scholarly journals The Canmore Declaration: Statement of Principles for Planetary Health

Challenges ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 31 ◽  
Author(s):  
Susan Prescott ◽  
Alan Logan ◽  
Glenn Albrecht ◽  
Dianne Campbell ◽  
Julian Crane ◽  
...  

The term planetary health—denoting the interdependence between human health and place at all scales—emerged from the environmental and preventive health movements of the 1970–80s; in 1980, Friends of the Earth expanded the World Health Organization definition of health, stating: “health is a state of complete physical, mental, social and ecological well-being and not merely the absence of disease—personal health involvesplanetary health”. Planetary health is not a new discipline; it is an extension of a concept understood by our ancestors, and remains the vocation of multiple disciplines. Planetary health, inseparably bonded to human health, is formally defined by the inVIVO Planetary Health network as the interdependent vitality of all natural and anthropogenic ecosystems (social, political and otherwise). Here, we provide the historical background and philosophies that have guided the network, and summarize the major themes that emerged at the 7th inVIVO meeting in Canmore, Alberta, Canada. We also provide the Canmore Declaration, a Statement of Principles for Planetary Health. This consensus statement, framed by representative participants, expands upon the 1986 Ottawa Charter for Health Promotion and affirms the urgent need to consider the health of people, places and the planet as indistinguishable.

Challenges ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 15 ◽  
Author(s):  
David Nelson ◽  
Susan Prescott ◽  
Alan Logan ◽  
Jeffrey Bland

Four decades ago, several health movements were sprouting in isolation. In 1980, the environmental group Friends of the Earth expanded the World Health Organization definition of health, reminding citizenry that, “health is a state of complete physical, mental, social and ecological well-being and not merely the absence of disease—personal health involves planetary health”. At the same time, a small group of medical clinicians were voicing the concept of “clinical ecology”—that is, a perspective that sees illness, especially chronic illness, as a response to the total lived experience and the surroundings in which “exposures” accumulate. In parallel, other groups advanced the concept of holistic medicine. In 1977, the progressive physician-scientist Jonas Salk stated that “we are entering into a new Epoch in which holistic medicine will be the dominant model”. However, only recently have the primary messages of these mostly isolated movements merged into a unified interdisciplinary discourse. The grand, interconnected challenges of our time—an epidemic of non-communicable diseases, global socioeconomic inequalities, biodiversity losses, climate change, disconnect from the natural environment—demands that all of medicine be viewed from an ecological perspective. Aided by advances in ‘omics’ technology, it is increasingly clear that each person maintains complex, biologically-relevant microbial ecosystems, and those ecosystems are, in turn, a product of the lived experiences within larger social, political, and economic ecosystems. Recognizing that 21st-century medicine is, in fact, clinical ecology can help clear an additional path as we attempt to exit the Anthropocene.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 987-987
Author(s):  
Hu Ching-Li

It is important to recall the definition of health embodied in the Constitution of the World Health Organization (WHO) over 45 years ago: "Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic, or social condition." Among the Organization's mandated functions is "to promote maternal and child health and welfare and to foster the ability to live harmoniously in a changing total environment." The challenge of that task is no less today than it was then. Historically, societies have evolved various patterns of family structure for social and economic functions. In preindustrial societies there evolved a great concordance between these functions, with many of the health, developmental, and socialization functions taking place first within the family and then within the immediate community. The rapid social changes of both the industrial and information revolutions have changed drastically the functions of the family, and have shifted many of the health, developmental, and social functions to nonfamily institutions, from which families are often excluded or marginally involved. Much of the international attention to child health in this last decade has been directed at simple interventions to prevent the nearly 13 million deaths each year of children under 5: universal child immunization; the control of diarrheal and acute respiratory diseases; and infant and young child nutrition, particularly breast-feeding.


