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Towards a Comprehensive Food Policy for Canada

Championing Public Health Nutrition Centre for Science in the Public Interest Dr. Carolyn Bennett, MP October 23, 2008. Towards a Comprehensive Food Policy for Canada. Food, Glorious Food. Comprehensive Food Policy for Canada. Healthy Canadians…. Healthy Planet Good social policy =

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Towards a Comprehensive Food Policy for Canada

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  1. Championing Public Health Nutrition Centre for Science in the Public Interest Dr. Carolyn Bennett, MP October 23, 2008 Towards a Comprehensive Food Policy for Canada

  2. Food, Glorious Food

  3. Comprehensive Food Policy for Canada Healthy Canadians…. Healthy Planet Good social policy = Good economic policy = Good environmental policy

  4. National Food Policy • Food security • Food protection • Ethical international development • Sustainable agriculture, fishery • Industry - strategy like tobacco won`t work • Healthy choices • Multicultural buffet

  5. Across all departments • Agriculture • Fisheries • Industry • Health • Indian and Northern Affairs • Environment • International Trade • International Development • Finance • Human Resources and Skill Development • Transportation

  6. Sir Michael MarmotChair, WHO Commission on Social Determinants of Health “The worst thing for a physician is to help someone get well and then send them straight back into the situation that made them sick in the first place”

  7. Canadian Institute for Advanced Research • 25% health attributable to health care system • 15% biology and genetics • 10% physical environment • 50% social and economic environments HEALTH VS HEALTH CARE

  8. “Reorienting health systems” FROM a health CARE system TO a true system for HEALTH

  9. Humbling reality • The health of our population cannot be the sole responsibility of the Ministry of Health and the health care sector.

  10. Canadian legacy • Tommy Douglas… Father of Medicare • Lalonde Report 1974 • Ottawa Charter 1986 • SARS, Naylor Report 2003 • WHO Commission SDOH 2005 • Health Goals for Canada 2005

  11. Goal of Medicare… • Sharing risk • getting people the health care they need when they need it • Keeping people well not just patching them up once they get sick

  12. The Tyranny of the Acute As long as citizens think of the sickness care system whenever they hear the word ‘health’ we are not going to be able to reorient health systems.

  13. Fantasy

  14. The Em PHA sis is on the wrong syl LAB le

  15. Fleeing the Medical Model,Embracing the Medicine Wheel

  16. Blame Hippocrates?

  17. Affirm Hygeia HYGEIA: Goddess of Health

  18. The solutions are complex For every complex human problem, there is a neat simple solution, it’s just that it’s wrong… HL Mencken

  19. Complex doesn’t fit into a 7 second sound bite…..or on a bumper sticker We must fiercely defend the complex solutions for the complex problems .. BUT……we need simpler messages

  20. Citizens have to ‘get it’ • More health …less health care • Service contract ?????? • Or longer warranty ????

  21. Putting the Public back intoPublic Health • Civic Literacy ….. individual • Civil Society…. Community Action

  22. HOWEVER…… Public policy usually follows public opinion…. BECAUSE……. Doing the right thing is very difficult is the people aren’t onside… • “Father knows best” not great politics

  23. Political Will to do the right thing • Dramatically improves with an educated public…… health literacy • Citizens pulling healthy public policy…. Civic efficacy

  24. “What we have here is a failure to communicate” Cool Hand Luke 1967

  25. Health Literacy Quiz Empowerment Pulling Healthy Public Policy Putting the Public back into Public Health

  26. Public Health 101

  27. 1.Do you think we should have a: A) strong fence at the top of the cliff B) state of the art fleet of ambulances and paramedics waiting at the bottom ?

  28. 2. Would you prefer: A) Clean air B) Enough puffers and respirators for all

  29. 3. Would you prefer that wait-times were reduced by: A) a falls program to reduce preventable hip fractures B) private orthopaedic hospitals and more surgeons

  30. 4.Should we invest in: A) early learning, child care, literacy,the early identification of learning disabilities and bullying programmes B) increase the budget for young offenders’ incarceration

  31. 5.Should we: A) assume that the 'grey tsunami' will bankrupt our health care system B) include our aging population in the planning of strategies to keep them well

  32. 6. Is the best approach to food security: A) food banks and vouchers B) Income security,affordable housing, community gardens and community kitchens and a national food policy

  33. 7. Pick the one that is NOT correct Pandemic Preparedness should focus on • Tamiflu for all • Working with the vets to keep avian flu a disease of birds • Making sure people wash their hands especially the doctors and nurses • Research on vaccines • Community care plans for our most vulnerable

  34. 8.Governments should boast about: • how much they spent on the sickness care system • the health of their citizens, leaving no-one behind

  35. Social Determinants of Health vsChoose Health(modifiable risks)

  36. The Causes of the Causes Versus The Causes

  37. Evolution of the Healthy Canadians Tree

  38. CommuniquéFMM September 2004 • “In addition, governments commit to accelerate work on a pan-Canadian Public Health Strategy. For the first time, governments will set goals and targets for improving the health status of Canadians through a collaborative process with experts.

  39. Health Goals for Canada Overarching Goal As a nation, we aspire to a Canada in which every person is as healthy as they can be – physically, mentally, emotionally and spiritually.

  40. Health Goals for Canada Canada is a country where: Basic Needs (Social and Physical Environments) Our children reach their full potential, growing up happy, healthy, confident and secure. The air we breathe, the water we drink, the food we eat, and the places we live, work and play are safe and healthy - now and for generations to come.

  41. Health Goals for Canada Canada is a country where: Belonging and Engagement Each and every person has dignity, a sense of belonging, and contributes to supportive families, friendships and diverse communities.

  42. Health Goals for Canada Canada is a country where: Belonging and Engagement We keep learning throughout our lives through formal and informal education, relationships with others, and the land. We participate in and influence the decisions that affect our personal and collective health and well-being. We work to make the world a healthy place for all people, through leadership, collaboration and knowledge.

  43. Health Goals for Canada Canada is a country where: Healthy Living Every person receives the support and information they need to make healthy choices.

  44. Health Goals for Canada Canada is a country where: System for Health We work to prevent and are prepared to respond to threats to our health and safety through coordinated efforts across the country and around the world. A strong system for health and social well-being responds to disparities in health status and offers timely, appropriate care.   

  45. Health Goals • Choose indicators • Include stakeholder in choosing meaningful and realistic but bold targets • Develop real strategies…. • what, by when and how

  46. French Paradox • Celebrating FOOD & DRINK…… thinner • North America • Food = Guilt • Obesity epidemic

  47. Canada’s Food Guide?? Evidence ?? Changing behaviour

  48. Canada’s Food Rules - 1949

  49. Canada’s Food Guide -1961

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