公共衛生英語課程作業輔導-A Global Perspective on
澳大利亞公共衛生英語課程作業輔導-A Global Perspective on the Social Determinants of Health
The WHO (World Health Organization) and UNICEF (United Nations International Children’s Emergency Fund) conducted a total of seven related meetings after two and a half years of preparation and planning, trying to seek the way of improving international health care. On September 6-12, 1978, delegates from 134 countries and 67 delegates of the specialized agencies and non-governmental organizations which had officially contacted to the WHO and UNICEF came to Alma-Ata, the capital of the former Soviet Republic of Kazakhstan (the Republic of Kazakhstan now) and participated in the international conference on primary health care.WHO（世界衛生組織）和聯合國兒童基金會（聯合國國際兒童緊急基金）共進行了7個相關會議，經過2年半的準備和規劃，努力尋求改善國際衛生保健的方式。于1978年9月6-12日，來自134個國家和67個專門機構和非政府組織的代表，代表已正式接觸世界衛生組織和聯合國兒童基金會來到阿拉木圖，前蘇聯哈薩克斯坦共和國（在資本現在哈薩克斯坦共和國??）和參與初級衛生保健的國際會議。
The purposes of this conference are:
First, promoting all countries’ understanding of the primary health care. Second, communicating the experience of the development of primary health care and exchanging information. Third, valuating health status and health care all over the world and its relationship with the primary health care, and exploring an approach to improve health conditions through a primary health care. Forth, it tries to identify the principles of primary health care and the methods of operations. Fifth, the conference means to determine the significant roles of the governments, governmental organizations and international organizations in the cooperation of health technology and the support of primary health care. Last, it aims to putting forward relevant Suggestions on primary health care.
At the opening ceremony, Dr. Houghdan Mahler, the director-general of the WHO, put forward eight content of primary health care to delegates. After full discussion, the assembly gradually presented a brand new way for most representatives which was designed, practiced and had been yielded positive results in some developing countries. Primary health care shows a great prospect to improve the people's health level.
Under the joint efforts of the delegates, Dr Mahler and Mr. La Bois, the director of UNICEF executive committee jointly drafted a meeting document as long as 49 pages titled "primary health care", which was the outline of the Declaration of Alma-Ata. The document was further abbreviated and amended into the Declaration with only 1000 words and ten clauses were listed in it in accordance with the terms of the treaty form. At the closing ceremony, a representative from Sierra Leone announced the Declaration of Alma-Ata. And with the unanimous agreement of all delegates and their warm applause, a file was born which symbolized the milestone in the history of international health development. Moreover, Alma-Ata made clear the concept of primary health care and it is explicitly pointed out in the Declaration of Alma-Ata that primary health care is the key and the basic way of achieving the goal of "health for all in 2000". 馬勒博士和香格里拉布瓦先生，聯合國兒童基金會執行委員會主任與會代表的共同努力下，共同起草了一份會議文件，只要49頁題為“初級衛生保健”，這是“阿拉木圖宣言”的輪廓。文件進一步簡化和修改成只有1000字，10個條款，按照條約形式的條款被列入“宣言”。在閉幕式上，來自塞拉利昂的代表宣布了“阿拉木圖宣言”。并與所有與會代表的一致同意和他們熱烈的掌聲中，誕生了一個文件，這標志著在國際衛生發展的歷史里程碑。此外，阿拉木圖明確初級衛生保健的概念，并明確指出在“阿拉木圖宣言”，初級衛生保健是關鍵，所有在2000年實現這一目標的“健康”的基本途徑。
The Declaration of Alma-Ata illustrates the necessity for all governments and health-care workers to take measures to guarantee and improve all people’s health. Important aspects about health are involved in these ten terms. In this declaration, Health is regarded as “a most important world-wide social goal” which needs the joint efforts of social and economic sectors as well as health sector. Besides, it points out the health inequality, government’s responsibility for health, the importance of economic and social development and people’s rights and duty for health care. Most importantly, it explains the content of primary health care, which is “essential health care”, and identifies its key points and important aspects.
However, in fact, according to the WHO (2007), the world health agenda is anything but easy to be achieved for there are many obstacles coming in its way.
First of all, the negative influence of economic and social development upon health. We all know that with the economic and social development, the health care can be promoted, our medical conditions be improved and the better health care services provided. Moreover, people can live longer with a lower rate of death. Meanwhile, as people say, economy is a double-edged sword. The economic and social development can exert negative influence upon health. For one thing, the development of economy would necessarily accelerate the pace of industrialization. People are setting up a number of plants which can cause environmental pollution and increase the latent risks of people’s illness. For example, the plants for papermaking, printing and dyeing, electroplating and building materials are those which do serious harm to our environment and our health. At any cost the one-sided pursuit of economic development, people abuse the natural resources such as air, water, land, forest which have caused serious damages. And environmental pollution has brought damage to the national health. In 2007, the number of new liver cancer patients has increased to 667000 worldwide.
For another, Relative to the environmental pollution, economic development has had adverse influence on the health by changing people's life style, the impact of which is more concealed and more likely to be overlooked. People’s life standard has rose with the development of social economy and the working conditions are considerably improved (they can complete all work sitting in front of the computer all day). People’s life style has changed a lot, causing excess nutrients and exercising less, which are further degraded into modern civilized diseases such as obesity, high blood pressure, diabetes, etc. Take China for an example. The rising level of economic development has led to the increase of people's living standard, which has changed the way of people's diet structure and behavior, made a growth of the overweight and obese population. At the same time, the population of high blood pressure, blood fat, high cholesterol, and high blood sugar increased, resulting in a series of the increase of chronic diseases. Meat and fat consumption of residents in China increased significantly. And the growth of that of rural residents is also significantly faster than the urban. According to Fang et al. (2010), from 1982 to 2002, China's urban residents per capita consumption of meat a day increased by 69% (from 62 to 62 grams). At the same time, rural residents' consumption has increased by two times (from 23 to 69 grams). The growth rate is almost three times that of the city. During the same period, China's urban residents per capita daily fat intake increased by 25% (from 68 to 68 grams). And daily fat intake per capita of rural residents has increased by 69% (from 40 to 73 grams). And the growth rate was close to the three times of the city. The high ratio of fat in residents’ calorie sources is directly connected with many chronic diseases.
What’s more, people’s bad behaviors have increased with the social and economic development, such as gambling, drug use and virtuous sexual behavior, etc. with the high pace of work in the modern society, people are having more complex social network and they need to deal with much more incidents than they do before. Thus people get pressured mentally. With the improvement of the economic development, competitive pressures and work greatly speed up the pace of life and the social and living risks also increased. Due to the cost of living rises ceaselessly and the income increase slowly, residents are working under significantly higher labor intensity and more pressure. Especially in the developing countries, the working conditions are not quickly improved with a low level of health care and security, the medical conditions are still not positive. Most of low-income workers are still having hard lives struck with sharp polarization of income distribution. Under the influence of these factors, sub-health population increased significantly and all sorts of mental health problems also begin to increase numerously. Take America for an example. It is reported that there are about 30% of Americans are suffering from illness. And due to bad sexual behavior, there are over 40,000 Americans who are infected with HIV virus each year.