Short presentation for a panel discussion on the implications of the Brexit decision for an international audience.

1. Professor John Middleton, President, United
Kingdom Faculty of Public Health
President@fph.org.uk
Brexit? Wherever next?

2. http://www.fph.org.uk/uploads/FPH%20-%20EU%20Referendum%20report%20FINAL.pdf

3. FPH statement on public health and the EU Referendum
 Peace
 Economic prosperity
 Health problems don’t respect boundaries- communicable disease, air pollution, illicit
drugs, violent conflict, climate change
 Regulation for health :
 Environmental
 Food Standards
 Workplace
 ‘the Social Chapter’
 Scientific co-operation – European Medicines Agency, European Environment Agency,
European Communicable Diseases Surveillance Centre
 Research
 Health workforce
 Migration

4. Brexit rhetoric bears no relationship to reality

5. This is a looming disaster and priority is to
limit damage

6. Public health and the EU post Brexit
✖ Economic prosperity ? ‘ HARD Brexit’ ? Trade agreeements?
✖ Regulation for health : Environmental, Food Standards, Workplace,‘the Social
Chapter’ - The Great Repeal ACT ?
✖ Scientific co-operation – ? European Medicines Agency, European Environment
Agency, European Communicable Diseases Surveillance Centre
✖ Research ?
✖ Health workforce ?
✖ Migration?
✖ Peace ?

7. The damage is already occurring

8. Public
health
and the
EU post
Brexit

9. Public health and the EU post Brexit
✖UK Public Health Network : Public health evidence to the
Health Select committee
✖A ‘risk register’ to protect the regualtions for the publci’s
health and counter the negative coming from big business
✖A country fit to live in….. ? An off shore, low-tax millionaire
playground
✖A self reliant, self assured, self sufficient country – where …

10. Public health and the EU post Brexit
A country fit to live in… where
 Health, scientific and technological research and develoment are celebrated
and built on, with a renewed National Health Service as test bed, employer,
innovator


11. Public
health
and the
EU post
Brexit

12. Public
health
and the
EU post
Brexit

13. Public health and the EU post Brexit
A country fit to live in….
 Where education is valued and grown-
 In early years
 In school years
 And in higher education generally, and in relation to
international students (international students as a resource, an
economic benefit and not ‘migrants’ )

14. https://www.sustainweb.org/news/oct16_city_food_symposium_2016/
Public health and the EU post Brexit
A country fit to live in:
 Can the UK feed itself ?
 A new Food Act to protect health and improve the
enviornment
 Would reward farmers better and be job creating
 Reduce £24B food imports deficit

15. Public health and the EU post Brexit
A country fit to live in… where
 Britain can power itself ? and
 House itself ? and
 Employ itself ?
http://www.campaigncc.org/sites/data/files/Doc
s/one_million_climate_jobs_2014.pdf

16. Public health and the EU post Brexit
A country fit to live in… where
 Prosperity is possible without
conventional economic growth
 A beacon for sustainable development and
 Champion tackling climate chaos
 Creates better wellbeing for the future
generations…

17. ‘Protecting
resources from one
generation to the
next’
The Welsh
Wellbeing of
Future
Generations Act,
2015

20. Public health and the EU post Brexit
? Lessons: Panel discussion
Confronting populism?
Implications for public health partnerships and the global health
community ?
Practical implications for a health lobby on trade agreements?
Peace and security ?

21. Thank you
Professor John Middleton
Faculty of Public Health
president@fph.org.uk

22. • Middleton J, ISIS, crop failure and no anti-biotics: what training will
we need for future public health? European J Public Health 2016;
https://eurpub.oxfordjournals.org/content/26/5/735
• Middleton J, Weiss M. Still holding on: public health in the UK after
Brexit. Euroheathnet journal 2016; 22:no 4: 33-35. (ISSN 1356–1030)
http://www.euro.who.int/__data/assets/pdf_file/0010/325945/Euro
health-V22-N4-2016.pdf?ua=1
• Middleton J. Public health in England in 2016—the health of the
public and the public health system: a review Br Med Bull (2017) 1-
16. DOI: https://doi.org/10.1093/bmb/ldw054 and
http://academic.oup.com//bmb/article/doi/10.1093/bmb/ldw054/287
1226/Public-health-in-England-in-2016the-health-of-
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