A/HRC/36/20
13.
In conclusion, he appealed to the international community to assist Liberia in
developing its health infrastructure and improving the capacity of its public health
workforce.
14.
Dr. López outlined the experience of Cuba in establishing its national health system,
pursuant to article 50 of the Cuban Constitution, which was geared towards a single and
public health system model that was free of charge and accessible. It covered 100 per cent
of the Cuban population without any form of discrimination. There was also an
immunization programme that protected against 13 diseases, with eight of the vaccines
being nationally produced. Cuba had eradicated polio, diphtheria, measles, mumps,
whooping cough, rubella, meningeal tuberculosis and mother-to-child transmission of HIV.
15.
Cuba had helped other countries to realize the right to health by helping to
strengthen health systems that were already geared towards achieving universal health
coverage. Cuba recognized health as an essential and core human right that was central to
public policies, and wished to continue its cooperation with other countries in that regard.
16.
Dr. Ren underscored the global consensus that universal health coverage should not
be viewed as a distant goal, but as a fundamental step in realizing the right to health. He
described how much had been done to help develop core public health capacity to prevent,
detect and respond to public health emergencies. Particular achievements of WHO included
the adoption by the World Health Assembly of the WHO Global Strategy on Human
Resources for Health. He further emphasized that expenditure on the health and social
workforce should be regarded as an investment, and not merely as a cost.
17.
HIV/AIDS, tuberculosis, malaria and neglected tropical diseases had a continuing
and far-reaching impact on people’s lives. In addition to the high mortality rate, they caused
disabilities, stigmatization and exclusion from society. Moreover, in many countries, those
responsible for responding to the challenges were facing major financial and infrastructure
challenges. There were clear capacity shortages in most areas of public health, including
national disease programme management, programme planning, epidemiology, monitoring
and surveillance, and research. Capacity-strengthening was therefore critical to continuing
to save lives and expand access to prevention, diagnosis and treatment.
18.
Dr. Ren further underlined how efforts to strengthen health systems should be
guided by the human rights principles of equity, non-discrimination, transparency,
accountability and participation. The Sustainable Development Goals had reframed the
overall context of global health and opened up space for deeper discussion on the right to
health.
19.
Mr. Gong highlighted how the Government of China had prioritized people’s health
by improving legislation and regulations, including those on immunization and the control
of communicable diseases, public health emergencies and HIV/AIDS. China had targeted
disease prevention and health education, infant and maternal health and mental health,
enhanced the accessibility of public health institutions, engaged in capacity-building for
health-care personnel and improved the level and the quality of services. China was also
strengthening education, fostering healthy behaviours and physical fitness and controlling
the use of tobacco and alcohol.
20.
Ms. Kickbusch highlighted the interdisciplinary and intersectoral nature of public
health and its centrality to the implementation of the Sustainable Development Goals. She
emphasized that many determinants of health required a human rights-based public health
strategy, and that, in the era of the Sustainable Development Goals, the health of people
could not be separated from the health of the planet. Public health strategies must be at the
forefront of integrated strategies to address climate change and environmental factors, such
as air pollution.
21.
In a global consumer society, the right to health included the need to address the
commercial determinants of health. Those included products, marketing and environments
harmful to health. Public health needed a pricing policy, transparent information and clear
labelling. The health community had made tremendous strides in the framework of tobacco
control, and it was now important to address other risk factors for non-communicable
diseases in similar ways. One example was the introduction of a sugar tax by some
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