Transcript National Document

PAHO WHO Collaborating Centers Meeting – SDE
Capacitação
Preparatory
em EventosNational Process
to Rio + 20
Área de Produção Editorial e Gráfica
Núcleo de Comunicação
Secretaria de Vigilância em Saúde
23 e 24 deNational
junho de Institute
2010
of Enviromental Health Science
Research Triangle Park
Durham, NC, October 24, 2011
Rio + 20
Proposition: former President Lula submited the idea to
UN Secretariat in 2007
Adoption: UN General Assembly Resolution n. 64/236
Coordenation: UN General Sub-Secretary to Economic and
Social Affairs
Presidency: Brazil´s Government
Participants: Parties High Level Representatives; civil
society: ~ 50.000 + Virtual networks.
Why Brazil?
In the past 20 years Brazil built a consolidated trajectory
in favor of the global peace, democracy, development,
environment and to reduce hunger and misery, reducing in
its territory the social inequities in a sustained manner.
Thus, in all UN dimentions for Rio + 20, Brazil presents itself
in the sustainable development global scenario as a
privileged actor with political will to carry out the
conference.
Rio + 20 National Comission
President Dilma, trought Decreto nº 7.495, 7th. of July 2011,
stablished the National Comission in order to organize the
UN Sustainable Development Conference.
In its Chapter 2, competence is given to the National
Comission in order to promote dialog among governamental
and civil society actors in order to articulate de contribuition
from Brazil to Rio + 20.
National Document
 Introduction: Overview on sustainable development from
1992 to 2012.
 Chapter 1: New and Emerging Issues: 21 major challenges.
 Chapter 2: Green Economy in the context of sustainable
development and poverty erradication.
 Chapter 3: Institutional Structure of sustainable development.
 Chapter 4: Brazil´s Proposal.
National Document
 Introduction: Overview on sustainable development from
1992 to 2012.
o Rio + 20 is an unic opportunity to design a durable alternative for the international crisis, taking into
account the complexity of its economical, social end environmental aspects.
o The Rio + 20 results must ensure that all countries are capable to implement the adopted
reccomendations, from the creation of adequate conditions – financial, technological and capability – to
implement them.
o The Conference is about sustainable development, not only about environment. The sustainability
challenge consist a great opportunity for changing an economic development model that has difficulties
to fully include social development and environmental protection concerns.
o The expansion of the social border with the creation of mass consumer markets and the global
energetic matrix diversification with better use of sustainable sources are key-elements towards these
new model. The “new economy” – that the world is missing in this particular moment of crisis - is the
sultainabiliy and inclusion economy.
o In terms of global governance, one seeks better balance among developed and developing countries
in the debate about global economic and financial issues.
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 Chapter 1: New and Emerging Issues - 21 major challenges.
o Extreme Poverty Erradication.
o Nutrition and Food Safety
o Equity
o Heath Care Access
o Decent Work, Green Employments, Productive Chain Responsability
o Gender and Wemen Empowerment
o Multilateralism Reinforcement with Civil SocietyParticipation
o State Rol
o Sustainable Production and Comsumption
o Sustainable Development Funding
o Science & Tecnology Access
o Energy
o Cities and Urban Development
o Transport
o Agriculture
o Climate Change
o Biodiversity
o Desertification
o Water
o Oceans
o Fishery
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 Chapter 1: New and Emerging Issues - Health.
o National Unified Health System - SUS as a contry´s sustainable development major component.
o 8,4% of GDP
o 4.5 million of workers
o 250 thousand comunity based health workers
o Principles: Universalization; decentralization, public funding, equity and civil society participation.
o Primary Health Care Large Coverage up to 100 million people.
o Immunization Programs 100% coverage: polio and measles erradication.
o Vulnerable groups health need adressed: indigenous and traditional populations.
o Free health care and medicines to 100% HIV/AIDS patients.
o Pre-hospitalar Urgency and Emergency Care National Program
o Free Transplant National Program
o Free/subsidised Package of Basic Medicines
o Industrial Health Complex expansion
o National Plan on Prevention and Control of Non communicable chronic diseases
o Visit: The Lancet. Health in Brazil – May, 2011
National Document
 Chapter 1: New and Emerging Issues - Health.
