.39392.473727.AD 2008;336;191-194 BMJ A J McMichael, S Friel, A Nyong and C Corvalan impacts, inequalities, and the health sector Global environmental change and health: http://bmj.com/cgi/content/full/336/7637/191 Updated information and services can be found at: These include: References http://bmj.com/cgi/content/full/336/7637/191#otherarticles 3 online articles that cite this article can be accessed at: http://bmj.com/cgi/content/full/336/7637/191#BIBL This article cites 12 articles, 3 of which can be accessed free at: Rapid responses http://bmj.com/cgi/eletter-submit/336/7637/191 You can respond to this article at: http://bmj.com/cgi/content/full/336/7637/191#responses free at: 5 rapid responses have been posted to this article, which you can access for service Email alerting box at the top left of the article Receive free email alerts when new articles cite this article - sign up in the Topic collections (846 articles) Environmental issues (293 articles) Air pollution (4223 articles) Health service research (10849 articles) Epidemiologic studies (5014 articles) Health policy (7728 articles) Infectious diseases Articles on similar topics can be found in the following collections Notes http://group.bmj.com/group/rights-licensing/permissions To Request Permissions go to: http://journals.bmj.com/cgi/reprintform To order reprints go to: http://resources.bmj.com/bmj/subscribers go to: BMJ To subscribe to on 17 June 2009 bmj.com Downloaded from
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ANALYSIS BMJ | 26 JANUARY 2008 | VOLUME 336 191 Human actions are changing many of the world’s natu- ral environmental systems, including the climate sys- tem. These systems are intrinsic to life processes and fundamental to human health, and their disruption and depletion make it more difficult to tackle health inequali- ties. Indeed, we will not achieve the UN millennium development health goals if environmental destruction continues. Health professionals have a vital contributory role in preventing and reducing the health effects of global environmental change. Problems of focus In 2000 the United Nations set out eight development goals to improve the lives of the world’s disadvantaged populations. The goals seek reductions in poverty, illit- eracy, sex inequality, malnutrition, child deaths, mater- nal mortality, and major infections as well creation of environmental stability and a global partnership for development. One problem of this itemisation of goals is that it separates environmental considerations from health considerations. Poverty cannot be eliminated while environmental degradation exacerbates malnu- trition, disease, and injury. Food supplies need continu- ing soil fertility, climatic stability, freshwater supplies, and ecological support (such as pollination). Infectious diseases cannot be stabilised in circumstances of climatic instability, refugee flows, and impoverishment.
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Lec7_FrielEtAl_PublicHealth - Downloaded from bmj.com on 17...

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