Constituting good health citizenship through British Columbia’s COVID-19 public updates

2021 ◽  
pp. 136345932110641
Author(s):  
Philippa Spoel ◽  
Naomi Lacelle ◽  
Alexandra Millar
Keyword(s):  
Public Health ◽  
Personal Responsibility ◽  
Rhetorical Analysis ◽  
Good Health ◽  
Public Health Communication ◽  
Civic Duty ◽  
Health Officer ◽  
Health Citizenship ◽  
Individual Citizen ◽  
Do So

The COVID-19 pandemic has augmented discourses of individual citizen responsibility for collective health. This article explores how British Columbia, Canada’s widely praised COVID-19 communication participates in the development of neo-communitarian “active citizenship” governmentalities focused on the civic duty of voluntarily taking responsibility for the health of one’s community. We do so by investigating how public health updates from BC’s acclaimed Provincial Health Officer Dr. Bonnie Henry articulate this civic imperative through the rhetorical constitution of the “good covid citizen.” Our rhetorical analysis shows how this pro-social communication interpellates citizens within a discourse of behavioral, epistemic, and ethical responsibilisation. The communal ethos constituted through this public health communication significantly increases the burden of personal responsibility for health beyond norms of self-care. Making the protection of community health primarily the responsibility of individual citizens also presumes a privileged identity of empowered, active agency and implicitly excludes citizens who lack the means to successfully fulfill the expectations of good covid citizenship.

Digitized Health Promotion

2016 ◽  
Author(s):  
Deborah Lupton
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Social Justice ◽  
Health Policy ◽  
Public Health Policy ◽  
Social Epidemiology ◽  
Digital Health ◽  
Personal Responsibility ◽  
Good Health ◽  
Health Technologies

This chapter explores the use of digital health technologies in health promotion endeavors. This “digitized health promotion” is the latest stage in the trajectory of health promotion ideology and practice over the past four decades in wealthy Anglophone nations. Lupton argues that over this period the individualistic approach to good health commonly espoused in medicine and public health was challenged by advocates arguing for a greater focus on social justice and social epidemiology. The individualistic approach to health promotion never disappeared, however, and has gathered momentum in the current economic, political, and technological climate. While many health promotion workers still champion the ideals of “health for all,” public health policy in the context of digitized health promotion has begun to return to emphasizing personal responsibility for health.

Responsibility

2021 ◽  
pp. 161-183
Author(s):  
James Wilson
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Health System ◽  
System Design ◽  
Public Health Policy ◽  
Personal Responsibility ◽  
Health Related ◽  
The Right ◽  
Do So ◽  
Ethical Requirement

Public health policy requires decisions about how to distribute the burdens and benefits of reducing health-related risks. This chapter argues that responsibility should be assigned on the basis of the values that the health system is aiming to promote or respect, rather than by treating personal responsibility as an extrinsic ethical requirement on health system design. A health system’s answer to the question of whom to hold accountable, and how to do so, should be framed within the context of the right to public health. Where claims of irresponsibility are levelled, these should in the first instance be directed towards those who violate the right to public health, either through government or corporate agency, rather than at isolated individuals.

Building Public Health Law Capacity at the Local Level

2008 ◽  
Vol 36 (S3) ◽  
pp. 6-28
Author(s):  
Diane E. Hoffmann ◽  
Virginia Rowthorn
Keyword(s):  
Public Health ◽  
Local Level ◽  
Health Department ◽  
Local Health Department ◽  
Local Health ◽  
Health Law ◽  
Hiv Status ◽  
Health Officer ◽  
Hiv Awareness ◽  
Do So

In the early days of HIV awareness, prior to universal precautions, as a local health officer, I was supervising an openly gay employee. The county executive (in his formal capacity) asked me the HIV status of the employee and threatened my employment if I did not reveal it. I was reluctant to do so, believing it would be an invasion of the employee’s privacy. I contacted the county attorney who advised me that I could reveal the employee’s HIV status to the county executive but he was not willing to put his guidance in writing. Ultimately, I spoke with the employee’s attorney and was given permission to reveal the employee’s HIV status. The experience, however, left a bad taste in my mouth. I felt the county attorney was acting politically in support of the county executive rather than doing what was legally appropriate. He certainly did not act as an advocate for the local health department!

Public health promotion of “local food”: Constituting the self-governing citizen-consumer

2016 ◽  
Vol 21 (2) ◽  
pp. 154-170 ◽  
Author(s):  
Colleen Derkatch ◽  
Philippa Spoel
Keyword(s):  
Public Health ◽  
Environmental Sustainability ◽  
Food Systems ◽  
Local Food ◽  
Well Being ◽  
Good Health ◽  
Local Economy ◽  
Lifestyle Behaviors ◽  
Local Public Health ◽  
Health Citizenship

This article explores how the recent and growing promotion of local foods by public health units in Ontario, Canada, rhetorically interpellates the “good” health citizen as someone who not only takes responsibility for personal health but, through the consumption and support of “local food,” also accepts and fulfills her responsibilities to care for the local economy, the community’s well-being, and the natural environment. Drawing on Charland’s concept of constitutive rhetoric, we analyze a selection of public health unit documents about local food to develop a textured account of the complex, multifaceted forms of health citizenship they constitute. Our analysis reveals that, despite their appeals to environmental sustainability and community well-being, these materials primarily characterize the ideal health citizen as an informed consumer who supports the interests of the neoliberal state through individualized lifestyle behaviors, consuming goods produced and distributed through private enterprise. By exhorting individuals to “buy local,” public health discourse therefore frames responsible health citizenship principally in consumerist terms that constrain the range of available options for citizens to engage in meaningful action vis-à-vis their food systems.

