health for all now

8/13/2019 Health for All Now

1/50

Health for all now: from

where??Climate Crisis and Health

Ma. Fernanda Solz.

Clnica Ambiental /Accin Ecolgica.Ecuador.


2/50

ECOLOGY AND HEALTH???

Popular environmentalism or ecology of the poor and

multiple converging crises: health, water, air ...


3/50

Health, understood not just as the absence ofsickness, but as the result of social and

environmental justice put us trough a huge and

complex challenge.


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Health for all = social and

environmental justice.


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We have discussed Social Determination of Health,

identifying social and economic inequality as the

structural determinant of the loss of health and death.

N d di i i ti t i lti l


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Nowadays, discrimination operates in multiple ways,

communities that suffer social and economic discrimination are

always suffering at the same time environmental discrimination.


8/50

S-O: we can`t build a Health for all project if the relation

between society-nature / north-south are sick, inequal.

ENVIRONMENTAL

DISCRIMINATION

SOCIAL DISCRIMINATION

Society Nature North South

Subject Object Subject Object

Owner Resources First world Third World

Human Beingsorganized in

society, with a

certain

productive and

reproductivestructure and

power relations.

To be appropriate,transformed,

distributed,

consumed and

excreted.

NO RIGTHS.JUST SERVICES.

Internationalcooperation,

Charity,

Humanitarian

aid

Poor andHungry people.

Poverty -

ignorance and

disease

(World Bank).

S-S: Dialectical: interdependence and interinfluence.


9/50ENVIRONMENTAL JUSTICE:


10/50

Souths demand: the recognition of Ecological

Debt


11/50

We are living in a perverse system that exploits

NATURE. It considers nature as an Object andbuilds a sick relation between society and nature.

Theloss of health is just the last symptom of a sick

and unequal relation between nature and society.


12/50

In a model of industrial capitalism (extractivism,

agribusiness), the cost of the development

promises implies that NATURE ANDINDIGENOUS, POOR COMMUNITIES

should absorb the impacts and externalities.


13/50

No Mr. President, not green formoney, but for trees


14/50

Poor communities lack social rights. They are also exposed

to multiple destructive processes: pipeline, landfill, oxidationonds cemeter coal extraction raisin i s.


15/50

Even more, they

live a regional

marginalization.

Communities aresent to more

complex

geographic

locations.

Artisanal mining

communities

ENVIRONMENTAL

DISCRIMINATION

= MULTIPLE

EXPOSSURE

SCENARIOS TANGIBLE INTANGIBLE TRANSVE


16/50

SCENARIOS TANGIBLE INTANGIBLE TRANSVERSAL

Domestic Exposure.

Communities exposed to environmental

problems generally live extremely near

the problem: oil, mining, waste dumps,

or even on these destructive processes.

Noise,

Topographical

characteristics,

Chemicals: Mercury

and cyanide, gases.

Alcoholism,

Gender and

generational

violence,

Prostitution,

Migration.

CLASS

GENDER

ETHNICIT

Y

Workforce Exposure.

At the same time, work is both, a

protective and destructive factor, due to

it provides economic resources, but it

also creates health loss and even death:

LABORAL CHAIN.

Noise,

Risks,

Chemicals.

Workforce Shackling,

Violence,

Extortion.

Community

uprooting.

Division.Falsely Constructed Exposure

It seems a constructed exposure

because in its discourse community

families apparently create this level of

expossure, for instance: about storing or

not chemicals inside the house, not

covering water tanks. However, inpractice they have no choices: recyclers

Inadequate Practices:

Storing chemicals

inside the house,

Not boiling water,

Not covering water

tanks.

Making community

members responsiblefor the situations of

death and disease

that they face .


17/50

SOCIAL JUSTICE:


18/50

North-South relations are also a Subject-Object relation.Neo colonialism is expressed in a hidden international

cooperation under a charity logic expressed in science

and technology imports, humanitarian aid, clientelistic

measures and infrastructure.


19/50

MULTINATIONALS impose hegemony and territorial

domination, that objectifies people and communities.

They assume a non asked paternalism that justifyappropriations and abuses. We demand a Subject

/Subject relationship. We repudiate this North-South

charity relationship.


