what should public health be doing? | dr neil hamlet
TRANSCRIPT
What should Public Health be doing?
Dr Neil Hamlet Consultant in Public Health Medicine NHS Fife [email protected]
Public Health is…
.....politics writ large
..the art and science of: preventing disease,
promoting health, prolonging life
through: the organised efforts of society
...mobilising resources to ensure conditions in which
people can be healthy
…collective efforts of society to prevent
premature death, illness, injury and disability and
to promote population health
...about health promoting
environments
The life cycle of a cancer
time
Death Symptoms Detectable Onset
Screening test applicable
Detectable
preclinical phase- lead time
The Panel emphasised the importance of not smoking and of avoiding exposure to tobacco smoke.
WCRF Global Recommendations
External Environment
Genetic Endowment Nutrition Education Employment Housing Security Wealth Risk of injury and infection Access to healthcare
External Environment
Genetic Endowment Nutrition Education Employment Housing Security Wealth Risk of injury and infection Access to healthcare
Perceptions of our world
Culture
Outlook
Gender
Disability
Supportive
Threatening
External Environment
Genetic Endowment Nutrition Education Employment Housing Security Wealth Risk of injury and infection Access to healthcare
Perceptions of our world
Culture
Outlook
Gender
Disability
Internal Environment
Sense of Control
Inflammatory tendency Well functioning
Fitness Positive mental
health
Persisting Cognitive
Ability
Healthy ageing
Cancer Diabetes
Alzheimers CHD
Death
Death
High Low
Supportive
Threatening
External Environment
Genetic Endowment Nutrition Education Employment Housing Security Wealth Risk of injury and infection Access to healthcare
Perceptions of our world
Culture
Outlook
Gender
Disability
Internal Environment
Sense of Control
Inflammatory tendency
Well functioning Fitness Positive mental health
Persisting Cognitive Ability
Healthy ageing
IHD Cancer
Diabetes Alzheimers
Death
Death
High Low
Supportive
Threatening
Behaviours
Smoking
Exercise
Diet
Source: Dr Harry Burns
COMMUNITY LOCALITY
Agriculture/ Gardens/
Local markets
Health Care
Public Safety
Public Transport
Manufactured/ Imported
Food
Sanitation
Modified from Ritenbaugh C, Kumanyika S, Morabia A, Jeffery R, Antipathies V. IOTF website 1999: http://www.iotf.org
POPULATION
ACTIVE OR
SEDENTARY
FAT OR FIT
WORK/SCHOOL/HOME
School Food & Activity
Infections
Labour
Worksite Food & Activity
Leisure Activity/ Facilities
Family & Home
INDIVIDUAL
Energy Expenditure
Food intake :
Nutrient density
SOCIETAL POLICIES AND PROCESSES INFLUENCING PHYSICAL ACTIVITY
NATIONAL/ REGIONAL
Education
Food & Nutrition
Urbanization
Health
Social security
Transport
Media & Culture
National perspective
INTERNATIONALFACTORS
Development
Globalization of
markets
Media programs
& advertising
Warm the water
Keep chipping
away