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Addressing the world’s injustices in all forms is the only way to breathe life into the “health for all” principle and aspiration expressed so eloquently in the 1978 Alma-Ata Declaration. The  rst of these injustices is more evident than it was 41 years ago: the international economic order has concentrated vast wealth in everfewer pockets, while half the world’s people go without essential health services . . . and most certainly without the economic, social, political and cultural conditions and empowerment needed to otherwise thrive.

REFERENCES

1. Pan American Health Organizaiton [Internet]. Washington, D.C.: Pan American Health Organization; c2019. Special Issues. Health system in Cuba; 2018 Apr [cited 2019 Aug 22]. Available from: https://www.paho.org/journal/en/special -issues/health-system-cuba. Spanish.

2. United Health Foundation. America’s Health Rankings analysis of CDC WONDER Online Database, Underlying Cause of Death, Multiple Cause of Death  les. Natality public-use data [Internet]. Minneapolis: United Health Foundation; 2018 [cited 2019 Sep 9]. Available from: https://www .americashealthrankings.org/

3. Soeters HM, McNamara LA, Blain AE, Whaley M, MacNeil JR, Hariri S, et al. University-based outbreaks of meningococcal disease caused by serogroup B, United States, 2013–2018. Emerg Infect Dis [Internet]. 2019 Mar [cited 2019 Sep 9];25(3):434–40. Available from: https://dx.doi.org/10.3201/eid2503 .181574

4. Fortner R. Meningitis B: Cu ba’s Got the Vaccine—Why Don’t We? Yes! [Internet] 2007 May 15 [cited 2019 Sep 9]; [about 2 screens]. Available from: https://www.yesmagazine.org/issues/latin-america-rising/meningitis-b-cubas -got-the-vaccine2014why-dont-we

5. BBC Newss [Internet]. London: BBC News; c2019. Health. Measles: Four European nations lose eradication status; 2019 Aug 29 [cited 2019 Sep 9]; [about 2 screens]. Available from: https://www.bbc.com/news/health-49507253