In just twelve years the world population has grown from six to seven billion inhabitants. A terrifying figure, to which experts and governments do not know very well how to react. To the already serious food scarcity problem due to the demand by many human beings, Malthusian thesis, today there are two other disadvantages: energy and international migration. An explosive cocktail that can lead many governments to "divine fatalism", in which the humans are not fully respected. ; En tan solo doce años la población mundial ha pasado de seis a siete mil millones de habitantes. Una cifra aterradora, ante la que los expertos y los gobiernos no saben muy bien cómo reaccionar. Al ya grave problema alimentario que exigen tantos seres humanos, tesis malthusiana, se suman hoy en día otros dos inconvenientes más: el de la energía y el de las migraciones internacionales. Un cóctel explosivo que puede llevar a muchos gobiernos a caer en un «fatalismo divino», en el que la persona humana no sea del todo respetada.
(...) Di Giulio, A.: Les priorités de la Commission européenne en matière de recherche agroalimentaire et d'innovation. - S. 27-34 Bino, R.; Löffler, H.: Les potentialités de la recherche agronomique dans une économie intelligente. - S. 35-40 Fereres, E.: Aperçu des défis agronomiques qui nous attendent. - S. 41-47 Cooper, T.: Passé, présent et perspectives d'une législation en matière d'environnement dans la PAC. - S. 49-57 Gleizes, J.-F.; Ferenczi, N.: Propositions pour une agriculture intensive répondant aux défis de la production et de la durabilité. - S. 58-64 Fanjul Suarez, G.: Pour une politique rurale européenne. - S. 65-68 Gohin, A.: La contribution de la PAC au bien être collectif : une évalution complexe. - S. 69-77 Coste, E.: Propositions pour réformer la PAC d'un secteur contribuant au défi de l'emploi : l'élevage. - S. 78-83 Lillo, J.: La présidence espagnole, un plaidoyer en faveur d'une vision stratégique de la PAC. - S. 84-90
Background: Cities are an important driving force to implement the Sustainable Development Goals (SDGs) and the New Urban Agenda. The SDGs provide an operational framework to consider urbanization globally, while providing local mechanisms for action and careful attention to closing the gaps in the distribution of health gains. While health and well-being are explicitly addressed in SDG 3, health is also present as a pre condition of SDG 11, that aims at inclusive, safe, resilient and sustainable cities. Health in All Policies (HiAP) is an approach to public policy across sectors that systematically takes into account the health implications of decisions, seeks synergies, and avoids harmful health impacts in order to improve population health and health equity. HiAP is key for local decision-making processes in the context of urban policies to promote public health interventions aimed at achieving SDG targets. HiAPs relies heavily on the use of scientific evidence and evaluation tools, such as health impact assessments (HIAs). HIAs may include city-level quantitative burden of disease, health economic assessments, and citizen and other stakeholders' involvement to inform the integration of health recommendations in urban policies. The Barcelona Institute for Global Health (ISGlobal)'s Urban Planning, Environment and Health Initiative provides an example of a successful model of translating scientific evidence into policy and practice with regards to sustainable and healthy urban development. The experiences collected through ISGlobal's participation implementing HIAs in several cities worldwide as a way to promote HiAP are the basis for this analysis. Aim: The aim of this article is threefold: to understand the links between social determinants of health, environmental exposures, behaviour, health outcomes and urban policies within the SDGs, following a HiAP rationale; to review and analyze the key elements of a HiAP approach as an accelerator of the SDGs in the context of urban and transport planning; and to describe lessons learnt from practical implementation of HIAs in cities across Europe, Africa and Latin-America. Methods: We create a comprehensive, urban health related SDGs conceptual framework, by linking already described urban health dimensions to existing SDGs, targets and indicators. We discuss, taking into account the necessary conditions and steps to conduct HiAP, the main barriers and opportunities within the SDGs framework. We conclude by reviewing HIAs in a number of cities worldwide (based on the experiences collected by co-authors of this publication), including city-level quantitative burden of disease and health economic assessments, as practical tools to inform the integration of health recommendations in urban policies.Results: A conceptual framework linking SDGs and urban and transportplanning, environmental exposures, behaviour and health outcomes, following a HiAP rationale, is designed. We found at least 38 SDG targets relevant to urban health, corresponding to 15 SDGs, while 4 important aspects contained in our proposed framework were not present in the SDGs (physical activity, noise, quality of life or social capital). Thus, a more comprehensive HiAP vision within the SDGs could be beneficial. Our analysis confirmed that the SDGs framework provides an opportunity to formulate and implement policies with a HiAP approach. Three important aspects are highlighted: 1) the importance of the intersectoral work and health equity as a cross-cutting issue in sustainable development endeavors; 2) policy coherence, health governance, and stakeholders' participation as key issues; and 3) the need for high quality data. HIAs are a practical tool to implement HiAP. Opportunities and barriers related to the political, legal and health governance context, the capacity to inform policies in other sectors, the involvement of different stakeholders, and the availability of quality data are discussed based on our experience. Quantitative assessments can provide powerful data such as: estimates of annual preventable morbidity and disability-adjusted life-years (DALYs) under compliance with international exposure recommendations for physical activity, exposure to air pollution, noise, heat, and access to green spaces; the associated economic impacts in health care costs per year; and the number of preventable premature deaths when improvements in urban and transport planning are implemented. This information has been used to support the design of policies that promote cycling, walking, public, zero and lowemitting modes of transport, and the provision of urban greening or healthy public open spaces in Barcelona (e.g. Urban Mobility, Green Infrastructure and Biodiversity Plans, or the Superblocks's model), the Bus Rapid Transit and Open Streets initiatives in several Latin American cities or targeted SDGs assessments in Morocco. Conclusions: By applying tools such as HIA, HiAP can be implemented to inform and improve transport and urban planning to achieve the 2030 SDG Agenda. Such a framework could be potentially used in cities worldwide, including those of less developed regions or countries. Data availability, taking into account equity issues, strenghtening the communication between experts, decision makers and citizens, and the involvement of all major stakeholders are crucial elements for the HiAP approach to translate knowledge into SDG implementation.
For 3 days in late January, 2020, 350 government, UN and multilateral agencies, companies, non-profit organisations, and academic health leaders from more than 55 countries gathered in Barcelona, Spain, to strategise more effective ways to fight the leading infectious threat to child survival—pneumonia. The inaugural Fighting for Breath Global Forum on Childhood Pneumonia (the Global Forum) culminated in a consensus declaration outlining the steps necessary to end preventable child deaths from pneumonia in every country by 2030. The declaration is now in wider circulation and can be signed by organisations who want to join the fight against pneumonia.1 Highlights of this declaration, and of actions derived from some of the key points, are summarised in the appendix.
