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Public Health in local authorities – making sense of the big picture. ( A case study using obesity as an example) Professor Malcolm Whitfield. The Health Problem. Source: Professor Vilus Grabauskas, Professor, Chancellor of Kaunus Medical University, Lithuania .

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Presentation Transcript
slide1

Public Health in local authorities – making sense of the big picture.

(A case study using obesity as an example)

Professor Malcolm Whitfield

the health problem
The Health Problem

Source: Professor Vilus Grabauskas, Professor, Chancellor of Kaunus Medical University, Lithuania.

dealing with increased demand

(Example) - Diabetes

TE

TE

TE

TE

TE

TE

Prevention

Diagnosis & Treatment

Blood Sugar

Control

Cardio-vascular

events

Heart Surgery

Cataracts

Amputations

Foot ulcers

Etc.

Chronic Kidney Disease

Blindness

Immobility

Dealing with increased demand

Primary

Care

Public

Health

Out

Patients

Acute / Secondary

Care

Long term

Care

AE

the building burden of disease
The building burden of disease

Myocardial infarction

Stroke

Heart Failure

Kidney Failure

Diabetes

Angioplasty

Coronary bypass

Dialysis

Amputation

Cataracts

the policy assumptions
The policy assumptions

Demand

Patient Expectations

Ageing population

New & more intensive treatments

New/Drug resistant disease

More effective treatments

Better prevention/lifestyle

More effective models of care

Greater self care

Time

north karelia finland
North Karelia - Finland

Main risk factors in North Karelia between 1972 and 2007 among men and women aged 30-59 years

north karelia finland1
North Karelia - Finland

Age-adjusted mortality rates of coronary heart disease in North Karelia and the whole of Finland among males aged 35–64 years from 1969 to 2006.

understanding the complexity
Understanding the complexity?

Environment

Regulation

Diet

Policy

Education

Motivation

Lifestyle

Behaviour

Culture

Surgery

Healthcare

Exercise

Leisure