scholarly journals Are Norwegian Municipality policies enabling intersectoral collaboration in migration health?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Nordström ◽  
B Kumar
Keyword(s):  
Public Health ◽  
Social Determinants ◽  
Local Level ◽  
Good Health ◽  
Migrant Health ◽  
Intersectoral Collaboration ◽  
Health Work ◽  
Integration Policy ◽  
Intersectoral Action ◽  
The Social

Abstract Issue Sporadic accounts of initiatives, interventions and good practices in Migrant Health at the Municipality level account for Norways' lower score on “Measures to achieve change” in the Migrant Integration Policy Index (MIPEX). While the structure and organization at the municipality level should enable intersectoral action (as all under one umbrella), the municipal counties say lack of intersectoral collaboration is one of the main barriers for long-term public health work. Description of the Problem 51 municipalities have an immigrant population larger than the national average 17,8% (2019). In a recent Country Assessment (part of Joint Action on Health Equity Europe), limited inter-sectoral action on the social determinants of health including migration was observed. Although multiple agencies are engaged in attempts to address these issues. While there is a drive to promote public health and primary health care in municipalities, these initiatives do not pay special attention to migrants. In the first stage of this project, we have reviewed municipal policy documents to map policy and measures on public health, migrant health and intersectoral collaboration. In the second stage, municipalities will be contacted to engage them in the implementation of intersectoral actions. Results The desk review and mapping show that only 8 of the “top” 32 municipalities mention “intersectoral” in the municipal master plan (5 were not available online), its mentioned in 9 action program/budgets, but not necessarily by the same municipalities. 15 of the municipalities mention migrants, but rarely in relation to health. We observe that, the size of the municipality, financial resources and support from the County are factors that may play a significant role in prioritising migrant health and intersectoral collaboration. Lessons Advocating for and supporting the local/municipal level for intersectoral action is highly relevant, timely and essential. Key messages Intersectoral action on the social determinants of migrants’ health needs to be implemented through municipal policies to reduce inequities in migrants’ health. Implementation on the local level is the main arena for good public health work and is crucial to ensure good health for migrants.

scholarly journals Chasing the ghost of infection past: identifying thresholds of change during the COVID-19 infection in Spain

2020 ◽  
Vol 148 ◽  
Author(s):  
Luis Santamaría ◽  
Joaquín Hortal
Keyword(s):  
Public Health ◽  
Growth Rate ◽  
Health Communication ◽  
Communication Strategies ◽  
Growth Curves ◽  
Personal Hygiene ◽  
Exponential Growth Rate ◽  
Public Health Communication ◽  
Containment Measures ◽  
Key Events

Abstract One of the largest nationwide bursts of the first COVID-19 outbreak occurred in Spain, where infection expanded in densely populated areas through March 2020. We analyse the cumulative growth curves of reported cases and deaths in all Spain and two highly populated regions, Madrid and Catalonia, identifying changes and sudden shifts in their exponential growth rate through segmented Poisson regressions. We associate these breakpoints with a timeline of key events and containment measures, and data on policy stringency and citizen mobility. Results were largely consistent for infections and deaths in all territories, showing four major shifts involving 19–71% reductions in growth rates originating from infections before 3 March and on 5–8, 10–12 and 14–18 March, but no identifiable effect of the strengthened lockdown of 29–30 March. Changes in stringency and mobility were only associated to the latter two shifts, evidencing an early deceleration in COVID-19 spread associated to personal hygiene and social distancing recommendations, followed by a stronger decrease when lockdown was enforced, leading to the contention of the outbreak by mid-April. This highlights the importance of combining public health communication strategies and hard confinement measures to contain epidemics.

scholarly journals Critical health response in the time of COVID-19: lessons from the past

2021 ◽  
Vol 51 (2) ◽  
pp. 336-345
Author(s):  
Rabia Ruby Patel ◽  
Tanya Monique Graham
Keyword(s):  
South African ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Subjective Experience ◽  
Personal Responsibility ◽  
Good Health ◽  
Community Empowerment ◽  
The South ◽  
Change Models ◽  
Health Behaviour Change

This article examines the South African government’s response to COVID-19 by exploring the strong emphasis that has been placed on South Africans taking personal responsibility for good health outcomes. This emphasis is based on the principles of the traditional Health Belief Model which is a commonly used model in global health systems. More recently, there has been a drive towards other health behaviour change models, like the COM-B model and Behaviour Change Wheel (BCW); nonetheless, these remain entrenched within the principles of individual health responsibility. However, the South African experience with the HIV epidemic serves as a backdrop to demonstrate that holding people personally accountable for health behaviour changes has major pitfalls; health risk is never objective and does not take place outside of subjective experience. This article makes the argument that risk-taking health behaviour change in the South African context has to consider community empowerment and capacity building.

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