职业健康：一个充满虚假承诺的世界。
Occupational health: a world of false promises.
机构信息
Emeritus Clinical Professor, Division of Occupational and Environmental Medicine, University of California School of Medicine, San Francisco, USA.
School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
出版信息
Environ Health. 2018 Nov 21;17(1):81. doi: 10.1186/s12940-018-0422-x.
The response of the World Health Organization (WHO) to the Ebola outbreak in West Africa in 2015 demonstrated that the global health system is unprepared to address what should be its primary mission, control of disease epidemics while protecting health workers. Critics blamed WHO politics and its rigid culture for the poor response to the epidemic. We find that United Nations agencies, WHO and the International Labor Organization (ILO), are faced with the global problem of inadequate worker protections and a growing crisis in occupational health. The WHO and ILO are given monumental tasks but only trivial budgets, and funding trends show UN agency dependence on private donations which are far larger than funds contributed by member states. The WHO and ILO have limited capacity to make the necessary changes occupational health and safety demand. The UN could strengthen the national and global civil society voice in WHO and ILO structures, and by keeping conflict of interest out of policy decisions, ensure greater freedom to operate without interference.
世界卫生组织（WHO）对 2015 年西非埃博拉疫情的反应表明，全球卫生系统尚未准备好履行其主要使命，即控制疾病流行，同时保护卫生工作者。批评者指责世卫组织的政治和僵化文化导致对疫情的应对不力。我们发现，联合国机构、世卫组织和国际劳工组织（ILO）面临着全球范围内工人保护不足和职业健康日益严重的危机。世卫组织和 ILO 面临着巨大的任务，但预算却微不足道，而且资金趋势表明，联合国机构依赖于私人捐款，这些捐款远远超过成员国的捐款。世卫组织和 ILO 没有能力做出必要的改变，以满足职业健康和安全的需求。联合国可以在世卫组织和 ILO 结构中加强国家和全球民间社会的声音，并通过使政策决策不受利益冲突的影响，确保在没有干扰的情况下更大程度的自由运作。
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