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Journal Article•DOI•

Preparing for the future of public health: ecological determinants of health and the call for an eco-social approach to public health education.

Margot W. Parkes1, Blake Poland2, Sandra Allison, Donald C. Cole2, Ian Culbert3, Maya K. Gislason4, Trevor Hancock5, Courtney Howard, Andrew Papadopoulos6, Faiza Waheed •
University of Northern British Columbia1, University of Toronto2, Canadian Public Health Association3, Simon Fraser University4, University of Victoria5, Ontario Veterinary College6
01 Feb 2020-Canadian Journal of Public Health-revue Canadienne De Sante Publique (Can J Public Health)-Vol. 111, Iss: 1, pp 60-64
TL;DR: It is argued that an intentionally eco-social approach to education is needed to better support the health sector’s role in protecting and promoting health, preventing disease and injury, and reducing health inequities.
Abstract: As a collective organized to address the education implications of calls for public health engagement on the ecological determinants of health, we, the Ecological Determinants Group on Education (cpha.ca/EDGE), urge the health community to properly understand and address the importance of the ecological determinants of the public's health, consistent with long-standing calls from many quarters-including Indigenous communities-and as part of an eco-social approach to public health education, research and practice. Educational approaches will determine how well we will be equipped to understand and respond to the rapid changes occurring for the living systems on which all life-including human life-depends. We revisit findings from the Canadian Public Health Association's discussion paper on 'Global Change and Public Health: Addressing the Ecological Determinants of Health', and argue that an intentionally eco-social approach to education is needed to better support the health sector's role in protecting and promoting health, preventing disease and injury, and reducing health inequities. We call for a proactive approach, ensuring that the ecological determinants of health become integral to public health education, practice, policy, and research, as a key part of wider societal shifts required to foster a healthy, just, and ecologically sustainable future.

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Citations
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Journal Article•DOI•
AMEE Consensus Statement: Planetary health and education for sustainable healthcare

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Emily Shaw1, Sarah Walpole2, Michelle McLean3, Carmen Álvarez-Nieto4, Stefi Barna, Kate Bazin5, Georgia Behrens6, Hannah Chase7, Brett Duane8, Omnia El Omrani, Marie Elf9, Carlos Faerron Guzmán10, Enrique Falceto de Barros11, Trevor Gibbs12, Jonny Groome13, Finola Hackett14, Jeni Harden15, Eleanor J Hothersall12, Maca Hourihane, Norma Huss16, Moses N. Ikiugu17, Easter Joury18, Kathleen Leedham-Green19, Kristen MacKenzie-Shalders3, Diana L Madden6, Judy McKimm20, Patricia Nayna Schwerdtle, Sarah Peters7, Nicole Redvers21, Perry E. Sheffield22, Judith A. Singleton23, SanYuMay Tun19, Robert Woollard24 •
Newcastle University1, Newcastle upon Tyne Hospitals NHS Foundation Trust2, Bond University3, University of Jaén4, King's College London5, University of Notre Dame Australia6, University of Oxford7, Trinity College, Dublin8, Dalarna University9, Harvard University10, University of Caxias do Sul11, University of Dundee12, Great Ormond Street Hospital13, University of Calgary14, University of Edinburgh15, Esslingen University of Applied Sciences16, University of South Dakota17, Queen Mary University of London18, Imperial College London19, Swansea University20, University of North Dakota21, Icahn School of Medicine at Mount Sinai22, Queensland University of Technology23, University of British Columbia24
19 Feb 2021-Medical Teacher
TL;DR: The Consensus Statement as mentioned in this paper provides a global, collaborative, representative and inclusive vision for educating an interprofessional healthcare workforce that can deliver sustainably and sustainably care for the patients.
Abstract: The purpose of this Consensus Statement is to provide a global, collaborative, representative and inclusive vision for educating an interprofessional healthcare workforce that can deliver sustainab...

125 citations

Journal Article•DOI•
Envisioning planetary health in every medical curriculum: An international medical student organization's perspective.

