{"id":12276,"date":"2019-01-21T13:29:42","date_gmt":"2019-01-21T13:29:42","guid":{"rendered":"https:\/\/www.wma.net\/wp-content\/uploads\/2019\/01\/draft-4-GAP-comments-WMA-Nov2018.pdf"},"modified":"2019-01-21T13:29:42","modified_gmt":"2019-01-21T13:29:42","slug":"draft-4-gap-comments-wma-nov2018-2","status":"inherit","type":"attachment","link":"https:\/\/www.wma.net\/es\/que-hacemos\/derechos-humanos\/derecho-a-la-salud\/draft-4-gap-comments-wma-nov2018-2\/","title":{"rendered":"draft 4+ GAP- comments WMA-Nov2018"},"author":12,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"description":{"rendered":"<p class=\"attachment\"><a href='https:\/\/www.wma.net\/wp-content\/uploads\/2019\/01\/draft-4-GAP-comments-WMA-Nov2018.pdf'>draft 4+ GAP- comments WMA-Nov2018<\/a><\/p>\n<p>THE WORLD MEDICAL ASSOCIATION, INC.<br \/>\nL\u2019ASSOCIATION MEDICALE MONDIALE, INC<br \/>\nASOCIACION MEDICA MUNDIAL, INC<br \/>\nCentre International de Bureaux FEIN : 13-2566243<br \/>\nImmeuble A \u00abKeynes\u00bb Website : www.wma.net Postal Address :<br \/>\n13, chemin du Levant Telephone : (33) 4 50 40 75 75 Bo\u00eete Postale 63<br \/>\n01210 FERNEY-VOLTAIRE Fax : (33) 4 50 40 59 37 01210 FERNEY-VOLTAIRE Cedex<br \/>\nFrance E-mail address : wma@wma.net France<br \/>\n13 November 2018<br \/>\nDraft WHO Global Action Plan<br \/>\nto Promote the Health of Refugees and Migrants (Draft 4)<br \/>\nWMA COMMENTS<br \/>\nThe World Medical Association is an international organization representing millions of physicians<br \/>\nworldwide. Acting on behalf of patients and physicians, the WMA endeavors to achieve the highest<br \/>\npossible standards of medical care, ethics, education and health-related human rights for all people.<br \/>\nAs such, the WMA plays a key role in promoting good practice, medical ethics and medical<br \/>\naccountability internationally.<br \/>\nGeneral comments<br \/>\nThe World Medical Association (WMA) considers that health is a basic need, a human right and<br \/>\none of the essential drivers of economic and social development. All people are entitled without<br \/>\ndiscrimination to appropriate medical care according to the international codes of human rights and<br \/>\nmedical ethics, including the WMA Declaration of Lisbon on the Rights of the Patient.<br \/>\nThe WMA expresses concern over the systemic difficulties which health professionals face when<br \/>\nupholding guiding ethical principles in environments hostile to the provision of healthcare to<br \/>\nmigrants. Health professionals have a duty to provide appropriate healthcare, regardless of the civil<br \/>\nor political status of the individual. The right to receive medical care should be based on need and<br \/>\nhealth professionals must be allowed adequate time and sufficient resources to assess the physical<br \/>\nand psychological condition of refugees and migrants. Late or denied health care is not only<br \/>\nethically wrong and contravenes a fundamental human right, it poses a serious public health threat<br \/>\nas well.<br \/>\nWe would like to recall WMA recent policy on migration and call for:<br \/>\n\u2022 Strong continued engagement of physicians in the defense of human rights and dignity of all<br \/>\npeople worldwide, as well as combatting suffering, pain and illness;<br \/>\n\u2022 The prioritization of the care of human beings above any other consideration or interest;<br \/>\n\u2022 Providing the necessary healthcare, through international cooperation, directed to countries that<br \/>\nwelcome and receive large number of migrants.<br \/>\n\u2022 Governments to reach political agreements to obtain the necessary health resources to deliver<br \/>\ncare in an adequate and coordinated manner to the migrant population.<br \/>\nWMA page 2<br \/>\nSpecific comments on the draft WHO Global Action Plan to Promote the Health of Refugees<br \/>\nand Migrants1<br \/>\nWe welcome the draft WHO Global Action Plan to Promote the Health of Refugees and Migrants<br \/>\ndeveloped in collaboration with IOM and UNHCR amongst other international organisations. This<br \/>\ninclusive partnership, which comprises the consultation of other relevant partners as well,<br \/>\nconstitutes a positive advancement to address the complexity of the issue, with health as an essential<br \/>\ncomponent of good migration governance. We also welcome the various references in the GAP to<br \/>\nthe required need to develop educational courses\/tools for health professionals in relation with the<br \/>\nhealth of migrants and refugees.<br \/>\nIn line with WMA policies, we suggest the following additions to the current proposed draft:<br \/>\n1. The draft GAP should include, in the preamble of the strategic guidelines, an explicit reference<br \/>\nto the right to health to refugees and migrants, regardless of the legal, civil or political<br \/>\nstatus of the individual.<br \/>\n2. The draft GAP should unequivocally condemn and prohibit the participation of health<br \/>\nprofessionals in any punitive or judicial action involving refugees and migrants (regardless<br \/>\nof the civil or political status) or to administer any non-medically justified diagnostic measure or<br \/>\ntreatment (such as sedatives to facilitate easy deportation from the country or relocation).<br \/>\n3. Regarding the priority 4 \u201cStrengthen health monitoring and health information systems\u201d, we are<br \/>\nworried that the current draft does not refer to the ethical aspects of health data collection and<br \/>\nthe related role of physicians. The WMA Declaration of Taipei on ethical considerations<br \/>\nregarding health databases and biobanks lays down essential ethical principles in collecting and<br \/>\nusing health data, including the principles of confidentiality and the required informed consent<br \/>\nof the individuals concerned. Paragraph 9 states: \u201cRespecting the dignity, autonomy, privacy<br \/>\nand confidentiality of individuals, physicians have specific obligations, both ethical and legal, as<br \/>\nstewards protecting information provided by their patients. The rights to autonomy, privacy and<br \/>\nconfidentiality also entitle individuals to exercise control over the use of their personal data and<br \/>\nbiological material.\u201d The draft GAP should include clear references to these ethical principles as<br \/>\nsafeguards to any possible misuses in health data collection.<br \/>\nGiven the length of the document, we suggest including an executive summary indicating the main<br \/>\nactions under each priority.<br \/>\n&#8230;..<br \/>\n1<br \/>\nDraft 4<\/p>\n"},"caption":{"rendered":"<p>draft 4+ GAP- comments WMA-Nov2018 THE WORLD MEDICAL ASSOCIATION, INC. L\u2019ASSOCIATION MEDICALE MONDIALE, INC ASOCIACION MEDICA MUNDIAL, INC Centre International de Bureaux FEIN : 13-2566243 Immeuble A \u00abKeynes\u00bb Website : www.wma.net Postal Address : 13, chemin du Levant Telephone : (33) 4 50 40 75 75 Bo\u00eete Postale 63 01210 FERNEY-VOLTAIRE Fax : (33) 4 [&hellip;]<\/p>\n"},"alt_text":"","media_type":"file","mime_type":"application\/pdf","media_details":{},"post":860,"source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2019\/01\/draft-4-GAP-comments-WMA-Nov2018.pdf","_links":{"self":[{"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/media\/12276"}],"collection":[{"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/media"}],"about":[{"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/types\/attachment"}],"author":[{"embeddable":true,"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/comments?post=12276"}]}}