Friday, September 05, 2008

World Health Organization releases report on social determinants of health

This week, the World Health Organization released a report entitled Closing the gap in a generation: health equity through action on the social determinants of health. The idea that the health of individuals and populations is determined a host of factors -- such as gender, income, social status and power, race, living conditions and workplace environments -- has to some extent entered into common sense. There are some who believe health is more a matter of genetics, luck and individual choice. But it is becoming more obvious, as more studies are done and more is known about dramatic disparities in health within and between nations, that man-made policies, social structures and cultural practices have a major impact on health. What is less acknowledged is the implication: improving health requires a commitment to social justice, i.e. healthier societies are more equitable ones.

Here is where things get murky, even for those who have seen health disparities firsthand and are strongly attracted to the integration of public health, bioethics and considerations of justice. That there are vast differences globally in infant and maternal mortality or life-expectancy has growing empirical support. And this situation is intuitively unjust. But it is hard to articulate precisely what makes it unjust, and what 'doing justice' might mean. The title of the WHO report would indicate that justice would be served by narrowing the differences, but the nature of this goal is unclear. Raising (say) the life-expectancy of Zimbabweans and lowering that of Swedes and Danes? That seems unfair to the latter. Raising all life-expectancies to that of Japan (82 years)? That would be a more positive way of doing justice, but the idea of doing so 'in a generation' seems wildly optimistic. Anyway, it seems unrealistic to expect that in the future countries would all have equal health indicators. Maybe doing justice means just improving the health of populations up to a certain (to be determined, somehow) threshold of decency, rather than trying to make them all equal.

I have only looked over the report briefly so far, but as far as I can see, there is no ethical discussion about the meaning of 'equity' as a goal or ideal (the word 'ethics' or 'bioethics' only appear a couple of times). The concept is used throughout, but not defined or submitted to any serious analysis. This seems a pity, because if you don't know where you want to go, it is hard to know where your analyses and interventions are supposed to be taking you.


Anonymous Anonymous said...

Good post.

My comments:

11:33 AM  
Anonymous Anonymous said...

Our Online Pharmacy no Prescription doctors will evaluate your health information and provide you with a prescription, so you do not need a prescription from your regular family physician to cheap Generic Viagra. More info at:

10:17 AM  
Anonymous Anonymous said...

Good post.
viagra discount
female viagra
cialis professional

7:12 AM  
Blogger Mark Gats said...

is there any extra factor on which the health of individuals and population is determined....
Generic Viagra, Sildenafil Citrate

5:06 AM  
Blogger James Touso said...

Its really great to read this.My friend Mark always used to read this type of stuff and now he also buy
generic viagra,kamagra,silagra
meltabs,forzest from online
pharmacy like for better sexual pleasure.I am also using this pharmacy from so many time and
its quite cool to be with this pharmacy.

7:31 AM  
Anonymous Anonymous said...

For many causes of erectile dysfunction, managing the underlying illness will play a significant role in improving sexual function. Though, in a few of the cases, generic viagra cialis can assist with sexual activity .Viagra works on the muscles in your penis that assist control the blood flow. During ones youth there is often little control viagra super active over these muscles which results generic cialis online in ill-times erections would, as a man ages he gains control over the muscles but that control can falter and cause the inability to obtain or maintain an erection.

1:18 AM  
Anonymous Anonymous said...

I totally agree with this comment, thanks for sharing, have a nice day!!
Buy Viagra

6:03 PM  
Anonymous Anonymous said...

To julia f. Baca.
The best place to buy generic Viagra 100mg is

3:02 PM  
Anonymous Anonymous said...

Why do you sell UK generic Viagra online? We sell our online pharmacy Viagra because it enables us to reach a greater customer base and provide meds to those who otherwise would not be able to afford them. Because we operate online and ship direct from the manufacturer, we save on marketing and inventory costs, bringing down.

12:50 AM  
Blogger US Online Pharmacy said...