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Omnia El Omrani, Alaa Dafallah1, Blanca Paniello Castillo2, Bianca Quintella Ribeiro Corrêa Amaro3, Sanjana Taneja4, Marouane Amzil5, Refat Uz-Zaman Sajib6, Tarek Ezzine7 •
University of Khartoum1, University of Barcelona2, AmeriCorps VISTA3, Lady Hardinge Medical College4, University of Hassan II Casablanca5, Shaheed Suhrawardy Medical College6, Tunis University7
06 Aug 2020-Medical Teacher
TL;DR: In this article, future health care professionals must be trained to recognize the interdependence of health and ecosystems to address the needs of the future health and environment to improve the health of humans.
Abstract: With deteriorating ecosystems, the health of mankind is at risk. Future health care professionals must be trained to recognize the interdependence of health and ecosystems to address the needs of t...

98 citations

Journal Article•DOI•
Education for sustainable healthcare: Leadership to get from here to there.

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Judy McKimm1, Nicole Redvers2, Omnia El Omrani, Margot W. Parkes3, Marie Elf4, Robert Woollard5 •
Swansea University1, University of North Dakota2, University of Northern British Columbia3, Dalarna University4, University of British Columbia5
10 Aug 2020-Medical Teacher
TL;DR: The need for strong leadership to enact a vision for ESH is outlined here with the intent to enable and nurture the conditions for change, ultimately improving health and well-being across generations.
Abstract: The current global crises, including climate, COVID-19, and environmental change, requires global collective action at all scales. These broad socio-ecological challenges require the engagement of diverse perspectives and ways of knowing and the meaningful engagement of all generations and stages of personal and professional development. The combination of systems thinking, change management, quality improvement approaches and models, appreciative/strength-based approaches, narratives, storytelling and the strengths of Indigenous knowledges, offer synergies and potential that can set the stage for transformative, strengths-based education for sustainable healthcare (ESH). The need for strong leadership to enact a vision for ESH is outlined here with the intent to enable and nurture the conditions for change, ultimately improving health and well-being across generations.

30 citations

Journal Article•DOI•
Education for the Anthropocene: Planetary health, sustainable health care, and the health workforce.

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Stefi Barna1, Filip Maric, Julia Simons2, Shashank Kumar3, Shashank Kumar4, Peter J. Blankestijn5 •
Queen Mary University of London1, University of Cambridge2, Azim Premji University3, Ontario Institute for Studies in Education4, Utrecht University5
17 Aug 2020-Medical Teacher
TL;DR: This paper analyze how HPE can help decarbonize the healthcare sector to address both climate change and inequity in health outcomes and proposes simple learning objectives to equip HPE graduates with the knowledge, skills, and values to create a sustainable health system.
Abstract: Over the past few centuries, human activity has wrought dramatic changes in the natural systems that support human life. Planetary health is a useful concept for health profession education (HPE) teaching and practice because it situates health within a broader understanding of the interdependent socio-ecological drivers of human and planetary health. It facilitates novel ways of protecting both population health and the natural environment on which human health and well-being depends. This paper focuses on the climate crisis as an example of the relationship between environmental change, healthcare, and education. We analyze how HPE can help decarbonize the healthcare sector to address both climate change and inequity in health outcomes. Based on the healthcare practitioner's mandate of beneficence, we propose simple learning objectives to equip HPE graduates with the knowledge, skills, and values to create a sustainable health system, using carbon emission reductions as an example. These learning objectives can be integrated into HPE without adding unduly to the curriculum load.

29 citations

Journal Article•DOI•
Universal depression prevention: An umbrella review of meta-analyses.

