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How Health Professionals Can Promote
Plant-Based Living
Dr Shireen Kassam
Consultant Haematologist and Honorary Senior Lecturer,
King’s College Hospital, London
Plant-based nutrition, Winchester University
1
About me
• Vegan since 2013, vegetarian since 2001
• Consultant Haematologist and Lifestyle Medicine Physician
• Winchester University
• Founder and Director of Plant-based health professionals UK
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
Webiste: PBHP.UK; IG @plantbasedhealthprofessionals Twitter: plantbasedhpuk; FB: wholefoodplantbasednutrition
2
Testing the water…
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n3
The creation of PBHP UK
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n4
Vision for PBHP UK
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
Policy
Aligned organisations
Campaigns
Responding to nutrition
policy consultations
Health professionals
Membership
Conferences
Online education
Public
Events
Online education
Patient stories/articles
Cooking
5
Health professionals
Don’t need to start from scratch
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n6
Health professionals
Infiltrate the conventional systems
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
• Educate yourself
• Connect with reputable institutions
• Provide evidence-based education
7
Health professionals
Infiltrate the conventional systems
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n8
Health professionals
Infiltrate the conventional systems
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n9
Health professionals
Infiltrate the conventional systems
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n10
Health professionals
Infiltrate the conventional systems
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n11
Health professionals
Build a strong network
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
• Key individuals that share your vision
• Membership programme
• Engage with students
• Social media
• Vegan organisations
• Environmental campaign groups
• Plant-based nutrition organisations
• Engage vegan businesses to promote your message
12
Health professionals
Build your professional network
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n13
Health professionals
We have science on our side
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
Lifestyle therapy begins with motivational interviewing techniques, nutrition
counselling, and education. All patients should strive to attain and maintain an
optimal weight through a primarily plant-based meal plan high in polyunsaturated
and monounsaturated fatty acids, with limited intake of saturated fatty acids and
avoidance of trans fats.
14
Health professionals
We have science on our side
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
Lancet. Published Online January 16, 2019 http://dx.doi.org/10.1016S0140-6736(18)31788-4
15
Health professionals
We have science on our side
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
Plant-based diets have an enormous potential to improve healthcare and
to allow for more sustainable medicine…. Tackling animal product
consumption….. is consequently not only beneficial with regard to many
chronic conditions, but also in terms of planetary health. Protection of the
environment is a fundamental responsibility of physicians because they are
in a unique position knowing about the interconnection between planetary
and human health. Plant-based diets are a powerful tool – not using and
advocating for them is not only unethical, but harms patients and the
planet alike.
16
Health professionals
Share Doctors’ stories
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n17
Health professionals
Using work-place opportunities
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n18
Health professionals
Challenges
• Frustration and sometimes anger
• Vegan vs plant-based
• Assume you have a bias
• Educating mainly vegans initially
• Change is slow within healthcare systems
• Physicians advocate based on their lifestyle choices
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n19
Patients advocacy
• Potentially very motivated
• Readily available resources
• Ability to follow up and support
• Sign pointing
• Patients advocacy groups
• Community support
• Online directory of healthcare professionals
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n20
Patients advocacy
Community support
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n21
Patients advocacy
Sharing stories
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n22
Patient advocacy
Challenges
• Mixed message from healthcare professionals
• Mixed messages in the media
• Add confusion rather than clarity
• Socioeconomic determinants of health
• Changing behaviours and habits is tough!
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n23
• Overstating the data and benefits – the science is complicated!
• Information overload
• Too high expectations
• Meeting the patient where they are
• Don’t let your frustration act as a barrier
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
Patient advocacy
Pitfalls
24
General public
Collaborations
• Include them in your work as they will be a great support
• Contribute to evidence-based education to help dispel myths
• Collaborate with established public events
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n25
General public
Specific resources
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n26
Influencing policy
• More difficult….
• Join groups that influence policy makers
• Respond to consultants
• Write to Government and Policy makers
• Use the current issues to our advantage
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n27
Health professionals
We have credibility
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
https://metro.co.uk/2020/05/22/doctors-urge-uk-go-vegan-avoid-future-pandemic-12738682/
https://metro.co.uk/2020/05/27/100-doctors-call-tax-junk-food-handle-obesity-epidemic-12765023/
28
www.pnas.org/cgi/doi/10.1073/pnas.1922686117
The bigger picture
29
30
www.pnas.org/cgi/doi/10.1073/pnas.1922686117
“There is time, but the window of opportunity is almost closed.
