A/HRC/19/73
Annex
Human rights principles and guidelines to improve the
protection of children at risk or affected by malnutrition,
specifically at risk of or affected by noma142
I. Principles
A.
The rights of the child
1.
Children at risk or affected by malnutrition and noma are entitled on an equal basis
to other individuals to the rights proclaimed by the Universal Declaration of Human Rights,
enshrined in international human rights instruments to which their respective States are
parties, including in the Convention on the Rights of the Child, the International Covenant
on Economic, Social and Cultural Rights and the International Covenant on Civil and
Political Rights, as well as to the rights stipulated by customary international law. The wellbeing and human rights of children are intrinsically linked to the right of their mothers. The
full realization of the rights stipulated by Convention on the Elimination of All Forms of
Discrimination against Women is thus paramount for the fulfilment of the rights of women
and of children, including those at risk/affected by malnutrition and noma.
2.
States have an international obligation to respect, protect and fulfil the rights of the
child and of their parents. Authorities at local, regional and national level are bound by
these obligations. State decisions regarding children should be guided by the principles of
non-discrimination, adherence to the best interests of the child, the right of children to life,
survival and development, and the right of children to participate in matters that affect
them.
3.
Every child, including a child at risk/affected by malnutrition and noma, has the
inherent right to life. States Parties shall ensure to the maximum extent possible the survival
and development of the child.
4.
Every child, including a child at risk/affected by malnutrition and noma, has the
right to food. States shall respect, protect and fulfil the right of the child to have regular and
permanent access to quantitatively and qualitatively adequate and sufficient food that
ensures a physical and mental dignified life free of hunger and malnutrition.
5.
Every child, including a child at risk/affected by malnutrition and noma, has the
right to water and sanitation. States shall respect, protect and fulfil the right to safe drinking
water and sanitation, and thus take steps to realize the physical and economic access to
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The parallel to leprosy and the findings of the study on severe malnutrition and childhood diseases
with children affected by Noma as an example has led the Committee to consider as a model for
further action the Principles and guidelines for the elimination of discrimination against persons
affected by leprosy and their family members prepared by Shigeki Sakamoto, adopted by the
Committee (A/HRC/15/30) and of which the Human Rights Council has taken note with appreciation
(A/HRC/15/L.18). Special thanks for the input on the earlier draft of the principles and guidelines
aimed at improving the protection of children at risk or affected by malnutrition, specifically at risk of
or affected by noma are due to the Government of Canada (submission on A/HRC/AC/7/CRP.2, not
dated).
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