{"id":12425,"date":"2019-04-10T15:07:26","date_gmt":"2019-04-10T14:07:26","guid":{"rendered":"https:\/\/www.wma.net\/wp-content\/uploads\/2019\/04\/2018-WMA-Annual-Report-Final.pdf"},"modified":"2019-04-10T15:07:26","modified_gmt":"2019-04-10T14:07:26","slug":"2018-wma-annual-report-final-2","status":"inherit","type":"attachment","link":"https:\/\/www.wma.net\/fr\/publications\/wma-annual-report\/2018-wma-annual-report-final-2\/","title":{"rendered":"2018 WMA Annual Report Final"},"author":17,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"description":{"rendered":"<p class=\"attachment\"><a href='https:\/\/www.wma.net\/wp-content\/uploads\/2019\/04\/2018-WMA-Annual-Report-Final.pdf'>2018 WMA Annual Report Final<\/a><\/p>\n<p>ANNUAL\u00a0REPORT<br \/>\n2018<br \/>\nWORLD MEDICAL ASSOCIATION<br \/>\n209th WMA Council Session, April 2018 in Riga, Latvia &#8211; Photo: LMA Official photographer<br \/>\n\u00a0 S O M E W M A A C T I V I T I E S I N I M A G E S<br \/>\nDr. Ardis D. Hoven<br \/>\nChairperson of Council, speaker at the \u00ab\u00a0Health Security 100 years<br \/>\nafter the Spanish flu pandemic\u00a0\u00bb event<br \/>\nWMA Past President Dr. Yoshitake Yokokura and Dr. Tedros<br \/>\nAdhanom Ghebreyesus, WHO Director-General at the signing<br \/>\nof a Memorandum of Understanding to reaffirm and<br \/>\nconsolidate co-operation between the two organisations.<br \/>\nLeft: Dr. Osahon Enabulele, Nigeria<br \/>\nRight: Dr. Dr. Miguel R. Jorge, President-Elect, Brazil<br \/>\nDelegates of the WMA General Assembly, October 2018,<br \/>\nReykjavik, Iceland &#8211; Photo: IMA Official photographer<br \/>\nMESSAGE FROM THE WMA PRESIDENT\u00a0<br \/>\nD R . L E O N I D E I D E L M A N<br \/>\nWMA President<br \/>\nP A G E 0 2 \u00a0 |<br \/>\nI am happy to present you the second<br \/>\nannual report of the WMA. It is not<br \/>\nsupposed to be a full and comprehensive<br \/>\noverview of what the WMA does or has<br \/>\ndone during last year, but rather to<br \/>\nprovide some highlights that have been<br \/>\nimportant for our work. Joining forces<br \/>\nwith WHO on important questions like<br \/>\nUniversal Health Coverage, Health<br \/>\nWorkforce, Social Determinants of Health<br \/>\nand emergency preparedness, as well as<br \/>\nour work on environmental health,<br \/>\nhuman rights, health and migration are<br \/>\njust some examples mentioned in this<br \/>\nreport of our common engagement<br \/>\nduring the year.<br \/>\n\u00a0<br \/>\nDuring 2018 other trends became clearer<br \/>\nand more relevant for us, as they have<br \/>\nbeen before. Although not new, but more<br \/>\npressing then ever is the question of our<br \/>\nwork environment. Confronted with a<br \/>\nsteadily increasing work load and<br \/>\ncomplexity in medicine, pressures from<br \/>\ncommercialization but also high patient<br \/>\nexpectations, we have to note high rates<br \/>\nof burn out with physicians in many<br \/>\ncountries. This scenario does necessarily<br \/>\nget friendlier with challenges and<br \/>\nopportunities coming up with<br \/>\ndigitalization and Artificial or Augmented<br \/>\nIntelligence invading and changing<br \/>\nmedicine and health care.<br \/>\nThe WMA has decided to face the<br \/>\nchallenges. In two conferences, one in<br \/>\nMay in Israel and one in June in Tokyo, we<br \/>\nwill discuss with experts, colleagues and<br \/>\npatients about the future of our<br \/>\nprofession and the realization of Universal<br \/>\nHealth Coverage. In times of uncertainty<br \/>\nguidance and common understanding of<br \/>\nwhat is right or wrong may be even more<br \/>\nimportant than before.<br \/>\n\u00a0<br \/>\nOctober last year we had the opportunity to<br \/>\nexperience the launch of the Astana<br \/>\nDeclaration. 40 Years after Alma-Ata, the<br \/>\nWHO, UNICEF and the government of<br \/>\nKazakhstan invited to the \u201eGlobal<br \/>\nConference on Primary Health Care\u201c. With<br \/>\nlast year\u2019s Astana Declaration[1], the WHO<br \/>\ntakes a new approach to foster the<br \/>\ndevelopment of Primary Health Care.<br \/>\nAlthough the Astana Declaration does<br \/>\nneither contradict nor replace the Alma-Ata<br \/>\nDeclaration[2] from 1978 it is far more<br \/>\nbinding and tries to avoid<br \/>\nmisinterpretations to what is Primary Health<br \/>\nCare. While after Alma-Ata donors and<br \/>\ngovernment all too often retracted to a<br \/>\nminimum of Primary Care, the Astana<br \/>\ndeclaration demands completeness and<br \/>\nstrives for a comprehensive approach in<br \/>\nhealth care reaching from health promotion<br \/>\nand prevention to curative care,<br \/>\nrehabilitation and palliative care. It remains<br \/>\nto be seen whether the donors who finance<br \/>\nthe development of health care will share<br \/>\nthe aspiration for comprehensiveness this<br \/>\ntime.