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Lang, T.; Rayner, G. (2015)
Publisher: WB Saunders
Languages: English
Types: Article
Subjects: RA0421
The paper considers the long-term trajectory of public health and whether a ‘Golden Era’ in Public Health might be coming to an end. While successful elements of the 20th century policy approach need still to be applied in the developing world, two significant flaws are now apparent within its core thinking. It assumes that continuing economic growth will generate sufficient wealth to pay for the public health infrastructure and improvement needed in the 21st century when, in reality, externalised costs are spiralling. Secondly, there is growing mismatch between ecosystems and human progress. While 20th century development has undeniably improved public health, it has also undermined the capacity to maintain life on a sustainable basis and has generated other more negative health consequences. For these and other reasons a rethink about the role, purpose and direction of public health is needed. While health has to be at the heart of any viable notion of progress the dominant policy path offers new versions of the ‘health follows wealth’ position. The paper posits ecological public health as a radical project to reshape the conditions of existence. Both of these broad paths require different functions and purposes from their institutions, professions and politicians. The paper suggests that eco-systems pressures, including climate change, are already adding to pressure for a change of course.
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    • 1. Dawson A. Resetting the Parameters: public health as the foundation for public health ethics. In: Dawson A, editor. Public Health Ethics: Key Concepts and Issues in Policy and Practice. Cambridge: Cambridge University Press; 2011.
    • 2. Acemoglu D, Robinson JA. Economic Origins of Dictatorship and Democracy. New York: Cambridge University Press; 2006.
    • 3. Engels F. The Condition of the Working Class in England in 1844. London: Penguin Classics; 1987 (1845/1892).
    • 4. Lizzeri A, Persico N. Why Did the Elites Extend the Suffrage? Democracy and the Scope of Government, with an Application to Britain's 'Age of Reform'. Quarterly Journal of Economics. 2004; 119:707 - 65.
    • 5. Chadwick E. Report on the Sanitary Conditions of the Labouring Population and on the Means of its Improvement. London: published by Edwin Chadwick privately1842 May.
    • 6. Piketty T. Capital in the Twenty-First Century. Cambridge MA: Belknap Press of Harvard University Press; 2014.
    • 7. Piketty T, Saez E. Top Incomes and the Great Recession: Recent Evolutions and Policy Implications Washington, DC: International Monetary Fund2012.
    • 8. Blair T. Our Nation's Future: Public Health. Speech by the Prime Minister on healthy living. Nottingham. July 26. http://www.number-10.gov.uk/output/Page9921.asp, accessed 7 May 2009: Prime Minister's Office, London; 2006.
    • 9. Thaler R, Sunstein C. Nudge: Improving Decisions about Health, Wealth, and Happiness. New Haven CT: Yale University Press; 2008.
    • 10. Rayner G, Lang T. Is nudge an effective public health strategy to tackle obesity? No. British Medical Journal. 2011; 342:d2168-d.
    • 11. Bourdieu P. The Essence of Neoliberalism. Le Monde Diplomatique. 1998:http://mondediplo.com/1998/12/08bourdieu
    • 12. Rose G. The Strategy of Preventive Medicine. Oxford: Oxford University Press; 1992 13. Halliday S. The great stink of London : Sir Joseph Bazalgette and the cleansing of the Victorian capital. Stroud: Sutton; 1999.
    • 14. Winslow C-EA. The conquest of epidemic disease: a chapter in the history of ideas. Princeton, NJ: Princeton University Press; 1943.
    • 15. Fowler N. AIDS: Don't Die of Prejudice. London: Biteback Books; 2014.
    • 16. McMichael AJ. Prisoners of the Proximate: Loosening the Constraints on Epidemiology in an Age of Change. American Journal of Epidemiology. 1999; 149:887-97.
    • 17. Luckin B. Pollution in the city. In: Daunton MJ, editor. The Cambridge Urban History of Britain: 1840-1950. Cambridge2000. p. 207-28.
