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Council of Arab

Ministers of Health

such as influenza. These hazards include poisonous metals such as mercury. tuberculosis and prion diseases. The 2010 outbreak of a foot-and-mouth disease highlighted the tremendous effects that trans-border infectious diseases in animals have on society and the threat they pose to the supply of animal protein. The Arab Health Ministers Council is a technical specialist council under the umbrella of the Arab League. As seen with the emergence and pandemic of the swine-originating H1N1 flu virus in 2009 and the enterohemorrhagic E. Ebola hemorrhagic fever. has all the powers and competencies necessary to achieve the objectives set out in the Statute of the Council compling with the Charter of the League of Arab States. PCB and dioxins. they created the socalled Council (the Council of Arab Ministers of Health). SARS.The Arab Health Ministers' belief in unifiying their efforts to provide better health services for all Arab citizens.Introduction to the council: A general overview of the council The Council of Arab Ministers of Health aims to improve health service in the Arab world by raising the level of scientific and practical in various disciplines. Human/animal health and ecosystems are threatened not only by biohazards (such as infectious disease-causing pathogens and microbial toxins) but also by hazards from chemicals discharged into the environment as a result of man's production activities. Mankind has always been threatened by zoonoses. it is not possible to predict outbreaks of emerging or re-emerging infectious diseases. Background Information on the Topic: General Background Infectious diseases pay no heed to national borders. and emerging pollutants contained in flame-retardants and surfactants known to have caused global-scale contamination. People living today's modern lifestyles of convenience have a duty to pass safe living environments on to future generations. coli (O104) crisis of 2011. and in their desire to achieve this goal. under the League's Council resolution. pollutants such as DDT. only manifesting themselves after they have gradually spread. It is composed of the Arab League member states health ministers. To protect our . Infectious diseases and health hazards from chemicals are often activated at the interface between humans and animals. cadmium and lead. The Arab Health Ministers Council is the first ministerial specialist council created within the Arab League's scope .

and food increases throughout the world. Internal conflicts have driven millions of Somalis and Sudanese from their homes. health information systems in host countries often do not collect data on displaced people. contributions from veterinary medicine and veterinarians. Survivors face challenges including lack of adequate shelter. so does the risk of spreading dangerous pathogens and infectious disease. Historical conflicts have resulted in long-term displacement of Palestinians. Furthermore. and loss of livelihoods. This represents a challenge for groups attempting to access displaced populations. While new economic markets and technological advances have created unprecedented economic and social opportunities for the League as a whole. large numbers of migrants transit Middle Eastern countries or live there illegally and suffer similar conditions as forcibly displaced people. social marginalization as well as economic and sexual exploitation. making it difficult to gather data needed to target interventions towards these vulnerable populations. the health and well-being of its population has broad social. food insecurity. Different cases are discussed with an emphasis on the recent. Iraqis have been displaced throughout the region by invasion and civil strife. decreased access to health services. the risks – especially health risks – of our increasingly interconnected world continue to proliferate. political. and economic implications.environment from hazards and realize the One World . and changing lifestyles in the Middle East have strained the public health systems of many Member states. political instability. For any member state. A statement of the issue Displacement is a hallmark of modern humanitarian emergencies. it is imperative to detect minute changes and abnormalities at this interface so that appropriate preventive measures can be taken. animals. Many displaced people live hidden among host country populations in poor urban neighborhoods – often without legal status. Displacement itself is a traumatic event that can result in illness or death. Displacement in the Middle East is an urban phenomenon. Rapid urbanization. Displacement takes many forms in the Middle East and the Arab World. In addition. A review was conducted of published literature on migration and displacement in the region. . In addition.One Health ideal. are now needed on a global scale to support the soundness of ecosystems and health. The following is a discussion of the health impacts of conflict and displacement in the Middle East. In light of this. large-scale and urban displacement of Iraqis to illustrate aspects of displacement in this region. population growth. As the trans-border movement of humans. who carry a responsibility to ensure the health of animals and people alike. and economic uncertainty have the potential to undermine public health systems.