<br \/>\n\u00a0<br \/>\nThe WMA will point to the role of physicians<br \/>\nespecially family physicians, when it comes<br \/>\nto realise real Primary Health Care and not a<br \/>\ncheap substitute.<br \/>\n[1] https:\/\/www.who.int\/primary-health\/conference-<br \/>\nphc\/declaration<br \/>\n[2] http:\/\/www.who.int\/publications\/almaata_declaration_en.pdf<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nAt the invitation of the Icelandic Medical<br \/>\nAssociation, delegates from more than 58<br \/>\nNational Medical Associations and<br \/>\nconstituent member associations met at<br \/>\nthe award-winning Harpa Convention<br \/>\nCentre, one of Reykjavik\u2019s most<br \/>\ndistinguished landmarks. The occasion<br \/>\nwas the WMA\u2019s 69th annual General<br \/>\nAssembly to coincide with the 100th<br \/>\nanniversary of the Icelandic Medical<br \/>\nAssociation.<br \/>\nFor the first time, the General Assembly<br \/>\nwas combined with a Medical Ethics<br \/>\nconference organized by the Icelandic<br \/>\nMedical Association partly in parallel with<br \/>\nour Council Session.<br \/>\nPresident\u2019s Report<br \/>\nThe outgoing President, Dr. Yoshitake<br \/>\nYokokura, gave a brief report on his<br \/>\nactivities over the preceding six months,<br \/>\nwhen he had taken up the theme of<br \/>\npromoting Universal Health Coverage<br \/>\nthrough cooperation and collaboration<br \/>\nbased on the Memorandum of<br \/>\nUnderstanding between the WMA and<br \/>\nthe World Health Organisation. He had<br \/>\nspoken at many meetings, including the<br \/>\nHigh-Level United Nations meeting on<br \/>\nthe prevention and control of non-<br \/>\ncommunicable diseases and the 18th<br \/>\nMASEAN Conference, the confederation<br \/>\nof medical associations from the South-<br \/>\neast Asian region consisting of 10 ASEAN<br \/>\nmembers. He had also attended<br \/>\nmeetings of the German, Taiwan and<br \/>\nAmerican Medical Associations. He said<br \/>\nhe had been re-elected as President of<br \/>\nthe Japan Medical Association for a<br \/>\nfourth term.<br \/>\nP A G E 0 3 \u00a0 |<br \/>\nGeneral Assembly 2018 &#8211; Reykjavik<br \/>\nChair\u2019s Report<br \/>\nDr. Hoven spoke about the success of the<br \/>\nprevious day\u2019s medical ethics conference<br \/>\norganised in conjunction with the<br \/>\nIcelandic Medical Association.<br \/>\nIn her written report, she said she<br \/>\ncontinued to be outraged by the<br \/>\natrocities imposed upon physician<br \/>\ncolleagues throughout the world who,<br \/>\nwhen providing care for those in need,<br \/>\nwere being injured, murdered or<br \/>\nimprisoned.<br \/>\nThe WMA had partnered with the<br \/>\nInternational Committee of the Red Cross<br \/>\nin the global project \u201cHealthcare in<br \/>\nDanger\u201d, which was aimed at identifying<br \/>\nthe extent of this problem and proposing<br \/>\ninterventions to mitigate the damage<br \/>\nbeing done. It was imperative they<br \/>\ncontinued with this activity.<br \/>\nIn addition, the medical profession had<br \/>\nbeen under growing pressure around the<br \/>\nworld from governments intent on<br \/>\nundermining medical autonomy. In some<br \/>\nparts of the world, politicians appeared<br \/>\ndetermined to curtail the power of the<br \/>\nmedical profession and exercise more<br \/>\ncontrol over their representative<br \/>\nassociations. The WMA strongly opposed<br \/>\nany attempt to stifle the voices of<br \/>\nphysicians, because in the end it was<br \/>\npatients who suffered. Professional self-<br \/>\ngovernance was critical to the delivery of<br \/>\nhealthcare across the world.<br \/>\nLate 2017, the WMA joined the working group<br \/>\nled by the IOM and WHO set up on an ad hoc<br \/>\nbasis to provide a collective contribution<br \/>\nwithin the negotiation process of the Global<br \/>\nCompact for Migration, so that migrants<br \/>\nhealth needs are adequately addressed. The<br \/>\nworking group agreed on a Proposed Health<br \/>\nComponent, based on WHO Framework of<br \/>\nPriorities and Guiding Principles to promote<br \/>\nthe health of Refugees and Migrants that the<br \/>\n70th World Health Assembly (May 2017) urged<br \/>\nMember States to promote at national level:<br \/>\nP A G E 0 4 \u00a0 |<br \/>\nHealth and migration<br \/>\n\u201cThe framework seeks to contribute to improving global public health by addressing the health of<br \/>\nrefugees and migrants in an inclusive, comprehensive manner and as part of holistic efforts to respond<br \/>\nto the health needs of the overall population in any given setting. It is designed to promote the right<br \/>\nto health, in accordance with international human rights obligations, including refugee law and<br \/>\nrelevant international and regional instruments\u201d[1].