INTEGRATING RESPONSES TO INEQUALITIES AND DISEASE BURDENS 8.5
The impact of globalisation on the health of at-risk populations
By Ernest C Madu, chair, Heart Institute of the Caribbean and HIC Heart Hospital
W hile globalisation presents great opportunities for economic growth, technological advancement and cultural exchange, it also poses significant risks and challenges for vulnerable and at-risk populations. It has connected countries, cultures and economies, bringing both benefits and challenges. At-risk populations, including marginalised communities and vulnerable groups, are disproportionately affected by globalisation. It can provide access to economic growth, medical advances, cultural exchanges and advocacy – yet it can also exacerbate health disparities, environmental degradation, socio-economic displacement and the spread of infectious diseases. Globalisation can widen health disparities among at-risk populations due to income inequalities and uneven distribution of resources and opportunities. Limited access to quality health care, education and nutritious food contributes to poorer health outcomes within these populations. Rural communities, especially in developing countries, can
experience significant impacts from globalisation. Agricultural liberalisation, changes in land use and competition from global markets may threaten traditional farming practices and livelihoods. Unequal power dynamics in global value chains may lead to exploitative labour practices, job insecurity, land dispossession and unequal distribution of benefits. Lack of access to essential services, such as health care, clean water, power supply, education and infrastructure, further marginalises rural communities. Rapid urbanisation presents challenges for the urban poor. Increased migration to cities in search of economic opportunities can result in overcrowded slums, inadequate housing and limited access to basic services such as clean water, sanitation and health care. The urban poor often face precarious employment conditions, informal work, irregular and unpredictable income, and lack of social protection, leading to higher vulnerability to health risks, poverty and marginalisation. SUSTAINABILITY ISSUES Environmental degradation is another area of significant concern with globalisation. An
Globalisation disproportionately affects at-risk populations, but it also has significant potential to create value for these groups
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Health: A Political Choice – From Fragmentation to Integration
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