Does the Era of Globalization Dictate a change in the Definition of Public Health?

Zdr Varst. 2024 Mar 20;63(2):63-65. doi: 10.2478/sjph-2024-0009. eCollection 2024 Jun.

Abstract

Globalization has a major impact on public health in all countries of the world. Unfortunately, there are attempts to treat global challenges in the field of public health separately from national ones, following the model of tropical medicine, where the focus of action was in fact primarily on the identification and control of tropical diseases. This was especially in the interest of countries that colonized certain areas in the tropical part of the world. Global health, which is to some extent the successor of tropical medicine, cannot be a separate entity. The lines between global health and public health are blurring. In essence, global health is just another aspect of public health, important both in terms of recognizing the situation and taking action to improve the situation. The problems are mostly no longer local or national, and, to a greater or lesser extent, already affect the entire population or threaten the health of future generations. Such a view of global health also requires different approaches. Of course, due to cultural and socio-economic characteristics, the field and method of work must be adapted to the specific local environment, but nevertheless, these are challenges that are present everywhere. Therefore, it is vital that we act decisively, with a united approach - regardless of where we live and at what stage of social development we are. The world has become one, so the division into public health and global public health has become meaningless.

Globalizacija močno vpliva na javno zdravje v vseh državah sveta. Žal obstajajo poskusi, da bi globalne izzive na področju javnega zdravja obravnavali ločeno od nacionalnih in sicer po vzoru tropske medicine, kjer je bil fokus delovanja dejansko predvsem na prepoznavanju in obvladovanju tropskih bolezni. To je bilo še posebej v interesu držav, ki so v tropskem predelu sveta kolonizirale določena območja. Globalno zdravje, ki je do neke mere naslednik tropske medicine, ne more biti posebna entiteta. Meje med globalnim zdravjem in javnim zdravjem se brišejo. V bistvu je globalno zdravje samo še en vidik javnega zdravja, pomemben tako v povezavi s prepoznavanjem razmer kot tudi ukrepanjem za izboljšanje stanja. Problemi večinoma niso več lokalni ali nacionalni, temveč, v večji ali manjši meri, že sedaj prizadenejo celotno prebivalstvo oziroma ogrožajo zdravje prihodnjih generacij.Tak pogled na globalno zdravje pa terja tudi drugačne pristope. Seveda je zaradi kulturnih in socialno-ekonomskih značilnosti treba področje in način dela prilagoditi specifičnemu lokalnemu okolju, a kljub temu so to izzivi, ki so prisotni povsod. Zato je ključnega pomena, da delujemo odločno, enotno in povezano – ne glede na to, kje živimo in na kateri stopnji družbenega razvoja smo. Svet je postal eno, zato je postala delitev na javno zdravje in globalno javno zdravje nesmiselna.

Keywords: Global health development; Public health; Tropical medicine.

Publication types

  • Editorial