Conflict, degradation of the environment and perverse economic systems conspire collectively to prevent improvement of health and reducing inequalities in health and economic experience. A progressive health movement is required which seeks to improve the environment, develop health oriented economics and reduce conflict. The paper suggests a twelve point plan for a healthier , sustainable, and fairer world, brought about through a progressive health movement

1. Health through peace: a progressive
health movement
Prof John Middleton, UK Faculty of
Public Health

2. IPPNW/MEDACT Health through peace Prof John Middleton, UK Faculty of Public Health
UK Faculty of Public Health
Advocacy
Standards
Knowledge
Workforce
For public health specialist workforce
Student members,
Trainee members
Associate members
New category for practitioner members
www.fph.org.uk

3. Health through peace: a progressive
health movement-
1. ‘The health of the people is the highest
law’

4. Salus populi
suprema lex
esto
Cicero

5. Health through peace: a progressive
health movement-
2. Health in all policies

7. http://www.bmj.com/c
ontent/357/bmj.j2676

8. Health through peace: a progressive
health movement
3. Health is global
‘You cannot have healthy people on a
sick planet’

9. The globe from the South Pacific
10m people
1/3 of earth’s surface water
Greatest prevalence of diabetes in the
world
80 %of world’s tuna fish comes from there
‘canary in the coal mine’ for climate
change:
Sea level rise
Acidified oceans
Warming oceans
Death of marine ecosystems, including
the coral reefs
Nowhere in the planet is exempt from
global health and environmental
problems - caused by humans

11. Health through peace: a progressive
health movement
4. Health is interconnected- with
environment, economy,
education…..’security’

13. http://www.fph.org.
uk/violence_like_an_
infectious_disease%
2c_says_fph_report

14. Regarding public health and violence prevention
“Public health should be territory on which enemies can come
together.” Ulrich Laaser
But…
Being silent is not a neutral act
‘Where there is a clear injustice and inequality it is the duty of
public health to speak out, based on the evidence’
IPPNW/MEDACT Health through peace Prof John Middleton, UK Faculty of Public Health

16. Association of Schools of Public
Health delegation to Gaza June
2015
Middleton J. Cement: Gaza’s
forgotten public health need.
BMJ Blog, July 8th 2015.
http://blogs.bmj.com/bmj/2015
/07/08/john-middleton-cement-
gazas-forgotten-public-health-
need/
Middleton J. Vimeo slideshow
ASPHER delegation to Gaza.
https://vimeo.com/133947395
Wafa rehabilitation
hospital, destroyed 2014

18. From Alcamo and Heinrichs, 2002. In: Dialogue on Water and Climate, 2003.
Water critical regions
Medium water stress today & future increase in stress plus HDI>0.8
A2 scenario, ECHAM4, 2020s

20. Health through peace: a progressive
health movement
5. An ecological approach to health is required-
improving health and environment,
now and for future generations

23. IPPNW/MEDACT Health through peace Prof John Middleton, UK Faculty of Public Health
Coccolithophore (diatom):
Produces 50% of the world’s
oxygen

24. Health through peace: a progressive
health movement
6. Must reduce Inequalities in health,
internationally, nationally, and locally,
Through inequalities in income, education,
environment opportunity and entitlement, and
access to appropriate, effective care

25. 25
The Marmot Review
•Early years interventions
•Young people opportunities
•Workplace health
•Fairer more equal incomes
•Healthy town planning and
housing
•More equal access and
outcomes in healthcare

26. Health through peace: a progressive
health movement
7. A new approach to public mental health
‘positive mental health’

27. • Crucial importance of early years, the first
1001 days and adverse childhood experiences
• An evidence based approach – Good
systematic reviews re early years
interventions, parenting training, youth
mentoring; good modelling of alcohol pricing,
control of access and enforcement.
• A life course approach- new concerns about
adverse childhood experiences (ACES) impacts
on violent behaviours, poor communication
and poor mental health in later life
• A public mental health approach- linked to
ACEs, the neurobiological hardwiring of
young brains in the first 1001 days; Reinforcing
positive mental attributes: self-confidence,
self-esteem, self-expression and positive
communication
Early Death
Social, Emotional and
Learning Problems
Adopt Health Harming
Behaviours and Crime
Disrupted Nervous, Hormonal
and Immune Development
ACEs Adverse
Childhood Experiences
Non Communicable Disease, Disability,
Social Problems, Low Productivity
LifeCourse
Death
Birth
Adverse Childhood Experiences (ACEs): impacts across
the life course. adapted from Felitti et al, 1998

