The public's health and the public health systemJohn Middleton
Presentation on current issues for the UK Faculty of Public Health, for the North East Faculty Local Area Committee, May 31st 2018. 180531 middletonj durham final
David Buck’s slidepack sets out some basic statistics on the state of the English population’s health, including life expectancy, health inequalities and tobacco and alcohol use.
Keynote presentation for a multidisciplinary conference on public health concerns national and local , and with a focus on the NHS plan, the Secretary of States Vision for Prevention and the anticipated Green paper on prevention. 190430 middletonj living well, living longer
Local authorities have been given renewed responsibility for public health as part of the health and social care reforms introduced in April 2013. These infographics, designed to support our resources on public health and local authorities, highlight some of the ways in which local authorities can take action to improve health for the public.
The public's health and the public health systemJohn Middleton
Presentation on current issues for the UK Faculty of Public Health, for the North East Faculty Local Area Committee, May 31st 2018. 180531 middletonj durham final
David Buck’s slidepack sets out some basic statistics on the state of the English population’s health, including life expectancy, health inequalities and tobacco and alcohol use.
Keynote presentation for a multidisciplinary conference on public health concerns national and local , and with a focus on the NHS plan, the Secretary of States Vision for Prevention and the anticipated Green paper on prevention. 190430 middletonj living well, living longer
Local authorities have been given renewed responsibility for public health as part of the health and social care reforms introduced in April 2013. These infographics, designed to support our resources on public health and local authorities, highlight some of the ways in which local authorities can take action to improve health for the public.
The best job in the world: practising public health, past, present, future John Middleton
Presentation to University of Maastricht, International Masters in Public Health leadership and management course, December 14th 2018. 181214 middletonj maastricht
Public Health Problems are multidisciplinary: why do we train for them separa...John Middleton
The 2019 EUPHA Law Enforcement and Public Health Lecture, LEPH 2019 Edinburgh,October 22nd 2019
Public Health Problems are multidisciplinary: why do we train for them separately?
Professor John Middleton, President, the Association of Schools of Public Health in the European Region
191022 middletonj leph vr6 final
191022 middletonj leph vr6 final
Better evidence for law enforcement and public health. Law Enforcement and ...John Middleton
Better evidence for better law enforcement and public health Professor John Middleton, President, the Association of Schools of Public Health in the European Region191019 middletonj phd presentation vr 3
191019 middletonj phd presentation vr 3
Social Determinants of Health Inequalities: Roadmap for Health EquityWellesley Institute
This presentation discusses the social determinants of health inequities and provides a roadmap for health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Public health and emergency medicine: room for a stronger partnership?John Middleton
Extended version of a presentation from the Royal College of Emergency Medicine Special interest group on public health, February 27th 2018.180227 rcem public health group meeting full
The UK ranks second overall in The Economist Intelligence Unit’s Mental Health Integration Index and first in two individual categories.
English policy towards those with mental illness has seen a steady improvement, bolstered by a generally supportive political environment. Current policy is strong, and aims to create a “parity of esteem” between mental and physical health services (ie, giving equal value to mental and physical health).
Class presentation at Pokhara University, MPH program
Point wise data on situation of cardiovascular disease focused on ischemic heart disease in Nepal.
Big sky thinking: leadership for public health from the East of England John Middleton
Presentation to the first East of England Public Health conference, Radison Hotel, Stagnated. 30th October 2018 181029 east of england presentation vr 2
The best job in the world: practising public health, past, present, future John Middleton
Presentation to University of Maastricht, International Masters in Public Health leadership and management course, December 14th 2018. 181214 middletonj maastricht
Public Health Problems are multidisciplinary: why do we train for them separa...John Middleton
The 2019 EUPHA Law Enforcement and Public Health Lecture, LEPH 2019 Edinburgh,October 22nd 2019
Public Health Problems are multidisciplinary: why do we train for them separately?