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Erin Hoare1, Sam Collins1, Wolfgang Marx1, Edward Callaly1, Ryan Moxham-Smith1, Pim Cuijpers2, Arne Holte3, Andrew A. Nierenberg4, Nicola J. Reavley5, Helen Christensen6, Charles F. Reynolds7, André F. Carvalho1, André F. Carvalho8, André F. Carvalho9, Felice N. Jacka1, Felice N. Jacka6, Michael Berk •
Deakin University1, Public Health Research Institute2, Norwegian Institute of Public Health3, Harvard University4, University of Melbourne5, Black Dog Institute6, University of Pittsburgh7, University of Toronto8, Centre for Addiction and Mental Health9
16 Oct 2021-Journal of Psychiatric Research
TL;DR: A systematic umbrella review of universally delivered preventive interventions for depression is presented in this article, where the authors identify meta-analyses that investigated the prevention of depression through intervention studies that were universal, in that they were designed to be delivered to entire populations.

14 citations

References
More filters
Journal Article•DOI•
Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health

[...]

Sarah Whitmee1, Andy Haines2, Chris Beyrer3, Frederick Boltz4, Anthony Capon5, Braulio Ferreira de Souza Dias, Alex Ezeh, Howard Frumkin6, Peng Gong7, Peter Head, Richard Horton, Georgina M. Mace1, Robert Marten2, Robert Marten4, Samuel S. Myers8, Sania Nishtar, Steven A. Osofsky9, Subhrendu K. Pattanayak10, Montira J Pongsiri11, Cristina Romanelli, Agnes Soucat12, Jeanette Vega, Derek Yach •
University College London1, University of London2, Johns Hopkins University3, Rockefeller Foundation4, United Nations University5, University of Washington6, Tsinghua University7, Harvard University8, Wildlife Conservation Society9, Duke University10, United States Environmental Protection Agency11, World Bank12
14 Nov 2015-The Lancet
TL;DR: In this paper, the authors identify three categories of challenges that have to be addressed to maintain and enhance human health in the face of increasingly harmful environmental trends: conceptual and empathy failures (imagination challenges), such as an overreliance on gross domestic product as a measure of human progress, the failure to account for future health and environmental harms over present day gains, and the disproportionate eff ect of those harms on the poor and those in developing nations.

1,452 citations

Book•
Ecological Public Health: Reshaping the Conditions for Good Health

[...]

Geof Rayner, Tim Lang1•
City University London1
12 Jun 2012
TL;DR: The Transitions which Public Health has to Address and the Implications of Ecological Public Health are discussed.
Abstract: Preface Acknowledgements Glossary Part 1: Images and Models of Public Health 1. Introducing the Notion of Ecological Public Health 2. Defining Public Health 3. The Recevied Wisdom of Public Health Part 2: The Transitions which Public Health has to Address Introduction to Part 2 4. Demographic Transition 5. Epidemiological and Health Transition 6. Urban Transition 7. Energy Transition 8. Economic Transition 9. The Nutrition Transition 10. Biological and Ecological Transition 11. Cultural Transition 12. Democratic Transition Conclusion to Part 2 - An Overview of the Transitions Part 3: Reshaping the Conditions for Good Health 13. The Implications of Ecological Public Health References Index

111 citations

"Preparing for the future of public ..." refers background in this paper

  • ...…the connections with converging and inter-related developments relevant to public health, including but not limited to ecological public health (Rayner and Lang 2012), ecohealth, ecosystem approaches to health (Horwitz and Parkes 2019; Parkes and Horwitz 2016; Webb et al. 2010), and the…...

    [...]

  • ...…health and wellness, especially in terms of established leadership of Indigenous peoples and perspectives in integrative understandings of ecological, social, cultural, and intergenerational determinants of health (Buse et al. 2018; Greenwood et al. 2015; Ratima et al. 2019; Rayner and Lang 2012)....

    [...]

  • ...…Poland 2015; Buse et al. 2018; Canadian Public Health Association (CPHA) 2015; EDGE 2018; Greenwood et al. 2015; Hancock 2015; Hancock et al. 2015; Horwitz and Parkes 2019; Parkes and Horwitz 2016; Poland et al. 2011; Ratima et al. 2019; Rayner and Lang 2012; Webb et al. 2010; Whitmee et al. 2015)....

    [...]

