political and legal systems, preferably by way of legislative
implementation, and to adopt a national health policy with a
detailed plan for realizing the right to health. States must ensure
provision of health care, including immunization programmes
against the major infectious diseases, and ensure equal access
for all to the underlying determinants of health, such as
nutritiously safe food and potable drinking water, basic
sanitation and adequate housing and living conditions. Public
health infrastructures should provide for sexual and reproductive
health services, including safe motherhood, particularly in rural
areas. States have to ensure the appropriate training of doctors
and other medical personnel, the provision of a sufficient number
of hospitals, clinics and other health-related facilities, and the
promotion and support of the establishment of institutions
providing counselling and mental health services, with due
regard to equitable distribution throughout the country. Further
obligations include the provision of a public, private or mixed
health insurance system which is affordable for all, the
promotion of medical research and health education, as well as
information campaigns, in particular with respect to HIV/AIDS,
sexual and reproductive health, traditional practices, domestic
violence, the abuse of alcohol and the use of cigarettes, drugs
and other harmful substances. States are also required to adopt
measures against environmental and occupational health
hazards and against any other threat as demonstrated by
epidemiological data. For this purpose they should formulate
and implement national policies aimed at reducing and
eliminating pollution of air, water and soil, including pollution
by heavy metals such as lead from gasoline. Furthermore, States
parties are required to formulate, implement and periodically
review a coherent national policy to minimize the risk of
occupational accidents and diseases, as well as to provide a
coherent national policy on occupational safety and health
services.
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Core obligations
43. In General Comment No. 3, the Committee confirms that
States parties have a core obligation to ensure the satisfaction of,
W.P.(C) 7279/2013
Page 26 of 41
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