We must save what we can, or lose the opportunity to do so
forever. There is no doubt, for example, that there will be more
pandemics if we continue destroying habitats and trading wildlife
for human consumption as food and traditional medicines. It is
something that humanity cannot permit, as it may be a tipping
point for the collapse of civilization. What is at stake is the fate of
humanity and most living species. Future generations deserve
better from us.”
Climate and ecological emergency
31
Health professionals are key players
‘Without decisive and urgent action, the climate crisis will
increasingly undermine human health and disrupt
healthcare delivery. There are both moral and practical
reasons for health professionals to be at the forefront of
climate action’
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
BMJ 2020;371:m3785
32
Influencing policy
challenges
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n33
Overall challenges
• Volunteer organisation
• Funding
• Negativity from friends and colleagues
• Working outside of your comfort zone
• Constant undermining from media
• All consuming
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n34
The joys
• Meeting and working with like minded individuals
• Aligning your profession with your values
• Good will amongst the vegan community
• Learning new skills and gaining knowledge
• Being able to offer patients an alternatives to a lifelong
diagnosis or treatment
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n35
Social justice
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
Wealthiest tenth of people consume about 20 times more
energy overall than the bottom ten, wherever they live.
36
Animal & human Justice
37
Social justice
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n38
Essential components
• Inclusive movement
• Represent all voices in society
• Non-hierarchical structures
• Be true to the science
• Work together prioritising the bigger picture rather than
individual interests
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n39
In hindsight….
• More time on strategy
• More time building a strong and inclusive team
• Campaigns take meticulous planning
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n40
What you can do
• Educate yourself
• Use the influence you have in your own workplace/role
• Join your country-based advocacy group and contribute
• Get to know your community groups who will support
your patients
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n41
42
Acknowledgements
P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n
PBHP UK team and members
My family
Many individuals – time and money
43

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How Health Professionals Can Promote Plant-Based Living

  • 1. How Health Professionals Can Promote Plant-Based Living Dr Shireen Kassam Consultant Haematologist and Honorary Senior Lecturer, King’s College Hospital, London Plant-based nutrition, Winchester University 1
  • 2. About me • Vegan since 2013, vegetarian since 2001 • Consultant Haematologist and Lifestyle Medicine Physician • Winchester University • Founder and Director of Plant-based health professionals UK P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n Webiste: PBHP.UK; IG @plantbasedhealthprofessionals Twitter: plantbasedhpuk; FB: wholefoodplantbasednutrition 2
  • 3. Testing the water… P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n3
  • 4. The creation of PBHP UK P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n4
  • 5. Vision for PBHP UK P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n Policy Aligned organisations Campaigns Responding to nutrition policy consultations Health professionals Membership Conferences Online education Public Events Online education Patient stories/articles Cooking 5
  • 6. Health professionals Don’t need to start from scratch P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n6
  • 7. Health professionals Infiltrate the conventional systems P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n • Educate yourself • Connect with reputable institutions • Provide evidence-based education 7
  • 8. Health professionals Infiltrate the conventional systems P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n8
  • 9. Health professionals Infiltrate the conventional systems P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n9
  • 10. Health professionals Infiltrate the conventional systems P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n10
  • 11. Health professionals Infiltrate the conventional systems P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n11
  • 12. Health professionals Build a strong network P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n • Key individuals that share your vision • Membership programme • Engage with students • Social media • Vegan organisations • Environmental campaign groups • Plant-based nutrition organisations • Engage vegan businesses to promote your message 12
  • 13. Health professionals Build your professional network P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n13
  • 14. Health professionals We have science on our side P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n Lifestyle therapy begins with motivational interviewing techniques, nutrition counselling, and education. All patients should strive to attain and maintain an optimal weight through a primarily plant-based meal plan high in polyunsaturated and monounsaturated fatty acids, with limited intake of saturated fatty acids and avoidance of trans fats. 14
  • 15. Health professionals We have science on our side P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n Lancet. Published Online January 16, 2019 http://dx.doi.org/10.1016S0140-6736(18)31788-4 15
