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A Final Note
Pages 83-84

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From page 83...
... It can be argued that the world has been ever thus, but we are still driven to ask about the kind of changes we face and how those might affect global health, since any new global health agenda -- a Next Agenda -- must build from such understandings. The paradox -- one we tentatively view with hope -- is that, amidst volatility and frustration, and partly because of them, consensus has evolved nonetheless and in some generally common directions: toward fuller comprehension of the hard demands of development, the potential of more effective methods for coping with its obstacles, and more awareness about the larger global context in which development must be addressed.
From page 84...
... Their content, together with the areas of inquiry, zones of convergence, reflections on change, and the implications that we found in them, offer a plausible and flexible framework for a Next Agenda that can encompass • The emerging problems that directly threaten human health, ranging from infectious diseases, to the triad of poverty-populationenvironment, to the unfolding mysteries of the human genome; • The global uncertainties that threaten human well-being less directly, though no less surely; the irrelevance of yesterday's solutions to today's problems; and the social and political instabilities impinging on opportunities for constructive action; and • A new and evolving organizational, financial, and policy "architecture" for dealing with global perspectives; with fresh forms for collaborative sharing of ideas, resources, and programs; with common as well as discordant values; and with the need for sustained and open dialogue about development and what it means. Every Synthesis document refers to the necessity for collective action.


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