and as conflicts between different groups within the Arab world escalate. so there was considerable scope to. two essays on research networks and state formation. Instead. And third. Lebanon. The risk of damage to neighboring health systems is real. this different approach. the major political determinants of health.The most appalling example of public protest evolving into bitter civil conflict is Syria. injuries. and a call to action. the health system is already effectively destroyed. in particular. But then the Series departs from the usual format of our country studies. This Series describes the state of health of Arab and non-Arab peoples living in the Arab world by estimating the burden of diseases. These papers are complemented by a Viewpoint on recent political changes across the Arab world and their meaning for health. With over 2 million refugees and over 4 million internally displaced Syrians. the UN last month launched the largest humanitarian appeal in its history. First. and advantage from. When the authors met to plan their work. the changing geographies of war. the economic burden—political instability will create adverse economic conditions for sustainable growth in the region. the geopolitical threat—as tensions between nations rise as a result of the Syrian conflict. and Iraq. they wished to describe the region by emphasizing. In Syria. universal health coverage. With that objective in mind the Series begins with governance. with important impacts on prospects for poverty reduction and increased investments into the health sector. they did not want to use the conventional approach of a health systems analysis. Turkey. and risk factors they face. A previous comprehensive analysis of health in the Arab world had already been published. It is followed by studies of non-communicable diseases. a report of the challenges either from infectious diseases or to maternal and child health. History of the Topic in the Arab World . The consequences for the region continue to be deeply disturbing. and finally the issue of survival—ecological sustainability in the Arab world. the human cost—hundreds of thousands of families displaced and living as refugees in Jordan. These political events make it all the more important to examine the conditions for advancing health and wellbeing in the region. Second. the potential for further confrontations elsewhere remains high. and four Comments looking at issues ranging from health equity to tobacco control.

with risk factors including “tobacco use. communicable diseases pose a large and dangerous threat to the health and stability of the League. bombed or destroyed by gunfire. mar the streets of Aleppo and surrounding villages. NCDs include cardiovascular diseases. Every medical facility in town bares some damage from explosions. According to a first-hand account. more than 13 million deaths each year. the Council of Arab Ministers of Health might consider public health during times of crisis. The spread often happens “via airborne viruses or bacteria. ambulances and clinics throughout Syria are currently are prominent targets for regime air strikes. as well as previously unknown animal diseases. Furthermore. chronic diseases such as cardiovascular conditions and diabetes. diabetes.According to the World Health Organization. HIV/AIDS prevalence remains low in the Middle East. non-communicable diseases (NCDs) are the leading global cause of death and strike hardest at the world’s low and middle income populations. Most were tortured. physical inactivity. and to the large expatriate labor populations in the Gulf States. cancers and chronic respiratory diseases. The top causes of death from infectious disease include lower respiratory tract infections and diarrheal diseases. unhealthy diet.” Health status indicator reporting throughout the region rarely reflects the dramatic variations in public health services and infrastructure accessible to urban and rural communities. as they are spread from one person to another or from an animal to a person. especially when compared to the noncommunicable disease burden related to tobacco use. and the harmful use of alcohol”. severe acute respiratory syndrome (SARS). such as bovine spongiform encephalopathy (mad-cow disease). tuberculosis.” Infectious diseases “are estimated to account for about a quarter of deaths worldwide. hospitals. and malaria.” The emergence of new pathogens such as human immunodeficiency virus (HIV). The doctors here [unidentified hospital in Aleppo] say they have all been arrested at least once for their role in treating the wounded. and . In addition. Most of the Gulf States partially or completely exclude these migrants from government-supported health services. to religious or ethnic minorities. For example. These risk factors pose a growing threat to public health and safety for all members of the League. are of particular concern to governments around the world as they have the potential to severely disrupt public health systems. “remains of ambulance vehicles. but also through blood or other bodily fluid.

trading patterns and uneven disease control measures at ports and borders render the region extremely vulnerable to imported animal diseases. expanding WHO’s authority to detect. the Saudi government conducted a cross-border vector control campaign in affected parts of neighboring Yemen. In 2007. allowing viable external regional health coordination. International Actions: In 2007. This framework dramatically expands global data sharing and cooperation. the cost of full implementation is unclear. To date. . WHO will notify all necessary stakeholders and coordinate any international assistance. determine whether the incidents constitute potential “public health emergencies of international concern. In contrast to Southeast and South Asia. with dozens of human cases in Egypt. and respond to transnational health threats. including those that cross into the human population directly or via insect vectors. the contiguous states of the Middle East (with the exception of Israel) fall into one WHO administrative region. Compliance currently depends on “shaming” nations that fail to disclose health catastrophes. However. the Saudi government pledged significant funds to Yemen’s malaria eradication efforts and set about galvanizing the other Gulf states to contribute similarly.accidents. If experts judge that these crises pose authentic threats. fueled by concerns that China’s lack of transparency during the 2003 SARS epidemic prevented interventions that might have limited the epidemic. Saudi Arabia and Egypt have experienced outbreaks of H5N1 avian influenza in poultry. if so. Despite growing awareness of the problem. Saudi Arabia dedicates significant resources to preventing disease outbreaks during the annual Hajj. regional cooperation on disease control has depended substantially on the expectation that wealthy nations will subsidize outbreak containment efforts to protect their own interests. report them to WHO in a timely way. For example. No funding has been made available to assist nations with capacity building. revised International Health Regulations entered into force. report. When the first epidemic of Rift Valley fever (a livestock disease transmissible to humans directly or via mosquitoes) outside Africa occurred on the Arabian Peninsula in 2000. These regulations reflect a renewed commitment by developed nations to international public health cooperation as a tool for protecting national interests. few states in the region have devoted significant resources to preparing for public health crises and neither transparent sharing of health data nor pandemic planning have occurred beyond the subregional level. requiring nations to strengthen core capacities for detecting health threats such as disease outbreaks at the local level.” and.

