Regional strategy for the management of environmental determinants of human health in the African Region 2017–2021: Report of the Secretariat
Резюме1. In the African Region, the burden of disease attributable to environmental determinants and the consequent socioeconomic impact is substantial. Environmental risks account for 23% of the burden of disease in the African Region. Vector-borne, diarrhoeal and cardiovascular diseases, as well as lower respiratory infections are significantly attributable to environmental determinants. Air pollution, water, sanitation and hygiene are the main drivers of these diseases. 2. In response, African Ministers of Health and Environment adopted the Libreville Declaration on Health and Environment in Africa (2008) in which they committed themselves to jointly address environmental determinants of human health and ecosystems integrity. However, progress made across the Region in the implementation of the Declaration has been slower than anticipated. The adoption of the Sustainable Development Goals (SDGs) also generated renewed impetus in addressing environmental determinants of health. 3. Addressing the environment and health nexus therefore requires an up-to-date and integrated strategy, rooted in the Libreville Declaration and aligned with the SDGs. Therefore, the proposed strategy seeks to strengthen an integrated approach to the management of environmental determinants of human health in order to accelerate the implementation of the Libreville Declaration. Its implementation will contribute to the attainment of the SDGs. 4. The principal areas of focus of the strategy include safe drinking-water and sanitation and hygiene, air pollution and clean energy, chemicals and wastes, climate change, vector control and health in the workplace. Its implementation will require reviewing and reinforcing existing institutional arrangements, establishing a sustainable financing mechanism, strengthening national capacities for research, advocacy and communication, and integrated surveillance, monitoring and evaluation. 5. The Regional Committee reviewed and adopted the strategy.
Regional Committee for Africa, 67. (2017). Regional strategy for the management of environmental determinants of human health in the African Region 2017–2021: Report of the Secretariat. World Health Organization. Regional Office for Africa. http://www.who.int/iris/handle/10665/260196
Gov't Doc #AFR/RC67/6
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