A/HRC/37/74
fired once they had been affected by tuberculosis, silicosis or HIV. They then returned to
their homes and died or spread diseases in their communities, exacerbating poverty and
vulnerability. Inadequate compensation for mineworkers’ occupational diseases signalled a
number of human rights violations, but due to illiteracy, many workers were unaware of
their rights. The 2030 Agenda provided an opportunity to work beyond silos to integrate the
right to health at all levels for the benefit of vulnerable migrant mineworkers and their
families. He recommended tackling the challenges faced by that group, including through
capacity-building in unions and occupational health associations, prevention of diseases and
collection of disaggregated data, advocating for better labour laws and practices, and
reporting abuses and human rights violations.
32.
The Chair of the Board of the International Network of People who Use Drugs, Brun
González Aguilar, explained that the legal prohibition and criminalization of drug use, as
well as historical and cultural factors, had all caused devastating consequences to people
who used drugs, including stigma, discrimination and other human rights violations. That
had made people who used drugs more vulnerable to contamination with HIV and hepatitis
C. The rights to education, freedom of religion, freedom of thought, privacy and selfdetermination were affected by prevalent anti-drug policies. He recommended harm
reduction measures, including deconstructing stigmatizing notions and seeking more
rational, humane, objective cultural and social approaches. He echoed the call made by the
General Assembly at its Special Session on Drugs (in General Assembly resolution S-30/1)
to promote and strengthen regional and international cooperation in developing and
implementing innovative forward-thinking treatment-related initiatives. He added that
fewer than 11 per cent of people who used drugs actually needed treatment; the majority of
people who used legal and illegal drugs worldwide were non-problematic users.
33.
During the interactive dialogue, representatives of UNAIDS, WHO, the People’s
Health Movement, Porn4PrEP and the World Social Forum took the floor. Participants
emphasized the importance of sexual education for sex workers and pornography actors.
They also spoke of the challenges faced by migrants, adolescents, women, drug users,
mineworkers, and persons living with HIV and affected by other diseases. They called for
child and social protection and labour policies to be strengthened as strategies to counter
epidemics, bearing in mind problems of scale and the interdependence of rights.
34.
In his final remarks, Mr. Jele said that when mineworkers and their families,
including women, participated in programming, health, social and labour programmes were
more successful. Mr. González said that harm reduction strategies were entirely developed
by communities of people who used drugs, as few others considered them worth helping.
He cited as good practices the harm and risk reduction programmes implemented by peers
in Spain. Ms. Viviani stressed the importance of working in partnership to promote
education and of conducting outreach to the most marginalized children. She called for
health programmes at the community level to be strengthened and institutionalized.
F.
Health-care workers on the front line
35.
A representative of the International Committee of the Red Cross (ICRC), Esperanza
Martinez, explained that in armed conflicts, health workers and services were especially
protected by international humanitarian law and, in all cases, they were protected by human
rights law. The increase in battles in urban contexts amplified the effects of indiscriminate
attacks. Urban conflicts affected the social determinants of health and the rights to water,
sanitation, food and health. Protracted conflicts made health systems unable to cope with
crises at the times at which the need was most acute. The “Health Care in Danger” project
highlighted the multifaceted violence suffered by health-care workers. ICRC provided
practical guidelines on the rights and responsibilities of health-care personnel in conflict
areas, including on the right to privacy and on engaging with arms carriers. In order to
achieve the Sustainable Development Goals, there was a need to implement more
preventive measures against violations of human rights and international humanitarian law.
36.
The Permanent Representative of Thailand, Sek Wannamethee, explained that his
country was the first in Asia to have eliminated mother-to-child transmission of HIV and
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