Author(s):  
Rebecca McKnight ◽  
Jonathan Price ◽  
John Geddes

One in four individuals suffer from a psychiatric disorder at some point in their life, with 15– 20 per cent fitting cri­teria for a mental disorder at any given time. The latter corresponds to around 450 million people worldwide, placing mental disorders as one of the leading causes of global morbidity. Mental health problems represent five of the ten leading causes of disability worldwide. The World Health Organization (WHO) reported in mid 2016 that ‘the global cost of mental illness is £651 billion per year’, stating that the equivalent of 50 million working years was being lost annually due to mental disorders. The financial global impact is clearly vast, but on a smaller scale, the social and psychological impacts of having a mental dis­order on yourself or your family are greater still. It is often difficult for the general public and clin­icians outside psychiatry to think of mental health dis­orders as ‘diseases’ because it is harder to pinpoint a specific pathological cause for them. When confronted with this view, it is helpful to consider that most of medicine was actually founded on this basis. For ex­ample, although medicine has been a profession for the past 2500 years, it was only in the late 1980s that Helicobacter pylori was linked to gastric/ duodenal ul­cers and gastric carcinoma, or more recently still that the BRCA genes were found to be a cause of breast cancer. Still much of clinical medicine treats a patient’s symptoms rather than objective abnormalities. The WHO has given the following definition of mental health:… Mental health is defined as a state of well- being in which every individual realizes his or her own po­tential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.… This is a helpful definition, because it clearly defines a mental disorder as a condition that disrupts this state in any way, and sets clear goals of treatment for the clinician. It identifies the fact that a disruption of an individual’s mental health impacts negatively not only upon their enjoyment and ability to cope with life, but also upon that of the wider community.


Author(s):  
Maria Cecília de Souza Minayo ◽  
Saul Franco

Violence is a problem that accompanies the trajectory of humanity, but it presents itself in different ways in each society and throughout its historical development. Despite having different meanings according to the field of knowledge from which it is addressed and the institutions that tackle it, there are some common elements in the definition of this phenomenon. It is acknowledged as the intentional use of force and power by individuals, groups, classes, or countries to impose themselves on others, causing harm and limiting or denying rights. Its most frequent and visible forms include homicides, suicides, war, and terrorism, but violence is also articulated and manifested in less visible forms, such as gender violence, domestic violence, and enforced disappearances. Although attention to the consequences of different forms of violence has always been part of health services, its formal and global inclusion in health sector policies and guidelines is very recent. It was only in 1996 that the World Health Organization acknowledged it as a priority in the health programs of all countries. Violence affects individual and collective health; causes deaths, injuries, and physical and mental trauma; decreases the quality of life; and impairs the well-being of people, communities, and nations. At the same time, violence poses problems for health researchers trying to understand the complexity of its causes, its dynamics, and the different ways of dealing with it. It also poses serious challenges to health systems and services for the care of victims and perpetrators and the formulation of interdisciplinary, multi-professional, inter-sectoral, and socially articulated confrontation and prevention policies and programs.


2021 ◽  
Author(s):  
Ligiana Pires Corona ◽  
Flavia Cristina Drummond Andrade ◽  
Tiago Silva Alexandre ◽  
Tábatta Renata Pereira Brito ◽  
Daniella Pires Nunes ◽  
...  

Abstract Background Anemia is the most common hematological abnormality among older adults, and it is associated with decreased physical performance. But the role of hemoglobin in the absence of anemia remains unclear. Thus, this study aimed to assess the impact of hemoglobin levels on physical performance in Brazilian older adults without anemia. Methods The study is longitudinal in that it relies on two waves of the Saúde, Bem-Estar e Envelhecimento (SABE; Health, Well-being, and Aging) study: 2010 and 2015–2016. Mixed-effects linear regression was used to determine the effects of the hemoglobin concentrations on the Short Physical Performance Battery-SPPB over time among the 1,020 who had complete data and did not have anemia in 2010. In the follow-up, there were 562 without anemia. Analyses were stratified by sex. Results In analyses adjusted for age, education, grip strength, comorbidities, and body mass index, hemoglobin levels were positively associated with physical performance scores among older women (β = 0.15, p < 0.05) and men (β = 0.18, p < 0.05) without anemia. Conclusion Our study demonstrates that higher hemoglobin levels were associated with better physical performance among older men and women without anemia. This finding is important because, in clinical practice, most health professionals focus on the World Health Organization definition of anemia. Our study suggests the importance of hemoglobin levels among older adults, even those without anemia.