Buy Generic Cialis Online For Full Customer Satisfaction. Order Cheap Cialis Prescription or Buy Tadalafil at the Best Prices from
Online Pharmacy | Buy Viagra | Buy Tramadol | Buy Cialis | Buy Fioricet | Buy Ultram | Buy Soma | Buy Tamiflu | Buy Levitra

5:04 AM  
Blogger Allen Wilson said...

Nice post dude..
I stumbled it up and shared with my friends..

Generic Levitra, Generic Cipro Online, Kamagra Jelly, Kamagra Jelly Online

1:52 AM  
Blogger Ramesh said...

This organization really helps to many peoples.
generic cialis soft

10:48 AM  
Blogger Penis Enlargement Pills said... is an all-natural Penis Enlargement, safe, and guaranteed alternative to painful and dangerous Penis enlargement methods such as surgery, straps, or rings.
penis enlargement pills or male enhancement pills will immediately boost your performance, improve your orgasms, and increase the penis size within just a few weeks!


10:19 AM  
Blogger vpill9999 said...

Buy Viagra at low price is discount online pharmacy offering Viagra online forless. Our viagra online pharmacy is internet's leading online pharmacy at affordable at affordable discount prices.

11:50 AM  
Blogger Zheng junxai5 said...

2015-10-13 zhengjx
Louis Vuitton Handbags Outlet On Sale
michael kors handbags
cheap jordans
ugg australia
cheap nfl jerseys
Lebron 12,11,10 Shoes For Sale
Louis Vuitton Outlet 100% Authentic
ugg boots
Louis Vuitton Handbags Outlet Stores Online
canada goose outlet
coach outlet
michael kors outlet
Louis Vuitton Handbags Outlet Sale
michael kors outlet sale
Coach Factory Outlet Online Sale Discount
canada goose outlet
michael kors outlet online
cheap louis vuitton
Coach Outlet Store Online Clearance
Michael Kors Outlet Online Sale Free Shipping
coach outlet store online
ugg boots
nike outlet,nike shoes,nike store,nike air max,nike free run,air max,nike free,nike blazers
Louis Vuitton Outlet Discount Handbags
cheap ugg boots
hermes birkin
ugg boots
Coach Factory Outlet Discount Online
true religion jeans
nike air max

8:47 PM  
Blogger Nike Free said...

kd 7
kobe shoes
nike air max 2015
nike air max 2016
nike free run
nike free 5.0 womens
christian louboutin boots
christian louboutin uk
mbt usa
mbt canada
fitflop shoes
fitflop sale
All Balck Huarache
Nike Huarache Nm
christian louboutin shoes
Red Bottom Shoes
jordans for sale
jordan 13
jordan 11
jordans 2016
coach outlet
coach sale
kate spade handbags
kate spade purses
michael kors bags
Michael Kors Cheap
michael kors handbags outlet
michael kors jewelry
michael kors jet set tote
Michael Kors Sale
michael kors Premium Outlets
michael kors outlet online
Michael Kors Outlet Online Store

5:52 AM  
Blogger santa lily said...

Generic Viagra (100mg) is a highly recommended online medicine to treat Erectile Dysfunction. Buy at US with free shipping on every order.

6:18 AM  
Blogger Generic Cialis said...

This is cool work mate
Generic Cialis

11:05 AM  
Blogger Timothy Brown said...

This comment has been removed by the author.

6:35 AM  
Blogger Kapil Taneja said...

Water tank cleaning services in Delhi Ncr
Sofa dry clean services in Delhi Ncr
Floor Cleaning Buffering by Machine in Delhi Ncr
Carpet Cleaning Services in Delhi Ncr
Corporate cleaning services in Delhi Ncr

2:39 AM  
Blogger herbalpestsolutions said...

Pest Control Services in Thane
Pest Control Services in Thane Ghodbunder
Pest Control Services in Navi Mumbai
Pest Control Services in Kalyan
Pest Control Services in Mulund

5:05 AM  
Blogger Pawan Sharma said...