Professor John Middleton, President, the Association of Schools of Public Health in the European Region
191022 middletonj leph vr6 final
191022 middletonj leph vr6 final
Better evidence for law enforcement and public health. Law Enforcement and ...John Middleton
Better evidence for better law enforcement and public health Professor John Middleton, President, the Association of Schools of Public Health in the European Region191019 middletonj phd presentation vr 3
191019 middletonj phd presentation vr 3
Social Determinants of Health Inequalities: Roadmap for Health EquityWellesley Institute
This presentation discusses the social determinants of health inequities and provides a roadmap for health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Public health and emergency medicine: room for a stronger partnership?John Middleton
Extended version of a presentation from the Royal College of Emergency Medicine Special interest group on public health, February 27th 2018.180227 rcem public health group meeting full
The UK ranks second overall in The Economist Intelligence Unit’s Mental Health Integration Index and first in two individual categories.
English policy towards those with mental illness has seen a steady improvement, bolstered by a generally supportive political environment. Current policy is strong, and aims to create a “parity of esteem” between mental and physical health services (ie, giving equal value to mental and physical health).
Class presentation at Pokhara University, MPH program
Point wise data on situation of cardiovascular disease focused on ischemic heart disease in Nepal.
Big sky thinking: leadership for public health from the East of England John Middleton
Presentation to the first East of England Public Health conference, Radison Hotel, Stagnated. 30th October 2018 181029 east of england presentation vr 2
O futuro é brilhante - a saúde pública do futuroJohn Middleton
The future's bright, the future is public health
Keynote presentation to the 25th anniversary celebration of the Instituto De Saude Publica Da Universidade Do Porto (ISPUP) meeting, January 10th 2020.
200110 middletonj porto final
The best job in the world: A past, and a future in public health John Middleton
A description of my career in public health today including lessons from local, national and international public health and the current COVID-19 pandemic. Presentation for the Coventry University BSc in public health employability course, October 25th 2021.
211025 middleton coventry final
Where there is no vision the people perishJohn Middleton
A presentation of the work of the Faculty of public Health and the place of rights, values, ethics and law in improving the health of the public. 181102 middletonj scottish conference final
Politics and profession in promoting and protecting health : who is doing wh...John Middleton
A review of roles and actions of politicians, and professionals to promote and protect health and deliver a health and care system
171002 middleton j zagreb
Croatian Healthy Cities Conference October 2nd, 3rd 2017
Die Zukunft ist rosig, die Zukunft ist die öffentliche GesundheitJohn Middleton
The future's bright, the future is public health. Presentation to the MPH students introductory course Bielefeld University School of public Health, October 11th 2021. 211011 2 middleton j bielefeld main
Presentation for the Associação de Estudantes da Escola Nacional de Saúde Pública da Universidade NOVA de Lisboa (AEENSP_NOVA) April 20th 2021 210420 long version middleton j aeensp
public health beyond borders: Driving change with evidence introductionJohn Middleton
Introductory remarks for the first plenary of the FPH Public health conference, Telford International Convention Centre, @0th june 2017.
170620 middleton j public health conference key note vr3
20240412 middletonj ASPHER war curriculum.pptxJohn Middleton
A short presentation for the ASPHER webinar, for Global Public Health Week 73. ASPHER’s Core Curriculum Programme (CCP): what are the needs for teaching the role of public health in preventing and responding to armed conflict?
