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Abstract The Ebola epidemic in West Africa is not merely a biomedical problem that can be seen in isolation and dealt with only through emergency medical rescue processes. The ethical dilemmas surfaced by this epidemic are also not confined to the usual micro-ethical problems associated with medical care and medical research. The pandemic, as one of many manifestations of failed human and social development that has brought the world to dangerous 'tipping points', requires deep introspection and action to address upstream causal processes.

Twenty years after transition to a constitutional democracy, South Africa faces major challenges in almost very aspect of life, ranging from meeting daily subsistence requirements for all its citizens, through providing access to education and primary healthcare, to the functioning of our legal system and governance from local to national levels. The state of medical care in our prisons, once a high-profile issue, has been eclipsed by these challenges. Yet the state of our prisons remains a barometer for these challenges, and on the anniversary of Steven Biko's death in prison it is appropriate to be reminded of this legacy and its implications.

Includes bibliographical references. ; In my research and academic work over 35 years l have addressed a wide range of issues relevant to the health of individuals, the structure and nature of health care delivery systems, and the ethical, social and economic forces that influence the health of individuals and whole populations in South Africa and globally. The attached selected publications (92 of 231 peer review articles and book chapters) are representative of my research and serial academic involvement with health care considerations that cut across many disciplines (medicine, public health, applied ethics, political science, sociology and anthropology).

Applies the medical model in the form of lung cancer to analogize general global well-being with an eye toward future world health catastrophe. It is argued that economic globalization is widening the gap between rich & poor thus widening the gap between healthy & unhealthy, setting the stage for coming health crises. Several suggestions underpinned by notions of social justice & ethics, are proffered to curtail the global trajectory toward catastrophe. It is suggested that an increasingly interdependent world & the current inadequate realist morality call for a long-term perspective on rational self-interest involving sustainable development, human rights, & peaceful globalization from below. 2 Figures, 2 Graphs, 45 References. R. Whyte

"Improving and promoting global health continues to be one of the largest and most important challenges facing humanity in the 21st century. The task has become even more difficult since our first edition appeared almost a decade ago, given the accelerated destruction of the planet and the associated compounded threats to health that now present themselves. This second edition aims to showcase some of these new and escalating threats, along with illuminating some of the many other obstacles we now face in partnering globally to solve these formidable challenges. By global health we mean the health of all people globally within sustainable and healthy living (local and global) conditions. In order to achieve this ambitious goal, we need to understand, among other things, the value systems, modes of reasoning, and power structures that have driven and shaped the world over the past century. We also need to appreciate the unsustainability of many of our current consumption patterns and the driving forces that lie behind these before we can address threats to the health and lives of current and particularly future generations. The world and how we live in it have been changing dramatically over many centuries, but in the past sixty years change has been more rapid and profound than ever in the past. Many positive changes have been associated with impressive economic growth, advances in science and medicine and in social policies regarding access to health promotion. These include greater focus on a primary health care approach with more equitable access, expansion of social programmes to improve living conditions, and a welcome increasing emphasis on the rights of all individuals to be equally respected"--

"What can be done about the poor state of global health? How are global health challenges intimately linked to the global political economy and to issues of social justice? What are our responsibilities and how can we improve global health? Global Health and Global Health Ethics addresses these questions from the perspective of a range of disciplines, including medicine, philosophy and the social sciences. Topics covered range from infectious diseases, climate change and the environment to trade, foreign aid, food security and biotechnology. Each chapter identifies the ways in which we exacerbate poor global health and discusses what we should do to remedy the factors identified. Together, they contribute to a deeper understanding of the challenges we face, and propose new national and global policies. Offering a wealth of empirical data and both practical and theoretical guidance, this is a key resource for bioethicists, public health practitioners and philosophers"--Provided by publisher