longevity and public health n.
Download
Skip this Video
Download Presentation
Longevity and Public Health

Loading in 2 Seconds...

play fullscreen
1 / 60

Longevity and Public Health - PowerPoint PPT Presentation


  • 141 Views
  • Uploaded on

Longevity and Public Health. IFA Global Conference Montreal September 7, 2008 Carolyn Bennett M.D., M.P. Longevity. Life expectancy ? ‘Long life’ More than numerical.... Quality of Life ICF.... Health and Functional Capacity. The Grey Tsunami ?. The Grey Tsunami ?. R.O.M.P.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Longevity and Public Health' - cheche


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
longevity and public health

Longevity and Public Health

IFA Global Conference

Montreal

September 7, 2008

Carolyn Bennett M.D., M.P.

longevity
Longevity
  • Life expectancy ?
  • ‘Long life’
  • More than numerical....
  • Quality of Life
  • ICF.... Health and Functional Capacity
the grey tsunami

The Grey

Tsunami ?

The Grey Tsunami ?

R.O.M.P.

Collingwood

April 24, 2008

Dr. Carolyn Bennett M.P.

better measure
??? Better measure
  • MORTALITY RISK
  • QUALITY OF LIFE
  • Although…. If this is the first generation that may not live as long as their parents….

LIFE EXPECTANCY DOES MATTER

shortgevity
Shortgevity
  • Infectious Diseases
  • Chronic Disease and Injury
  • Mental Health
  • Emergencies
  • Social Determinants of Health
shortgevity public health
Shortgevity – Public Health ?
  • Infectious Diseases
  • Chronic Disease and Injury
  • Mental Health
  • Emergencies
  • Social Determinants of Health
teachable moments
teachable moments
  • 2003 - Canada… 44 died of SARS

France…14,000 died in the heat wave

  • 2005 - Katrina
  • 2005 - Ontario Medical Association Report
division of ageing seniors
Division of Ageing & Seniors

“…It’s efforts are focused on four main areas:

emergency preparedness

active ageing

injury prevention and

mental health.”

longevity and public health1
Longevity and Public Health
  • Infectious Disease
  • Chronic Disease and injury Prevention
  • Mental Health
  • Emergencies
  • Rx: Putting the Public back into Public Health
  • Complex Adaptive Systems
lessons learned from sars
Lessons learned from SARS
  • Naylor’s 4 C’s – November 2003
    • Collaboration
    • Cooperation
    • Communication
    • Clarity – who does what, when
  • Germs don’t respect borders !!!!!
longevity and public health2
Longevity and Public Health
  • Infectious Disease
  • Chronic Disease and injury Prevention
  • Mental Health
  • Emergencies
  • Rx: Putting the Public back into Public Health
  • Complex Adaptive Systems
chronic disease and injury prevention
Chronic disease and injury prevention
  • Diabetes
  • Cancer
  • Heart Disease and Stroke
  • HIV/AIDS
  • Falls Prevention
management 101
Management 101

``if it`s measured it gets noticed, if it`s

noticed it gets done``

  • Reportable diseases.... HbA1C
    • Interventions....
  • Minister Andy Kerr, Scotland
    • Health outcomes down to postal code
  • GIS
longevity and public health3
Longevity and Public Health
  • Infectious Disease
  • Chronic Disease and injury Prevention
  • Mental Health
  • Emergencies
  • Rx: Putting the Public back into Public Health
  • Complex Adaptive Systems
mental health
Mental Health
  • Men over 80 ...highest suicide rate in Canada
  • Challenges – social and emotional isolation
      • Body betrayal
        • Physical ailments
        • Mobility
        • Pain
        • Cognitive and sensory impairment
      • Retirement
        • Changes in income
      • Widowhood, loss of friendships through death
      • New caregiving responsibilties
      • GBLT community - inclusion
wise and wonderful vs ageism
WISE and WONDERFULvsAGEISM
  • Nunavut ….ELDERS
  • South of 60….ELDERLY ????
longevity and public health4
Longevity and Public Health
  • Infectious Disease
  • Chronic Disease and injury Prevention
  • Mental Health
  • Emergencies
  • Rx: Putting the Public back into Public Health
  • Complex Adaptive Systems
survivors
Survivors
  • Hispanics: had an unusually low death rate due to heat. Hispanics at the time lived in places with higher population density, and more social cohesion.
  • Elderly women: who may have been more socially engaged, were less vulnerable than elderly men
vulnerability study
Vulnerability study
  • individual-level risk factors for heat wave victims
      • living alone
      • not leaving home daily
      • lacking access to transportation
      • being sick or bedridden
      • not having social contacts nearby
      • not having an air conditioner !!!!
2 2003 paris heat wave
2 2003 Paris Heat Wave
  • Critics suggest many seniors were abandoned by their families heading to vacation spots for the traditional August holiday.
  • The French government cut more than $150 million in elder funding earlier that year
the responsibility of civil society
The responsibility of civil society ?
  • Health Minister Mattei stated the deaths were a “brutal revelation of a social fracture, of the solitude and isolation of the aged.”
  • "Our society doesn't display enough sense of community“ said Paris Mayor Bertrand Delanoe
slide27