<br \/>\n[1] WHO Framework of priorities and guiding principles to promote the health of refugees and<br \/>\nmigrants \u2013 B. Scope, p.1.<br \/>\nSince then and over 2018, in line with its<br \/>\npolicies, the WMA has continued its<br \/>\nmonitoring work aiming to ensure the<br \/>\ninclusion of health as an essential<br \/>\nconstituent of good migration<br \/>\ngovernance. Last November, it<br \/>\ncommented the 4th draft of the global<br \/>\naction plan on health of refugees and<br \/>\nmigrants which will be submitted to the<br \/>\nnext World Health Assembly.<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nSince 2017, the WMA has been contributing to the global debate on health and migration<br \/>\nwith the valuable support of its membership, but also through WHO\u2019s activities in its health<br \/>\nleadership role, and by developing close collaboration with the International Organisation for<br \/>\nMigration (IOM).<br \/>\nAs a world health professionals<br \/>\norganisation, the WMA has to make its voice<br \/>\nheard, bringing its specific contribution<br \/>\nbased on the field experiences and<br \/>\nexpertise of physicians, not only to ensure<br \/>\nproper access to health care to migrants<br \/>\nand refugees but also to guarantee to<br \/>\nphysicians and other health professionals<br \/>\nadequate working conditions safeguarding<br \/>\nthe full respect of ethical principles of<br \/>\nhealthcare.<br \/>\nAll people are entitled without<br \/>\ndiscrimination to appropriate medical care<br \/>\naccording to the international human<br \/>\nrights standards and medical ethics,<br \/>\nincluding the WMA Declaration of Lisbon<br \/>\non the Rights of the Patient. In line with its<br \/>\npolicies, the WMA advocates so that that<br \/>\nthese fundamental premises are<br \/>\nimplemented and protected in the<br \/>\nprovision of health care to the migrant and<br \/>\nrefugee population:<br \/>\nMigration, a matter of concern for physicians<br \/>\nPrioritization of the care of human beings above<br \/>\nany other consideration or interest &#8211; The right to<br \/>\nhealth should be guaranteed to all, regardless of<br \/>\nthe civil, legal or political status of the individual.<br \/>\nThis includes therefore encompassing the<br \/>\nprovision of health care to undocumented<br \/>\nmigrants.<br \/>\nLoyalty to their patients &#8211; The WMA has repeatedly<br \/>\nexpressed concerns over the systemic difficulties<br \/>\nwhich physicians face when upholding guiding<br \/>\nethical principles in environments hostile to the<br \/>\nprovision of healthcare to migrants. Health<br \/>\nprofessionals must be granted adequate working<br \/>\nconditions so that they can provide care in the<br \/>\nbest interest of their patients, well-being and<br \/>\nhealth being their first considerations. Their ability<br \/>\nto maintain loyalty to their patients requires<br \/>\nprotection from any potential intrusion from their<br \/>\nemployers in their relationship with the patient.<br \/>\nDo no harm \u2013 The WMA is opposed to the<br \/>\nparticipation of physicians to any non-medically<br \/>\njustified examination or treatment &#8211; such as<br \/>\nsedatives to facilitate easy deportation from the<br \/>\ncountry or relocation, or bone examination to<br \/>\ndetermine the age of a migrant declaring to be a<br \/>\nminor. These practices constitute a diversion of<br \/>\nmedically justified measures for police or judicial<br \/>\npurposes. As such, it contravenes to medical<br \/>\nethics. But worst, some of these practices can<br \/>\npotentially have a harmful impact on health.<br \/>\nP A G E 0 5 \u00a0 |<br \/>\nRights to confidentiality, privacy and autonomy &#8211;<br \/>\nThe WMA Declaration of Taipei on ethical<br \/>\nconsiderations regarding health databases and<br \/>\nbiobanks lays down essential ethical principles in<br \/>\ncollecting and using health data, including the<br \/>\nrequired informed consent for the collection,<br \/>\nstorage and use of data of the individuals<br \/>\nconcerned as well as the rights to confidentiality,<br \/>\nprivacy and autonomy, which entitle individuals<br \/>\n\u201cto exercise control over the use of their personal<br \/>\ndata and biological material\u201d[1]. All measures<br \/>\nshould be taken so that these ethical principles<br \/>\nare fully respected, and any possible misuses be<br \/>\nprevented in health data collection of the<br \/>\nmigrant\u2019s and refugee\u2019s population.<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nThe Global Compact for Migration (GCM)<br \/>\nSome highlights on the health component<br \/>\n\u00a0<br \/>\nThe GCM was adopted on 18 December in<br \/>\nMarrakesh. It is a voluntary, non-legally<br \/>\nbinding global agreement for safe, orderly and<br \/>\nregular migration. Based on cross-cutting<br \/>\nguiding principles and 23 objectives, the<br \/>\ncompact recognizes the need for interregional<br \/>\nand international cooperation and<br \/>\nresponsibility sharing among countries in<br \/>\naddressing migration. It rests on the purposes<br \/>\nand principles of the Charter of the United<br \/>\nNations, international human rights standards<br \/>\nand other relevant international<br \/>\ninstruments[1].