Tremendo editorial de The lancet: UN MANIFIESTO PARA EL MUNDO QUE QUEREMOS. La fecha propuesta para el cumplimiento de los Objetivos del Milenio (ODM) es el 31 de diciembre de 2015. Dichos objetivos estaban enfocados, principalmente, en combatir la pobreza y disminuir las inequidades. Es decir, se concentraban en algunos, no en todos los seres humanos. ¿Qué pasa a partir del 1 de enero de 2016? ¿Hacia donde debemos enfocar nuestra visión del mundo desde este momento, para lograr es "mundo que queremos"? El manifiesto se enfoca a la interrelación que existe entre TODOS los seres humanos, y en la necesidad de que todos participen, haciendo énfasis obviamente, en aquellos aspectos que requieren más atención. Existe un consenso, diríamos que universal, con relación a que hay muchas cosas que tenemos que cambiar. Pero la pregunta que me hago es: ¿Seremos capaces de construir acuerdos que permitan ir rellenando esos abismos que nos separan, para lograr la equidad, con JUSTICIA? Tengo fe en Dios, y confío en que podemos lograrlo.

1. Editorial
A manifesto for the world we want
The era of sustainable development that is currently and this situation is predicted to worsen substantially by
being debated for post-2015 represents a revolutionary 2020 and beyond. Managing and treating cardiovascular
Anthony Asael/Art in All of Us/Corbis
change that goes beyond the current framework of the disease, cancer, diabetes, and chronic respiratory disease
Millennium Development Goals (MDGs) and the driving will need continued action, as will mental health and
ideal of ending poverty. It is a tremendous window of neurological conditions such as epilepsy and dementia,
opportunity, since sustainable development is about all of which still get marginalised in global policy debates.
us, not just some of us. It is about the interdependence we Finally, a globally ageing population. By 2016, there
all share one with another. It is about the common threats will be more people older than 65 years than children
we face and the solutions we have to find together. younger than 5 years. More than 80% of people older
However, it is also about intensifying the work begun than 60 years will be living in a LMIC. Provision of age-
during the past decade because on Jan 1, 2016, people appropriate health-care services, long term care and
will still be dying from many of today’s priority diseases. support, and the creation of sustainable cities will be key
There is a huge amount of unfinished business to to enable older people to participate in society fully.
complete before the world can move to sustainable Progress on all of these priorities will only happen if
development. For example, each year around 7 million important cross-cutting issues are also addressed at
children younger than 5 years die from preventable the same time. First, increasing access to high-quality
diseases, the number of maternal deaths is 273 500, health care—universal health coverage. Second,
around 7 million people living with HIV/AIDS still need ensuring equity. The MDGs have seen disturbingly
anti-retroviral treatment, there are 8·7 million new insufficient progress among the poorest and most
cases of tuberculosis, and as many as 1·2 million malaria marginalised populations worldwide. Addressing
deaths. Furthermore, progress has been hindered by inequities must be central to any new framework of
newer predicaments, such as antimicrobial resistance. sustainable development. Third, tackling the social
As we look to the future, we see five priorities. The first determinants of health, including the multiplicity of
is women, who remain the dominant face of poverty. sectors affecting health—eg, water and sanitation.
Extending women’s reproductive rights is crucial, and Fourth, establishing systematic accountability
includes not only access to contraception but also mechanisms that will hold countries and donors
provision of quality reproductive health care and safe to their promises and commitments. One model is
abortion services. Putting women first also means the independent Expert Review Group (iERG) which
making their education a priority. As much as half of was created to ensure that commitments to the UN
the reductions in under-5 mortality in recent years can Secretary-General’s Global Strategy for Women’s and
be attributed to women’s educational achievements. Children’s Health are being delivered on time and
Second, early child development. Michael Marmot’s with impact. Fifth, the need to defeat stigma and
work on social determinants of health has clearly shown discrimination that limits people’s access to health
that focusing on the early years is critical to solving the care—eg, among men who have sex with men and
problem of health inequalities in adulthood. Third, people who inject drugs. Changing society’s attitudes
adolescent health. Adolescence bridges the era of and recognising individual’s rights and freedoms
childhood with adulthood. Young people are the future through legal and policy reform is crucial.
for every society, and huge benefits to their health and There is one final objective, perhaps the most For more on Fair Society: Healthy
development can be won through better education important of all—confronting the escalating threat to Lives, The Marmot Review see
http://www.lho.org.uk/LHO_
and preventive public health measures. human health, even to human survival, from climate Topics/national_lead_areas/
People living with non-communicable diseases (NCDs) change. The era of sustainable development is perhaps marmot/marmotindicators.aspx
For more on Accountability for
are our fourth priority. Worldwide, NCDs are the leading the last opportunity our species has to engage with this Women’s and Children’s health
cause of death and disability and have a huge socio- catastrophic danger—solving the challenge of climate see http://www.
everywomaneverychild.org/
economic impact. They account for nearly 80% of deaths change is the most important foundation for our resources/independent-expert-
in low-income and middle-income countries (LMIC), planet’s sustainability, bar none. ■ The Lancet review-group/ierg-news
www.thelancet.com Vol 380 December 1, 2012 1881