A short presentation to the plenary of the 2nd Arab Public Health Association Conference, April 6th 2019. A longer presentation including professional public health standards and the work of the UK Faculty of Public Health is also available on slideshare.net 190405 ar pha middletonj vr 3 short final
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Public health systems and the health of the public
1. www.fph.org.uk
Public health systems and the health
of the public
Professor John Middleton, President United
Kingdom Faculty of Public Health
2nd Arab Public Health Conference, Casablanca, April 5th 2019
2. 12/04/2019 1
Dedicated to absent
friends: Professor
Yehia Abed,
Professor Hamad
Abu Bassam, Al
Quds Campus, Gaza.
Public Health
Department;
Professor Motasem
Hamdan, Al Quds,
East Jerusalem
3. Association of Schools of Public Health in the European Region(ASPHER)
Delegation to Gaza, June 5,6,7th 2015
•Prof. Vesna Bjegovic-Mikanovic,
president of ASPHER (chair)
•Prof. Anders Foldspang, past
president and chair of ASPHER's
Honours Committee
•Prof. Ulrich Laaser, past president,
member of the ASPHER Honours
Committee
•Dr. John Middleton, vice-president
for policy, UK Faculty of Public
Health
•Mr. Robert Otok, Director, ASPHER
•Ms Marine Buissoniere, Open
Society Foundations
•Colleagues from Al Quds, Gaza
4. 12/04/2019 3
Greetings from the Sandwell, West Midlands
UK, Yemeni Community Association
Ali Al-Osaimi,
Sandwell Public
Health manager
and Imam
Saeed
Nasser,
counsellor
5. Who we are and what we do
• The United Kingdom Faculty of Public Health is a faculty of
the three Royal Colleges of Physicians of London, Edinburgh
and Glasgow (Physicians and Surgeons)
• FPH is a membership organisation for nearly 4,000 public
health professionals across the UK and around the world
• We also have a growing number of student, associate and
international members in more than 80 different countries
To improve and protect the public’s health:
through standards, advocacy, training and
knowledge
www.fph.org.uk
MiddletonJ The public's health and the public health
system
6. www.fph.org.uk
Organisation and finance of public health systems: England Prof John Middleton
Public health definition in England
2010 government white paper on public health
‘Healthy lives, healthy people’
‘The science and art of promoting and
protecting health and wellbeing,
preventing ill health and prolonging life
through the organised efforts of society.’
(This is an adaption by the UK Faculty of
Public Health from that used by Acheson
1988, WHO, 1948 and Winslow 1927).
8. These 10 Corporations Control Almost Everything We Eat
MiddletonJ The public's health and the public health
system
9. 12/04/2019 8
Pepsi sales van at
Beit Hanoun, Gaza,
June 2015
Gaza has massively contaminated
water supplies and drinking water is
difficult to obtain. Coca-Cola,Pepsi,
7-Up and Sprite are not hard to
find….
Levels of diabetes are very high….
12. Public health problems are interconnected :
Economics-environment-human health and
social problems
Human over-consumption/ inequalities in health
between rich and poor / injustice/ Violence and
conflict / environmental degradation/ and more
ill health/more inequality/more conflict
https://eurpub.oxfordjournals.org/content/26/5/735
11
13. MiddletonJ The public's health and the
public health system
And my take on 2040
training Middleton J, ISIS,
crop failure and no anti-
biotics: what training will
we need for future public
health? European J Public
Health 2016;
https://eurpub.oxfordjour
nals.org/content/26/5/735
14. 12/04/2019 13
Cement : a public health problem
https://blogs.bmj.com/bmj/2015/07/08/john-
middleton-cement-gazas-forgotten-public-
health-need/
15. The epidemiology of violence
Evidence-based violence prevention: a life course
approach
Asset based community development
Primary, secondary &tertiary prevention role of the
public health community as primary preventers of violent conflict,
through healthy public policies and tackling major social inequalities in
health; and as early reactors, mitigaters and responders to violence.
New public mental health approaches
A role for public health in conflict resolution with
aid agencies, political scientists, theologians and international lawyers
A role for public health educational bodies
A leadership and partnership role for public
health
www.fph.org.uk/uploads/Violence%20report.pdf
Areas of action for the public health
community in preventing violence
16. A role for our climate
change special
interest group
22. Interconnectness: Loss of agricultural land through global warming, crop failure, farmers
migrate to cities, food riots, Arab Spring, Syrian war, mass refugees, Fortress Europe, right
wing populism, fake news
24. http://www.bmj.com/conten
t/357/bmj.j2676
Inequalities in health cost
£65bn (€74bn; $83bn) in lost
productivity and taxes and
increased benefits payments
plus
£5.5bn for direct NHS
treatment in 2010.5
MiddletonJ The public's health and the public health system
25. Britain can power itself ? and
House itself ? and
Employ itself ?
http://www.campaigncc.org/sites/data/files/D
ocs/one_million_climate_jobs_2014.pdf
MiddletonJ The public's health and the public health system