<br \/>\n\u00a0<br \/>\nOut of the 23 objectives, 7 objectives include<br \/>\nreferences to health, the main one being the<br \/>\nobjective 15 \u201cProvide access to basic services<br \/>\nfor migrants\u201d which refers to WHO Framework<br \/>\nof Priorities and Guiding Principles to promote<br \/>\nthe health of Refugees and Migrants. Although<br \/>\nthe inclusion of such a health component<br \/>\nconstitutes a positive step in acknowledging<br \/>\nthe need to foster the rights to health for the<br \/>\nmigrant\u2019s and refugee\u2019s populations, the<br \/>\ncompact fails to address the complex<br \/>\nsituation of health professionals, in particular<br \/>\nphysicians, in the provision of health care to<br \/>\nthis particular population. The recognition of<br \/>\nthe ethical challenges they might face and the<br \/>\nconsequent need for adequate working<br \/>\nconditions, would have helped clarifying the<br \/>\nhealthcare framework, preventing conflicts of<br \/>\ninterests and fostering trustworthy patient-<br \/>\nphysicians relationship indispensable for the<br \/>\nprovision of quality care.<br \/>\n\u00a0<br \/>\nUnder objective 1, the GCM specifies that data<br \/>\ncollection should be operated \u201cwhile<br \/>\nupholding the right to privacy under<br \/>\ninternational human rights law and protecting<br \/>\npersonal data\u201d[2]. Although this should be<br \/>\nwelcome, the blurred formulation of this<br \/>\ninternational agreement does not guarantee<br \/>\nthe full protection of the dignity, autonomy<br \/>\nand privacy of the individuals in line with<br \/>\nmedical ethics, including the requirement of<br \/>\ninformed consent for the collection, storage<br \/>\nand use of data, as firmly stated in WMA<br \/>\nDeclaration of Taipei.<br \/>\n\u00a0<br \/>\nGlobal Compact for Migration:<br \/>\nhttps:\/\/refugeesmigrants.un.org\/migration-<br \/>\ncompact<br \/>\n[1] Global Compact for Migration, parag. 1 &amp; 2<br \/>\n[2] GCM Parag. 17<br \/>\n[1] Declaration of Taipei, paragraph 9<br \/>\nOver 2018, WMA continued its advocacy work to promote health within relevant global<br \/>\nenvironment debates. Under the initiatives of WMA Environment Caucus co-chaired by Dr. Lujain<br \/>\nAlqodmani (Kuwait Medical Association) and Dr. Peter Orris (Associate Member), and through<br \/>\ncooperation with WHO or the Global Climate and Health Alliance, 2018 offered key opportunities<br \/>\nto voice physicians\u2019 concerns.<br \/>\nIn addition to its ongoing work on chemicals and its impact on health, the main areas of WMA<br \/>\nactions related to air pollution and climate change.<br \/>\nP A G E 0 6 \u00a0 |<br \/>\nA<br \/>\ni<br \/>\nr<br \/>\np<br \/>\no<br \/>\nl<br \/>\nl<br \/>\nu<br \/>\nt<br \/>\ni<br \/>\no<br \/>\nn<br \/>\n\u00a0 \u00a0 \u00a0 Health and environment<br \/>\nDr Lujain Al-Qodmani was one of the keynote<br \/>\nspeakers of WHO\u2019s First Global Conference on<br \/>\nAir Pollution and Health (30 October to 1<br \/>\nNovember, Geneva) and contributed to a WHO<br \/>\ndiscussion paper on air pollution and child<br \/>\nhealth. The event was the experience of lively<br \/>\nand engaged discussions about air pollution, its<br \/>\nhealth effects, how to tackle this global crisis<br \/>\nand related health, climate and economic<br \/>\nbenefits. \u00a0<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nAir pollution and children\u2019s health : a<br \/>\nglobal health emergency<br \/>\nWHO publication, Air Pollution<br \/>\nConference, November 2018<br \/>\nC<br \/>\nl<br \/>\ni<br \/>\nm<br \/>\na<br \/>\nt<br \/>\ne<br \/>\nc<br \/>\nh<br \/>\na<br \/>\nn<br \/>\ng<br \/>\ne<br \/>\nIn view of the Katowice Climate Change<br \/>\nConference (COP24, 3-14 December 2018,<br \/>\nPoland), WHO issued a special report on<br \/>\nhealth and climate change, written at the<br \/>\nrequest of the President of the 23rd<br \/>\nClimate Summit (COP23). This report &#8211; to<br \/>\nwhich WMA provided input &#8211; is a<br \/>\ncontribution from the public health<br \/>\ncommunity to support the global<br \/>\nnegotiations. See illustration below<br \/>\nEarly December, an article from WMA<br \/>\nPresident Dr. Eidelman was published in<br \/>\nthe US magazine \u2018Fortune\u2019 emphasizing<br \/>\nthe ethical duty of physicians to protect<br \/>\ntheir patients from the adverse effects of<br \/>\nclimate change.