scholarly journals Advancing environmental public health in Latin America and the Caribbean

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Marcelo Korc ◽  
Fred Hauchman

This paper highlights the important leadership role of the public health sector, working with other governmental sectors and nongovernmental entities, to advance environmental public health in Latin America and the Caribbean toward the achievement of 2030 Sustainable Development Goal 3: Health and Well-Being. The most pressing current and future environmental public health threats are discussed, followed by a brief review of major historical and current international and regional efforts to address these concerns. The paper concludes with a discussion of three major components of a regional environmental public health agenda that responsible parties can undertake to make significant progress toward ensuring the health and well-being of all people throughout Latin America and the Caribbean.

2020 ◽  
Vol 41 (1) ◽  
pp. 347-361 ◽  
Author(s):  
Jonathan M. Samet ◽  
Thomas A. Burke

The quality of the environment is a major determinant of the health and well-being of a population. The role of scientific evidence is central in the network of laws addressing environmental pollution in the United States and has been critical in addressing the myriad sources of environmental pollution and the burden of disease attributable to environmental factors. We address the shift away from reasoned action and science to a reliance on belief and document the efforts to separate regulation from science and to remove science-based regulations and policies intended to protect public health. We outline the general steps for moving from research to policy, show how each has been undermined, offer specific examples, and point to resources that document the enormity of the current efforts to set aside scientific evidence.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract Many concepts that are key to public health policy-making are conceptual and often values-based. How such concepts can be implemented by Member States, and how the effectiveness of this implementation can be measured and reported, remains an critical challenge that all major monitoring frameworks are faced with, from Health 2020 (WHO’s European policy framework for health and well-being), to the Sustainable Development Goals for Agenda 2030. In 2016, WHO established a project to interrogate how four key values-based public health concepts can be better measured and reported on, to increase the accountability of Member States towards these concepts. Based on the priority areas of Health 2020, the concepts which were chosen are: resilience;empowerment;life-course approach; andwhole of society approach. Four Health Evidence Network (HEN) synthesis reports were commissioned from leading experts and have now been published, synthesizing the best available evidence and grey literature on these concepts, and proposing a variety of quantitative and qualitative approaches to measuring them. The workshop will be organized as round table workshop. It will bring together the authors of all four reports to provide an overarching thematic discussion on how to enhance the monitoring and reporting of values-based public health concepts. In addition, it will also present an opportunity to discuss the findings of the reports, in particular how qualitative evidence can be deployed to make up for the shortcomings of quantitative indicators. The role of culture in informing these values-based concepts will also be discussed. The session will be chaired by Nick Fahy, who will set the scene and provide some background to the WHO Europe project on enhancing monitoring and reporting. Jane South will then give overview of the HEN synthesis report on measuring resilience, followed Glenn Laverack, who will talk about the HEN report on measuring empowerment. Mark Hanson and Scott Greer will review their respective HEN reports on measuring the life-course approach and whole-of-society approach implementation. Each speaker will be asked to illustrate their presentation with a case study which demonstrates how qualitative evidence can enhance the monitoring and/or reporting of the various concepts. During the discussion, a number of key questions will be discussed by the panel with input from the audience. How can actionable measurement strategies be derived from existing research regarding values based concepts?How can meaningful, country-level reporting mechanisms be expanded to include quantitative and qualitative health information and indicators?What is the role of cultural contexts in mediating these (and other) values-based concepts? Key messages Many key public health concepts are inherently values-based. However, this is often not acknowledged, making it challenging to monitor and report on them. Qualitative evidence can be key to designing more effective ways to measure the implementation of values-based public health concepts. Jane South Contact: [email protected] Glenn Laverack Contact: [email protected] Mark Hanson Contact: [email protected] Scott Greer Contact: [email protected]


