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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