Wahlqvist Mark L
Division of Health Policy Research and Development, Institute of Population Health Sciences, National Health Research Institutes, No. 35, Keyan Road, Zhunan, Taiwan.
Asia Pac J Clin Nutr. 2009;18(4):480-5.
Health is intrinsic to human security (HumS) although it is somewhat anthropocentric and about our own psychosocial and biomedical status more than various external threats. The 1994 United Nations Development Program definition of HumS includes economic, food, environmental, personal, community and political security with freedom from fear and want. Environmental factors are critical for health security (HealS), especially with widespread socio-economic difficulty, and health systems less affordable or accessible. The nexus between nutritionally-related disorders and infectious disease is the most pervasive world health problem. Most if not all of the Millennium Development Goals are food-linked. Maternal nutrition has life-long health effects on the yet-to-be born child. The mix of essential nutrient deprivation and energy imbalance is rife across many societies. Food systems require deeper understanding and governance to overcome these food-related health risks which are matters of food security (FoodS). Nutritionally-related Disability Adjusted Life Years (DALYS) are improving markedly in many parts of the world, along with poverty and hunger reduction and health system advances. But recent economic, energy, food, water, climate change and health crises along with conflict are limiting. It is time for international and regional understanding of how households and communities can collectively manage these threats in affordable and sustainable ways. There is untapped problem-solving capacity at the international local level if supported by combined food--health systems expertise, innovation, infrastructure and governance. Principles of equity and ethics must apply. The Food in Health Security (FIHS) roundtable aims to develop a Network to facilitate this process.
健康是人类安全（HumS）的内在组成部分，尽管它有点以人类为中心，更多地关乎我们自身的心理社会和生物医学状况，而非各种外部威胁。1994年联合国开发计划署对人类安全的定义包括经济、粮食、环境、个人、社区和政治安全，以及免于恐惧和匮乏。环境因素对健康安全（HealS）至关重要，尤其是在社会经济困难普遍存在、卫生系统负担不起或难以获得的情况下。营养相关疾病与传染病之间的联系是最普遍的全球健康问题。大多数（如果不是全部的话）千年发展目标都与粮食有关。孕产妇营养对未出生的孩子有终身健康影响。许多社会都普遍存在必需营养素缺乏和能量失衡的情况。粮食系统需要更深入的理解和治理，以克服这些与粮食相关的健康风险，而这些风险属于粮食安全（FoodS）问题。在世界许多地区，与营养相关的残疾调整生命年（DALYs）正在显著改善，同时贫困和饥饿减少，卫生系统也在进步。但最近的经济、能源、粮食、水、气候变化和健康危机以及冲突正在造成限制。现在是国际和地区层面理解家庭和社区如何以负担得起和可持续的方式共同应对这些威胁的时候了。如果有粮食与卫生系统的专业知识、创新、基础设施和治理相结合的支持，国际地方层面存在尚未开发的解决问题的能力。公平和道德原则必须适用。健康安全中的粮食（FIHS）圆桌会议旨在建立一个网络以促进这一进程。