Prevention, Recovery, Rehabilitation
A life in public health, influences and chunesJohn Middleton
A presentation for the Associaiton of Schools of public Health in the European Region, ASSETS summer school, Brussels, July 3-6th 2023. covering a career in public health, major influences on my practice, and musical references to public health 20230711 middletonj assets very final.pptx
A healthy state? Geopolitical threats to safety and health John Middleton
A presentation to the first European conference of Law Enforcement and Public Health, Umea Sweden, May 22nd-24th 2023; on geopolitical trends and concerns for policing and public health improvement
20230625 middletonj LEPH UMEA healthy State delivered presentation.pptx
A presentation for the ASPHER and University of Bielefeld in the series, 'Public Health in the Times of War '
20221125-4.5 final delivered militarism and health.pptx
20221125-4.5 final delivered militarism and health.pptx
The perspective on Public Health Curricula Accreditationand international r...John Middleton
A presentation on the work of ASPHER the Association of Schools of public Health in the European Region, and APHEA, the Agency for Public Health Education Accreditation, for the congress National Des Medicine Saude Public (Portugal, November 3rd 2022)
ASPHER's ambition in climate change and health educationJohn Middleton
A presentation for the launch of the ASPHER Climate change and health education EU Health Policy Platform network 202207 ASPHER middletonj climate change and health long version.pptx
Climate change as a high risk factor for health John Middleton
Presentation for the World Committee for lifelong learning (CMA) 4th conference debate at the Cite Des Metiers, Paris, June 22nd 2022
20220622 CMA middletonj climate change and health long version.pptx
Presentation to the Norfolk Medical and Surgical Society, January 21st 2022 on the current state of the pandemic worldwide and in the UK and other global and planetary threats to health and how to 'plan for an outbreak of health'
20220125middleton medchi
Planning for an outbreak of health? Lessons from the COVID-19 pandemicJohn Middleton
Presentation for Jagellonian University Krakov, Poland, Institute of Public Health 30th anniversary celebration congress, October 708th 2021. 211007 middletonj krakow vr 2
Presentation for the Grand European Symposium: Training, Research and Innovation in the Europe of Health”, on September 30th 2021, The Sorbonne Grand Amphitheater
210923 middletonj sorbonne vr2
COVID-19: What went right, what went wrong and how do we learn from this? John Middleton
Look at UK English and European experience during the COVID-19 pandemic. Successes and failures. Presentation for a meeting of the Centre for Health and Development (CHAD) University of Staffordshire. Centre via recorded lecture, Thursday, 28 October 2021 12:00 211027 4 definitive middleton chad conference final
Video presentation also to be available online
A presentation on my life in public health and vaccinations- from measles in the West Midlands of England, 1983-2014 to COVID-19 in Europe, 2020-now, implications for the public health community and vaccines manufactures including the vaccine TRIPS waiver. Presentation to a Spanish public health and vaccines forum, October 18th 2021 211018 middleton spanish vaccines and industry presentation 1 version recorded
Planning for an outbreak of health? Lessons from the COVID-19 pandemicJohn Middleton
Planning for an outbreak of health? Lessons from the COVID-19 pandemic Presentation to a meeting of the Alliance International Science Organisations,Univversity fo Belgrade and Chinese Academy of Sciences, online, September 23rd 2021
210923 middletonj anso conference beograd
The urgent need to train students to be global advocates and activists : plan...John Middleton
Presentation for the Escuela de Salud Pública de México (ESPM), part of the Instituto Nacional de Salud Pública (INSP). 100 year celebration, April 22nd 2021. INSP210422 middletonj insp vr3
A review of global health issues, highlighted by the COVID-19 pandemic and suggestions for improvement of health in a post pandemic world. Presentation for the Mongolian National University of Medicine School of public Health, April 16th 2021
210415 long version middleton j mongolia ph conference
The best job in the world: practicing public health, past present and futureJohn Middleton
Practicing public health, past present and future. annual lecture to the Maastricht Global Public Health Leadership students course. with an extended additional section on the year 2020 in pandemic and lessons 201211 middletonj maaastricht
Planning for an outbreak of health: Lessons from the pandemic for the health ...John Middleton
What does the experience of COVID-19 pandemic tell us about the state of the health of the public, and the public health system? A presentation for the webinar UAE University, College of Medicine and Life Science, Institute of Public health
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
8. Who we are and what we do
• The United Kingdom Faculty of Public Health is a faculty of the three
Royal Colleges of Physicians of London, Edinburgh and Glasgow
(Physicians and Surgeons)
• FPH is a membership organisation for nearly 4,000 public health
professionals across the UK and around the world
• We also have a growing number of student, associate and international
members in more than 80 different countries
To improve and protect the public’s health: through
standards, advocacy, training and knowledge
www.fph.org.uk
MiddletonJ 'Public health low down with the Solent Delta
Blues’
9. ‘Don’t just fight for
the profession of
public health fight for
the public’s health’
Public health
professionals are not
here to make
decisions easier, it is
to make things better
MiddletonJ 'Public health low down with the Solent Delta
Blues’
17. Figure 1, Teenage Conception 1998 - 2012
Sandwell's reduction since baseline (44%) is higher than England &
Wales's reduction of 40.8%. The West Mildands reduction has also
been lower than Sandwell at 42%. Figure 1, above, show that the
gap between Sandwell and England is reducing further.