Journal Article•DOI•
Determinants of Indigenous Peoples’ Health in Canada: Beyond the Social

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Hannah Tait Neufeld1•
University of Guelph1
18 May 2017-Canadian Studies in Population

108 citations

"Preparing for the future of public ..." refers background in this paper

  • ...Consistent with long-standing and ongoing calls from Indigenous communities and knowledge systems (Greenwood et al. 2015; Ratima et al. 2019), closer attention to relationships and interconnections helps to overcome false dichotomies between the ecological and social influences on health, and…...

    [...]

  • ...…health and wellness, especially in terms of established leadership of Indigenous peoples and perspectives in integrative understandings of ecological, social, cultural, and intergenerational determinants of health (Buse et al. 2018; Greenwood et al. 2015; Ratima et al. 2019; Rayner and Lang 2012)....

    [...]

  • ...…(in)equity, and sustainability challenges (Benatar and Poland 2015; Buse et al. 2018; Canadian Public Health Association (CPHA) 2015; EDGE 2018; Greenwood et al. 2015; Hancock 2015; Hancock et al. 2015; Horwitz and Parkes 2019; Parkes and Horwitz 2016; Poland et al. 2011; Ratima et al. 2019;…...

    [...]

  • ...…ways that an eco-social approach can: drawing from a more relational world-view, complexity science, and an understanding that human and non-human well-being are inextricably interwoven (Greenwood et al. 2015; Horwitz and Parkes 2019; Poland and Dooris 2010; Ratima et al. 2019; Webb et al. 2010)....

    [...]

  • ...…impacts of climate change, biodiversity loss, pollution, ocean acidification and depletion, land and water degradation, and food security, from local to global scales, as they affect personal, public, and planetary health (Canadian Public Health Association (CPHA) 2015; Greenwood et al. 2015)....

    [...]

Journal Article•DOI•
Securing ‘supportive environments’ for health in the face of ecosystem collapse: meeting the triple threat with a sociology of creative transformation

[...]

Blake Poland1, Mark T Dooris2, Randolph Haluza-DeLay3•
University of Toronto1, University of Central Lancashire2, The King's University3
01 Dec 2011-Health Promotion International
TL;DR: Drawing on sociological theory, and specifically practice theory and the work of Pierre Bourdieu, it is advocated rethinking education for social change by attending more adequately to the social conditions of transformative learning and cultural change.
Abstract: In this paper, we reflect on and explore what remains to be done to make the concept of supportive environments--one of the Ottawa Charter's five core action areas--a reality in the context of growing uncertainty about the future and accelerated pace of change. We pay particular attention to the physical environment, while underscoring the inextricable links between physical and social environments, and particularly the need to link social and environmental justice. The paper begins with a brief orientation to three emerging threats to health equity, namely ecological degradation, climate change, and peak oil, and their connection to economic instability, food security, energy security and other key determinants of health. We then present three contrasting perspectives on the nature of social change and how change is catalyzed, arguing for an examination of the conditions under which cultural change on the scale required to realize the vision of 'supportive environments for all' might be catalyzed, and the contribution that health promotion as a field could play in this process. Drawing on sociological theory, and specifically practice theory and the work of Pierre Bourdieu, we advocate rethinking education for social change by attending more adequately to the social conditions of transformative learning and cultural change. We conclude with an explication of three key implications for health promotion practice: a more explicit alignment with those seeking to curtail environmental destruction and promote environmental justice, strengthening engagement with local or settings-focused 'communities of practice' (such as the Transition Town movement), and finding new ways to creatively 'engage emergence', a significant departure from the current dominant focus on 'risk management'.

96 citations

"Preparing for the future of public ..." refers background in this paper

  • ...…eco-social approaches to the EDoH, these need to be seen as synergistic with the urgent need for a fulsome whole-of-society retooling of the systems and power structures that continue to perpetuate both ecological and social degradation (Poland et al. 2011; Ratima et al. 2019; Whitmee et al. 2015)....

    [...]