2021 ◽  
Author(s):  
Rafał Gerymski ◽  
Ezgi Nur Güvem

Sexual well-being is often mistakenly operationalized simply as sexual satisfaction. The concept of sexual well-being has been often used as an umbrella term for positive aspects of sexuality, apart from its negative spheres. A new concept of sexual well-being was proposed in line with the World Health Organization (WHO) definition of sexual health. The definition tried to enrich the concept of sexual well-being, but it did not solve the problem of its operationalization. Two separate studies were conducted for the psychometric validation of the Short Sexual Well-Being Scale. Short Sexual Well-Being Scales shows good psychometric properties in its original version. These properties are yet unknown for the its Turkish translation.


2020 ◽  
Vol 3 (2) ◽  
pp. 131-132
Author(s):  
Susan Jane T. Adis ◽  
Sheila P. Arnibal

The World Health Organization Regional Office of the Western Pacific's definition of a healthy workplace is a place where all members work together to achieve a unified vision for the health and well-being of the workers and the community. A healthy work environment is where all members are provided with the physical, psychological, social, and organizational states that protect and promote their health and safety.  A positive work environment for nurses has been concisely described as a work environment where nurses are supported to function at the highest scope of clinical practice, working effectively in an interdisciplinary manner with the team of caregivers mobilizing resources quickly. This paper describes the level of quality of the work environment of nurses in a public hospital in Negros Occidental. Likewise, it explores the difference in the level of quality of the work environment when nurses are grouped according to their demographics. Also, it determines the challenges encountered by nurses in their work environment.


2006 ◽  
Vol 55 (5) ◽  
Author(s):  
A. Mancini ◽  
R. Festa ◽  
G. Grande ◽  
L. De Marinis ◽  
A.G. Spagnolo ◽  
...  

Il concetto di prevenzione si è imposto sempre più nel panorama medico, divenendo elemento centrale della pratica clinica. In andrologia ciò significa sottolineare l’importanza di ridurre le cause di sterilità o disfunzioni nella sfera sessuale, spesso prima che la stessa funzione sessuale abbia inizio. In tale ambito l’intervento avviene su più livelli, comprendendo il singolo, la coppia e l’ambiente. La prevenzione, dunque, è un fondamentale elemento in grado di ridurre l’incidenza della sterilità da causa maschile. La definizione dell’Organizzazione Mondiale della Sanità indica primariamente come la salute sessuale sia un complesso stato di benessere fisico, emozionale, mentale e sociale, connesso alla sessualità, e non soltanto l’assenza di disfunzioni, malattie o infermità. Occorre, allora, riconsiderare il concetto di prevenzione alla luce di tale visione olistica e personalista della sessualità, sia nell’approccio alla sterilità di coppia, favorendo una maturazione verso una più completa visione della genitorialità e della fecondità, che nel processo di sviluppo dell’identità sessuale, favorendo la maturazione di una personalità autonoma ed aperta alla comunicazione con l’altro. ---------- The concept of prevention become more and more important in the pratical medicine. In andrology it means to reduce the causes of sterility or dysfunctions in the sexual sphere, often before that the same sexual function begins. Within the prevention, the intervention happens on more levels, including the single one, the couple and the background. The prevention, therefore, is fundamental element that can reduce the incidence of sterility from male factor. The definition of the World Health Organization indicates that the sexual health is a complex state of physical, emotional, mental and social well-being in relation to sexuality and not merely the absence of disease, dysfunction or infirmity. It is then necessary to reconsider the prevention under an olistic and personalistic point of view, both in couple sterility, favouring a maturation towards a more complete vision of the being parents and the fecundity, and in the process of development of the sexual identity, promoting the maturation of an autonomous personality open to the communication with the others.


2015 ◽  
Vol 4 (4) ◽  
pp. 217-218
Author(s):  
International College of Person Centered Medicine

 Pre-Colombian medicine, initially identified in La Venta or Monte Alban as Mesoamerican civilized centers, like the Maya, Azteca and Inca cultures, was expressed within their cosmology in a religious-magical context in which the state of health or illness were strictly related to conditions of balance or imbalance. Their concept of health relies on a fundamental balance among the physical, social and religious dimensions of the person. Moderation in diet, exercise and behavior was considered essential for a healthy life. Prehispanic American medicine vision was holistic and integrative in context and in beliefs and was consistent with concepts of medicine and health in the earliest Asian and Hellenic civilizations, all of them fundamental roots of a medicine centered in the totality of the person. These historic notions are reflected in the comprehensive definition of health inscribed in the Constitution of the World Health Organization which refers to a dynamic state of complete physical, mental and social well-being and not merely the absence of disease.


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