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Ellen R. Shaffer, PhD, MPH, Howard Waitzkin, MD, PhD, Joseph Brenner, MA and Rebeca Jasso-Aguilar, MA

Ellen R. Shaffer and Joseph Brenner are with the Center for Policy Analysis on Trade and Health, San Francisco, Calif. Howard Waitzkin is with the Department of Family and Community Medicine, and Rebeca Jasso-Aguilar is with the Department of Sociology, University of New Mexico, Albuquerque.

Correspondence: Requests for reprints should be sent to Ellen R. Shaffer, PhD, MPH, Center for Policy Analysis on Trade and Health, 98 Seal Rock Dr, San Francisco, CA 94121 (e-mail: ershaffer{at}cpath.org).

Global trade and international trade agreements have transformed the capacity of governments to monitor and to protect public health, to regulate occupational and environmental health conditions and food products, and to ensure affordable access to medications. Proposals under negotiation for the World Trade Organization’s General Agreement on Trade in Services (GATS) and the regional Free Trade Area of the Americas (FTAA) agreement cover a wide range of health services, health facilities, clinician licensing, water and sanitation services, and tobacco and alcohol distribution services.

Public health professionals and organizations rarely participate in trade negotiations or in resolution of trade disputes. The linkages among global trade, international trade agreements, and public health deserve more attention than they have received to date.

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