Thank you for sharing your valuable information. It is very useful for us, Plz visit us:

Ambulance services in Delhi Ncr
AC Ambulance services in Delhi Ncr
Ventilator ambulance services in Delhi Ncr
Hears van in Delhi Ncr
Ambulance Number in Delhi Ncr
Mortuary cabinet in Delhi Ncr
Coffin dealer in Delhi Ncr

2:23 AM  
Blogger Pandurang Dusange said...

Thank you for sharing your valuable information. It is very useful for us, Please visit below us:-
Court marriage in thane
court marriage in mumbai
marriage registration in thane
marriage registration in mumbai
Out of State Marriage registration in Thane
Temple marriage in thane
Christian marriage in thane

2:24 AM  
Blogger Sanjay Rao said...

Thank you for sharing your valuable information. It is very useful for us, Please visit below us:-

Best film schools in Mumbai
Digital film academy in Mumbai
Film making courses in Mumbai
Film editing courses in Mumbai
Cinematography courses in Mumbai
Cinematography school in Mumbai
Film direction courses in Mumbai
Film direction institute in Mumbai
Film institute in Mumbai
Film & TV courses in Mumbai

6:53 AM  
Blogger dennis186 said...

Thank you for sharing your valuable information. It is very useful for us, Please visit my website:- Kamagra

4:55 AM  
Blogger Melvin Arter said...

Great! thanks for's very tipsful......Please visit my blog:- Kamagra

2:59 AM  
Blogger shrutiexpress said...

great post! like very Please visit below us:-

Courier services in Mumbai
Courier services in Thane
Courier services in Ghatkopar
Courier services in Kalyan
Courier services in Dombivli

2:43 AM  
Blogger said...

I totally with this comment, thanks for sharing,

Construction Companies in Mumbai
Construction Companies in Thane
Construction Companies in Pune
Construction Companies in Lucknow
Construction Companies in Hyderabad
Construction Companies in Delhi
Construction Companies in Gujrat

4:22 AM  
Blogger David Wolf said...

yes nice blog keep up good work visit Kamagra kaufen

1:15 AM  
Blogger justinsmith said...

Thanks nice blog manage also visit Kamagra

4:49 AM  
Blogger Parcel Chief said...

good post............. visit my blog Courier services to Australia

7:06 AM  
Blogger justinsmith said...

medicine Kamagra is considered to one of the cheapest medicine

2:18 AM  
Blogger certifiedethicalhacking said...

thanks for this post nice to read visit my blog:
Hacking Courses
Best Java Courses in Mumbai
Information and Network Security Institute in Mumbai

4:06 AM  
Blogger John Brown said...

medicine kamagra kaufen is considered to one of the cheapest medicine and safe medicine

2:51 AM  
Blogger Thorsten Schultz said...

osm blog I really appreciate your post also Kamagra is an mind-blowing medicine visit my blog Kamagra bestellen

1:30 AM  
Blogger Jonas Mehler said...

Thanks, nice blog appreciate your post the best medicine for ED Kamagra kaufen

3:40 AM  
Blogger New World Nutrition said...

Thank you for sharing your valuable information. It is very useful for us, Plz visit us
Buy Nutrition Supplements in Goregaon
Buy Dietary Supplements in Goregaon
Buy Nutrition Supplements in Tardeo
Buy Nutrition Supplements in Tardeo
Buy Nutrition Supplements in peddar road
Buy Nutrition Supplements in Cuffe Parade

6:54 AM  
Blogger Precise Potion said...

Nutritionist in Mumbai
Dietitian in Mumbai
Diet plan for weight loss in mumbai

5:02 AM  
Blogger jesperl1230 said...

This comment has been removed by the author.

3:26 AM  
Blogger jesperl1230 said...

Thank you for sharing your valuable information.
Acheter Kamagra

3:31 AM  
Blogger Robert Freud said...

nice information thanks for sharing with us Kamagra

1:48 AM  
Blogger Dylan Eales said...

Sample Assignment is the leading brand in Australia and know for their work that offers complete online assignment services like contract law assignment, it assignment help, financial assignment help, project management assignment, electrical engineering help and more. Those students who looking for assignment help  Melbourne, Adelaide, Perth etc

8:46 AM  

Post a Comment

<< Home