20/50

A d th St t ????


21/50

And the State????

in the new world order, states are a security

service for CORPORATIONS.


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23/50

There is a discourse of social and environmental friendly

technologies. With this discourse States are encouraged to

support extractivist projects.

However, all the extractivist projects cause social anenvrinmental negative impacts.

It is not possible to grant health and welfare for

communities surrounded by sick ecosystems.


24/50

Multinationals become owners of the granted territories. In

that areas they replace State responsiblilties. Social

rights are given as a compensation measures. Withthis, local economies are linked to the company.

Companies are granted by the State to regulate, organise

and restrict all the productive activities. Therefore, a neo

colonial relationship is stabished. Automaticallysettlers have new masters.

Next to cruel strategies of imposition such as militarization

there are othres more subtle but not less perverse: closing

of primary schools, the break of social and communitylaces, desorganisation of local economies,

blackmailing, etc.

THIS IS THE NEW GLOBAL (DIS) ORDER


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31/50

To understand health from a social and environmental


32/50

To understand health from a social and environmental

discourse implies analyze it fromA SOCIAL-

ECOSYSTEM APPROACH. Health as an expression of

territory must also study the structure of production, thereproductive structure and power relations.

If di t f i di id lit


33/50

health is the expression of

territory

If diseases are symptom s of individuality


34/50

A sick socio-ecosystem implies human beings

also sick It doesnt matter how many efforts

can be done by governments, on healthprevention, promotion or even integral primary

health care


35/50

Primary health care has been usually limited to affect lifestyles,

assuming that patients have a real chance to decide about their

health. What are the real opportunities that communities,

affected by oil, mining, landfills, have to improve their health bysimply changing their individual and familiar practices?

If all the water in the oil region of Ecuador is contaminated by

polycyclic aromatic hydrocarbons (rain, streams and

groundwater) and 100% of the population drink this water, it has

no sense a primary health care strategy... Is that our goal?... Is it enough?

Primary health care may be an accomplice with the system

as far as all the responsibilities are placed in the patient.

"Geography of Blame" ...It is urgent to move from the logic of promotion and

prevention to enforce social and nature rights, just then we

can really have health as a universal social right ...


36/50

WATER

SOIL SUN

PLANTS

PEOPLEANIMALS

MOON AIR

HEALTH


37/50

AGUA

SUELO SOL

PLANTAS

PERSONASANIMALES

LUNA AIRE

HEALTH


38/50

EXTRACTIVISM = ILLNESS

FOR ALL NOW


39/50

OIL

Souths demands: Leave the oil under the

soil.

MINING


40/50

MINING.

Ecuador is not and wont be a big scale

mining country.

You lack water

because you have

to much mining

Water is not forsell, is to defend


41/50

Resistance, criminalization and violence are the words that

summarize the mining conflict in Ecuador


42/50

AGRIBUSINESS = ILLNESS FOR ALL


43/50

AGRIBUSINESS = ILLNESS FOR ALL

NOW


44/50

No more agribusiness. Souths demand: enforce

community farming

PESTICIDES AND GMOS


45/50

Pandemics of modernity: degenerative and autoimmune diseases

are directly linked to food mutation and its increasing harmfulness.

PESTICIDES AND GMOS =

ILLNESS FOR ALL NOW

WATER CRISIS = ILLNESS FOR


46/50

WATER CRISIS = ILLNESS FOR

ALL NOW

THE BIGGEST NONSENSE OF CAPITALISM: Water IS USED to

transport and dispose waste. Then it is purified and sold as a

commodity: A vicious circle of artificial scarcity.


47/50

LANDFILLS, DUMPS AND

INCINERATORS = ILLNESS FOR ALLNOW.


48/50

CLIMATE CRISIS, GREEN CAPITALISMAND CLEAN DEVELOPMENT

MECHANISM = ILLNESS FOR ALL NOW,

Business for the north, nature as a

commodity


49/50

We, people from the South, do not wantmore charity we demand Social and

Environmental Justice.


50/50

Indigenous peoples define:"Health is dignity. Behind all the

diseases there is always a source

of humiliation"

(Declaration of Moiss Gandhi-

Mexico)

health for all now

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