<br \/>\nThe WMA was represented at the Katowice<br \/>\nSummit by the two WMA Caucus co-<br \/>\nchairs. In parallel to these negotiations, the<br \/>\nClimate and Health Summit organised by<br \/>\nHEAL and the Global Climate and Health<br \/>\nAlliance, was a key opportunity for<br \/>\nadvancing health-focused action,<br \/>\nengagement and collaboration to address<br \/>\nclimate change. The Summit focused on<br \/>\nthe call to Action on Climate and Health<br \/>\nwhich outlines a set of priority policy<br \/>\nactions for health leadership. Dr. Lujain<br \/>\nAlqodmani participated in the closing<br \/>\nsession dedicated to WHO special report<br \/>\nand health and climate change.<br \/>\nThe international political response to climate<br \/>\nchange began with the 1992 adoption of the<br \/>\nUN Framework Convention on Climate<br \/>\nChange (UNFCCC), which entered into force<br \/>\non 21 March 1994, has 197 parties.<br \/>\nThe Kyoto Protocol, entered into force on 16<br \/>\nFebruary 2005, commits industrialized<br \/>\ncountries, and countries in transition to a<br \/>\nmarket economy, to achieve quantified<br \/>\nemissions reduction targets for six Green<br \/>\nHouse Gasses (GHGs).\u00a0 In December 2015,<br \/>\nparties adopted the Paris Agreement, under<br \/>\nwhich all countries should submit Nationally<br \/>\nDetermined Contributions every five years.<br \/>\nThe Agreement includes the goal of limiting<br \/>\nthe global average temperature increase to<br \/>\nwell below 2\u00b0C above pre-industrial levels, and<br \/>\npursuing efforts to limit it to 1.5\u00b0C.<br \/>\nCOP24 outcome.<br \/>\nP A G E 0 7 \u00a0 |<br \/>\n\u00a0 \u00a0Background features on UN Negotiations on climate change<br \/>\nThe 2018 Katowice Summit was declared a<br \/>\nsuccess though the negotiations were<br \/>\npainfully slow to bring all countries<br \/>\nparticipating along in the consensus.\u00a0<br \/>\nNegotiators from 196 countries and the<br \/>\nEuropean Union worked for two weeks on the<br \/>\n\u00ab\u00a0Katowice Rulebook\u00a0\u00bb, implementing the Paris<br \/>\nAgreement. More than a dozen intense<br \/>\nmeetings enabled negotiations to be<br \/>\nsuccessful on different topics regarding<br \/>\nprinciples aimed at implementing the Paris<br \/>\nAgreement. Katowice has become, after<br \/>\nKyoto and Paris, another milestone on the<br \/>\nway towards a sustainable global climate<br \/>\npolicy. In the Katowice Rulebook, different<br \/>\nparties adopted a path that will be followed<br \/>\nby each of them when it comes to stepping<br \/>\nup actions for climate protection.<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nWHO publication: \u00ab\u00a0BreatheLife\u00a0\u00bb<br \/>\nPrior to the UN General Assembly a High Level<br \/>\nMeeting on NCD was organised on 27<br \/>\nSeptember 2018 in New York with the theme<br \/>\n\u2018Scaling up multi-stakeholder and<br \/>\nmultisectoral responses for the prevention<br \/>\nand control of NCDs in the context of the<br \/>\n2030 Agenda for Sustainable Development\u2019.<br \/>\nFollowing the long engagement of WMA with<br \/>\nthe WHO GCM secretariat,<br \/>\nWHO appointed Dr Yokokura, WMA president,<br \/>\nto be a member of the WHO Civil Society<br \/>\nWorkgroup to advise the Director General on<br \/>\nthe planning and advocacy of the High Level<br \/>\nmeeting on NCDs and on the mobilization of<br \/>\ncivil society.<br \/>\nP A G E 0 8 \u00a0 |<br \/>\nH<br \/>\ni<br \/>\ng<br \/>\nh<br \/>\nL<br \/>\ne<br \/>\nv<br \/>\ne<br \/>\nl<br \/>\nM<br \/>\ne<br \/>\ne<br \/>\nt<br \/>\ni<br \/>\nn<br \/>\ng<br \/>\no<br \/>\nn<br \/>\nN<br \/>\nC<br \/>\nD<br \/>\nNCD activities<br \/>\nAt the Global Dialogue on Partnerships for<br \/>\nSustainable Financing of NCD Prevention and<br \/>\nControl in Copenhagen, Denmark from 9-11<br \/>\nApril 2018 a pre-meeting for the High Level<br \/>\nmeeting on NCDs, WMA organised a session<br \/>\non \u2018A vital investment: Scaling up health<br \/>\nworkforce for NCDs\u2019.<br \/>\nFurthermore Dr Yokokura was invited to be a<br \/>\npanel speaker at the High Level Meeting<br \/>\nduring the plenary session. The WMA was<br \/>\nclosely involved in the preparation process of<br \/>\nthe High Level Meeting and commented on<br \/>\nthe conference outcome document.<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nThe aim of this session was to highlight the<br \/>\nimportance of the health workforce in the<br \/>\nfight against NCDs and the investment needs<br \/>\nand roles of various stakeholders in<br \/>\nstrengthening countries\u2019 capacities to develop<br \/>\nHRH policies and plans in line with national<br \/>\nhealth strategies to achieve UHC and SDG3.4.<br \/>\nS<br \/>\np<br \/>\ne<br \/>\na<br \/>\nk<br \/>\ni<br \/>\nn<br \/>\ng<br \/>\nb<br \/>\no<br \/>\no<br \/>\nk<br \/>\ns<br \/>\nThe WMA supported the launch of the<br \/>\npublication of a new speaking book for<br \/>\nchildren with cancer. Previously, along with<br \/>\nother partners, the WMA has supported the<br \/>\npublication of speaking books on high blood<br \/>\npressure, tobacco use cessation, kids in<br \/>\nhospital and clinical trials.