28. https://www.gov.uk/gover
nment/publications/preve
ntion-concordat-for-
better-mental-health-
consensus-
statement/prevention-
concordat-for-better-
mental-health

29. Health through peace: a progressive
health movement
8. Asset-based community development

30. The first refugees from Sarajevo, Split Harbour, Croatia, May
1992
Middleton J:
Refugee for a
day. BMJ
personal view
November
1992.

31. Sandwell
Express and
Star ,
November
1992

34. Options for life
self built
community centre

35. Health through peace: a progressive
health movement
9. A health service based on primary care,
universally available, free at the point of
need, which pursues goals of
prevention, is a good corporate citizen
and a good environmental steward

37. The new Midland Metropolitan hospital
Opening 2018

38. ‘Saving lives with Solar’ Royal
North Midlands Hospitals, Stoke.

39. Thinking globally, acting
locally: Coventry and
Warwickshire University
Hospitals Jubilee Nature
Reserve – managing
water run off from
hospital car parks -
promoting biodiversity,
saving money

40. Health through peace: a progressive
health movement
10. Controls corporate greed , lobbies for
regulation and control of major
multinational anti-health forces- arms,
tobacco, alcohol, food, gambling
Understands trade and influences
international law

41. These 10 Corporations Control Almost Everything We Buy
Industrial Corporations prioritise PROFIT, not public health

42. Health through peace: a progressive
health movement
11. And demands a health improving
economy- diversifying research, industry
and commerce towards socially and
environmentally useful production and
services

43. ‘Swords to
ploughshares’

44. Lucas
Aerospace
shop
stewards
plan 1976:
the road rail
bus

45. Japanese road
rail technology
: present day

46. The green recovery ?

48. http://www.campaigncc.org/sites/data/file
s/Docs/one_million_climate_jobs_2014.pdf

50. Health through peace: a progressive
health movement
12. Ensure the health of future
generations

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

52. Health Futures
University
Technical College
West
Bromwich,UK
www.healthfutures.co.uk

54. Thank you
Professor John Middleton
Johnmiddleton@phonecoop.coop
President@fph.org.uk

55. References and resources- violence
prevention and public health
Resources :
REWIND http://www.rewind.org.uk
http://www.quilliamfoundation.org/about/
Institute for Strategic Dialogue
http://www.strategicdialogue.org
WAVES Trust www.wavestrust.org.uk/home.html
Parent Infant Partnership http://www.pipuk.org.uk
ECPAT http://www.ecpat.org.uk
TASC http://tascwheel.com
Centre for Nonviolent Communication www.cnvc.org
Medical peace work. Online course work, course
part Health professionals, conflicts and peace.
Berlin: Medical Peace Work, 2015.
http://www.medicalpeacework.org/teaching-
resources/mpw-presentations.html
References
Bellis, M. A., Hughes, K., Perkins, C., Bennett, A. M.,
Protecting people, promoting health: a public health
approach to violence prevention for England. London:
NHS. and Department of Health, 2012.
World Health Organization. (2014). Global status report on
violence prevention 2014.
http://www.who.int/violence_injury_prevention/violence/status
_report/2014/en/ update on WHO (2002). World report on
violence and health. Geneva, WHO
Galtung J (1996). Peace by peaceful means: peace and
conflict, development and civilisation. London, Prio/Sage.
Mercy J et al. (1993). Public health policy for preventing
violence. Health Affairs. Winter:7-29.
Rosenberg M (2003). Nonviolent communication: a
language of life. Encinitas, CA, Puddle Dancer Press.
Santa Barbara J, MacQueen G (2004). Peace through
health: key concepts. The Lancet 364:384-5.

56. • 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/Euroh
ealth-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/ldw054/2871
226/Public-health-in-England-in-2016the-health-of-
the?guestAccessKey=8f7a33a1-bdbf-4db4-948c-fd6b6293a259
• Middleton J, Saunders P. 20 years of local ecological public health: the
experience of Sandwell in the English West Midlands
http://www.sciencedirect.com/science/article/pii/S0033350615003303