Soup lady should dish out factsWinnipeg Free Press, Mon Oct 3 2005Monday, October 3, 2005

Public Health Minister Carolyn Bennett says what bothers her about a flu pandemic is delivering chicken soup to victims.At last month's annual meeting of the Canadian Public Health Association, she told Canadian Press that mutual support among citizens is one of the most important elements of the response to a pandemic.Then she added: "The part that bugs me most is the bottom-up part. Does every Canadian know who their three neighbours are...and would we be able to get them the chicken soup and not get infected?"

slide28

Based on the 2007 Winnipeg International Workshop on Seniors and Emergency Preparedness Winnipeg, Manitoba, February 6–9, 2007For presentation to the United Nations Commission for Social Development.

longevity and public health5
Longevity and Public Health
  • Infectious Disease
  • Chronic Disease and injury Prevention
  • Mental Health
  • Emergencies
  • Rx: Putting the Public back into Public Health
  • Complex Adaptive Systems
tyranny of the acute
Tyranny of the Acute
  • “As long as citizens think of the sickness care system whenever they hear the word ‘health’, it will be very difficult to reorient the health CARE system to systems for HEALTH”
rx longevity
Rx: Longevity

Put the

‘public’

(especially SENIORS)

back into

PUBLIC

health

canadian institute for advanced research
Canadian Institute for Advanced Research
  • 25% health attributable to health care system
  • 15% biology and genetics
  • 10% physical environment
  • 50% social and economic environments
goal of medicare
Goal of Medicare…
  • Sharing risk
    • getting people the health care they need when they need it
  • Keeping people well not just patching them up once they get sick
sir michael marmot chair who commission on social determinants of health
Sir Michael MarmotChair, WHO Commission on Social Determinants of Health

“The worst thing for a physician is to help someone get well and then send them straight back into the situation that made them sick in the first place”

attitude 2 2 5
Attitude2+2=5

Knowledgeable Stakeholders

+

Committed Politicians

=

Better Public Policy

political will to do the right thing
Political Will to do the right thing
  • Dramatically improves with an educated public…… health literacy
  • Citizens pulling healthy public policy…. Civic efficacy
putting the public back into public health
Putting the Public back intoPublic Health
  • Civic Literacy ….. individual
  • Civil Society…. Community Action
1 do you think we should have a
1.Do you think we should have a:

A) strong fence at the top of the cliff

B) state of the art fleet of ambulances and paramedics waiting at the bottom ?

2 would you prefer
2. Would you prefer:

A) Clean air

B) Enough puffers and respirators

for all

3 would you prefer that wait times were reduced by
3. Would you prefer that wait-times were reduced by:

A) a falls program to reduce preventable hip fractures

B) private orthopaedic hospitals and more surgeons

4 should we invest in
4.Should we invest in:

A) early learning, child care, literacy,the early identification of learning disabilities and bullying programmes

B) increase the budget for young offenders’ incarceration

5 should we
5.Should we:

A) assume that the 'grey tsunami' will bankrupt our health care system

B) include our aging population in the planning of strategies to keep them well

6 is the best approach to food security
6. Is the best approach to food security:

A) food banks and vouchers

B) Income security,affordable housing, community gardens and community kitchens and a national food policy

7 pick the one that is not correct
7. Pick the one that is NOT correct

Pandemic Preparedness should focus on

  • Tamiflu for all
  • Working with the vets to keep avian flu a disease of birds
  • Making sure people wash their hands especially the doctors and nurses
  • Research on vaccines
  • Community care plans for our most vulnerable
8 governments should boast about
8.Governments should boast about:
  • how much they spent on the sickness care system
  • the health of their citizens, leaving no-one behind
the causes of the causes

The Causes of the Causes

Versus

The Causes

Sir Michael Marmot

longevity and public health6
Longevity and Public Health
  • Infectious Disease
  • Chronic Disease and injury Prevention
  • Mental Health
  • Emergencies
  • Rx: Putting the Public back into Public Health
  • Complex Adaptive Systems
slide53
Research
  • Evidence-informed practice
  • Practice-informed evidence
  • Courage to fund what works
  • Courage to stop funding what doesn`t
  • Complex adaptive systems…
slide54

Research

Practice

Policy

slide55

Research

KT

Practice

Policy

slide56

Research

KT

Practice

Policy

Political will

slide57

Research

Applied

research

KT

Practice

Policy

Politicalwill

slide58

ENGAGED CITIZENS

Research

Applied

research

KT

Practice

Policy

Politicalwill

rx civic participation it s good for your health
Rx: Civic ParticipationIt’s good for your health

Physical and mental energy comes from

feeling in control of your life,

having real choices,

and being involved with others

to find ways of organizing change for the better

Barbara Rogers

BONUS !!!!!!!!