  • ...…Poland 2015; Buse et al. 2018; Canadian Public Health Association (CPHA) 2015; EDGE 2018; Greenwood et al. 2015; Hancock 2015; Hancock et al. 2015; Horwitz and Parkes 2019; Parkes and Horwitz 2016; Poland et al. 2011; Ratima et al. 2019; Rayner and Lang 2012; Webb et al. 2010; Whitmee et al. 2015)....

    [...]

  • ...…change and bounce forward into new ways of seeing and doing (what some call transformative resilience, or transilience), drawing on change processes that are deeply collaborative and emergent, rather than command and control (see O’Connell 2017; Parkes et al. 2017; Poland et al. 2011, 2019)....

    [...]

Journal Article•DOI•
Public health guide to field developments linking ecosystems, environments and health in the Anthropocene

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Christina G. Buse1, Jordan Sky Oestreicher2, Neville Ellis3, Rebeccca Patrick4, Ben Brisbois5, Aaron Jenkins6, Kaileah A. McKellar5, Jonathan Kingsley7, Maya K. Gislason8, Lindsay P. Galway9, Ro A. McFarlane10, Joanne Walker, Howard Frumkin11, Margot W. Parkes1 •
University of Northern British Columbia1, University of Brasília2, University of Western Australia3, Deakin University4, University of Toronto5, University of Sydney6, Swinburne University of Technology7, Simon Fraser University8, Lakehead University9, University of Canberra10, University of Washington11
12 Jan 2018-Journal of Epidemiology and Community Health
TL;DR: A guide to seven field developments in environmental public health research and practice: occupational and environmental health; political ecology of health; environmental justice; ecohealth; One Health; ecological public health; and planetary health.
Abstract: The impacts of global environmental change have precipitated numerous approaches that connect the health of ecosystems, non-human organisms and humans. However, the proliferation of approaches can lead to confusion due to overlaps in terminology, ideas and foci. Recognising the need for clarity, this paper provides a guide to seven field developments in environmental public health research and practice: occupational and environmental health; political ecology of health; environmental justice; ecohealth; One Health; ecological public health; and planetary health. Field developments are defined in terms of their uniqueness from one another, are historically situated, and core texts or journals are highlighted. The paper ends by discussing some of the intersecting features across field developments, and considers opportunities created through such convergence. This field guide will be useful for those seeking to build a next generation of integrative research, policy, education and action that is equipped to respond to current health and sustainability challenges.

82 citations

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16 Nov 2019-The Lancet
Nick Watts, Markus Amann, Nigel W. Arnell, Sonja Ayeb-Karlsson, Kristine Belesova, Maxwell T. Boykoff, Peter Byass, Wenjia Cai, Diarmid Campbell-Lendrum, Stuart Capstick, Jonathan Chambers, Carole Dalin, Meaghan Daly, Niheer Dasandi, Michael Davies, Paul Drummond, Robert Dubrow, Kristie L. Ebi, Matthew J. Eckelman, Paul Ekins, Luis E. Escobar, Lucia Fernandez Montoya, Lucien Georgeson, Hilary Graham, Paul Haggar, Ian Hamilton, Stella M. Hartinger, Jeremy J. Hess, Ilan Kelman, Gregor Kiesewetter, Tord Kjellstrom, Dominic Kniveton, Bruno Lemke, Yang Liu, Melissa C. Lott, Rachel Lowe, Maquins Odhiambo Sewe, Jaime Martinez-Urtaza, Mark A. Maslin, Lucy McAllister, Alice McGushin, Slava Mikhaylov, James Milner, Maziar Moradi-Lakeh, Karyn Morrissey, Kris A. Murray, Simon Munzert, Maria Nilsson, Tara Neville, Tadj Oreszczyn, Fereidoon Owfi, Olivia Pearman, David Pencheon, Dung Phung, Steve Pye, Ruth Quinn, Mahnaz Rabbaniha, Elizabeth J. Z. Robinson, Joacim Rocklöv, Jan C. Semenza, Jodi D. Sherman, Joy Shumake-Guillemot, Meisam Tabatabaei, Jonathon Taylor, Joaquin Trinanes, Paul Wilkinson, Anthony Costello, Peng Gong, Hugh Montgomery 
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