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essential health facilities, goods and services in other countries, wherever possible and provide
the necessary aid when required.27 States parties should ensure that the right to health is given
due attention in international agreements and, to that end, should consider the development of
further legal instruments. In relation to the conclusion of other international agreements, States
parties should take steps to ensure that these instruments do not adversely impact upon the right
to health. Similarly, States parties have an obligation to ensure that their actions as members of
international organizations take due account of the right to health. Accordingly, States parties
which are members of international financial institutions, notably the International Monetary
Fund, the World Bank, and regional development banks, should pay greater attention to the
protection of the right to health in influencing the lending policies, credit agreements and
international measures of these institutions.
40.
States parties have a joint and individual responsibility, in accordance with the Charter of
the United Nations and relevant resolutions of the United Nations General Assembly and of the
World Health Assembly, to cooperate in providing disaster relief and humanitarian assistance in
times of emergency, including assistance to refugees and internally displaced persons. Each
State should contribute to this task to the maximum of its capacities. Priority in the provision of
international medical aid, distribution and management of resources, such as safe and potable
water, food and medical supplies, and financial aid should be given to the most vulnerable or
marginalized groups of the population. Moreover, given that some diseases are easily
transmissible beyond the frontiers of a State, the international community has a collective
responsibility to address this problem. The economically developed States parties have a special
responsibility and interest to assist the poorer developing States in this regard.
41.
States parties should refrain at all times from imposing embargoes or similar measures
restricting the supply of another State with adequate medicines and medical equipment.
Restrictions on such goods should never be used as an instrument of political and economic
pressure. In this regard, the Committee recalls its position, stated in General Comment No. 8, on
the relationship between economic sanctions and respect for economic, social and cultural rights.
42.
While only States are parties to the Covenant and thus ultimately accountable for
compliance with it, all members of society - individuals, including health professionals, families,
local communities, intergovernmental and non-governmental organizations, civil society
organizations, as well as the private business sector - have responsibilities regarding the
realization of the right to health. State parties should therefore provide an environment which
facilitates the discharge of these responsibilities.
Core obligations
43.
In General Comment No. 3, the Committee confirms that States parties have a core
obligation to ensure the satisfaction of, at the very least, minimum essential levels of each of the
rights enunciated in the Covenant, including essential primary health care. Read in conjunction
with more contemporary instruments, such as the Programme of Action of the International
Conference on Population and Development,28 the Alma-Ata Declaration provides compelling
guidance on the core obligations arising from article 12. Accordingly, in the Committee’s view,
these core obligations include at least the following obligations: