Excellent comments and observations. We have be careful that we maintain a common
front against the globalization forces that only care about the value of their
shares on the New York Stock market. We cannot afford to be divided on the issue of
poverty and health. We need to be inclusive and work with the lifestyle groups as
well as labour, unions and the corporate boards of the world. Divided and conquer
is very evident here!
Joe

Erica MacIntyre wrote:

> Hi,
> The material on the Health Canada web site also contains a 1996 paper (see
> link) where a group of influential leaders came together to discuss how the
> population health approaches and health promotion could become synergistic
> rather than antagonistic.
>
> http://www.hc-sc.gc.ca/hppb/healthpromotiondevelopment/pube/roundtable/round
> table.htm#1.1
>
> Perhaps the right balance or synergy has not yet been found yet particularly
> at strategic implementation levels.  It seems that efforts to address
> behavioural change cannot be suspended while it is found since it takes time
> to make this shift/find the right mix.
>
> Also, if lifestyles approaches are taken out of the "equation" could there
> be down-side of removing personal accountability for health?
>
> For what it is worth, the main point I have taken from the discussion of
> poverty and public health issues still seems to be summed up in the
> observation in the APH article that poverty in and of itself is a concern
> regardless of whether public health choses to define it as so or not which
> the authors observe is a pitfall.  Is not the "down-side" of "placing" it
> within the health context some of what is being experienced now in that it
> is hard to know where the accountability lies within the health system, or
> within health ministries within government that are still somewhat siloed
> structures.
>
> Thank you for the opportunity to comment.
>
> Erica MacIntyre, Health Planner
>
> -----Original Message-----
> From: Health Promotion on the Internet [mailto:[log in to unmask]]On
> Behalf Of Dennis Raphael
> Sent: Thursday, March 14, 2002 6:35 AM
> To: [log in to unmask]
> Subject: Re: paper on Public Health Units and Poverty
>
> The point always been the "sole promotion" of lifestyle messages.  None the
> less
> it is undeniable that the contemporary 'lifestyle' approach has pushed the
> social determinants and their effects right off the public, media, social
> policy, and public health -- and apparently the -- 'health promotion'
> agenda.
> This has happeneed in the nation that has a Health Canda web site --
> together
> with a menu of policy statements -- that is the envy of progressive health
> promoters around the world.
>
> The following is a slide show from Health Canada on the population health
> approach.  Take a look at it!
>
> http://www.hc-sc.gc.ca/hppb/regions/ab-nwt/resources/present/sld001.htm
>
> dr
>
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