Download presentation
Presentation is loading. Please wait.
Published byCurtis Robertson Modified over 9 years ago
1
Longevity and Public Health IFA Global Conference Montreal September 7, 2008 Carolyn Bennett M.D., M.P.
2
Longevity Life expectancy ? ‘Long life’ More than numerical.... Quality of Life ICF.... Health and Functional Capacity
3
The Grey Tsunami ? R.O.M.P. Collingwood April 24, 2008 Dr. Carolyn Bennett M.P. The Grey Tsunami ?
4
D.O.B. ?
5
??? 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
6
Shortgevity Infectious Diseases Chronic Disease and Injury Mental Health Emergencies Social Determinants of Health
7
Shortgevity – Public Health ? Infectious Diseases Chronic Disease and Injury Mental Health Emergencies Social Determinants of Health
8
teachable moments 2003 - Canada… 44 died of SARS France…14,000 died in the heat wave 2005 - Katrina 2005 - Ontario Medical Association Report
9
Division of Ageing & Seniors “…It’s efforts are focused on four main areas: emergency preparedness active ageing injury prevention and mental health.”
10
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
11
Minister of Handwashing
12
Lessons learned from SARS Naylor’s 4 C’s – November 2003 – Collaboration – Cooperation – Communication – Clarity – who does what, when Germs don’t respect borders !!!!!
14
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
15
Chronic disease and injury prevention Diabetes Cancer Heart Disease and Stroke HIV/AIDS Falls Prevention
16
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
17
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
18
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
19
WISE and WONDERFUL vs AGEISM Nunavut ….ELDERS South of 60….ELDERLY ????
20
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
22
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
23
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 !!!!
24
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
25
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
26
??? Please save my granny ???
27
Soup lady should dish out facts Winnipeg Free Press, Mon Oct 3 2005 Monday, 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?"
28
Based on the 2007 Winnipeg International Workshop on Seniors and Emergency Preparedness Winnipeg, Manitoba, February 6–9, 2007 For presentation to the United Nations Commission for Social Development..
29
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
30
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”
31
Rx: Longevity Put the ‘public’ (especially SENIORS) back into PUBLIC health
32
"An army of useful citizens" can do what no one person can. Dr. Ethel Percy Andrus
33
Canadian Institute for Advanced Research – 25% health attributable to health care system – 15% biology and genetics – 10% physical environment – 50% social and economic environments
34
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
35
Sir Michael Marmot Chair, 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”
36
Attitude 2+2=5 Knowledgeable Stakeholders + Committed Politicians = Better Public Policy
37
Political Will to do the right thing Dramatically improves with an educated public…… health literacy Citizens pulling healthy public policy…. Civic efficacy
38
Putting the Public back into Public Health Civic Literacy ….. individual Civil Society…. Community Action
39
Public Health 101
40
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 ?
41
2. Would you prefer: A) Clean air B) Enough puffers and respirators for all
42
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
43
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
44
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
45
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
46
7. Pick the one that is NOT correct Pandemic Preparedness should focus on A)Tamiflu for all B)Working with the vets to keep avian flu a disease of birds C)Making sure people wash their hands especially the doctors and nurses D)Research on vaccines E)Community care plans for our most vulnerable
47
8.Governments should boast about: A)how much they spent on the sickness care system B)the health of their citizens, leaving no-one behind
48
social determinants vs. ‘choose health’
49
The Causes of the Causes Versus The Causes Sir Michael Marmot
50
Evolution of the Healthy Canadians Tree
52
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
53
Research Evidence-informed practice Practice-informed evidence Courage to fund what works Courage to stop funding what doesn`t Complex adaptive systems…
54
Research PracticePolicy
55
Research PracticePolicy KT
56
Research PracticePolicy KT Political will
57
Research PracticePolicy KT Political will Applied research
58
Research PracticePolicy ENGAGED CITIZENS KT Political will Applied research
59
Rx: Civic Participation It’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 !!!!!!!!
60
GREY POWER.....plug it in !!!!!
Similar presentations
© 2024 SlidePlayer.com Inc.
All rights reserved.