<br \/>\nThe purpose of speaking books is to provide<br \/>\naccessible information on clinical research for<br \/>\nilliterate populations<br \/>\nEach 16 page book is illustrated , with easy-to-<br \/>\nread text and\/or voice on command.<br \/>\nThe WMA was invited by Ms Fran\u00e7oise<br \/>\nGrosset\u00eate, Member of the European<br \/>\nParliament, and Prof. Thomas Szucs to be a<br \/>\nmember of the steering group to develop an<br \/>\nEU Manifesto on Influenza Vaccination, which<br \/>\naims to help shift the agenda at European<br \/>\nand national level in support of influenza<br \/>\nvaccination. The Manifesto confirms the need<br \/>\nfor stronger policy-driven actions to reduce<br \/>\nthe burden of influenza and emphasises the<br \/>\nimportance of the health workforce in this<br \/>\ntopic. The digital launch was on 6 March 2018,<br \/>\nfollowed by the physical launch later that<br \/>\nmonth.<br \/>\nP A G E 0 9 \u00a0 |<br \/>\nE<br \/>\nU<br \/>\nM<br \/>\na<br \/>\nn<br \/>\ni<br \/>\nf<br \/>\ne<br \/>\ns<br \/>\nt<br \/>\no<br \/>\no<br \/>\nn<br \/>\nI<br \/>\nn<br \/>\nf<br \/>\nl<br \/>\nu<br \/>\ne<br \/>\nn<br \/>\nz<br \/>\na<br \/>\nV<br \/>\na<br \/>\nc<br \/>\nc<br \/>\ni<br \/>\nn<br \/>\na<br \/>\nt<br \/>\ni<br \/>\no<br \/>\nn<br \/>\nInfluenza<br \/>\nIn May, the WMA restarted its communication<br \/>\ncampaign to increase influenza immunisation<br \/>\nuptake. The emphasis of this year\u2019s campaign<br \/>\nis on asthmatic patients. People with asthma<br \/>\nare at high risk of severe complications from<br \/>\ninfluenza \u2013 even if their asthma is mild. With<br \/>\ntheir influenza more likely to develop into<br \/>\nbronchitis or even pneumonia, asthma<br \/>\npatients are more likely than others to end up<br \/>\nin hospital with influenza. Additionally,<br \/>\ninfluenza is also a trigger for asthma and vice-<br \/>\nversa, when people with asthma get influenza,<br \/>\nthe virus can worsen asthma\u2019s chronic<br \/>\nirritation of the bronchial mucosa.<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nThe second part of the social media<br \/>\ncampaign started in autumn when the<br \/>\nimmunisation season for the northern<br \/>\nhemisphere starts. The communication<br \/>\ncampaign achieved \u00a01,2 million social<br \/>\nmedia impressions ( 612.000 from twitter<br \/>\nand 595.000 from facebook) and in total<br \/>\nnearly 700.000 engagements. The<br \/>\ngeographical focus of this global<br \/>\ncampaign was on India and Eastern<br \/>\nEuropean countries..<br \/>\ni<br \/>\nn<br \/>\nf<br \/>\nl<br \/>\nu<br \/>\ne<br \/>\nn<br \/>\nz<br \/>\na<br \/>\ni<br \/>\nm<br \/>\nm<br \/>\nu<br \/>\nn<br \/>\ni<br \/>\ns<br \/>\na<br \/>\nt<br \/>\ni<br \/>\no<br \/>\nn<br \/>\nOn the occasion of the 40th Anniversary of<br \/>\nthe Declaration of Alma-Ata, the Second<br \/>\nInternational Conference on Primary Health<br \/>\nCare was hosted by the President of<br \/>\nKazakhstan, with the World Health<br \/>\nOrganization and the United Nations<br \/>\nChildren\u2019s Fund (UNICEF) in Astana,<br \/>\nKazakhstan from 25-26 October 2018. \u00a0The<br \/>\nConference aimed to strengthen Primary<br \/>\nHealth Care as the foundation for UHC,<br \/>\nbuilding on lessons learnt over the past four<br \/>\ndecades.<br \/>\nP A G E 1 0 \u00a0 |<br \/>\nD<br \/>\ne<br \/>\nc<br \/>\nl<br \/>\na<br \/>\nr<br \/>\na<br \/>\nt<br \/>\ni<br \/>\no<br \/>\nn<br \/>\no<br \/>\nf<br \/>\nA<br \/>\ns<br \/>\nt<br \/>\na<br \/>\nn<br \/>\na<br \/>\nPrimary Health Care<br \/>\nHealth professional regulation faces many<br \/>\nchallenges in a world characterised by<br \/>\npolitical, social, economic and technological<br \/>\nchange. Widespread reform of health<br \/>\nprofessional regulation reflects policy<br \/>\ninitiatives by many governments to ensure<br \/>\nsustainable, efficient and effective health<br \/>\nservice delivery. But what are the implications<br \/>\nof these challenges, and how do we ensure<br \/>\nthe public\u2019s best interests are met?<br \/>\nRunning over one-and-a-half days<br \/>\nimmediately before the World Health<br \/>\nAssembly in May 2018, the 6th World Health<br \/>\nProfessions Regulation Conference (WHPRC)<br \/>\nprovided participants with insights,<br \/>\nperspectives and discussion on current<br \/>\nchallenges in health professional regulation.<br \/>\nThree main themes were addressed during<br \/>\nthe conference:<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nDr Otmar Kloiber, Secretary General, is a<br \/>\nmember of the International Advisory<br \/>\nCommittee for the preparation of the<br \/>\nPrimary Health Care Conference. The<br \/>\nWMA participated in the development of<br \/>\nthe conference declaration (Astana<br \/>\nDeclaration) and commented on the<br \/>\ntechnical background papers.