SPEECH OF THE PRESIDENT OF BRAZIL FERNANDO HENRIQUE CARDOSO

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Minister Serra, has already mentioned the reasons why World Health Day is not only an opportunity to honor people that, here in Brazil, in a concrete way, work to place the issue of health and psychiatry in a more in a more adequate and appropriate, in f

Speech of The President of Brazil, Fernando Henrique Cardoso, to commemorate World Health Day Celebration 2001


Palace of Planalto


Hon. José Serra, Minister of Health

Hon. Ministers here present, congressmen

Distinguished Gentlemen

Mrs. Haidé Benedetti de Paula, widow of our friend David Capistrano Jr.

Dr. Domingos Sávio do Nascimento Alves,

Congressman Paulo Delgado

Ladies and Gentlemen




Minister Serra, has already mentioned the reasons why World Health Day is an opportunity to honor the people here in Brazil who work to place the issue of health and psychiatry, not only in a more adequate, appropriate and inclusive form, but also in a democratic point of view, as well as honor the efforts that have been made by the Ministry of Health in this area.


I would like to reiterate that it is an honor for me to participate in this celebration. It is unfortunate that David is not here with us, so it is only fair to honor both Dr. Sávio and David Capistrano Jr. and to highlight that Hon. Paulo Delgado has had an intense task at the Congress, regarding giving a new form to the discussion of Psychiatry in Brazil –a topic that surpasses, I would say strictly medical matters because it encompasses issues that matter to citizenship and that relate to democracy. If there is a sector in which users can become subjugated, it is the field of Psychiatry. If there is where exclusion can occur in a way that may not be recognized, yet that is efficient, is the field of Psychiatry.


It is necessary to effectively modify, not only in function, which is the most important for users and their families, but with respect to the general conceptualization of the democratic state. The battle has been difficult and fought by many parliamentarians- Minister Serra mentioned them in the final phase- the enthusiasm and dedication of Hon. Paulo Delgado (during the initial and final stages) were very significant.


I also wanted to mention on this occasion of World Health Day what the Ministry of Health is doing in Brazil, which is a thorough transformation. This transformation has been a long process. Minister Adib Jatene played an important role in this process. The succeeding ministers also played an important role. However, it is the energy of Minister Serra, his determination and almost obsession, that lead to obtaining positive results and what permitted a large transformation in the health sector.


On a day like today, I can not help but make a direct reference to Minister Serra and his team, which is composed of many people -many who remain anonymous. I do not know them all, but it is evident that it is the work of many dedicated and committed people, without whom the results would not have been the same.


Just recently the Brazilian Institute of Geography and Statistics (IBGE) published a summary of social data, which showed that the indicator that best represents health –infant mortality- showed a decrease, although it is still very high in Brazil. Inequality has always existed and it was shown to be even more accentuated. However, what should be highlighted is that the mortality rate is diminishing and that care is being rendered in a more egalitarian fashion.


It is not only about health. If one considers education, especially after the “Plano Real”, there is higher attendance and more children registered reaching a level of 96% of school age children attending school. Also impressive was the change witnessed in the following area. In the poorest 20%, there was an increase in the rate of attendance increasing from 75% to 93%. This means that social policy is reaching whom it needs to reach -the poorest sector.


When one looks at this issue from a comparative view, rural v. urban, one can see the great scholastic strides achieved by rural areas since urban areas have already achieved a higher degree of scholastic understanding.


This means that inequality is in fact decreasing. Conditions are such that people have greater access to income and are better able to demand their rights and decrease inequalities. However, studies show that inequalities do exist, and to reduce inequalities something needs to be done about social policies. In the future when social policies start to produce results, we will have a more equal and fair Brazilian society.


Brazilians should not be disappointed by what is going wrong. Instead, we should let what is beginning to advance motivate us to work harder to further enhance our society improving both democracy and equity.

In the area of health, what Minister Serra is doing and what the government is doing, is providing access to those who need it most and reaching the poorest areas in Brazil; even more so now because of the Alvorada project. In the poorest 2000 municipalities efforts are being concentrated on basic health care provided by family practitioners, and access to schools with electricity and potable water, since some schools still lack potable water. This way, by truly attacking the problems, one can eliminate them. No one really knows what is happening in Brazil, neither good nor bad, and because of this, one needs to act with more energy and determination.


I am taking advantage of this celebration of World Health Day to say that it is symbolic that a law, which has taken so long and that signifies democracy, has been proclaimed. Democracy is what we are trying to instill in all political actions of the government. That is what Brazil needs.


I would like to finish by reiterating my satisfaction for being given the opportunity to honor the work of those who have fought for better health in Brazil. It is a small acknowledgment on behalf of the government. Special thanks to Hon. Paulo Delgado. If I am allowed I would like to, aside the rules of protocol, kiss David’s mother.







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