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36
I
L’A
TLAS
DU
M
ONDE
DIPLOMATIQUE
Planet in peril
Increasingly unequal
The disparity in the wealth of various
parts of the world explains to a large
extent the differences in their overall
state of health. A little Japanese girl
born in 2005 has an average life expec-
tancy of 85 years, more than twice the
life span of a baby girl in Zimbabwe
(36 years, 2003 data). The reasons for
this scandalous imbalance are well
known: poverty, inadequate medical
facilities, failure to control epidemics,
and the high financial return expec-
ted of investment inmedical research.
The quality of treatment for the com-
monest complaints (measles, asthma,
heart disease, psychiatric difficulties,
cancer) is simply lower in poor coun-
tries, and as a result they kill or disable
many more people.
Every dayHIV-Aids kills 8,000 peo-
ple (mainly young adults) and mala-
ria another 3,000 (mainly children).
Tuberculosis claims 6,000more lives.
These three big pandemics cause six
million deaths every year, mainly in
the poorest communities, in particular
in sub-Saharan Africa. But the area
they affect is spreading.
The United Nations Security
Council and the United States govern-
ment (National Security Council)
have stressed that the health crisis is
threatening the political stability of
many countries and might damage
US interests. Yet the world has all the
resources it needs to solve the pro-
blem. Rather than spending $150bn
on the war in Iraq (the final cost will
certainly exceed this figure) the US
could have footed the whole world’s
health care bill for four years.
But, disregarding for a moment
our lack of humanitarian ambition
and strategic vision, even more insi-
dious processes are at work sapping
themedical resources of countries that
try against the odds to develop effective
ways of combating ill health.
First, the leading drug firms, aka
Big Pharma, make the whole world
pay for their increasingly financially
oriented business model. They main-
tain that only scrupulous compliance
with patent rules can secure present
Unequal access to health care is
the cruellest, most widespread
attack on human integrity.
Coming on top of longstanding
differences in standards of
living, the balance of power
that lets North dominate South
inflicts chronic bad health on
whole countries, sapping any
attempt at development.
Sub-Saharan Africa
Southeast
Asia
South Asia
ex-Soviet Union
Latin America and
Caribbean
1990 2003
0
800
600
400
200
700
500
300
100
Source: United Nations Development Programme (UNDP),
Human Development Report 2005
, collated
data from WHO and UNICEF for 2003.
over 500
300 to 500
150 to 300
50 to 150
20 to 50
under 20
No data available
La tuberculose en Afrique subsaharienne et dans les pays de la Communauté des Etats indépendants