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A Paradigm Shift for Socioeconomic Justice and Health by David Chiriboga

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Michael Mason Room,

Centre for Primary Care and Public Health, Queen Mary University of London

Yvonne Carter Building, 58 Turner Street

WhiteChapel

E1 2AB

United Kingdom

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A Paradigm Shift for Socioeconomic Justice and Health: From Focusing on Inequalities to Aiming at Sustainable Equity.

This paper describes a novel method to measure the WHO objective of the best feasible health for all, adding the dimension of sustainability: “sustainable health equity”, which we propose could be used as a benchmarking tool, positioning health equity as a compass for social justice. In order for health to be a universal objective, feasible to be attained by all 7.2 billion global inhabitants, the northern countries are not a viable model: they are not replicable nor sustainable. We attempted to identify countries that had three characteristics: 1) a healthy population, 2) a model that is economically feasible to replicate for all countries, and 3) a model that is sustainable over time. We identified 14 countries that meet the three criteria: among those, the healthiest were Costa Rica and Cuba and the most efficient were Vietnam and Sri Lanka. Using these 14 countries as a benchmark, we calculated excess mortality (burden of health inequity) by country, age, and sex, and their corresponding temporal trends 1950-2012. Since the 1970’s we estimated there are 17million avoidable deaths every year and this number has remained unchanged through the study period.

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Michael Mason Room,

Centre for Primary Care and Public Health, Queen Mary University of London

Yvonne Carter Building, 58 Turner Street

WhiteChapel

E1 2AB

United Kingdom

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