the scope of the demands may also be perceived as an enormous obligation for developing nations assumed primarily for the benefit of wealthy states. Public health experts in the region have characterized the securitization of disease as an opportunity to normalize the concept that security and development are “two sides of the same coin. Although the new international health security framework describes the need for all states to build public health infrastructure in the name of mutual protection. Integration of global health security into the broader paradigm of reciprocal responsibility could conceivably include the following concepts: • All nations have an obligation to share health information and specimens with the international community. and respond to threats effectively on a global basis. While the international community shows little hesitation in mobilizing massive amounts of humanitarian aid in the wake of health catastrophes.” and that nations are not secure if their citizens are not healthy. allowing avian influenza and other outbreaks to be framed as security concerns instead of humanitarian concerns. The security focus allows mobilization of resources and political will at levels necessary to effect real change but carries the possibility of backlash from stakeholders in the security and public health communities. driven by fears of bioterrorism before the more recent focus on pandemic planning. • The international community must ensure that all available costeffective and feasible interventions are supplied to states that share information and specimens. detect. the concept has gained the most traction in Southeast Asia. and provide support to build necessary public health infrastructure for those nations that lack sufficient internal resources. • The International Health Regulations alone are not sufficient to provide global health security. . assistance in preparedness remains limited primarily to transient bilateral agreements. even if implemented exactly as currently written. where the 1997 economic crisis and environmental concerns fostered a more general spirit of cooperation on nontraditional security issues and receptiveness to a human security framework.Increasingly. Based on levels of supranational engagement. Further assessments will be required to determine what infrastructure will be realistically needed to monitor. the language employed by WHO and its partner organizations mirrors the securitization of health issues by the United States and the G8 nations. this shift has affected local perceptions of disease and disaster. In all three regions. and no nation can fairly withhold either for reasons of national sovereignty or economic security. and to establish the right balance of incentives and sanctions for reporting.

economic. In view of the profound inequalities in resources and capacities among nations. A resolution on the strategy endorsement was presented by the League of Arab States. The stated purpose and scope of the IHR are “to prevent. intermediate and national level. protect against.” . Recommendations: In response to the increase in international travel and trade. 2014 represents a historical landmark of the regional HIV response in MENA . control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks. The Council of the Arab Ministers of Health has officially endorsed the Arab AIDS Strategy (2014-2020). The intertwining of information. Health crises constitute a real threat to national security in an era of globalization. The Council of Arab Ministers of Health endorses strategy to halt the HIV epidemic in Arab countries: March 14. and emergence and re-emergence of international disease threats and other health risks. 194 countries across the globe have implemented the World Health Organization International Health Regulations since 2005. a commitment by resource-rich states to strengthening public health institutions in developing nations represents not just a humanitarian dream. and which avoid unnecessary interference with international traffic and trade. seconded by H.E the Minster of Health of Bahrain . as well as at designated international ports. the mortality rate of mothers living with HIV and the mortality rate among people living with HIV.” The IHR also require member states to “strengthen core surveillance and response capacities at the primary.E the Minister of Health of Mauritania and Sudan delegation and was unanimously endorsed by all 22 Arab Countries. The Arab AIDS Strategy aims at reducing to more than 50% by 2020 the rate of new HIV infections transmitted through sexual relations and among injecting drug users as well as new infections among children. within and between regions. airports and ground crossings.The emerging infectious diseases now discovered almost annually can no longer be relied upon to remain safely in remote forests and farmlands. H. and security systems across the world creates an interdependence of vulnerability among nations. effective preemption relies upon institutional strength and international cooperation. but an investment in mutual defense.

