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I would echo this - especially in the UK there is a rich stream of people working in public health across old method, clinical and specialism boundaries. I used to work there on a team with a medical sociologist, epidemiologist, cardiologist and public health decision-maker.

Multi-disciplinary teams have been the way there for at least a decade. This is less the case in Canada but things are changing. Perhaps, we need to engage more internationally to pick up on these trends quicker.

From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of Pennock, Michael
Sent: Tuesday, May 22, 2007 3:08 PM
To: [log in to unmask]
Subject: Re: Tell me I am wrong, PLEASE!

I think you're spot on in most of your comments. I share your concerns about the uneasy alliance between population health and traditional epidemiology but would argue that epi is changing as a result of pop health. A newer discipline of population health epidemiology is emerging which is quite different from clinical epi although it draws on some of the same methods but includes much broader methods from the social sciences and elsewhere. Like health promotion, epidemiology must become more multi-disciplinary to embrace the determinants.

Mike Pennock
Population Health Epidemiologist
Office of the Chief Medical Health Officer
Vancouver Island Health Authority
430- 1900 Richmond Ave.
Victoria BC V8V 4R2
(250) 519-7092

-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]]On Behalf Of Dennis Raphael
Sent: Tuesday, May 22, 2007 11:31 AM
To: [log in to unmask]
Subject: [SDOH] Tell me I am wrong, PLEASE!

I have been asked to write a "critique of the history and development of health promotion in Canada."

Here is my abstract!

dr
-----------------------------------------------------------
Grasping at Straws:
The History and Development of Health Promotion in Canada

Arguably, the most important contribution of health promotion has been the identification of the role that societal structures and public policy play in shaping the health of populations in general and the most vulnerable in particular. Despite Canada's reputation as a leader in the development of such health promotion concepts, the implementation of these concepts in the service of health has always been far from stellar and has lagged behind developments in most other developed nations. Much of this has to do with Canada's liberal political economy and the recent ascendance of neo-liberal approaches to public policymaking. These developments have combined with longstanding biomedical and epidemiological traditions to inhibit the development of a structural approach to health promotion. While the emergence of population health as a competing discourse to health promotion has facilitated the development of numerous research initiatives related to t! he determinants of health, any potential benefits of such activities have been more than offset by the negatives associated with population health's epidemiological orientation. There are continuing efforts by a handful of visionary Canadian health promotion advocates to implement the vision of health promotion outlined in the Ottawa Charter and subsequent WHO health promotion declarations and charters. There is also increasing attention being paid in reports and documents to the social determinants of health. These efforts however count for little in the face of massive amounts of government spending, media attention, and health sector activities being lavished on "lifestyle" approaches to health promotion. The emergence of the "obesity epidemic" as a focus of public, media, and health sectors attention has only served to reinforce this orientation. ------------------- Problems/Questions? Send it to Listserv owner: [log in to unmask]

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