The Centre for Addiction and Mental Health in Toronto just released a report on another industry that in various ways harms health — gambling. Not only can it be addictive and harmful to health and social wellbeing, its impact is disproportionately experienced by low-income people…
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So far, in examining what the World Health Organization calls the commercial determinants of health, I have been looking at private sector firms that produce products that harm health, such as tobacco, fossil fuels or unhealthy foods.
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The company that helps produce the Capital Regional District’s biosolids is being accused of its similar products medically harming Texas farmers and fatally impacting their animals. Synagro Technologies is the majority…
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New legal action could put an end to the practice of spreading toxic sewage sludge on US cropland as a cheap alternative to fertilizer, and force America to rethink how it disposes of its industrial and human waste. A notice of intent…
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In my last three columns, I looked at the health and economic burden of unhealthy diets, the role of large parts of the food industry in producing and marketing an unhealthy diet, and the ways in which our current food system harms the planet.
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Last week, I noted the private sector is the key player in the provision of a healthy diet. But the food industry also makes a great deal of money from the production and marketing of unhealthy food. It is estimated that globally, unhealthy diets account for about 11 million premature deaths annually.
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As far back as 1964, Paul Sears, an eminent American ecologist and former chair of the graduate program in Conservation at Yale University, described ecology as “a subversive subject” and asked “if taken seriously as an instrument for the long-run welfare of mankind…
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Tobacco is the forgotten pandemic in Canada. While much attention has been focused on the opioid overdose crisis, COVID, alcohol use and other popular issues, tobacco use remains, to this day, “the leading preventable cause of premature death in Canada,” according to a July 2023 Health Canada report.
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Indeed, in a wide variety of ways, the private sector is what I called producers of health — they build our homes, grow our food, produce beneficial medicines, create good jobs and provide many other important determinants of health.
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More than a quarter-century ago, I wrote an article called “Caveat Partner” about the problematic aspects of public health creating partnerships with the private sector.
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While biological wastes and materials going to landfill or recycling are accounted for, “Toxics and pollutants released from the human economy that cannot in any way be absorbed or broken down by biological processes … cannot be directly assigned an Ecological Footprint,” notes the Global Footprint Network.
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As I reported last week, CHRM Consulting has just completed an updated report on the ecological footprint of Saanich, which is available on the District of Saanich website. The report found Saanich’s footprint was equivalent to four planets’ worth…
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The first three of the five “great turnarounds” in the Club of Rome’s “Earth for All” report address different aspects of inequality. But the final two, to which I now turn, are concerned with two of the most fundamental determinants of our health: food and — next week — energy.
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Last week, I suggested self-care should be a strategic priority for Canada’s health system. Done well, it can reduce unnecessary demand for professional care while at the same time improving outcomes, empowering patients and enhancing personal and community capacity for caring.
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Back in the early 1980s, building on the work of others, I came up with the concept of “healthy public policy,” which has since been taken up by the World Health Organization and many national and provincial governments. Canada even has a National Collaborating Centre on Healthy Public Policy.
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The most fundamental determinants of our health are what I and others call the ecological determinants of health: air, water, food, fuel, materials, and other “ecosystem goods and services” we derive from nature. A second major set of determinants are the social factors that enable us to meet our basic needs: healthy food, adequate shelter…
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Having worked as a family physician in primary care, as a public-health physician in health planning and as a medical health officer, as an advisor and consultant on health promotion to the World Health Organization — mainly in Europe — as a medical consultant in population and public health at B.C.’s Ministry of Health…
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There is much wringing of hands these days about the state of the Canadian health care system, as well there should be. But in fact, there is no such thing as a Canadian health-care system, although there is a Canadian way of funding health services. In the 1990s, when I helped organize study tours for Swedish health-system managers to visit Canada…
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There is an apocryphal story of a mother taking her young daughter out into the backyard. The child looks up from her iPad and says: “Where are we?” Her mother replies: “It’s called outside.” The point is obvious: We have become so screen-oriented that we…
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It is said that it takes a whole village to raise a child, not just the family and the school. Similarly, the most important message in the decades-old global Healthy Communities movement that I helped to create is that it takes efforts at all levels and across all sectors to create a healthier community.
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One issue we are likely to see a focus on in the upcoming municipal elections is community safety, often focusing on crime and violence. But important though that is, community safety is about much more than that. I recall, as a consultant working on the Healthy Cities initiative with the World Health Organization in the 1980s and 1990s…
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In November 2021, the City of Ottawa completed the process of revising its official plan. My attention was drawn to Ottawa’s plan through a recent news posting by the Canadian Public Health Association, which focused on the role of public health in the development of the new plan.
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We’re All in This Together… Now What?, the final webinar of Creatively United’s Climate and Artists fourth season, explores how we can collectively reduce our carbon footprint by 40% by 2030 and transformatively shift to healthier…
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Housing is fundamental to health. That should not be a surprise, especially in a country with Canada’s climate. The health impacts of being homeless or living in poor-quality housing are well understood, and must be obvious to anyone. But it is not just homelessness that is a concern — there is a much larger problem of affordability. Lack of affordable housing can markedly affect people’s physical, mental and social wellbeing.
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Thursday, April 7, is World Health Day. The theme this year is Our Planet, Our Health. WHO wants to “focus global attention on urgent actions needed to keep humans and the planet healthy and foster a movement to create societies focused on well-being.”
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That is also true globally: “Bonds across countries do not work when bonds within them are broken,” noted the UN’s recent report Our Common Agenda. Which brings me to the World Inequality Report 2022, released in December. The report is published by the World Inequality Lab, based in France, whose major funders include the…
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The World Health Organization’s December 2021 Geneva Charter for Well-being expresses “the urgency of creating sustainable well-being societies, committed to achieving equitable health now and for future generations without breaching ecological limits.” So far, I have mostly focused on the need to stay within ecological boundaries…
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Last week, I described the growing global attention to the concept of a well-being society and economy. The latter has already been the focus of work by several national governments. In particular, New Zealand (Aotearoa) was the first country in the world to develop and present…
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In the more than 40 years I have spent working in public health, I have been guided by a key realization and two principles. The realization was that medicine, in which I was trained, while important, is not the main factor that contributes to good health.
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Even here in Canada, there are dramatic inequalities in health. A 2018 report from the Public Health Agency of Canada found a 4.1-year gap in life expectancy between those living in high- versus low-income neighbourhoods, and around 11- to 12-year gaps between areas with high or low concentrations of Inuit or First Nations people.
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Season 4 of Climate and Artists free webinar series premiered with positively uplifting and inspiring stories from eight fabulous guests committed to regenerating and transforming communities creatively. Learn how…
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It comes as a surprise to many people, including health-care professionals, that the health-care system has a large ecological footprint. But as I noted last week, if the global health-care system were a country, its carbon emissions would have made it the fifth-largest emitter on the planet, according to a 2019 report from Health Care Without Harm.
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Last week, I reported on the rally at the B.C. legislature organized by Doctors for Planetary Health — West Coast. The rally was timed to coincide with the COP26, the UN’s climate-change conference in Glasgow, where, for the first time — and at the behest of the U.K. government — health was one of three science priority areas.
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Inspired in part by the UN Secretary General, Antonio Guterres, who had called the latest Intergovernmental Panel on Climate Change report a “Code Red for humanity,” we were there to declare a climate and ecological Code Red for B.C., noting: “The climate and ecological crisis is a health crisis. We stand in solidarity for a safe and equitable future for all living creatures and the planet.”
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