    • 18. Greater London Authority. 50 Years On: The struggle for air quality in London since the great smog of December 1952. London: Greater London Authority2002.
    • 19. Rayner G, Lang T. Ecological Public Health: reshaping the conditions for good health. Abingdon: Routledge / Earthscan; 2012.
    • 20. Malthus TR. An essay on the principle of population, as it affects the future improvement of society with remarks on the speculations of Mr. Godwin, M. Condorcet and other writers. London: Printed for J. Johnson; 1798.
    • 21. Leon DA. Cities, urbanization and health. Int J Epidemiol. 2008; 37:4-8.
    • 22. UN Habitat. State of the World's Cities 2010/2011 - Cities for All: Bridging the Urban Divide. London: Earthscan; 2010.
    • 23. Ayres RU, Ayres EH. Crossing the Energy Divide: Moving from Fossil Fuel Dependence to a Clean-Energy Future. Upper Saddler River, New Jersey: Pearson Education; 2009.
    • 24. Hoekstra AY, Mekonnen MM. The water footprint of humanity. Proceedings of the National Academy of Sciences. 2012; 109:3232-7.
    • 25. OECD. Divided we stand: why inequality keeps rising. . Paris: Organisation for Economic Co-operation and Development. 2011 December.
    • 26. UN Habitat. State of African Cities 2010: Governance, Inequalities and Urban Land Market. Nairobi: UN Habitat; 2010.
    • 27. Ortiz I, Cummins M. Global Inequality: Beyond the Bottom Billion - A Rapid Review of Income Distribution in 141 Countries. New York: Unicef2011 April 2011.
    • 28. Bamber JL, Aspinall WP. An expert judgement assessment of future sea level rise from the ice sheets. Nature Clim Change. 2013; 3:424-7.
    • 29. Rohling EJ, Haigh ID, Foster GL, Roberts AP, Grant KM. A geological perspective on potential future sea-level rise. Scientific Reports. 2013; 3.
    • 30. Gertler AW, Gillies JA, Pierson WR, Rogers CF, Sagebiel JC, Abu-Allaban M, et al. Realworld particulate matter and gaseous emissions from motor vehicles in a highway tunnel. Res Rep Health Eff Inst. 2002:5-56; discussion 79-92.
    • 31. Centers for Disease Control and Prevention. Ten Great Public Health Achievements-- United States, 1900-1999. Journal of the American Medical Association. 1999; 281:1481-83.
    • 32. Commission on Social Determinants of Health. Closing the Gap in a Generation: Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. http://www.who.int/social_determinants/final_report/en/index.html. Geneva: World Health Organisation2008 August.
    • 33. Stuckler D, Basu S. The Body Economic: why austerity kills: London; 2013.
    • 34. Lancet. The Global Burden of Disease Study 2010. The Lancet. 2012; 380:2053-260.
    • 35. WHO. Top 10 causes of death. Factsheet 310 http://www.who.int/mediacentre/factsheets/fs310/en/. Geneva: World Health Organisation2013 July 2013 Contract No.: Factsheet 310
    • 36. Rockström J, Steffen W, Noone K, Persson Å, Chapin FS, Lambin E, et al. Planetary boundaries:exploring the safe operating space for humanity. Ecology and Society. 2009; 14:32 online http://www.ecologyandsociety.org/vol14/iss2/art32/.
    • 37. Millennium Ecosystem Assessment (Program). Ecosystems and human well-being : synthesis. Washington, DC: Island Press; 2005.
    • 38. Giles C. IMF warns on threat of income inequality. Financial Times. 2014.
    • 39. Rees SM. Our Final Hour: A Scientist's Warning. London: Basic Books; 2009.
    • 40. Khoury CK, Bjorkman AD, Dempewolf H, Ramirez-Villegasa J, Guarinof L, Jarvisa A, et al. Increasing homogeneity in global food supplies and the implications for food security. Proceedings of the National Academies of Science. 2014; www.pnas.org/cgi/doi/10.1073/pnas.1313490111.