  • 16. Health professionals We have science on our side P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n Plant-based diets have an enormous potential to improve healthcare and to allow for more sustainable medicine…. Tackling animal product consumption….. is consequently not only beneficial with regard to many chronic conditions, but also in terms of planetary health. Protection of the environment is a fundamental responsibility of physicians because they are in a unique position knowing about the interconnection between planetary and human health. Plant-based diets are a powerful tool – not using and advocating for them is not only unethical, but harms patients and the planet alike. 16
  • 17. Health professionals Share Doctors’ stories P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n17
  • 18. Health professionals Using work-place opportunities P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n18
  • 19. Health professionals Challenges • Frustration and sometimes anger • Vegan vs plant-based • Assume you have a bias • Educating mainly vegans initially • Change is slow within healthcare systems • Physicians advocate based on their lifestyle choices P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n19
  • 20. Patients advocacy • Potentially very motivated • Readily available resources • Ability to follow up and support • Sign pointing • Patients advocacy groups • Community support • Online directory of healthcare professionals P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n20
  • 21. Patients advocacy Community support P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n21
  • 22. Patients advocacy Sharing stories P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n22
  • 23. Patient advocacy Challenges • Mixed message from healthcare professionals • Mixed messages in the media • Add confusion rather than clarity • Socioeconomic determinants of health • Changing behaviours and habits is tough! P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n23
  • 24. • Overstating the data and benefits – the science is complicated! • Information overload • Too high expectations • Meeting the patient where they are • Don’t let your frustration act as a barrier P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n Patient advocacy Pitfalls 24
  • 25. General public Collaborations • Include them in your work as they will be a great support • Contribute to evidence-based education to help dispel myths • Collaborate with established public events P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n25
  • 26. General public Specific resources P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n26
  • 27. Influencing policy • More difficult…. • Join groups that influence policy makers • Respond to consultants • Write to Government and Policy makers • Use the current issues to our advantage P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n27
  • 28. Health professionals We have credibility P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n https://metro.co.uk/2020/05/22/doctors-urge-uk-go-vegan-avoid-future-pandemic-12738682/ https://metro.co.uk/2020/05/27/100-doctors-call-tax-junk-food-handle-obesity-epidemic-12765023/ 28
  • 30. 30
  • 31. www.pnas.org/cgi/doi/10.1073/pnas.1922686117 “There is time, but the window of opportunity is almost closed. We must save what we can, or lose the opportunity to do so forever. There is no doubt, for example, that there will be more pandemics if we continue destroying habitats and trading wildlife for human consumption as food and traditional medicines. It is something that humanity cannot permit, as it may be a tipping point for the collapse of civilization. What is at stake is the fate of humanity and most living species. Future generations deserve better from us.” Climate and ecological emergency 31
  • 32. Health professionals are key players ‘Without decisive and urgent action, the climate crisis will increasingly undermine human health and disrupt healthcare delivery. There are both moral and practical reasons for health professionals to be at the forefront of climate action’ P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n BMJ 2020;371:m3785 32
  • 33. Influencing policy challenges P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n33
  • 34. Overall challenges • Volunteer organisation • Funding • Negativity from friends and colleagues • Working outside of your comfort zone • Constant undermining from media • All consuming P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n34
  • 35. The joys • Meeting and working with like minded individuals • Aligning your profession with your values • Good will amongst the vegan community • Learning new skills and gaining knowledge • Being able to offer patients an alternatives to a lifelong diagnosis or treatment P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n35
  • 36. Social justice P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n Wealthiest tenth of people consume about 20 times more energy overall than the bottom ten, wherever they live. 36
  • 37. Animal & human Justice 37
  • 38. Social justice P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n38
  • 39. Essential components • Inclusive movement • Represent all voices in society • Non-hierarchical structures • Be true to the science • Work together prioritising the bigger picture rather than individual interests P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n39
  • 40. In hindsight…. • More time on strategy • More time building a strong and inclusive team • Campaigns take meticulous planning P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n40
  • 41. What you can do • Educate yourself • Use the influence you have in your own workplace/role • Join your country-based advocacy group and contribute • Get to know your community groups who will support your patients P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n41
  • 42. 42
  • 43. Acknowledgements P r o m o t i n g s u s t a i n a b l e h e a l t h a n d n u t r i t i o n PBHP UK team and members My family Many individuals – time and money 43