Dr Neil Hamlet's keynote speech 'What should Public Health be doing?' at the SCPN's 'Be Active Against Cancer' conference, Tuesday 4th February 2014.

1. What should Public
Health be doing?
Dr Neil Hamlet
Consultant in Public Health Medicine
NHS Fife
Neil.hamlet@nhs.net

2. Public Health is…
.....politics writ
large
..the art and science
of: preventing disease,
promoting health,
prolonging life
through: the organised
efforts of society
...mobilising
resources to ensure
conditions in which
people can be healthy
…collective efforts
of society to prevent
premature death, illness,
injury and disability and
to promote population
health
...about health
promoting
environments

8. The life cycle of a cancer
time
DeathSymptomsDetectableOnset
Screening test applicable
Detectable
preclinical phase- lead time

9. The Panel
emphasised the
importance of not
smoking and of
avoiding
exposure to
tobacco smoke.
WCRF Global
Recommendations

10. External
Environment
Genetic
Endowment
Nutrition
Education
Employment
Housing
Security
Wealth
Risk of injury
and infection
Access to
healthcare

11. External
Environment
Genetic
Endowment
Nutrition
Education
Employment
Housing
Security
Wealth
Risk of injury
and infection
Access to
healthcare
Perceptions
of our world
Culture
Outlook
Gender
Disability
Supportive
Threatening

12. External
Environment
Genetic
Endowment
Nutrition
Education
Employment
Housing
Security
Wealth
Risk of injury
and infection
Access to
healthcare
Perceptions
of our world
Culture
Outlook
Gender
Disability
Internal
Environment
Sense of
Control
Inflammatory
tendencyWell functioning
Fitness
Positive mental
health
Persisting
Cognitive
Ability
Healthy
ageing
Cancer
Diabetes
Alzheimers
CHD
Death
Death
High
Low
Supportive
Threatening

13. External
Environment
Genetic
Endowment
Nutrition
Education
Employment
Housing
Security
Wealth
Risk of injury
and infection
Access to
healthcare
Perceptions
of our world
Culture
Outlook
Gender
Disability
Internal
Environment
Sense of
Control
Inflammatory
tendency
Well functioning
Fitness
Positive mental
health
Persisting
Cognitive
Ability
Healthy
ageing
IHD
Cancer
Diabetes
Alzheimers
Death
Death
High
Low
Supportive
Threatening
Behaviours
Smoking
Exercise
Diet
Source: Dr Harry Burns

14. COMMUNITY
LOCALITY
Agriculture/
Gardens/
Local markets
Health
Care
Public
Safety
Public
Transport
Manufactured/
Imported
Food
Sanitation
Modified from Ritenbaugh C, Kumanyika S, Morabia A, Jeffery R, Antipathies V. IOTF website 1999: http://www.iotf.org
POPULATION
ACTIVE
OR
SEDENTARY
FAT OR
FIT
WORK/SCHOOL/
HOME
School
Food &
Activity
Infections
Labour
Worksite
Food &
Activity
Leisure
Activity/
Facilities
Family &
Home
INDIVIDUAL
Energy
Expenditure
Food
intake :
Nutrient
density
SOCIETAL POLICIES AND PROCESSES
INFLUENCING PHYSICAL ACTIVITY
NATIONAL/
REGIONAL
Education
Food &
Nutrition
Urbanization
Health
Social security
Transport
Media &
Culture
National
perspective
INTERNATIONAL
FACTORS
Development
Globalization
of
markets
Media
programs
& advertising

15. Warm the water
Keep
chipping
away