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Global healthcare C James Hospedales A baby born with microcephaly undergoes physical therapy in Joao Pessoa, Brazil ANDRE PENNER/AP/PRESS ASSOCIATION IMAGES Executive Director Caribbean Public Health Agency C James Hospedales was appointed the inaugural executive director of the Caribbean Public Health Agency in 2013. He was previously the Coordinator of the Prevention and Control of Chronic Diseases at the Pan American Health Organization. From 1998 to 2006, he was Director of the Caribbean Epidemiology Centre. Dr Hospedales was a member of the Caribbean Commission on Health and Development, which made policy recommendations to the Heads of Government and named chronic diseases as a superpriority for the region. @CARPHA1 www.carpha.org → is multisectoral, includes natural and deliberate events, and governments have a leadership role. Zika is the latest mosquito-borne virus pandemic in recent times where the ease of spread across the tropical world represents a glaring hole in global health security. The health and economic security threats of infectious diseases – severe acute respiratory syndrome cost $54 billion – are insignificant compared to the NCDs of diabetes, heart disease, cancer and mental ill health, estimated to cost $47 trillion over a 20-year period. NCDs are driven by the demographic shift and factors such as tobacco use, alcohol, unhealthy eating and inactive living. The obesity epidemic now exceeds one billion persons and is increasing in children. Alarmingly, no country has yet reversed an obesity epidemic at the national level. The obesogenic environments driving this epidemic constitute a threat to global health security. Tackling health threats Specific capacity building is needed to strengthen all public health responses to NCDs, violence and injuries, dementia and mental health. It is needed in policy analysis and development, multisector collaboration and private-public partnerships, in health monitoring, data analysis and research in the social determinants of health, in prevention programming, tobacco and alcohol control, and in the promotion of healthy eating and active living. Dementia rates and long-term cost burdens are rising exponentially, yet the Twenty-year estimated cost of treating common NCDs $47TN risks are similar to NCDs. Depression and harmful use of alcohol are the two mental health issues strongly linked to NCDs. The Caribbean Public Health Agency (CARPHA) serves 24 countries and territories, mostly small island developing states, and is a model of a cost-effective, pooled country approach to laboratory and surveillance services to addressing health threats, emergencies and disasters. CARPHA develops policy for the consideration of ministers and heads of government, for example on Zika and other threats to health security, and is the chair of the Regional Coordination Mechanism on Health Security. A small agency in a complex, tourism-dependent region, CARPHA embraces partnerships to addressing health priorities. This includes the hotel and tourism industry for health monitoring and response. The Pan American Health Organization, World Health Organization and the CARICOM Secretariat are core partners. The Centers for Disease Control in the United States, the Public Health Agency of Canada, Public Health England, the World Bank and InterAmerican Development Bank are also key partners in regional health security. This example of many small countries pooling resources to address global health security capacities is noteworthy. It could be a model for other regional political and economic integration blocs. This would help meet the SDG 3.d. G20 leaders can help by supporting and investing in such pooled country approaches of small states. G20 186 G20 China: The Hangzhou Summit • September 2016 G7G20.com
We all live in this world. Let’s make sure it’s a healthy one. ©Johnson & Johnson Services, Inc. 2016 At Johnson & Johnson, we are in the business of building strong, healthy communities. We help change people’s lives through the power of collaboration. By understanding the critical needs of communities, we partner with local health care practitioners to deliver innovative treatments. And that means quality care for everyone in this world.
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G20 Research Group September 2016 G
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Welcome from the President WELCOME
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China: the Hangzhou Summit | Septem
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China: the Hangzhou Summit | Septem
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G20 China: the Hangzhou Summit | Se
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@G7_G20 www.G7G20.com LinkedIn.com/
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Leader's view LEADER'S VIEW Buildin
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Leader view LEADER'S VIEW Africa’
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Leader's view Narendra Modi Prime M
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Leader's view LEADER'S VIEW Practic
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The EU is pursuing a virtuous trian
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2 nd Leader's view Summit 2015 Elec
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National tax authorities must work
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Leader's view GUEST LEADER'S VIEW P
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ADVOCACY Mostadam's first Certified
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ADVOCACY AMSCO Deepening African bu
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• Contribuer à la croissance éc
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ADVOCACY David Herbinet, Global Hea
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Leader's view 10 th Summit LEADER'S
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ADVOCACY THE CENTRAL BANK OF THE IS
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ADVOCACY METRO SMART INTERNATIONAL
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Leaders' views GUESTS' AND LEADERS'
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Leaders' views GUEST AND LEADERS' V
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ADVOCACY METRO SMART INTERNATIONAL
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Spotlight on China The Hangzhou Sum
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Spotlight on China SPOTLIGHT ON CHI
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Spotlight on China China Central TV
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Spotlight on China ZHUDIFENG/ISTOCK
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Editors’ introductions KEY TAKEAW
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G20 through history $430BN 2% IMF f
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The BRICS Research Group The concep
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Innovative technologies KEY TAKEAWA
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Innovative technologies Governments
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Structural reform and SMEs 108 G20
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Structural reform and SMEs 3 0.9% A
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Structural reform and SMEs KEY TAKE
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Structural reform and SMEs $12TN Gr
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Structural reform and SMEs Xia Bing
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Investing in infrastructure HELPING
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Investing in infrastructure $1TR An
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Investing in infrastructure KEY TAK
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Strengthening the G20 system www.pa
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Stories from inside summitry The G2
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Business. For Good TM 鼓励商
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