18. Domestic burglary Sandwell 2001-
2005 Full implementation
drug intervention
project doubling
numbers of drug users
in treatment
1300 fewer
domestic
burglaries
33% fall
25. Globally, mortality rates have decreased across all age groups over
the past five decades, with the largest improvements occurring
among children younger than 5 years. However, at the national
level, considerable heterogeneity remains in terms of both level
and rate of changes in age-specific mortality; increases in mortality
for certain age groups occurred in some locations.
Countries have saved more lives over the past decade, especially
among children under age 5, but persistent health problems, such
as obesity, conflict, and mental illness, comprise a “triad of
troubles,” and prevent people from living long, healthy lives.
Total deaths in children younger than 5 years decreased from 1970
to 2016, and slower decreases occurred at ages 5–24 years. By
contrast, numbers of adult deaths increased in each 5-year age
bracket above the age of 25 years.
Global burden of disease study, 2017
MiddletonJ 'Public health low down with the Solent Delta
Blues’
37. Interconnectness: Loss of agricultural land through global
warming, crop failure, food riots, Arab Spring, Syrian war
38. 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
39. 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
A public health approach to violence prevention
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
41. The public health function
‘the public health system’
The public health profession
42. My presidency
Build local authority relationships
Build relationships in health and public health
services in four nations of the UK
Do things jointly where possible - policy
statements, conferences
Implement new curriculum: personal
effectiveness and values and ethics; rebuild
health protection and health care public health
Develop member involvement
Ensure solid member services, build special
interests
Develop faculty governance
Pursue 12 asks of the Manifesto
Planetary health
A Public health curriculum for young people
Brexit, drugs, air pollution, AMR, violence
prevention
45. My presidency
Build local authority relationships
Build relationships in health and public
health services in four nations of the UK
All areas of the UK visited by April 2018
Strong participant in the English Public
Health System Group
United Kingdom Public Health
Network
47. With Northern Irish colleagues in
Belfast for the public health walk
William Drennan- patriot, radical,
poet, obstetrician and champion of
public health
49. FPH workforce strategy 2018
1. FPH will champion the unique value of Public Health
Specialists and work with employers, commissioners, decision-
makers and other stakeholders to ensure the specialist role is
understood, recognised, valued and deployed to best effect to
meet employer needs, the needs of an efficient health system
and the needs of the public
2 - FPH will ensure that a flexible Public Health Specialist
workforce is trained, developed and strengthened to meet
employer and the public’s health needs in the future
3 - FPH will work with partners to ensure clear and appropriate
data is available on the current workforce and to ensure that
effective longer term workforce planning is undertaken
4 - FPH will work in partnership with the public health
community to support the development of an effective public
health practitioner workforce and enable the wider workforce
to deliverimprovements to the public’s health
50. This is a looming disaster and
priority is to limit damage
54. Brexit policy programme: Three areas of
focus short-listed
• MiddletonJ 'Public health low down with the Solent Delta Blues’
1. Protecting the European Centre for Disease Prevention
and Control (ECDC) (and other key institutions)
2. The Great Repeal Bill – FPH calls on the Government to
introduce a ‘do no harm…and do better’ clause
3. Free Trade and Investment Agreements, a transitional
agreement and World Trade Organization rules
55.
56.
57. ‘Do No Harm’ Lord Warner Public Health
amendment to the EU Withdrawal bill
64 Health organisations support, representing
over 1 million health workers
58. ‘Do No Harm’ Lord Warner Public Health
amendment to the EU Withdrawal bill
At Report stage Lord Duncan made clear to the
House that “the effect of Article 168 in the domestic
law of this country before exit will continue after exit
by virtue of Clause 4…Article 168…will be available in
the future to UK courts to draw upon, both its
elements and its interpretation, and those elements
will be available afterwards…we are now in a good
position to offer certainty.”