Major outcomes
o Rapid improve on children health and nutrition.
o MDG 1: Reduction by half of number of underweigth children by 2015: already met.
o MDG 4: Reduction by 2/3 in mortality rate of children < 5y by 2015: will meet in 2013.
o Life expectancy raised from 65 y from 1990 to 73 y to 2010.
o Regional and socioeconomic inequalities in intervention coverage, nutrition, and health outcomes
have largely decreased.
o These changes combines improvement in social determinants and the creation of SUS with regional
targeting for PHC.
Major Challenges
o SUS financial structure reform
o Adequately approach very fast epidemiologic, demografic and nutrirional transition.
o Reduction of high frequency of scesarian section, illegal abortion and preterm births.
o Inequalities in health: Address more vulnerable groups.
Visit: The Lancet. Health in Brazil – May, 2011
Intersetorial Progress
Rio 92 → Rio + 20
-
Program «Growing Acceleration - PAC»;
Program «My house my life»;
Program «Brasil without misery»;
Program «Water for All»;
Program «Family Aid»;
Program «Health at School»;
Sanitation Policy;
Solid Waste Policy;
Climate Change Policy;
Environmental Health Progress
Rio 92 → Rio + 20
 Development of a National Environmental Health Surveillance
System;
 Academic and Social Networks resulting in important
knowledge and technologyem production;
 Strong civil society role, having as major expressions:
 1st. Environmental Health National Conference, 2009.
 1st. Brazilian Simposium on Environmental Health, 2010.
1st. World Conference on Social
Health Determinants
“Good health requires a universal, comprehensive, equitable, effective,
responsive and accessible quality health system. But it is also dependent on
the involvement of and dialogue with other sectors and actors, as their
performance has significant health impacts. Collaboration in coordinated and
intersectoral policy actions has proven to be effective. Health in All Policies,
together with intersectoral cooperation and action, is one promising approach
to enhance accountability in other sectors for health, as well as the promotion
of health equity and more inclusive and productive societies. As collective
goals, good health and well-being for all should be given high priority at local,
national, regional and international levels.”
Rio Political Declaration on Social Determinants of Health
http://www.who.int/sdhconference/declaration/Rio_political_declaration.pdf
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 Chapter 2: Green Economy in the context of sustainable
development and poverty erradication.
o The current global model of economic expansion is non sustainable. There is no way in order to
mantain na economic pattern highly consuming, perdulary, intensive on fossil energy and that
excessively explore natural resourses.
o It is time to reflect on inclusive models of economic expansion, based on the inclusion of those
chronicaly excluded from the formal economy, in the fair distribution of the renda and in the
stablishment of a broad social promotion and protection system.
o The green economy must be na instrument for the sustainable development mobilization as a set of
concrete initiatives, policies and projects that contribute to the economy transformation, integrating
economic development, social development and environmental protection.
o The “inclusive green economy” concept shall create space for the direct insertion of social policies in
a broader manner during the conference.
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 Chapter 3: Institutional Structure of sustainable development.
oThe current UN structure is no efficient, fragmented, duplicate actions, does not
optimize the use of rare resources avaliables and its decision making processes are
unable to coordinate the sustainable development challenge. Rio + 20 shoud play a
major role to impulse this change.
o The current global crisis makes even more pressing the need to incorporate
sustainability to the economic performance from private agencies and public policies,
as in shortage conditions, as it is now, there will be not enought resorces to protect
the environment if it is isolated from the global strategic planning.
o It is imperative do debate a new and more efficient financial institutional frame. It is
urgent to advance the global governance reform and the effective participation of the
developing countries in the multilareral forums.
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 Chapter 4: Brazil´s Proposal.
o Creation of a Global Socioenvironmental Protection Program. The program aims to warranty
income to overcome extreme poverty worldwide and to promote structuring actions to ensure
environmental quality, food safety and clean water for all.
o Adoption of a Global Agreement for Sustainable Production and Comsumption as a set of
initiatives to promote changes in the production and comsumption patters, such as:
o Sustainable Public Shopping – 15% global GDP
o Expenditure classification and energetic efficiency – Labelling Programs
o International Green Protocol for the Financial Sector – Environmental Risk Assessment
o Sustainable Development Objectives – as MDO
o New Indicators to Measure Development
o Iternational Network for Sustainable Development Inovation
o Agreement for the Inclusive Green Economy
o International Structure for Sustainable Development
Guilherme Franco Netto
[email protected]
Diretor do Departamento de
Vigilância em Saúde Ambiental
e Saúde do Trabalhador –
DSAST
Ministério da Saúde
[email protected]