economic development. bearing in mind economic capacities of the host Arab states (Lebanon. What is your country’s policy in regards to the reporting of infectious disease outbreaks to the international community? 3. surveillance. reporting. and subsidies. education. Awareness. The Council of Arab Ministers of Health must develop a way to promote League-wide cooperation in regard to disease outbreaks and control efforts. What kind of public health initiatives and educational measures has your country implemented in the past? The present? 5. regional. vaccines. Jordan. What are the diseases encountered as a result of drastic inflow in refugees to your country? 9. As new global treats emerge. In addition.Some solutions to this issue will improve the identification. Taking into consideration the rather cloudy (unclear) destiny of the current refugee increase. the concern shall be minimizing the effects of trans-border infectious diseases. and why? 6. Egypt. are not to be undermined. What are the solutions that your governments have taken to limit the effects? 10. the availability of drugs and vaccines. Priority of this issue to your countries foreign policy? . The Trans-border infectious diseases topic that examines common public health issues affecting member states with special regard for population growth and the threat of trans-border infectious diseases with the refugee crisis is of vital importance to region as a whole. and cultural exchange had on patterns of disease in your country? 2. Questions to Consider: 1. and Iraq) and the UN funding limitations. The constructive debates should desirably find the solution to the topic at hand. Building upon international. and national actions of member states will be the key challenge of the delegates. What effects have increasingly integrated trade. human movement. This committee shall further assess this tragic epidemic in depth. and to the states that host refugees in specific. The Syrian refuges that are seeking shelter in neighboring states have brought about a large number of diseases due to the low living standards. The solutions should be reasonable. Which member states have adopted successful education initiatives? Which have not. each of these factors will change from country to country. What public health issues and infectious disease outbreaks has your country faced in the past? The present? 4. research and treatment of disease in member states. the Council must consider the role of doctors and health professionals during times of civil war or crisis. What has been the effect of refugees in your country? 8. educational enlightenment. containment. What is your country’s greatest public health concern in the next year? The next 10 – 15 years? 7.

nlm.kuna. http://www.asp x 11. 2005 –World Health Organization http://whqlibdoc.lasportal.acmls.php?f=4&t=4735 3.fda.html 15.Sources: 1. Web: Characterizing the HIV/AIDS Epidemic in the Middle East and North Africa: Time for Strategic Action http://web. 2004) 4. Article: International Health Regulations.nlm.org/wps/wcm/connect/02c9fa80494107219c3cfd7a baae88c3/Health+Council+System. Web: World Health Organization Regional Office for the Eastern Mediterranean http://www.net.ncbi.pdf 9.nih.kw/ArticlePrintPage. Web: Centers for Disease Control and Prevention http://www. Article: Unhealthy Landscapes: Policy Recommendations on Land Use Change and Infectious Disease Emergence http://www. Grants and Resources http://www. Article: Emerging Trends in International Law Concerning Global Infectious Disease Control http://www..org/WBSITE/EXTERNAL/COUNTRIES/MENAEX T/0.pdf 8.gov. Web: Food and Drug Administration Middle East and North Africa Office http://www.gov/global-healthtopics/communicable-diseases/index.globalhealth.emro.uk/assets/foresight/docs/infectious-diseases/t1. Web: National Institutes of Health (NIH) Middle East and North African Region Information.nih.int/ 13.org/esa/population/publications/popfacts/popfacts__201 2-1. Article: Infectious Diseases: Future Threats http://www.worldbank.who.who.org/Council/Council_board.html 16.int/publications/2008/9789241580410_eng.aspx?id=1982447&language =en 2.nature.pdf?MOD=AJPERES&CONVERT_TO =url&CACHEID=02c9fa80494107219c3cfd7abaae88c3 19.nih.uic.cdc. http://www.napksa.int/publications/2011/9789240686458_eng. http://www. Book: Public Health in the Middle East and North Africa: Meeting the Challenges of the 21st Century (World Bank Institute.un.gov/pmc/articles/PMC1247383/ 6.ncbi.contentMDK:22632787~pagePK:146736~piPK:146830~theSitePK:2 56299.edu/orgs/gnr-mena/ 14.htm 12. Web: Nature Middle East http://www. Article: Global Status Report on Non-Communicable Diseases 2010 – World Health Organization http://whqlibdoc.com/forum/viewtopic. Web: Global Health Topics http://www.gov/pmc/articles/PMC2958540/ 7.pdf 10.htm .gov/InternationalPrograms/FDABeyondOurBordersForei gnOffices/MiddleEast/default.pdf 5.gov/ 18.com/nmiddleeast/index. Web: Global Network of Researchers on HIV/AIDS in the Middle East and North Africa http://www.00. http://www.html 17.who. Article: United Nations Department of Economic and Social Affairs Population Facts April 2002 http://www.gov/WorldRegions/Pages/MiddleEastNorthAfrica.bis.fic.