59. ‘Valuing public health’: Three areas of
focus short-listed
1. Making the case for prevention (return on investment;
affordability; value for money; a call for the ‘radical
upgrade to be made real)
2. Investing more in prevention through the NHS (
including secondary prevention; rebuilding health care
public health)
3. Investing for outcomes (Developing the public health
outcomes dashboard, assuring the future of public
health investment)
61. ‘Valuing public health’: Three areas of
focus short-listed
• MiddletonJ 'Public health low down with the Solent Delta Blues’
1. Making the case for prevention (return on investment;
affordability; value for money; a call for the ‘radical
upgrade to be made real)
2. Investing more in prevention through the NHS (
including secondary prevention; rebuilding health care
public health)
3. Investing for outcomes (Developing the public health
outcomes dashboard, assuring the future of public
health investment)
62. http://www.bmj.com/content
/357/bmj.j2676
Inequalities in health cost
£65bn (€74bn; $83bn) in lost
productivity and taxes and
increased benefits payments
plus
£5.5bn for direct NHS
treatment in 2010.5
MiddletonJ 'Public health low down with the Solent Delta
Blues’
68. Lady Nade& Daniel Everett pictured in the APPG Arts
and Health report, ‘Creating health’ 2017: watch out for
our new album ‘Hearts and minds’
69.
70. • 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/Eurohealth-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/ldw054/2871226/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
71. • Saunders P, Middleton J. Sustainability and transformation plans
for the NHS in England: radical or wishful thinking?
BMJ 2017;356:j1043 Available at:
http://www.bmj.com/content/356/bmj.j1043/rr-1 (accessed
May 25th 2017) and paper published short version: Saunders P,
Middleton J, Lloyd S. Survey of directors of public health
suggests that STPs may be falling short of ambition.
BMJ 2017; 357 doi:
https://doi.org/10.1136/bmj.j2552 (Published 25 May 2017)
Cite this as: BMJ 2017;357:j2552 Available at:
http://www.bmj.com/content/357/bmj.j2552?rss=1&utm_sour
ce=feedburner&utm_medium=feed&utm_campaign=Feed%3A%
20bmj/recent%20%28Latest%20from%20BMJ%29&variant=shor
t&sso= (accessed May 25th 2017)
• Middleton J. Public health and the general election 2017.
https://www.lgcplus.com/services/health-and-care/public-
health-and-the-general-election-2017/7017915.article
• Middleton J. Time to put health at the heart of all policies. BMJ
2017; 357: http://www.bmj.com/content/357/bmj.j2676?sso.
72. • Quantz D, Jenkin D, Stevenson E, Pencheon D,
Middleton J. Sustainable development in public health
consultant education. The Lancet Planetary Health,
DOI: http://dx.doi.org/10.1016/S2542-5196(17)30114-
6 Available at :
http://www.thelancet.com/journals/lanplh/article/PII
S2542-5196(17)30114-6/fulltext (accessed October 6th
2017).
• Bellis M, Hardcastle K, Purkis-Garner A, MiddletonJ.
