Globalization is
characterized by the increasing cross-border flows of goods, services, capital,
people, and information, which have direct or indirect impacts on health
(Milstien, Kaddar & Kieny, 2006). More specifically, it enhances the potential
transmission of communicable and non-communicable diseases and the inequality
in accessing available health care services.
In today’s increasingly
interconnected world, infectious diseases have a higher chance to affect wider
areas at a faster rate, increasing the risk of global pandemics. Unlike in the
past, the spreading was rather localized, confined to a particular region. Under
the influence of globalization, however, migrating and travelling for business
or pleasure purposes are becoming more common, contributing to the increasing
mobility of human activities. Pathogens are more likely to be carried around. The
possibilities of disease transmission are thus increased substantially.
Furthermore, the convenient means of transportation facilitate the more rapid
spreading. For example, the 2009 swine influenza was spread to 30 countries
within 6 weeks and to more than 190 countries and territories within months
(the National Academies, n.d.). The outbreak of infectious diseases is no
longer a threat to just a specific region or country. Instead, it has the
potential to be more likely to exert its impact globally.
In addition, non-communicable
diseases are having negative impacts on the health conditions of a larger
population. Unlike infectious diseases which are transmitted by infectious
agents, non-communicable diseases are widely spread via the spreading of
unhealthy lifestyles that cause them, such as unhealthy diets, physical
inactivity, smoking, alcohol misuse and the use of illicit drugs (Huynen,
Martens, & Hilderink, 2005). These unhealthy factors are dispersed globally
via advertising, product marketing and social interactions and the effect is
enhanced by globalization. For example, obesity, which used to be a public health
problem mainly in western countries, has gradually become a global concern over
the past two decades, as the factors causing it are spreading internationally
due to globalization. It is shown that if recent trends continue unabated,
nearly 60 percent of the world’s population which consists of 3.3 billion
people could be overweight or obese by 2030 (Kelly, Yang, Chen, Reynolds &
He, 2008). China is increasingly overwhelmed by the unhealthy diet from the
west. McDonald’s, for example, had 1,000 outlets in the country by 2006, and,
according to news reports, the number is expected to double by the end of 2013.
Not just fast food restaurant, soft drink manufacturing company Coca Cola expects
China to become its largest market by 2020. As a result, as unhealthy
behaviours are increasingly invading the world, the population could be
threatened on a larger scale.
Besides disease
transmissions, the disparity in accessing health care services quantitatively
and qualitatively is also widening between developed and developing countries. Developed
countries have benefitted from globalization to a greater extent compared to
developing countries as they are the main players. More profit has been
harvested and thus accordingly, more budgets could be diverted into the
development of the health care sector. For
example, health care facilities could be upgraded and more effort could be put
into the research studies to develop better treatments and new pharmaceutical
products and vaccines. Hence, higher-quality health care services could be made
available to the residents. In contrast, for developing countries, certain
diseases have already been more prevalent due to poor living conditions. Globalization
causes more diseases which used to be more common in the developed world to be
spread among developing countries, adding burdens to the already weak health
care sectors. Inadequacy of funding, medical resources and research studies
further contribute to the lower competency in combating the threats to public
health.
As it is not possible
to terminate globalization, the practical way is to minimize the negative
consequences mentioned above as far as possible. Firstly, collective effort
could be established among different countries should there be an outbreak of
infectious disease. In this way, unaffected countries could be warned of
potential invasion of the disease so that they can be prepared by formulating applicable
strategies beforehand. Thus, the impact of the disease may be more confined.
Secondly, local governments should increase the awareness of healthy lifestyles
to reduce the chance of the occurrence of some chronic diseases such as
diabetes and hypertension despite the spreading of unhealthy habits. For
example, Mexico’s congress just introduced a sales tax on sugary drinks and
junk food in October 2013, which aims to curb unhealthy consumption habits. Furthermore,
although it is common to see people drinking in the Hollywood movies, alcohol
consumption should also be minimized, possibly by increasing the price. Lastly,
developing countries should do their part to improve their economies so as to
increase the health care standards. Although organizations such as Red Cross
and World Health Organization (WHO) have been negotiating with developed
countries for monetary, material, and technical support for the developing
countries, it is not a long-term solution. Boosting their economies by fully
utilizing their strengths is more crucial. In this way, the general living
conditions could be improved so as to retain well-educated and experienced
health care professionals. Furthermore, more funding could be distributed to
develop the health care sector. The gap in accessing health care services between
developing countries and developed countries could be reduced.
In conclusion,
although globalization enhances the transmission of diseases and widens the gap
of the accessibility of health care services, these negative consequences could
be ameliorated by establishing collaboration among various countries, promoting
healthy habits and improving the economies of the developing countries.
Reference:
1. Huynen, M. M.,
Martens, P., & Hilderink, H. B. (2005). The health impacts of
globalization: a conceptual framework. Global
Health. 2005 Aug 3;1:14. doi:10.1186/1744-8603-1-14
2.
Kelly,
T., Yang, W., Chen, C.S., Reynolds, K., He, J.. Global burden of obesity in
2005 and projections to 2030. Int J Obes
(Lond). 2008 Sep;32(9):1431-7.
doi: 10.1038/ijo.2008.102
3.
Milstien,
J. B., Kaddar, M., & Kieny, M. P. (2006). The impact of globalization on
vaccine development and availability. Health Aff July 2006 vol. 25 no. 4
1061-1069. doi: 10.1377/hlthaff.25.4.1061
4. The National
Academies. Infectious disease global challenges. Retrieved from http://needtoknow.nas.edu/id/challenges/globalization/
to the increasing mobility of humanWF activitiesRED.
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