A United Nations Global Health Panel for Global Health Governance

The World Health Organization now relies upon voluntary contributions tied to specific projects, underwriting 75% of operations. A resulting cacophony of non-governmental, foundation, and private sector actors have emerged overlapping and fractionating WHO programs. In this expanding world of “global health organizations,” WHO's role must be redefined. We propose coordination of global health initiatives through a United Nations Global Health Panel with active participation of WHO. Given recent events, the UN is poised to take a greater leadership role in global health.     

The New Global Health

Global health reflects the realities of globalization, including worldwide dissemination of infectious and noninfectious public health risks. Global health architecture is complex and better coordination is needed between multiple organizations. Three overlapping themes determine global health action and prioritization: development, security, and public health. These themes play out against a background of demographic change, socioeconomic development, and urbanization. Infectious diseases remain critical factors, but are no longer the major cause of global illness and death. Traditional indicators of public health, such as maternal and infant mortality rates no longer describe the health status of whole societies; this change highlights the need for investment in vital registration and disease-specific reporting. Noncommunicable diseases, injuries, and mental health will require greater attention from the world in the future. The new global health requires broader engagement by health organizations and all countries for the objectives of health equity, access, and coverage as priorities beyond the Millennium Development Goals are set.     

职业健康检查过程中注意事项的探讨

职业健康检查作为对从事或可能从事接触职业性危害因素的劳动者的健康状况进行医学检查、监测的预防医学行为,包括上岗前、在岗期间、离岗时以及应急健康检查,是保护劳动者健康,及时发现疑似职业病或职业相关疾病的主要手段。四川大学华西第四医院作为集医、教、研,预防、治疗、康复为一体的职业病防治院,每年接待体检量5~6万人次,其中职业健康检查4~5万人次,为成都市及周边区县的广大企事业单位提供历年职业健康检查业务,收到了良好的社会效益及经济效益。本文分析了四川大学华西第四医院目前职业健康检查工作现状,为更加科学规范的管理职业健康检查提出建议和方法。