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

1. John Middleton
What is public health?
Grand European Symposium:
Training, Research and Innovation in the Europe of Health”,
on September 30th 2021, The Sorbonne Grand
Amphitheater

2. Public health is :
The science and art of promoting health, preventing disease and
prolonging life through the organised efforts of society
Acheson 1988, after Winslow 1927, WHO 1948

3. What is public health?
Public health practice is population-based
It emphasises collective responsibility for health, health protection and
disease prevention
It recognises the key role of the state, linked to a concern for the underlying
socio-economic and wider determinants of health, as well as disease
Public health practice also emphasises partnership working with all those
who contribute to the health of the population.
Good Public Health Practice UK Faculty of Public Health 2016

4. What is public health?
The public’s health
And
The public system, services and profession

5. The public health system,
services and profession

6. What is public health?
Three domains of public health :
Health protection
Health improvement
Health care related public health
UK Faculty of Public Health, 2016

7. Good public health practice
The UK public health code of practice
• Knowledge, Skills and Performance
• Safety and quality
• Communication, partnership & teamwork
• Maintaining public trust

8. https://www.as
pher.org/aspher
-programme-
for-public-
health-
competencies.ht
ml

9. https://www.uems.eu/about-us/medical-specialties

10. A medical specialty…
but a multidisciplinary profession, service and system
UK Faculty of public
Health
Careers in public
health

11. Multidisciplinary public health
• 19th Century: early UK public
health practitioners were
multi-disciplinary: John Snow
(Surgeon/Anaesthetist),
Florence Nightingale (Nurse);
Edwin Chadwick (Lawyer);
Joseph Bazalgette (Engineer);
Mary Seacole (nurse)

12. Louis Pasteur,
chemist

13. Strategic
alliances:
A ‘one
health’
approach

14. John Middleton: Planning for an outbreak of health
The public’s health

15. 06/11/2021 15
• ‘The interests of health, and
the interests of common
physical convenience and
comfort are in various cases,
identical’
• Sir John Simon, First Medical
Officer of Health for the City of
London 1848, and First Chief
Medical Officer for the British
government , 1856

16. “ Medicine is a social
science and politics is
nothing else but
medicine on a large
scale.
“Medicine as a social science, as the
science of human beings, has the
obligation to point out problems and
to attempt their theoretical solution;
the politician, the practical
anthropologist, must find the means
for their actual solution”
Rudolf Virchow

17. it's not who your
doctor is, it's who
you vote for, that
most affects your
health

18. 18
06/11/2021
Health is global
The public’s health: the global
burden of disease, corporate anti-
health interest,

19. Global burden of disease study, 2019

20. Burden of disease attributable to 20 leading risk factors in 2010
expressed as a percentage of global disability-adjusted life-years
Global Burden of Disease Group. www.thelancet.com 2012 380 2245
Diet ≈ 40%

21. These 10 Corporations Control Almost Everything We Eat

22. 22
06/11/2021
Health is global :
Planetary health: environment, loss of
biodiversity, food and ecosystems balance,
climate change.

26. Climate
breakdown
is here
now!- 1 fire

27. • Climate breakdown is
here now!- 2 floods

28. Climate
breakdown
is here
now!- 3
marine life
extinction

29. John Middleton:Planning for an outbreak of health

30. 30
06/11/2021
Health is global:
Violence, conflict and public
health

31.  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

32. Health is global :
Infodemics
Misinformation
Disinformation
Populist (false) reassurance
Undermining of science and
professionals

33. Infodemics:
misappropriating
social media - to
sway opinion and
behaviour – in this
example in vaccine
hesitancy

34. John Middleton [lecture title]
[date]
Global governance
for health

35. The COVID-19 Pandemic

36. Planning for an outbreak of
health:
The public health system,
services and profession

37. John Middleton:Planning for an outbreak of health

38. https://epha.org/public-
health-must-be-
strengthened-for-a-
healthy-post-covid-world/
Global governance for health

39. John Middleton:Planning for an outbreak of health

41. Revised mandate of
ECDC and EMA
Crisis preparedness
and response
New regulation for
pharmaceutical
industry
Europe’s Beating
Cancer plan

42. John Middleton: Planning for an outbreak of health
Planning for an
outbreak of health:
The public’s health

44. ‘Build back’ ?
To what austerity, poverty and
unfairness? Environmental squalor and
health and wealth for some?
Plan for an outbreak of health….

45. William Beveridge designed a welfare state
for the UK in the deepest point of the
Second World War.
‘We should regard want,
idleness , ignorance, squalor
and disease as enemies of us
all. That is the meaning of a
social conscience; that we
refuse to make our separate
peace with evil.’

47. Science knows no country,
because knowledge belongs to
humanity, and is the torch which
illuminates the world.
Louis Pasteur

48. Thank you
John Middleton,
President
Association of Schools of Public Health
In the European Region
John.middleton@aspher.org

49. What is ASPHER ?
The Association of Schools of Public Health in the European Region (ASPHER) is
the key independent European organisation dedicated to strengthening the role
of public health by improving education and training of public health
professionals for both practice and research.
We have 120 member schools of public health in Europe and associates globally.
We are developing our partnerships with sister public health organisations in
North and South America, Africa, Asia, Australasia and the Arab world