Interpersonal, collective, and extremist violence are
public health problems BMJ opinion, October 30th
2017. Available at:
http://blogs.bmj.com/bmj/2017/10/30/interpersonal-
collective-and-extremist-violence-are-public-health-
problems/ accessed November 1st
73. The public health function
‘the public health system’
The public health profession
74. My presidency
Build local authority relationships
Build relationships in health and public health
services in four nations of the UK
Do things jointly where possible - policy
statements, conferences
Implement new curriculum: personal
effectiveness and values and ethics; rebuild
health protection and health care public health
Develop member involvement
Ensure solid member services, build special
interests
Develop faculty governance
Pursue 12 asks of the Manifesto
Planetary health
A Public health curriculum for young people
Brexit, drugs, air pollution, AMR, violence
prevention
77. My presidency
Build local authority relationships
Build relationships in health and public
health services in four nations of the UK
All areas of the UK visited by April 2018
Strong participant in the English Public
Health System Group
United Kingdom Public Health
Network
79. With Northern Irish colleagues in
Belfast for the public health walk
William Drennan- patriot, radical,
poet, obstetrician and champion of
public health
81. My presidency
Do things jointly where possible - policy
statements, conferences
Developing relationships with major
Public Health national partners
Joint policy development with RSPH on
Taking a new line on drugs
Major contributors to ‘Every breath we
take’ RCP/RCPCH report
82. My presidency
Implement new curriculum: personal effectiveness
and values and ethics; rebuild health protection and
health care public health
Major workstream on ethics and values: ESRC grant for
course development , working with law depts in 6
universities; proposal for Legal training for English
Public health in local authorities
Funded Work on credentialing with PHE to develop the
public health in all specialities capacity
Funded development work with PHE on personal
effectiveness /leadership/ management
83. My presidency
Develop member involvement; Ensure solid member services; build
special interests
Workforce strategy agreed November 2017
Learn from recent member survey
New website
Developing content offer online and through social media
Develop member database and apply to member services
Staff development and customer care
Policy development and member involvement through
>30 special interest groups
84. My presidency
Develop faculty governance
Failed effort to incorporate - exploring
alternative models for faculty governance
Modernisation of Board and Executive
New Strategy for 2019-2024
Start new curriculum work for 2020-2025
85. FPH workforce strategy 2018
1. FPH will champion the unique value of Public Health
Specialists and work with employers, commissioners, decision-
makers and other stakeholders to ensure the specialist role is
understood, recognised, valued and deployed to best effect to
meet employer needs, the needs of an efficient health system
and the needs of the public
2 - FPH will ensure that a flexible Public Health Specialist
workforce is trained, developed and strengthened to meet
employer and the public’s health needs in the future
3 - FPH will work with partners to ensure clear and appropriate
data is available on the current workforce and to ensure that
effective longer term workforce planning is undertaken
4 - FPH will work in partnership with the public health
community to support the development of an effective public
health practitioner workforce and enable the wider workforce
to deliverimprovements to the public’s health
87. Who we are and what we do
• The United Kingdom Faculty of Public Health is a faculty of the three
Royal Colleges of Physicians of London, Edinburgh and Glasgow
(Physicians and Surgeons)
• FPH is a membership organisation for nearly 4,000 public health
professionals across the UK and around the world
• We also have a growing number of student, associate and international
members in more than 80 different countries
To improve and protect the public’s health: through
standards, advocacy, training and knowledge
www.fph.org.uk
88. Who we are and what we do
• FPH is a membership organisation for nearly 4,000 public health
professionals across the UK and around the world
• We also have a growing number of student and international
members in more than 80 different countries.
• We want everyone to have the best chance to live a healthy life, no
matter who they are or where they live
89. Our role is to improve the health and wellbeing of local communities and
national populations. We do this in six ways:
1. We support public health professionals through training and beyond
2. We enable members to meet up and share ideas and best practice
3. We give members the chance to discuss new policy ideas via our
growing network of Special Interest Groups (SIGs). Each one specialises
in a different issue, from mental health to housing
Who we are and what we do
90. 4. We seek to improve public health policy and practice at a local,
national and international level
5. We campaign for change and work in partnership with local and
national governments
6. We encourage and promote new research and understanding of
public health via our Journal of Public Health, Public Health Today
magazine, blog and events programme – and we’re always looking for
new stories!
Who we are and what we do
91. Our future
• We’re determined to do even more to improve people’s health and
wellbeing and give everyone the best chance to live a healthy life, no
matter who they or where they live.
• We want to continue to improve the training and development of
public health professionals so that our members are even better
equipped to tackle the many new health challenges facing our local
communities
• And we want to play an even bigger role in shaping public health
policy across the UK and around the world
92. • We can only realise our ambitions with the help and support of our
members
• If you’re already a member, get in touch to find out how you can join
a Special Interest Group. If you’re not a member, go to
www.fph.org.uk/fph_associates to find out more or Tweet us @FPH
• From Student Membership to Fellowship and Membership by
Distinction (which you can self-nominate for with two references!),
there are different membership grades available