Category: Public health

For proper prevention, we need a General Shit Life Reduction Strategy

In health terms, ‘prevention’ basically means doing stuff that reduces risks to health.  Primary prevention focuses on the whole population to stop a problem occurring in the first place, for example through immunisation or discouraging smoking;  secondary prevention focuses on at-risk individuals and aims to nip an issue in the bud by detecting and treating it as soon as possible,...

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Public health has a language problem

How many of you were inspired to work in public health because you wanted to champion a sustainable place-based locality-level social movement to address the underlying upstream determinants of health agenda through a transformative bottom-up asset-based community co-production approach?  Not me, because I had no idea what any of that meant.  For those of you working in public health, I...

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Good intentions but the right approach? The case of ACEs

Adverse Childhood Experiences (ACEs) are traumatic events that children can be exposed to while growing up.  These include the direct impact of suffering abuse or neglect, or the indirect effects of living in a household affected by domestic violence, substance misuse or mental illness.  The original ACEs study found that those with a higher number of ACEs were more likely...

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‘Wellbeing in every decision’: re-framing ‘health in all policies’

We know that most of the things that influence population health — poverty, education, the environment, transport, work, relationships, safe and comfortable homes — are not really touched by what the money marked as ‘health’ gets spent on. If we’re going to make a big impact on health, what we really need therefore is an approach in which local and national decision makers explicitly...

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Investment in public health – we need better arguments, not better evidence

Here in the UK, we’ll soon have a chance to make the case for investment in public health and prevention (again). The NHS 10 year plan and a spending review are on the way, and both the Prime Minister and Secretary of State have said that prevention is one of their main priorities. Should be an easy win. But it...

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