<br \/>\nW<br \/>\nH<br \/>\nP<br \/>\nA<br \/>\nR<br \/>\ne<br \/>\ng<br \/>\nu<br \/>\nl<br \/>\na<br \/>\nt<br \/>\ni<br \/>\no<br \/>\nn<br \/>\nC<br \/>\no<br \/>\nn<br \/>\nf<br \/>\ne<br \/>\nr<br \/>\ne<br \/>\nn<br \/>\nc<br \/>\ne<br \/>\n1. A call to set the right standards in regulation<br \/>\nTopics included: setting the right standards,<br \/>\nwho is regulating the regulators, ethics and<br \/>\nprofessional autonomy, barriers to<br \/>\nimplementation, and reimbursement.<br \/>\n2. Safety, quality and compliance: Benefiting<br \/>\npatients, communities and populations<br \/>\nTopics included: best practice guidelines, the<br \/>\nrole of regulation in sustainable prevention,<br \/>\nfacilitation of migration, the cost of<br \/>\nmaintaining licenses, use of big data and case<br \/>\nstudies of outcome-oriented models.<br \/>\n3. Supporting the quality of lifelong learning<br \/>\nTopics included: continuing professional<br \/>\ndevelopment (CPD) and a discussion on the<br \/>\nneed for global standards, fostering<br \/>\ninnovation, improving patient treatment, the<br \/>\nshift in CPD to assessment vs independence,<br \/>\nand regulation of specialization.<br \/>\nWorld Health Professions Alliance<br \/>\n\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nWMA has issued an important number of press releases in support of its members and<br \/>\neach time a human rights violation from the health sector was brought to its attention. .<br \/>\nThe press releases are available on the WMA website and have been communicated on<br \/>\nthe WMA social media channels and newsletter.<br \/>\n5.02.2019 | Attack on hospital denounced by global health leaders<br \/>\n01.02.2019 | Message of solidarity sent to health workers in Venezuela<br \/>\n25.01.2019 | WMA condemns use of lethal force against sudanese physicians and protesters<br \/>\n20.12.2018 | WMA expresses shock at turkish physician leaders\u2019 prison sentences<br \/>\n08.11.2018 | WMA condemns \u2018shameful\u2019 move to ban doctors from working<br \/>\n22.10.2018 | Physician leaders protest over conditions of detention and death sentences<br \/>\n06.10.2018 | Criminalisation of Doctors is Condemned by World Medical Association<br \/>\n27.09.2018 | World Medical Association supports health personnel on trial<br \/>\n07.09.2018 | Global physician leaders express revulsion about torture reports from Uganda<br \/>\n10.08.2018 | Turkish president urged to end campaign against physician<br \/>\n30.07.2018 | World Medical Association condemns killing of medic<br \/>\n16.07.2018 | WMA condemns complicity of doctors in Iranian executions<br \/>\n15.06.2018 | Collapse of health system condemned by World Medical Association<br \/>\n23.05.2018 | Physician Leaders Echo Call for Vigorous Response to New Ebola Outbreak<br \/>\n30.04.2018 | Physician Leaders Urge All States to Sign Nuclear Weapons Treaty<br \/>\n10.04.2018 | World Medical Association Council meeting<br \/>\n26.02.2018 | International community criticised over Syria bombing<br \/>\n13.02.2018 | WMA appeals for immediate release of jailed physician<br \/>\nHuman Rights<br \/>\nP A G E \u00a0 1 1<br \/>\nP A G E \u00a0 1 2<br \/>\nConstituent Membership<br \/>\nThe physicians of this world are typically<br \/>\nrepresented by national and territorial medical<br \/>\nassociations of their own regions.<br \/>\nSuch associations are broadly representative of<br \/>\nthe physicians of their country by virtue of<br \/>\ntheir membership, with their voting<br \/>\nmembership being limited to physicians and<br \/>\nmedical students. They are not subject or<br \/>\ndirected by any office or agency of<br \/>\ngovernment.<br \/>\nAdvantages<br \/>\n1. Recognition and acceptance as a member<br \/>\nof an international organization such as the<br \/>\nWMA lends the power of a global community<br \/>\nto a National Medical Association (NMA). This<br \/>\nunderlines the importance and relevance of<br \/>\nthe NMA.<br \/>\n2. The WMA is in official relations with United<br \/>\nNations agencies such as the World Health<br \/>\nOrganization, which gives NMAs and Associate<br \/>\nMembers access to these international bodies.<br \/>\n3. By participating in debates with colleagues<br \/>\nfrom all over the world, NMAs and Associate<br \/>\nMembers have the opportunity to collaborate<br \/>\non ethical guidance and leadership in health<br \/>\ncare.<br \/>\n4. Information and knowledge can be sourced<br \/>\nfrom the WMA, which can contribute to the<br \/>\noptimal efficacy of NMAs and individual<br \/>\nphysicians.<br \/>\n5. NMAs and Associate Members can make<br \/>\nuse of the WMA\u2019s products and services.