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World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development

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World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development World Summit on Sustainable Development: KEY OUTCOMES, CHALLENGES AND OPPORTUNITIES FOR HEALTH AND SUSTAINABLE DEVELOPMENT 1 World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development 2 World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development TABLE OF CONTENTS 1. WHO’S CONTRIBUTIONS TO THE WSSD PROCESS 7 2. SUMMARY OF THE MAJOR COMMITMENTS AND HEALTH-RELATED ISSUES 10 3. RAISING AWARENESS OF HEALTH AND SUSTAINABLE DEVELOPMENT ISSUES AT THE WSSD 29 4. OTHER HEALTH-RELATED EVENTS 38 5. PARTNERSHIPS FOR HEALTH AND SUSTAINABLE DEVELOPMENT AT THE WSSD 46 6. PUTTING THE JOHANNESBURG PLAN OF IMPLEMENTATION INTO PRACTICE 50 ANNEX 1 - Selected Documents Related to Health and Sustainable Development Prepared in the Context of WSSD 55 Acknowledgements: This document was prepared by the Agenda 21/WSSD team at WHO. We would like to ac- knowledge the participation at WSSD of the WHO delegation, and the various reports and analyses prepared before, during and after WSSD, which we have drawn on in compiling this report. Yasmin von Schirnding Bruce Gordon Theadora Koller Catherine Mulholland Kristin Skamanga Nadia Hilal 3 World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development WHO Library Cataloguing-in-Publication Data World Health Organization. World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development. 1.Environmental health 2.Health promotion 3.Development 4.Sustainability 5.International cooperation I.Title. ISBN 92 4 159095 5 (NLM classification: WA 30) © World Health Organization 2003 All rights reserved. Publications of the World Health Organization can be obtained from Marketing and Dis- semination, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; email: [email protected]). Requests for permission to reproduce or translate WHO publications - whether for sale or for noncommercial distribution - should be addressed to Publications, at the above address (fax: +41 22 791 4806; email: [email protected]). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. The World Health Organization does not warrant that the information contained in this publication is complete and correct and shall not be liable for any damages incurred as a result of its use. 4 World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development Printed in 2003 ACRONYMS AAMMA Asociacion Argentina de Medicos por el Medio Ambiente AECLP Alliance to End Childhood Lead Poisoning APLF Asia Pacific Leadership Forum on HIV/AIDS and Development AusAID Australian Government Overseas Aid Programme BASD Business Action for Sustainable Development CAF Corporación Andina de Fomento / Andean Development Corporation CBDR Common But Differentiated Responsibilities CSD Commission on Sustainable Development ECLAC Economic Commission for Latin America and the Caribbean ECOSOC United Nations Economic and Social Council EU European Union FAO Food and Agriculture Organization GEF Global Environment Facility GHS Globally Harmonized System for Chemical Classification and Labelling G77 The Group of 77 HECA Healthy Environments for Children Alliance HIPC Heavily Indebted Poor Countries Initiative ICC International Chamber of Commerce ICEPE International Centre for Insect Physiology and Ecology IDDMM Institute for Infectious Diseases and Molecular Medicine IDRC International Development Research Centre IFMBE International Federation for Medical and Biological Engineering ILO International Labour Organization INCHES International Network of Children’s Health, Environment and Safety ISDE International Society of Doctors for the Environment IUCN International Union for Conservation of Nature and Natural Resources IUPESM International Union for Physical and Engineering Sciences in Medicine IWMI International Water Management Institute JICA Japan International Cooperation Agency JPOI Johannesburg Plan of Implementation LGS Local Government Session MDG Millennium Development Goals MRC Medical Research Council of South Africa NAPWA National Association of People With AIDS NEPAD New Partnership for Africa’s Development NGO Non-Governmental Organization NIH National Institutes of Health of the US Department of Health and Human Services NITD Novartis Institute for Tropical Diseases ODA Overseas Development Assistance PrepCom Preparatory Committee 5 World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development SADC Southern African Development Community SANGOCO South Africa NGO Coalition SARD Sustainable Agriculture and Rural Development SIDS Small Island Developing States SPC Secretariat of the Pacific Community TB Tuberculosis TRIPS agreement Trade-Related Aspects of Intellectual Property Rights UN United Nations UNAIDS Joint United Nations Programme on HIV/AIDS UNCED United Nations Conference on Environment and Development UNCLOS United Nations Convention on the Law of the Sea UNDESA United Nations Department of Economic and Social Affairs UNEP United Nations Environment Programme UNFPA United Nations Population Fund UN-HABITAT United Nations Human Settlements Programme UNICEF United Nations Children’s Fund UNITAR United Nations Institute for Research and Training USAID United States Agency for International Development USEPA United States Environmental Protection Agency PSR Physicians for Social Responsibility REDEH Rede de Desenvolvimento Humano WAA 21 Women’s Action Agenda 21 WASH “Water, Sanitation and Hygiene for all” Initiative WEDO Women’s Environment and Development Organization WEHAB initiative Water, Energy, Health, Agriculture and Biodiversity WHO World Health Organization WSSCC Water Supply and Sanitation Collaborative Council WSSD World Summit on Sustainable Development 6 World Summit on Sustainable Development: Key Outcomes, Challenges and Opportunities for Health and Sustainable Development 1 WHO’s Contributions to the WSSD Process In 1992, more than 100 Heads of State and Government met in Rio de Janeiro, Brazil, for the United Nations Conference on Environment and Development (UNCED). This “Earth Summit” was convened to address urgent problems of environmental protection and socio- economic development. The assembled leaders signed the Framework Convention on Climate Change and the Convention on Biological Diversity, endorsed the Rio Declaration and the Forest Principles, and adopted Agenda 21-a 300-page plan for achieving sustainable develop- ment in the 21st century. WHO was designated task manager for Chapter 6 of Agenda 21, which deals with protecting and promoting human health. Five major programme areas were highlighted in 1992, namely: meeting primary health care needs, particularly in rural areas; control of communicable diseases; protecting vulnerable groups; meeting the urban health challenge; and reducing health risks from environmental pollution and hazards. One of WHO’s roles as task manager for Chapter 6 has been to ensure that the health objectives of Agenda 21 are adequately addressed in the work of WHO and other UN bodies. The Commission on Sustainable Development (CSD) was established subsequent to Rio to en- sure effective follow-up to UNCED and implementation of Agenda 21. The five-year review and follow-up convened in 1997 adopted CSD’s Programme for the Further Implementation of Agenda 21. WHO’s contributions included the publication “Health and Environment in Sustainable Development: Five years after the Earth Summit,” which assessed progress during the five year period since 1992. In the following years, WHO has continued to make efforts to strengthen the role of health in the work of the CSD, and in sustainable development generally. In 2001, CSD-10 acted as the Preparatory Committee (PrepCom) for the World Summit on Sustainable Development (WSSD), beginning the first of four global PrepCom sessions. These sessions were held respectively from 30 April-2 May 2001 (New York), 28 January-8 Febru- ary 2002 (New York), 25 March-5 April 2002 (New York), and 27 May-7 June 2002 (Bali). Preparations at the regional, sub-regional, and national levels served as inputs to these global sessions. Issues to be considered at the WSSD were identified through a participatory process involving governments and other stakeholders, known as the Major Groups. These included: business and industry, children and youth, farmers, indigenous people, local authorities, non- governmental organizations, scientific and technological
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