right
the
has
«eyeryone
to
of living
a standard
adequate for the health of himself and of his family,
and
services”.
The
and
social
necessary
Social and
eovenant on Economic,
provides
most
the
right to health
comprehensive
in international
care
medical
housing
including food, clothing,
International
Cultural
human
Rights
on
the
rights
law.
article
in accordance with article 12.1 of the Covenant,
states parties recognize “the right of everyone to
the enjoyment of the highest attainable standard
of physical
enumerates,
and
mental
health”,
while
article 12.2
by
way of illustration, a number of
“steps to be taken by the States parties ... to achieve
the full realization of this right”. Additionally, the right
to health is recognized, inter alia, in article 5 (e) (iv)
of the International Convention on the Elimination of
All Forms of Racial Discrimination of 1965, in articles
Yi,1 (f) and 12 of the Convention on the Elimination
of All Forms of Discrimination against Women of 1979
and in article 24 of the Convention on the Rights of
the Child of 1989. Several regional human rights
in the preamble to the Constitution of WHO,
which
conceptualizes
health as “a state of complete
physical, mental and social well-being and not
merely the absence of disease or infirmity”. However,
the reference in article 12.1 of the Covenant to
"the highest attainable standard of physical and
mental health” is not confined to the right to health
care, On the contrary, the drafting history and the
express wording of article 12.2 acknowledge that
the right to health embraces a wide range of socioeconomic factors that promote conditions in which
people can lead a healthy life, and extends to the
underlying determinants of health, such as food and
nutrition, housing, access to safe and potable water
and adequate sanitation, safe and healthy working
conditions, and a healthy environment.
5.
The Committee is aware that, for millions of
people throughout the world, the full enjoyment of the
right to health still remains a distant goal. Moreover,
in many cases, especially for those living in poverty,
instruments also recognize the right to health, such
as the European Social Charter of 1961 as revised
(art. 11), the African Charter on Human and Peoples’
Rights of 1981 (art. 16) and the Additional Protocol
to the American Convention on Human Rights in
the Area of Economic, Social and Cultural Rights of
1988 (art. 10). Similarly, the right to health has been
this
proclaimed by the Commission on Human Rights’, as
implementation
well as in the Vienna Declaration and Programme of
Action of 1993 and other international instruments.*
of their reporting obligations, this General Comment
focuses on the normative content of article 12 (Part
|), States parties’ obligations (Part II), violations (Part
lil) and implementation at the national level (Part
3.
The right to health is closely related to and
dependent upon the realization of other human
rights, as contained in the International Bill of Rights,
including the rights to food, housing, work, education,
human
the
dignity,
prohibition
to information,
life,
non-diScrimination,
against
and
the
torture,
freedoms
equality,
privacy,
did
In drafting article 12 of the Covenant, the Third
2
3.
not
of the United
adopt
the
Nations General
definition
becoming
increasingly
remote.
The
factors beyond the control of States that impede the
full realization of article 12 in many States parties.
6.
With
a
view
to
assisting
States
parties’
of the Covenant and the fulfilment
IV), while the obligations of actors other than States
parties are addressed in Part V. The General Comment
is based on the Committee’s experience in examining
States parties’ reports over many years.
access
assembly and movement. These and other rights and
Committee
is
of association,
freedoms address integral components of the right to
health.
4.
goal
Committee recognizes the formidable structural and
other obstacles resulting from international and other
of health
I. NORMATIVE CONTENT OF ARTICLE 12
7.
Article 12.1 provides a definition of the right to
health, while article 12.2 enumerates illustrative, nonexhaustive examples of States parties’ obligations.
Assembly
contained
In its resolution 1989/11.
The Principles for the Protection of Persons with Mental
IlIness and for the Improvement of Mental Health Care
adopted by the United Nations General Assembly in
1991 (resolution 46/119) and the Committee's General
Comment No. 5 on persons with disabilities apply to
persons with mental illness; the Programme of
Action
of the International Conference on Population and
Development held at Cairo in 1994, as well as the
Declaration and Programme for Action of the Fourth
World Conference on Women held in Beijing in 1995
contain definitions of reproductive health and women’s
health, respectively,
8.
The right to health is not to be understood as a
right to be healthy. The right to health contains both
freedoms and entitiements. The freedoms include
the right to control one’s health and body, including
sexual and reproductive freedom, and the right to be
free from interference, such as the right to be free
from
torture, non-consensual
medical
treatment
and experimentation. By contrast, the entitlements
include the right to a system
which
of health protection
provides equality of opportunity for people to
enjoy the highest attainable level of health.
GENERAL COMMENTS AND STATEMENTS 31