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Globalisation and health

BMJ 2008; 336 doi: https://doi.org/10.1136/sbmj.0801014 (Published 01 January 2008) Cite this as: BMJ 2008;336:0801014
  1. Amit Bhargava, medical senior house officer1,
  2. Ashok Deorari, professor2
  1. 1Connolly Hospital Blanchardstown, Dublin, Ireland
  2. 2Division of Neonatology, Department of Pediatrics, WHO-CC for Training and Research in Newborn Care, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110 029, India

What's the link between the interconnected nature of the world and population health? Amit Bhargava and Ashok Deorari consider three perspectives

World renowned heart surgeon Devi Shetty giving a consultation via a satellite telecommunications link

The phrase, “it's a small world,” emphasises that the concept of globalisation is no longer a mere vision, but reality. The exchange of personnel, information, and commodities between nations has never been easier. So, it is important to consider the potential ramifications of this global evolution to ensure that the process by which it occurs is beneficial for the health of the planet; the health of individual nations; and, most importantly, the health of people.

The term “globalisation” first appeared in literature in the mid-1980s. A commonly held definition states that “globalisation involves a profound and worldwide shift in economic, geographic, cultural, and social relations.”w1 It is also the process whereby national and international policy makers promote domestic deregulation and external liberalisation, ultimately affecting the planet's political, economic, and social structure.w2

Health of the planet

When discussing globalisation, we must first evaluate its effect on the health of the planet. Without a healthy planet, we will not have healthy nations and certainly not healthy people. According to Hilary French, the author of Vanishing Borders: Protecting the Planet in the Age of Globalization, “the surge in movements of goods, money, species, and pollution across international borders is placing unprecedented strains on the planet.”

Trade in the natural resource sectors is clearly endangering the health of mountains, forests, waters, and other vulnerable ecosystems. For example, between 1950 and 1998, world exports of goods rose from $311bn to $5.4 trillion (£2.6 trillion; €3.7 trillion). A rise in the trade of forest products, from $29bn in 1961 to $139bn in 1998, caused forests …

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