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Living in interesting times: Thoughts for DsPH in the 21 st Century. www.cymru.gov.uk. Dr Tony Jewell Chief Medical Officer for Wales. Association of Directors of Public Health Victory Services Club, London 13 th May 2011. Living in interesting times.

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  1. Living in interesting times: Thoughts for DsPH in the 21st Century www.cymru.gov.uk Dr Tony Jewell Chief Medical Officer for Wales Association of Directors of Public Health Victory Services Club, London 13th May 2011

  2. Living in interesting times Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization www.cymru.gov.uk

  3. Male deaths 1848-1871 (average) and 2009 Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization 2009 1848 - 1871 www.cymru.gov.uk Source: Office for National Statistics

  4. Significant progressReports of infectious disease in England and WalesSource: Health Protection Agency Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization www.cymru.gov.uk

  5. Heart disease is next?Selected causes of death, Wales, 1969 - 2009Source: World Health Organization Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization www.cymru.gov.uk

  6. Prevention worksMale mortality from lung cancer, 1970 - 2006Source: World Health Organization Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization

  7. The 4 E’s NHS 'stop smoking' treatment Smoke-free policies Quit-lines Pharmaceutical deregulation High excise taxes Ban marketing practices Address smuggling (nb. Personal incentives) Enable Catalyse Encourage Engage Smoke-free policies Clear messages from NHS Consistent package Clear goals Commercial arguments Social marketing campaigns More graphic warnings Major news media assault Constant revisiting evidence “Denormalisation” Exemplify Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization www.cymru.gov.uk

  8. Improving quality Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization • Great progress in improving health service delivery and quality • Still much work to do – learning from the best www.cymru.gov.uk

  9. Changing times and the end of eras Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization

  10. The impact of poverty, neglect and hopelessness Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization www.cymru.gov.uk

  11. Non evidence-based behaviour Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization

  12. Responses to human and natural tragedy Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization

  13. Source: NHS SDU At least 15,000 people died prematurely as a result of Europe’s heat wave in 2003 in France1 1. Unprecedented heat-related deaths during the 2003 heat wave in Paris: consequences on emergency departments Jean-François Dhainaut, Yann - Erick Claessens, Christine Ginsburg, and Bruno Riou. Crit Care. 2004; 8(1): 1–2. Published online 2003 December 4. doi: 10.1186/cc2404. and Bhattacharya, S. (October 2003), ‘European heat wave caused 35,000 deaths’, The New Scientist. http://www.newscientist.com/article/dn4259

  14. The origins of our trade Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization

  15. Fusing a new model Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization Social Determinant model www.cymru.gov.uk Education Environment Culture Employment Lifestyle A new approach to Public Health Age Sex Gender Genetics Biomedical model

  16. The centrality of the DPH Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization www.cymru.gov.uk

  17. Collegial support Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization www.cymru.gov.uk

  18. Global movements for health Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization

  19. Evidence Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization • Evidence is vital as it can be convincing • Doesn’t always win the argument • Need to close the gap between policy makers and evidence through better communication

  20. Advocacy Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization

  21. Brokerage Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization

  22. Excellence Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization

  23. The future Tobacco killsMortality from lung cancer, 1991 - 2008Source: World Health Organization • Demonstrate daily the importance of Directors of Public Health • Find new and different forms of communication • Remember to have a voice www.cymru.gov.uk

  24. Diolch yn fawrThank you very much Tony.jewell@wales.gsi.gov.uk http://wales.gov.uk/topics/health/ocmo/?lang=en http://wales.gov.uk/topics/health/ocmo/?lang=cy

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