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UPDATED: Mon Feb 18 16:59:04 2002

Dr Gro Harlem Brundtland        
Director-General
World Health Organization

Davos 
29 January 2001

   

World Economic Forum,
Plenary Seminar "Diseases that cause poverty"

Thank you Mr Bajaj.

President Chissano,

President Mbeki,

Mr Gates,

Mr McKinnell,

Mr Roedy,

Ladies and Gentlemen,

The full economic cost of diseases like HIV, Malaria, TB, childhood illnesses and noncommunicable illnesses, is now being recognized.

The burden of HIV has been often mentioned during the last few days. HIV prevalence rates of 10-15% - which are no longer uncommon - can translate into a reduction in growth rate of GDP per capita of up to 1% per year. TB, which is exacerbated by HIV, takes an economic toll equivalent to $12 billion dollars from the incomes of poor communities.

Africa's GDP would probably be about $100 billion more now if malaria had been tackled 30 years ago, when effective control measures first became available.

Last year, Heads of State and Health Ministers of the world's developing nations talked publicly about ways in which illness hampers their people's prospects for development.

The political commitment is evident. Heads of State recognize that good health is essential - to fuel the engine of development, to unleash the forces of economic development and to permit the reduction of poverty.

We know how to reduce suffering in poor communities.

Quite simply, if proven interventions are taken to scale - and by that I mean to a global scale - we have in our hands a concrete, result-oriented, and measurable way of starting to reduce poverty.

Later this year, WHO's Commission on Macroeconomics and Health, chaired by Jeff Sachs, will provide a road map setting out what can be done. It is already evident that the sum total of current government, development agency and corporate effort is no where near enough to make a real difference over next decade. A massive increase in finance and human resources is needed.

We expect nations that support development to contribute to a steep increase in levels of resources for better health of poor people. The G8 and European Commission have already made commitments. Several billion dollars of additional funding are under discussion.

WHO is identifying the best technical strategies to tackle the diseases that cause poverty. We are helping ensure that effective channels get funds and services to those who need them. We monitor progress and assess the results.

We are working with companies and foundations - to develop new treatments, vaccines and preventive measures.

We encourage approaches to health action that involve all sections of society. People themselves, joined by public and private partners who promote best public health practice with new energy, commitment and enthusiasm.

Chairman,

We have heard, during this forum, that being global calls for a focus on local realities. Companies with a global reach are concerned with the health of their workforces, of the communities with whom they work, and of those with whom they interact throughout the world.

Some companies have given higher priority to people's health, working within the context of global initiatives. They contribute to polio eradication through the Rotary Movement; to the elimination of leprosy through the Novartis and Sasakawa Foundations and to the control of river blindness through the Mectizan programme.

They contribute to childhood immunization, under the umbrella of a Global Alliance launched at the World Economic Forum in January 2000 with the critical backing of the Gates and Rockefeller Foundations.

By joining partnerships - like Roll Back Malaria, GAVI and Stop TB - companies support the adoption of tried and tested strategies in communities affected by illness. They implement what works and focus on results. Take the example of ENI, working with government and civil society in Azerbaijan, helping people to reduce the risk of malaria infection and increasing their access to effective treatment. ENI is now looking for similar opportunities to contribute to rolling back malaria elsewhere.

Many companies have now joined the movements to reduce the risk of HIV infection and to enable people living with HIV and AIDS to access care. The companies that have established the Global Business Council on HIV-AIDS have set a powerful example, encouraging individual action, collective advocacy and the sharing of best practice. Some companies have come together with the UN in a well-publicised effort to help improve people's access to HIV care in poor countries. The publicity has not reflected the complexity of the task or the results achieved. Within the space of nine months there we see promising progress in three countries, and good prospects in more than 20.

Much more could be done, if companies commit themselves to global health, work together, using best practices, to promote better health for all and help find ways to bridge the resource gap.

Perhaps this is the time for the Forum to make a greater contribution. Companies could make a greater contribution to improving the health of the world's poorest people. A WEF initiative could lead to the scaling up effective action. It would do this by providing an umbrella, and by building on the many actions currently under way.

It could certainly provide an excellent opportunity for sharing good corporate practice.

It could also inspire a wider corporate involvement in public policy.

I would like to see WHO support the establishment of such an initiative.

Colleagues,

The world has set major goals for equity in health. They can be fulfilled, and the result will be significant reductions in levels of poverty. To do this we need sustained partnerships between the public and private sectors, based on shared values and strategies. We need to work under the stewardship of national governments, with the full involvement of academic groups and civil society.

This is a tall order, but one to which the members of the forum are well able to respond. The benefit will be extraordinary - not only for the poor half of the our world, but for all of us, and for all the generations to come.

Thank you.

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