APEC Seminar:
Social Policies for Migrants to Prevent the Transmission of HIV/AIDS
18 - 19 September 2008, Ha Noi, Viet Nam
Opening Remarks by Ambassador Juan C Capuñay
Executive Director, APEC Secretariat, Singapore
I would like to thank Vu Quang Minh - Director General, of
the Multilateral Economic Cooperation Dept, Ministry of Foreign Affairs for his
kind invitation and the opportunity to share with you some of my thoughts on the
issue of social policies for migrants to prevent the transmission of HIV/AIDS.
Often, as we consider the challenges of current times, we
think of escalating food prices; the consequences of climate change; or the
scarcity of energy, water and other natural resources. In recent years,
attention has been given to natural disasters, acts of terrorism and war. HIV
has been relegated to a somewhat lower-tier of awareness.
Given this scenario it may be that we have become accustomed
to its existence. Perhaps we have become desensitised or possibly it is the
reflection of a lack of concerted effort by governments to prevent it and
mitigate its effects.
According to UNAIDS, no part of the world is yet able to
declare victory over the virus. While the rate of infection has fallen in some
economies; over all progress has been negated by the growing infection rates in
others. Sometimes statistics are manipulated to suggest that the situation has
improved or deteriorated dramatically. But the truth is that, last year, the
number of individuals receiving treatment was equal to the number of individuals
who were newly affected.
HIV is sometimes dismissed as a social pathology. And in many
instances, patterns of transmission are associated with personal choices and
thus many governments have relinquished responsibility.
However, the effects of HIV are an economic phenomenon. HIV
decreases the size and quality of a workforce. It decreases the amount and
efficacy of production. It exhausts health and welfare resources and impedes
socio-economic prosperity.
As we consider the idea of HIV migration, it will be
important to determine our intent. Do we intend to stop the geographical
movement of those infected with HIV? Or do we intend to stop the spread of HIV
from infected to previously uninfected bodies? The answers to these questions
will define our approach.
As it stands today, striking disparities exist among our own
economies. In formulating policy that can effectively decelerate the migration
of HIV, one must first consider the factors affecting its prevalence.
Apart from having the greatest income levels, the economies
with the lowest rates of infection are those who have the highest rates of
literacy and those in which minorities are treated most equitably.
Conversely, HIV prevalence has been inextricably linked to
poverty; inaccessibility of information; social discrimination and stigma.
Some might ask how APEC - a decidedly economic body - can
mitigate the spread of a virus. But considering the correlation of HIV to the
economic competitiveness of our economies, APEC could play a very significant
role.
By making it easier for small and medium sized enterprises to
operate legally, function effectively and extend beyond border limits, APEC
expands the range of opportunities for individuals to generate personal wealth.
This is particularly true for micro-enterprises, for whom the ease of doing
business can determine their ability to insert themselves into a global
marketplace.
By strengthening the region as a whole, APEC enables each
member economy to realise the full benefits of globalisation and, in turn, to
provide citizens with greater financial security and stronger social welfare
systems.
Less directly, many of the developments derived from APEC
initiatives have a mitigating effect on the spread of HIV. For example,
technological networks are key in disseminating life-saving information across
the region.
Access rates still vary widely: whereas in the most developed
APEC economies, cellular phone subscriptions have reached well over 83 percent
and internet use over 44 percent, developing economies have only a 22 percent
rate of cellular subscription and as little as 8 percent internet use. In
Bangkok this past April, Ministers acknowledged universal broadband as
imperative and declared their ambition to achieve this target by 2015.
Later, in June, Education Ministers became aware that
education must evolve more rapidly and address the changing needs of citizens in
a global and complex social network. In the past, emphasis has been on subjects
considered "basic" such as science and mathematics. But now, it is recognised
that students require a different set of tools.
As people become more mobile and as technology allows for an
exponentially greater number of interactions, they need to be equipped with
abstract reasoning skills, the ability to converse logically in different
languages and across cultures. They need to be critical, aware, and able to make
wise choices that lead to long-term prosperity.
If, then, it is true that HIV is a largely social disease,
these skills will be critical to alleviation.
In the APEC region - which is among the strongest economic
associations in the world - the spread of HIV is also linked to discrimination.
Statistics show that an economy's infection rate is inversely
related to the amount of discrimination exercised against minorities. That is to
say, economies who protect those most likely to suffer discrimination are the
ones which incur the lowest rates of transmission.
This means that to moderate the spread of HIV, it is
imperative to consider minority groups and to bring them into institutions from
which they may otherwise be excluded. Through more inclusive policies, economies
can draw marginalised groups into the very institutions that will decrease their
risk of infection.
Let me turn to the way forward; APEC is at a distinct
advantage. Transcending borders between 21 unique economies, each with its
distinct cultural, historic and socio-economic context, APEC is able to analyse
and assess policy from a multiplicity of viewpoints. Drawing a range of experts
and decision-makers, APEC is an ideal forum in which to exchange experiences and
to propose new and innovative approaches.
Indeed the world is changing. Many things happen quickly with
results that are immediate. Many challenges are ongoing and are a result of
globalization and the new global architecture. We must not ignore them. Rather,
we must leverage on the unique position and particular strengths of our union.
Given the influence of HIV/AIDS on the functioning of our
economies, solutions require commitments from governments, civil society, and
business. Effective public private partnerships can go a long way in helping to
solve this long-term issue.
APEC's Health Working Group can make a solid contribution to
the fight against HIV/AIDS. By sharing our experiences and lessons on the social
management of migration we will be better able to develop effective social
administrative policies to improve control HIV/AIDS transmission among migrants.
Indeed, APEC can positively contribute to the reduction and
control of the economic consequences of the migration of HIV; and we must do so.