    • 41. UNEP. World Water Assessment Programme, Water - A shared responsibility. The United Nations World Water Development Report No 2. Geneva: United Nations Environment Programme2006.
    • 42. McMichael A, Woodruff R, Hales S. Climate change and human health: present and future risks. The Lancet. 2006; 367:859-69.
    • 43. WHO, WMO. Atlas of health and climate. Geneva: World Health Organisation and World Meteorological Organisation2012.
    • 107. Alirol E, Getaz L, Stoll B, Chappuis F, Loutan L. Urbanisation and infectious diseases in a globalised world. The Lancet Infectious Diseases. 2011; 11:131-41.
    • 108. WHO. Antimicrobial resistance: global report on surveillance. Geneva: World Health Organisation2014 April 30
    • 109. Lang T, Rayner G. Overcoming policy cacophony on obesity: an ecological public health framework for policymakers. Obesity Reviews. 2007; 8 165-81.
    • 110. Colleges AoMR, Stephenson Tc. Measuring Up: the Medical Profession's Prescription for the Nation's Obesity Crisis. London: Academy of Medical Royal Colleges2013.
    • 111. Dolan P, Hallsworth M, Halpern D, King D, Vlaev I. Mindspace. London: Cabinet Office and Institute for Government2008.
    • 112. Moodie R, Stuckler D, Monteiro C, Sheron N, Neal B, Thamarangsi T, et al. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. The Lancet. 2013; 381:670-9.
    • 113. Mokyr J. The Gifts of Athena: Historical Origins of the Knowledge Economy. Princeton, New Jersey: Princeton University Press; 2002.
    • 114. Fogel RW. Technophysio evolution and the measurement of economic growth. Journal of Evolutionary Economics. 2004; 14:217-21.
    • 115. Lang T, Rayner G. Obesity: a growing issue for European policy? Journal of European Social Policy. 2005; 15:301-27.
    • 116. Bloom BR. Public Health in Transition. Scientific American. 2005; 293:92-9.
    • 117. Institute of Medicine. The Future of the Public's Health in the 21st Century. Washington, DC: National Academy Press2002.
    • 118. Tait PW, McMichael AJ, Hanna EG. Determinants of health: the contribution of the natural environment. Australian and New Zealand Journal of Public Health. 2014; 38:104-7.
    • 119. Smillie WG. The Great Pioneers of Public Health in America 1610-1925. Americal Journal of Public Health. 1953; 43:1077-84.
    • 120. Lancet T. The Catastrophic Failures of Public Health. The Lancet. 2006; 363:745.
    • 121. Gates Foundation T. Gates Foundation: What we do. http://www.gatesfoundation.org/What-We-Do. Seattle: Bill and Melinda Gates Foundation2014.
    • 122. Brown ER. Rockefeller Medicine Men: Medicine and Capitalism in America. Berkeley and London: University of California Press; 1979.
    • 123. Rhodes RAW. The Hollowing out of the State. Political Quarterly. 1994; 65:138- 51.
    • 124. Milward HB, Provan KG. Governing the Hollow State. Journal of Public Administration Research and Theory. 2000; 10:359-80.
    • 125. WHO. WHO Framework Convention on Tobacco Control. Geneva: World Health Organisation2003.
    • 126. Holmes D. Judith MacKay: self-made scourge of the tobacco industry. The Lancet. 2013; 381:1531.
    • 127. Skelcher C. Changing images of the State: overloaded, hollowed-out, congested. Public Policy and Administration 2000; 15:3-19
    • 128. Gostin LO, Mok EA. Grand challenges in global health governance. British Medical Bulletin. 2009; 90:7-18.
    • 129. Kraak VI, Harrigan PB, Lawrence M, Harrison PJ, Jackson MA, Swinburn B. Balancing the benefits and risks of public-private partnerships to address the global double burden of malnutrition. Public Health Nutr. 2011:1-15.
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