il.
VIOLATIONS
46.
When the normative content of article 12 (Part !)
is applied to the obligations of States parties (Part II),
a dynamic process is set in motion which facilitates
identification of violations of the right to health. The
following paragraphs provide illustrations of violations
of article 12.
47. Indetermining whichactionsoromissions amount
to a violation of the right to health, it is important to
distinguish the inability from the unwillingness of a
State party to comply with its obligations under article
12. This follows from article 12.1, which speaks of the
highest attainable standard of health, as well as from
article 2.1 of the Covenant, which obliges each State
party to take the necessary steps to the maximum of
its available resources. A State which is unwilling to
use the maximum of its available resources for the
realization of the right to health is in violation of its
obligations under article 12. If resource constraints
50. Violations of the obligation to respect are those
State actions, policies or laws that contravene the
standards set out in article 12 of the Covenant and
are
likely
to
morbidity
result
and
in
its non-compliance with the core obligations set out
in paragraph 43 above, which are non-derogable.
48.
Violations
of
the
right
to
health
can
occur
insufficiently regulated
any
retrogressive
by States. The
measures
adoption
incompatible
with
of
the
core obligations under the right to health, outlined
in paragraph 43 above, constitutes a violation of the
right to health. Violations through acts of commission
include the formal repeal or suspension of legislation
necessary for the continued enjoyment of the right
to health or the adoption
of legislation or policies
which are manifestly incompatible with pre-existing
domestic or international legal obligations in relation
unnecessary
Examples
and services to particular individuals or groups as
a result of de jure or de facto discrimination; the
deliberate
withholding
or
misrepresentation
of
information vital to health protection or treatment;
the suspension of legislation or the adoption of laws
or policies that interfere with the enjoyment of any of
the components of the right to health; and the failure
of the State to take into account its legal obligations
regarding the right to health when entering into
bilateral or multilateral agreements with other States,
international organizations and
as multinational corporations.
other entities,
ion
51.
such
tL
Violations of the obligation to protect follow from
the failure of a State to take all necessary measures
to safeguard persons within their jurisdiction from
infringements of the right to health by third parties.
This category includes such omissions as the failure
to
regulate
the
corporations
the
through the direct action of States or other entities
harm,
mortality.
include the denial of access to health facilities, goods
render it impossible for a State to comply fully with its
Covenant obligations, it has the burden of justifying
that every effort has nevertheless been made to use
all available resources at its disposal in order to satisfy,
as a matter of priority, the obligations outlined above.
It should be stressed, however, that a State party
cannot, under any circumstances whatsoever, justify
bodily
preventable
activities
of individuals,
so as to prevent them
right to health
of others;
consumers
and workers from
to
health,
e.g.
of
medicines
by
or
the
the
or
violating
failure to protect
practices detrimental
employers
food;
groups
from
and
manufacturers
failure
to
discourage
production, marketing and consumption of tobacco,
narcotics and other harmful substances; the failure
to protect women against violence or to prosecute
perpetrators; the failure to discourage the continued
observance of harmful traditional medical or cultural
practices; and the failure to enact or enforce laws
to prevent the pollution of water, air and soil by
extractive and manufacturing industries.
Violati
f the
obligation
to fulfil
to the right to health.
49.
Violations of the right to health can also occur
through
necessary
the
omission
measures
or failure of States
arising from
to take
legal obligations.
52. Violations of the obligation to fulfil occur through
the failure of States parties to take all necessary
steps to ensure the realization of the right to health.
Examples
include the failure to adopt or implement
Violations through acts of omission include the failure
a national health policy designed to ensure the right
to take appropriate steps towards the full realization
of everyone's right to the enjoyment of the highest
to health
attainable standard of physical and mental health,
the failure to have a national policy on occupational
safety and health as well as occupational health
services, and the failure to enforce relevant laws.
non-enjoyment of the right to health by individuals or
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HRP ECONOMIC, SOCIAL AND CULTURAL RIGHTS HANDBOOK
for everyone;
insufficient
expenditure
or
misallocation of public resources which results in the
groups, particularly the vulnerable or marginalized;
the failure to monitor the realization of the right
to
health
at
the
national
level,
for
example
by