Author(s):  
Melinda R. Weathers ◽  
Edward Maibach ◽  
Matthew Nisbet

Effective public communication and engagement have played important roles in ameliorating and managing a wide range of public health problems including tobacco and substance use, cardiovascular disease, HIV/AIDS, vaccine preventable diseases, sudden infant death syndrome, and automobile injuries and fatalities. The public health community must harness what has been learned about effective public communication to alert and engage the public and policy makers about the health threats of climate change. This need is driven by three main factors. First, people’s health is already being harmed by climate change, and the magnitude of this harm is almost certain to get much worse if effective actions are not soon taken to limit climate change and to help communities successfully adapt to unavoidable changes in their climate. Therefore, public health organizations and professionals have a responsibility to inform communities about these risks and how they can be averted. Second, historically, climate change public engagement efforts have focused primarily on the environmental dimensions of the threat. These efforts have mobilized an important but still relatively narrow range of the public and policy makers. In contrast, the public health community holds the potential to engage a broader range of people, thereby enhancing climate change understanding and decision-making capacity among members of the public, the business community, and government officials. Third, many of the actions that slow or prevent climate change, and that protect human health from the harms associated with climate change, also benefit health and well-being in ways unrelated to climate change. These “cobenefits” to societal action on climate change include reduced air and water pollution, increased physical activity and decreased obesity, reduced motor-vehicle–related injuries and death, increased social capital in and connections across communities, and reduced levels of depression. Therefore, from a public health perspective, actions taken to address climate change are a “win-win” in that in addition to responsibly addressing climate change, they can help improve public health and well-being in other ways as well. Over the past half decade, U.S.-based researchers have been investigating the factors that shape public views about the health risks associated with climate change, the communication strategies that motivate support for actions to reduce these risks, and the practical implications for public health organizations and professionals who seek to effectively engage individuals and their communities. This research serves as a model for similar work that can be conducted across country settings and international publics. Until only recently, the voices of public health experts have been largely absent from the public dialogue on climate change, a dialogue that is often erroneously framed as an “economy versus the environment” debate. Introducing the public health voice into the public dialogue can help communities see the issue in a new light, motivating and promoting more thoughtful decision making.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 720-720
Author(s):  
Megan Wolfe ◽  
Molly French ◽  
John Shean

Abstract SIGNIFICANCE. Older adults can contribute wisdom, skills, and time to communities. The public health sector has unique capabilities for creating conditions that promote health, foster community connections, and quality of life. METHODS. Two frameworks provide public health (PH) with core strategies to improve outcomes for all older adults. The Framework for Creating an Age-Friendly Public Health System (AFPHS) supports the PH role, as demonstrated by 37 of Florida’s 67 county health departments that are piloting the AFPHS Framework. The Healthy Brain Initiative’s (HBI) State and Local Public Health Partnerships to Address Dementia is a framework for action used by PH to promote cognitive health, improve care for cognitive impairment, and increase caregiving supports. Both frameworks call for utilizing regional data and cross-sector partnerships. IMPLICATIONS. PH can contribute to community-wide initiatives to promote well-being and community connections for older adults. Cross-sector partnerships can start by using available tools and planning guides.


2020 ◽  
Vol 25 (2) ◽  
pp. 100-107
Author(s):  
Anca Dinicu

AbstractAlthough the health sector is a great contributor to the well-being status of every individual and community as a whole, and it is recognized that good health supports the economy, the idea of connecting it with the national security was not very much promoted by the public policymakers, nor by the academics. Over the last three decades, not only that the situation has started to change, but even the concept of health security has gained acceptance and attractiveness. Nevertheless, there is a great debate in theory and practice concerning the real meaning of the concept and the way of understanding it by the professionals from different domains connected with the public health sector. Not to mention that its importance is brought into discussion mainly in times of crisis and the disagreement regarding its content and scope is much deeper between developed and developing countries. This paper proposes to make the necessary distinction between the concepts that constitute the foundation of the specific analysis, but without treating them in a separate way. Also, by dealing with the concept of health security, it aims at highlighting the role of government in the process and last, but not least, to emphasize the need of international cooperation in the global age.


Author(s):  
Inmaculada de Melo-Martín ◽  
Kristen Intemann

This chapters evaluates whether inductive risks judgments can serve as a reliable criterion to identify normatively inappropriate dissent (NID). Dissent that calls for rejecting certain consensus views related to public policy can be risky. When consensus views are mistakenly rejected, it can have serious consequences for public health and well-being. These risks may not be worth taking when the risks disproportionately fall on the public, or when the dissent in question fails to conform to widely shared standards of good science. It concludes that this account also fails to offer a criterion to reliably identify NID. In part this is because of the difficulties presented by the criterion of shared standards in science. Also, the ambiguities present in judgments about inductive risks lead to serious problems in practice.


2016 ◽  
Vol 6 (1) ◽  
pp. 171
Author(s):  
Ifeanyichukwu Ojeka Ukonu ◽  
Gideon A. Emerole

<p>Recently, Nigerian health sector especially the hospitals has been enervated by grievances, antagonism, unpleasantness, dissension, and apprehension. Unfortunately, the industry involved in ensuring workers’ healthcare and that of the populace has experienced tempestuous times. Slyly, issues whose pedigrees could be traced to superiority, autonomy, compensation schemes and other conditions of service gradually meandered into the public health sector leading to health workers and non-health workers being at loggerhead with one another. As such, the serenity and harmony once witnessed in government hospitals have been jumbled by incoherent differences of various groups in the hospital. This paper therefore proposes to examine the causes of disputes at the University of Abuja Teaching Hospital; what has been done, and what needs to be done by all and sundry and more especially, the role National Industrial Court (NIC) has played in sustaining harmony in Nigerian health sector. Also, it will examine the role National industrial Court has previously played and can still play futuristically to enhance and sustain the desired industrial harmony in University of Abuja Teaching Hospital, the entire health sector and other sectors of the economy.</p>


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