EDITORIAL
Globalisation and health
Trade and public health: facing the challenges of globalisation
Correspondence to:
Correspondence to:
Dr R D Smith
Health Economics Group, School of Medicine, Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ, UK; Richard.Smith@uea.ac.uk
It is vital that public health professionals engage with issues concerning trade organisations and treaties.
Keywords: trade; globalisation; public health; world trade organisation
| The first 150 words of the full text of this article appear below. |
The world is getting smaller. Increased globalisation, resulting from advances in travel and telecommunications, has facilitated an ever greater mixing of people, customs and cultures, and more rapid cross border flows of goods and services, people and capital, and ideas and information. For some this heralds increasing standards of living—including health—for all. For others it brings greater exploitation of poor countries, adverse impacts on health, and the destruction of indigenous cultures.1
But why should this concern those working in public health? Because it challenges much of the foundation of modern public health provision, health promotion activities, and public health protection.2 It does this in two main ways. Firstly, trade affects the profile of risk factors for disease. For example, increased trade may lead to increased exposure to infectious disease, through the rapid cross border transmission of communicable diseases (the case of SARS and current concerns over avian
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