An analysis of the inequities in health and sustainable development in the Panama Canal watershed.

1. Arletty Pinel, MD
International Center for Sustainable Development - CIDES
apinel@cdspanama.org
http://twitter/ArlettyVox

2. General considerations

3. Factors affecting health in 21st Century
 Poverty, health inequalities and growing disparities of
outcome
 Poor distribution of health workforce and brain drain
 Ageing and the growth of cities
 Infectious diseases, and increasing noncommunicable
diseases, injuries and violence
 Global environmental threats to human survival
 New technologies: information, eHealth, biotechnology
 Partnerships between the private and public sectors and
civil society
 Increasing number of trainees in affluent nations seeking
to benefit world’s destitute
 Globalization of trade, travel and spread of values and

4. Health in Sustainable Development
Planning
 Environmental factors are a major contributor to health,
illness and death
 Age-old public hazards occur with new environment and
development problems
 Problems are often simultaneously local and global
 Urban growth has exposed populations to serious
environmental hazards while straining capacity of health
system
 Fundamental factors include inadequate attention to health
in development policy and practice, lack of coordinated
management and insufficient inter-sectoral collaboration

5. The Panama Canal
watershed

6. Panama in the World (2000)
Income per capita vs. Life Expectancy at Birth
World Nation
Panamanian District
L.E. – Panama country avg.: 74.4 years
Sources:
World GDP per capita 2000: Development Data Group, The World Bank. 2008. 2008 World Development Indicators Online. Washington, DC: The World Bank; World Life Expectancy at Birth 2000-2005 : Population
Division of the Department of Economic and Social Affairs of the United Nations Secretariat, 2007. World Population Prospects: The 2006 Revision. New York: United Nations.
Panama Real Income per capita & Life Expectancy at Birth 2000: Dirección de Estadística y Censo de la Contraloría General de la República, con el Apoyo de Naciones Unidas (UNDP). 2004. Sistema Integrado de
Indicadores para el Desarrollo – República de Panamá (http://www.contraloria.gob.pa/dec/sid/)

7. Panama in the World (2000)
Income per capita vs. Life Expectancy at Birth
World Nation
Panamanian District
55.5 years L.E. – Panama country range 75.3
Sources: years
World GDP per capita 2000: Development Data Group, The World Bank. 2008. 2008 World Development Indicators Online. Washington, DC: The World Bank; World Life Expectancy at Birth 2000-2005 : Population
Division of the Department of Economic and Social Affairs of the United Nations Secretariat, 2007. World Population Prospects: The 2006 Revision. New York: United Nations.
Panama Real Income per capita & Life Expectancy at Birth 2000: Dirección de Estadística y Censo de la Contraloría General de la República, con el Apoyo de Naciones Unidas (UNDP). 2004. Sistema Integrado de
Indicadores para el Desarrollo – República de Panamá (http://www.contraloria.gob.pa/dec/sid/)

8. Political division

9. Population distribution

10. Poverty levels

11. Human development index

12. Aqueducts

13. Educational centers

14. Health services network

15. Conclusion

16. Global health
 Is the health of populations in a global context
 Transcends perspectives and concerns of individual
countries
 Global political and economic impact often emphasized
 It is about worldwide improvement of health, reduction
of disparities, and protection against global threats that
disregard national borders
 Global platforms tend to address global health in
approaches aimed at poverty; equity is not fully
understood, operationalized or prioritized

17. Potential areas of collaboration
 Health information gathering beyond epidemiological
surveillance
 Health innovation and research to support long-term
goals of the Panama Canal Authority
 Health planning within a sustainable development
framework
 Human capacity development
 Knowledge and information society
 Cross border cooperation

18.  Healthy life is an outcome of sustainable
development, as well as a powerful and undervalued
means of achieving it. We need to see health both as
a precious asset in itself, and as a means of
stimulating economic growth and reducing poverty. -
Dr Gro Harlem Brundtland
Director-General Emeritus, WHO.

19. Thank you - Gracias