<br \/>\nWMA currently has a total of \u00a0112 members as of October 2018. Detailed list on the WMA website.<br \/>\nM E M B E R S H I P \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nAssociate\u00a0Membership Advantages<br \/>\nAssociate membership is limited to physicians<br \/>\n(as defined in the WMA Bylaws) and medical<br \/>\nstudents who are properly enrolled in a<br \/>\nrecognised medical school, who have applied<br \/>\nfor such membership and who have paid the<br \/>\namount of dues prescribed for such members.<br \/>\nAssociate membership is available to such<br \/>\nindividual physicians and medical students<br \/>\nwhether or not their National Medical<br \/>\nAssociation is a Constituent Member of the<br \/>\nWorld Medical Association.<br \/>\n1. The privilege of attending and participating<br \/>\nin WMA annual assemblies.<br \/>\n2. Introductions to professional leaders in your<br \/>\nfield and opportunities to visit medical and<br \/>\nhealth institutions abroad.<br \/>\n3. Information on medical meetings abroad.<br \/>\n4. A service department which will assist you<br \/>\nin meeting your colleagues both at home and<br \/>\nabroad.\u00a0<br \/>\n5. A membership certificate for display,<br \/>\n6. WMA secretariat consultation, service and<br \/>\nsmall meeting center.\u00a0<br \/>\n7. Preferred access to the WMA Education<br \/>\nPortal for Continuing Medical Education and<br \/>\nContinuing Professional Development.<br \/>\n8. Publications of the World Medical<br \/>\nAssociation.<br \/>\n9. Access to the internal discussion<br \/>\ndocuments on policy development. \u00a0<br \/>\nWMA currently has\u00a0more than\u00a01000 active<br \/>\nAssociate Members\u00a0as of October 2018.<br \/>\nThe registration page is available on the<br \/>\nWMA website.<br \/>\nP A G E \u00a0 1 3 \u00a0 | \u00a0<br \/>\nBALANCE SHEET\u00a0AT 31 DECEMBER<br \/>\nFOR THE YEARS 2017 AND 2016<br \/>\nF I N A N C I A L R E P O R T \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\n\u00a0INCOME STATEMENT FOR THE<br \/>\nYEARS 2017 AND 2016<br \/>\nWMA SECRETARIAT<br \/>\nDr. Leonid EIDELMAN<br \/>\nPresident<br \/>\nIsrael<br \/>\nDr. Miguel R. Jorge<br \/>\nPresident-Elect<br \/>\nBrazil<br \/>\nDr. Yoshitake YOKOKURA<br \/>\nImmediate Past President<br \/>\nJapan<br \/>\nDr. Ardis D. HOVEN<br \/>\nChairperson of Council<br \/>\nUnited States<br \/>\nDr. Ren\u00e9 H\u00c9MAN<br \/>\nChairperson of the Finance<br \/>\nand Planning Committee<br \/>\nuntil December 2018<br \/>\nNetherlands<br \/>\nDr. Miguel Roberto JORGE<br \/>\nChairperson of the Socio-<br \/>\nMedical Affairs Committee<br \/>\nuntil October 2018<br \/>\nBrazil<br \/>\nDr. Joseph HEYMAN<br \/>\nChairperson of the Associate<br \/>\nMembers<br \/>\nUnited States<br \/>\n\u00a0 \u00a0 \u00a0 W H O W E A R E \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 8 A N N U A L R E P O R T<br \/>\nDr. Otmar KLOIBER<br \/>\nSecretary-General<br \/>\nGermany<br \/>\nDr. Frank Ulrich<br \/>\nMONTGOMERY<br \/>\nVice-Chairperson of Council<br \/>\nGermany<br \/>\nDr. Andrew DEARDEN<br \/>\nTreasurer until November 2018<br \/>\nUnited Kingdom<br \/>\nDr. Heidi STENSMYREN<br \/>\nChairperson of the Medical<br \/>\nEthics Committee<br \/>\nSweden<br \/>\nP A G E \u00a0 1 4 | \u00a0<br \/>\nDr. Julia TAINIJOKI-SEYER<br \/>\nMedical Advisor<br \/>\nClarisse DELORME<br \/>\nAdvocacy Advisor<br \/>\nYoonsun PARK (Sunny)<br \/>\nHead of Operations<br \/>\nMagda MIHAILA<br \/>\nCommunication and Information Manager<br \/>\nRoderic DENNETT<br \/>\nSpanish Translator<br \/>\nAnne-Marie DELAGE<br \/>\nOffice Secretary<br \/>\nMarie Isabelle PIN HARRY<br \/>\nTechnical Assistant<br \/>\nRadhia SMAALI<br \/>\nMaintenance<br \/>\nWMA LEADERS<br \/>\n13, ch. du Levant, CIB \u2013 B\u00e2timent A, 01210,<br \/>\nFerney-Voltaire, France<br \/>\nPhone: +33 4 50 40 75 75\u00a0<br \/>\nFax: +33 4 50 40 59 37<br \/>\nwma@wma.net<br \/>\nfacebook.com\/WorldMedicalAssociation\/<br \/>\ntwitter.com\/medwma<\/p>\n"},"caption":{"rendered":"<p>2018 WMA Annual Report Final ANNUAL\u00a0REPORT 2018 WORLD MEDICAL ASSOCIATION 209th WMA Council Session, April 2018 in Riga, Latvia &#8211; Photo: LMA Official photographer \u00a0 S O M E W M A A C T I V I T I E S I N I M A G E S Dr. Ardis D. Hoven Chairperson [&hellip;]<\/p>\n"},"alt_text":"","media_type":"file","mime_type":"application\/pdf","media_details":{},"post":26263,"source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2019\/04\/2018-WMA-Annual-Report-Final.pdf","_links":{"self":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/media\/12425"}],"collection":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/media"}],"about":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/types\/attachment"}],"author":[{"embeddable":true,"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/comments?post=12425"}]}}