╨╧рб▒с>■  .0■   -                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴ @ Ё┐Ebjbjqфqф .ООE      И2222222Fnnnn z FТЁТТТТТТТТ$В R╘ f72ТТ722ТТL╔╔╔X2Т2Т╔╔╔22╔ТЖ `@╔Къ░╚no"╔b0Т╔: С.: ╔FF2222╔: 2▌4Та2r╔д\ТТТ77FFJ$┐ FFJJeanelle de Gruchy Consultant in Public Health Nottingham PCT Are human rights fair? Abstract: СPublic health and human rights are complementaryЧand, at times, conflictingЧapproaches to protecting and promoting human well-being and dignity.Т In this paper, I draw on my experience of health and human rights in South Africa, and public health in the UK, to explore the use of the frameworks of health equity, ethics and human rights, with a focus on the UK. The value of human rights to achieve social justice is a contested area in the UK, with much human rights practice being seen to emphasise the entitlements of individuals over the good of the many Ц civil and political rights being strongly foregrounded over economic and social rights. In a welfare state, where systems such as the NHS reflect a strong collective culture, there is a concern about the shift to one based on individual rights, especially where certain groups feel socially excluded. The new Equality and Human Rights Commission supports the perception that individuals from certain groups, although vulnerable, will have unfair protection over others Ц their focus is primarily on the areas where discrimination is illegal: 'age, gender, race, religion, disability and sexual orientationТ. Socio-economic status, or СclassТ is invisible. Yet, class can be a major basis for discrimination, as well as potentially intensifying the discrimination of those falling into the 6 СlegalТ categories. In contrast, public health is focussed largely on tackling health inequalities that arise from inequity in socio-economic status or СdeprivationТ, and to a very much lesser extent, the six areas of the Equality Commission. There has been minimal overlap between the two frameworks, despite the potential for synergy. However the legal requirement for Equality Impact Assessments in the public sector may provide a valuable opportunity for there to be a more sophisticated understanding about how we need to explicitly work against systematic discrimination against vulnerable groups in order to protect and promote health and well-being. Wя ╡ ┬ CDEэ▄╦▄╦▄╢зhц=╘hH$?OJQJmH sH )hц=╘hg!лB* OJQJ^JmH phАsH  hц=╘hg!лOJQJ^JmH sH hц=╘hg!лOJQJ^JmH sH #hц=╘hg!л5БOJQJ^JmH sH />?@WXbc╧ ╨ ├ ─ CDEўўўўўўўўўўўўўўЄЁgdg!л$a$gdg!лE■,1Рh░В. ░╞A!░"░#Ра$Ра%░░─░─ Р─Ь@@ё @ NormalCJ_HaJmH sH tH DA@Є бD Default Paragraph FontRi@є │R  Table NormalЎ4╓ l4╓aЎ (k@Ї ┴(No ListE    />?@WXbc╧╨├─CDGШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0АА`АШ0ААИШ0АААШ0ААxШ0ААxШ0АААШ0ААИШ0ААШ0АААWc╧╨├─CDG╩@0а╩@0а╩@0а╩@0а╩@0А╩@0А╩@0А╩@0А аРkб E E E    г}╝Зdд}LЕeе}мЯlж}ьueз}╘ldи}ЬЪdй}dxdк}D|dл}d╧nм}▄╝dн}Did/;;bb╢╩╩#G  9GGdd║╠╠!!'G 9 *Аurn:schemas-microsoft-com:office:smarttagsАplaceАB *Аurn:schemas-microsoft-com:office:smarttagsАcountry-regionА>*Аurn:schemas-microsoft-com:office:smarttags АPersonNameА    QZ┴═я ╡┬тъGя─ў┬G/>@WXaGG%kE8хsA.H$?╬hUg!лц=╘!u█$$▌ @А╘∙М╓╓E@@  Unknown            GРЗz А Times New Roman5РАSymbol3&Р Зz А Arial9РЗЯGaramond"qИЁ╨hБB┼ЖДB┼Ж; ; !Ёа┤┤ББr4AA3ГЁH)Ё ?ф                     $$▌  Jeanelle de Gruchyasseafasseaf■ рЕЯЄ∙OhлС+'│┘0tРШ┤└╨▄ш°  0 < HT\dlфJeanelle de GruchyasseafNormalasseaf3Microsoft Word 10.0@╥Ik@о ъ░╚@АKtъ░╚; ■ ╒═╒Ь.УЧ+,∙о0 hpРШаи ░╕└╚ ╨ яфUniversity of ╠╟╨─TVA╖ Jeanelle de Gruchy Title ■   ■   ■    !"#$■   &'()*+,■   ¤   /■   ■   ■                                                                                                                                                                                                                                                                                                                           Root Entry         └F`▒╦Къ░╚1АData              1Table    WordDocument    .SummaryInformation(            DocumentSummaryInformation8        %CompObj            j            ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■       └FMicrosoft Word Document MSWordDocWord.Document.8Ї9▓q