Hello
Please post the unpublished letter signed anon
and sent to you by Dennis Raphael.


>>> [log in to unmask] 21/09/2004 16:12:52 >>>
Hello,

Last week I posted a message titled "Does endorsement of lifestyle
programs = health promotion?" with a link to a Toronto Star article
about
the Canadian provincial premiers endorsing lifestyle programs of the
federal government. I noted that Dennis Raphael had responded to this
article on the SDOH list commenting on the neglect of determinants of
health. I suggested that the same could be said about the broad
concepts
of health promotion, and invited CLICK4HP subscribers to add comments.

Robyn Kalda replied, asking about language use of 'health' instead of
'medical' care, and when that change occured.

I also received a message directly back from Dennis Raphael, which he
agreed could be posted to the CLICK4HP (he is not a subscriber).

Dennis Raphael had some provocative comments about the question of
lifestyle = health promotion.  To reply directly to him, please
contact
[log in to unmask]  Or post your reply back to this list and keep the
discussion going...

The following comments are not my own opinion (which is that health
promotion may be a 'quieter' field than others, and is quite broad in
perspective and participants):


Dennis Raphael [mailto:[log in to unmask]]
09/16/2004 05:25 PM
Subject:    HP is dead

It is dead because its advocates have let it die.  When Toronto public
healthy renamed all of its community health nurses to healthy
lifestyle"
nurses.  No body said a word! This has happened all across Canada.
Indeed,
click4hp is dominated by lifestyle discourse and adherents.  H.P.  R.
I. P.

[he added that an unpublished letter signed 'anonymous' and attached,
said
it all. that unpublished letter is not included here]

Dennis added in a later email:
 "I tell people that the middle has fallen out of HP.
People have either moved into policy -- like me -- or retreated to
lifestyle approaches like... "

Anyone wish to respond?  Does it feel like health promotion is either
policy or lifestyle?

I believe that the 'middle' is still vigorously alive.  The strategies
and
places that we use may be more focused on enabling communities to take
control of the conditions affecting the health of their communities,
rather than being outspoken advocates for our field.


Alison

~~~~~~~~~~~~~~~~
Alison Stirling
health promotion consultant (on leave until Aug 2005)
co-facilitator, CLICK4HP listserv
email: [log in to unmask]

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