The Path to a Healthy Life

The 9th Asian Regional Conference of CICIAMS 27-30 November 2005

Professor S.H.LeeEmeritus Professor of Community Medicine, the

Chinese University of Hong Kong

United Nations:The enjoyment of the highest attainable standard of HEALTH is the fundamental rights of every human being without discrimination

WHO Constitution:HEALTH not merely the absence of disease but also mental, physical and social well-being.

The Bangkok Charter for Health Promotion in a globalized world, 2005

• Health Promotion offers a positive and inclusive concept of health as a determinant of the quality of life, and of mental and spiritual well being

• Health promotion is the process of enabling people to increase control over their health and its determinants, and thereby, improve their health.

Determinants Determinants of Healthof Health

Determinants of HealthDeterminants of Health•• Personal health practices and Personal health practices and

coping skillscoping skills•• Biological and genetic endowmentBiological and genetic endowment•• Environmental risk factorsEnvironmental risk factors•• Social and economic factorsSocial and economic factors•• Health ServicesHealth Services

Personal health practices and coping Personal health practices and coping skillsskills

• Smoking• Diet• Obesity• Lack of exercise• Stress• Alcohol abuse• Drug misuse• Sexual practices

Source: HKCOSH

Fig. 4 Smoking Trends from Below 12 to Above 16 years of Age

0

10

20

30

40

50

60

70

12 & below 13 14 15 16 & above

Age

(%)

EverSmoking(female)

EverSmoking(male)

CurrentSmoking(female)

CurrentSmoking(male)

1 2 5 2 6

1 4 6 8 7

1 7 2 2 81 6 0 1 7 1 6 1 0 7

1 4 2 9 11 3 5 4 7

1 2 9 4 5

1 3 8 8 1 9 2 32 3 2 8 2 6 1 8

3 3 8 8 3 4 8 7 3 3 8 5 3 4 9 3

0

4000

8000

12000

16000

20000

1 9 9 2 1 9 9 3 1 9 9 4 1 9 9 5 1 9 9 6 1 9 9 7 1 9 9 8 1 9 9 9

H e r o i n P s y c h o t r o p i c S u b s t a n c e

Population

0

2

4

6

8

10

12

14

95/96 96/97 97/98 98/99School Year

% o

f O

bes

e S

tuden

ts

Primary

Secondary

Biological and genetic endowmentBiological and genetic endowment

• Gender differences

• Physiological, anatomical and mental capacities

Environmental risk factorsEnvironmental risk factors

• Physical environment• Radiation exposure• Workplace hazards• Infectious agents• Home hazards• Traffic• Product design

Social and Economic factorsSocial and Economic factors

• Income and social status• Social support networks• Education• Employment and working

conditions• Social disintegration• Overpopulation• Geography and Transportation

Health ServicesHealth Services

• Accessible preventive and primary care services

• Healthy child development services• Personal health services e.g.e.g.

–– Student healthStudent health

–– Women healthWomen health

–– Elderly healthElderly health

Social, Economic Cultural &

Environmental Conditions

Lifestyle

Health and

Medical Services

Genetic Influences

The Health Field ConceptThe Health Field Concept

HEALTH

CHOOSING HEALTHMaking Healthy Choices Easier

• No smoking• Healthy Diet• Appropriate exercise• Prevent accidental falls• Ensure food and drug safety• Prevent infectious diseases• Improving mental health and well being

CHOOSING HEALTHFour Action Plans:

• Choosing a better diet• Developing a physical action plan• Stop smoking and encouraging sensible

drinking • Improving mental health and well-being

Choosing a better diet

Developing a physical action plan

Developing a physical action plan

Developing a physical action plan

Stop smoking and encouraging sensible drinking

Stop smoking and encouraging sensible drinking

Cancer

Cancer

Results of Implementing the Four Action Results

Reduction in health care cost

10 years or moreLengthening life expectancy

30%Reduction of cancer

50%Reduction of diabetes mellitus

75%Reduction of stroke and coronary heart disease

55%Reduction of hypertension

Family Health3 levels:• Personal health• Family health• Community health• A healthy individual physical, mental,

social well being of individuals source of success in life and business health of the community

Family Health

Healthy Family Healthy Community

Safe Family Safe Community

Prosperous Family Prosperous Society

Women’s Health

- Play an important role for building a healthy family, healthy community and healthy society

- Improvement in woman’s health, every family member is benefited

- Woman’s health is source of family health

- Corner stone of community health

Men’s Health

Men’s Health

Men’s Health

Health Promotion,What roles can I play?

1. To be a leader in health promotion in the place where we work, study live or love e.g.

– Workplace (Healthy Workplace)– School (Healthy Schools)– Communities (Healthy Cities, Healthy

Housing Estates)– Families (Healthy Families)– Woman (Women’s health), Youth (Adolescent

health), Elderly (Health care for elderly), Men (Men’s health)

Health Promotion,What roles can I play?

1. To be an advocate in health promotion e.g.

– Healthy and active living– Smoke Free environment– Healthy- choice, the wise choice

Health Promotion,What roles can I play?

1. To be a trainer in health promotion e.g.

– Health trainer– Health ambassador– Tai Chi and Health

活力人生 —個人經驗

第一點：保持聯繫保持聯繫

第二點：繼續向前繼續向前

木屋區木屋區

麻疹可以致命麻疹可以致命

預防注射預防注射

預防小兒麻痺症預防小兒麻痺症

0

50

100

150

200

1961 1971 1981 1992 1993 1998

Year

Rat

e pe

r 100

,000

pop

ulat

ion

癌症

心臟病

腦出血

肺炎

意外及中毒

新健康概念新健康概念

社會、經濟、文化及環境因素

生活模式

醫護服務

遺傳因素

健康

上游思索

0

50

100

150

200

1961 1971 1981 1992 1993 1998

Year

Rat

e pe

r 100

,000

pop

ulat

ion

癌症

心臟病

腦出血

肺炎

意外及中毒

新健康概念新健康概念

社會、經濟、文化及環境因素

生活模式

醫護服務

遺傳因素

健康

上游思索

第三點：經常運動經常運動

第四點：培養情趣培養情趣

第五點：保持健康保持健康

健康檢查

第六點：盡忠孝道盡忠孝道

第七點：貢獻社會貢獻社會

Healthy SchoolEnviron

ment

HealthEducati

on

Health Promot

ion

Counseling,

Psychological

&Social

Service

Family, Commu

nityInvolvement

Physical

Education

Nutrition

Services

Government

Involvement

Health Care

Services

Professionals, Acade

mic Instituti

ons and

NGOs

Partnership for HealthConclusion

ConclusionHealth is:

– The pillar of Life– The foundation for success in business

and career– The source of a happy family

Wish you all a Healthy and Happy Life