HEALTH PROMOTION AND DISEASE PREVENTION

3. Define the terms adaptation and mitigation and their relevance to different levels of preventionTo understand the concept of co-benefits in relation to encouraging health promoting behaviours

What are the current crises in healthcare?

Are there any links that can be made?Increasing Demand

Chronic diseases

Obesity

Ageing population

Increasing public expectations

Decreasing resources

Increased energy prices

Climate change

Financial crisis

Antibiotic resistance

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Case Study - The August 2003 European Heat Wave

The August 2003 European Heat Wave – France Case Study

The Health Impact?• 15,000 deaths in France• 35,000 in total including

Belgium, the Czech Republic, Germany, Italy, Portugal, Spain, Switzerland, the Netherlands and the UK

• 60% of deaths were in the elderly (>75)

Why so devastating?• Heat-Island Effect• Surveillance for heat

wave deaths was inadequate

• Limited public-health response was due to a lack of experts,

• Limited strength of public-health agencies,

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Adaptation vs. Mitigation

Adaptation• Reduce impacts of

climate change• Short-term• Necessary because of

climate latency• E.g. Heat Health-

Warning systems

Mitigation• Reduce intensity of

climate change• Long-term• Necessary in the long

run• E.g. Reduce transport

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Co-benefits of mitigation

Carbon reduction strategies

Public health measures

HEALTH PROMOTION AND DISEASE PREVENTION

4. To articulate his or her own values and principles in relation to sustainability.To understand the doctor’s responsibilities in relation to delivering sustainable healthcare: -as a decision maker committing resources at the point of care - as a team manager and a leader of public opinion

• The responsibility of a doctor is to improving the health and wellbeing of whole populations

• The responsibility of a doctor is to helping the patient in front of them

Carbon footprint – NHS England

?

Whose responsibility is cutting carbon emissions?

drugstests procedures

imaging hospital stays

outpatient visits

What does sustainable healthcare mean for the Duty of a Doctorto protect & promote health

- In clinical practice?

- As a manager of health services?

- As a public health doctor?

- As a citizen?