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The urgent need to train students to be global
advocates and activists :
Planning for an outbreak of health
Professor John Middleton
President, Association of Schools of Public Health in
the European Region
2
23/04/2021
Health is global
The public’s health: global burden
of disease, corporate anti-health
interest,
These 10 Corporations Control Almost Everything We Eat
http://www.bmj.com/content/358/bmj.j4443?sso=
23/04/2021 6
7
23/04/2021
Health is global: violence,
conflict and public health at
home and abroad
The epidemiology of violence
Evidence-based violence prevention: a life course
approach
Asset based community development
Primary, secondary &tertiary prevention role of the
public health community as primary preventers of violent conflict,
through healthy public policies and tackling major social inequalities in
health; and as early reactors, mitigaters and responders to violence.
New public mental health approaches
A role for public health in conflict resolution with
aid agencies, political scientists, theologians and international lawyers
A role for public health educational bodies
A leadership and partnership role for public
health
www.fph.org.uk/uploads/Violence%20report.pdf
Areas of action for the public health
community in preventing violence
Interconnectedness:
conflict over natural
resources: oil, water
Interconnectness: Loss of agricultural land through global
warming, crop failure, food riots, Arab Spring, Syrian war
11
23/04/2021
Health is global :
Planetary health: environment, loss of
biodiversity, food and ecosystems balance,
climate change.
Climate
breakdown
is here
now!- 1 fire
• Climate breakdown is
here now!- 2 floods
Indonesia
floods
Climate
breakdown is here
now!- 2 floods
Climate
breakdown
is here
now!- 3
marine life
extinction
John Middleton [lecture title]
[date]
Global governance
for health
Planning for an outbreak of
health:
The public health system,
services and profession
https://epha.org/public-
health-must-be-
strengthened-for-a-
healthy-post-covid-world/
Global governance for health
John Middleton:Planning for an outbreak of health
John Middleton: Planning for an outbreak of health
Renew the mandate of the UN and
WHO in globsal health governance
The new Treaty for pandemic
preparedness
Governance
Transparency and information
sharing
Resources and capacity
New continental/WHO regional
structures with response capacity
Ceded authority to supranational
structures
John Middleton: Planning for an outbreak of health
Planning for an
outbreak of health:
The public’s health
John Middleton [lecture title]
[date]
Upsides
of
lockdown
1 :
Decline in
air
pollution
Upsides in
lockdown 2:
interest in
more active
travel
‘Build back’ ?
Working practices and relationships ?
Reducing inequalities? Minorities?
Vulnerable groups? Women? Older
people?
John Middleton:Planning for an outbreak of health
https://www.health.org.uk/sites/default/files/upl
oad/publications/2020/Build-back-fairer-the-
COVID-19-Marmot-review.pdf
Build back
Fairer?
John Middleton:Planning for an outbreak of health
Build back
Fairer?
The richest billionaires could give
$139,300,000,000 away and still
be as rich as they were in 2020.
These billionaires could end
global hunger for about $300
billion. A fraction of their overall
wealth.
Calls for wealth taxes
‘Build
back’?
‘Build back’ ?
‘Build back’ ?
‘Build back’ ?
‘Build back’ ?
To what austerity, poverty and
unfairness? Environmental squalor and
health and wealth for some?
‘Plan for an outbreak of health….'
Thank you
John Middleton,
President
Association of Schools of Public Health
In the European Region
John.middleton@aspher.org

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