Advertisement

Canadian Journal of Public Health

, Volume 103, Issue 6, pp e425–e427 | Cite as

Latest OECD Figures Confirm Canada as a Public Health Laggard

  • Dennis RaphaelEmail author
Commentary
  • 1 Downloads

Abstract

Despite the Canadian public health community’s commitments to promoting public policy that supports health, evidence indicates that Canada’s public health picture continues to decline. This may be due in part to the failure of public health agencies and local public health units to engage in public policy advocacy and public education about the social determinants of health. Examples of such activities by local public health units are now available and provide a model for such activity.

Résumé

Bien que la communauté de la santé publique se soit engagée à promouvoir les politiques publiques qui favorisent la santé, il est prouvé que le portrait de la santé publique au Canada continue à se détériorer. Cela s’expliquerait en partie par le fait que les organismes de santé publique et les bureaux de santé publique locaux ne mènent pas d’activités de défense des politiques publiques ni de sensibilisation aux déterminants sociaux de la santé. Des exemples de telles activités par des bureaux de santé publique locaux sont maintenant disponibles et offrent un modèle à suivre.

Key words

Public policy public health community development 

Mots clés

politique publique santé publique développement communautaire 

References

  1. 1.
    National Coordinating Centre on the Determinants of Health, Integrating Social Determinants of Health and Health Equity Into Canadian Public Health Practice. Antigonish, NS: NCCDH, 2010.Google Scholar
  2. 2.
    Public Health Agency of Canada, Canada’s Response to WHO Commission on Social Determinants of Health. Ottawa, ON: PHAC, 2007.Google Scholar
  3. 3.
    Canadian Public Health Association. Response of the Canadian Public Health Association to the Report of the World Health Organization’s Commission on the Social Determinants of Health. Ottawa: CPHA, 2008.Google Scholar
  4. 4.
    Joint OPHA/ALPHA Working Group on the Social Determinants of Health, Activities to Address the Social Determinants of Health in Ontario Local Public Health Units. Toronto, ON: Joint OPHA/ALPHA Working Group on the Social Determinants of Health, 2010.Google Scholar
  5. 5.
    Frankish CJ, Moulton GE, Quantz D, Carson AJ, Casebeer AL, Eyles JD, et al. Addressing the non-medical determinants of health: A survey of Canada’s health regions. Can J Public Health 2007;98(1):41–47.Google Scholar
  6. 6.
    Center for Community Health and Research. “A” Frame for Advocacy. Hanoi, 2008. Available at: http://www.ccrd.org.vn/index.php?option=com_content&task=view&id=104&Itemid=29 (Accessed December 1, 2012).Google Scholar
  7. 7.
    Manzano A, Raphael D. CPHA and the social determinants of health: An analysis of policy documents and recommendations for future action. Can J Public Health 2010;101(5):399–404.Google Scholar
  8. 8.
    World Health Organization. Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health. Geneva, Switzerland: WHO, 2008.Google Scholar
  9. 9.
    Bryant T, Raphael D, Schrecker T, Labonte R. Canada: A land of missed opportunity for addressing the social determinants of health. Health Policy 2011;101(1):44–58.CrossRefGoogle Scholar
  10. 10.
    Hancock T. Health promotion in Canada: 25 years of unfulfilled promise. Health Promot Int 2011;26(Suppl 2):ii263–ii267.PubMedGoogle Scholar
  11. 11.
    Manley J. Pre-budget Letter to The Honourable James M. Flaherty, Minister of Finance. Toronto: Canadian Council of Chief Executives, 2012.Google Scholar
  12. 12.
    Reynolds N. The withering of the state. The Globe and Mail 2011 March 7.Google Scholar
  13. 13.
    Reynolds N. The disintegration of the welfare state. The Globe and Mail 2010 July 12.Google Scholar
  14. 14.
    Esping-Andersen G. Towards the good society, once again? In: Esping-Andersen G (Ed.), Why We Need a New Welfare State. Oxford, UK: Oxford University Press, 2002;1–25.CrossRefGoogle Scholar
  15. 15.
    Bambra C. Health inequalities and welfare state regimes: Theoretical insights on a public health ‘puzzle’. J Epidemiol Community Health 2011;65:740–45.CrossRefGoogle Scholar
  16. 16.
    Scarth T (Ed.). Hell and High Water: An Assessment of Paul Martin’s Record and Implications for the Future. Ottawa: Canadian Centre for Policy Alternatives, 2004.Google Scholar
  17. 17.
    Healy T (Ed.). The Harper Record. Ottawa: Canadian Centre for Policy Alternatives, 2008.Google Scholar
  18. 18.
    Langille D. Follow the money: How business and politics shape our health. In: Raphael D (Ed.), Social Determinants of Health: Canadian Perspectives. Toronto: Canadian Scholars Press, 2009;305–17.Google Scholar
  19. 19.
    Organisation for Economic Co-operation and Development. Health at a Glance: OECD Indicators, 2011 Edition. Paris, France: OECD, 2011.Google Scholar
  20. 20.
    Organisation for Economic Co-operation and Development. Society at a Glance 2011, OECD Social Indicators. Paris: OECD, 2011.Google Scholar
  21. 21.
    Innocenti Research Centre. The Children Left Behind: A League Table of Inequality in Child Well-being in the World’s Rich Countries. Florence, Italy: Innocenti Research Centre, 2010.Google Scholar
  22. 22.
    Conference Board of Canada. A Report Card on Canada. Ottawa: Conference Board of Canada, 2011.Google Scholar
  23. 23.
    Wilkinson RG, Pickett K. The Spirit Level - Why More Equal Societies Almost Always Do Better. London, UK: Allen Lane, 2009.Google Scholar
  24. 24.
    Raphael D. Poverty in childhood and adverse health outcomes in adulthood. Maturitas 2011;69:22–26.CrossRefGoogle Scholar
  25. 25.
    Butler-Jones D. Report on the State of Public Health in Canada 2008: Addressing Health Inequalities. Ottawa: Public Health Agency of Canada, 2008.Google Scholar
  26. 26.
    Robert Wood Johnson Foundation. Overcoming Obstacles to Health. Princeton, NJ: Robert Wood Johnson Foundation, 2008.Google Scholar
  27. 27.
    Olsen GM. Labour market policy in the United States, Canada and Sweden: Addressing the issue of convergence. Soc Pol Admin 2008;42(4):323–41.CrossRefGoogle Scholar
  28. 28.
    Hacker JS, Pierson P. Winner-take-all politics: Public policy, political organization, and the precipitous rise of top incomes in the United States. Politics & Society 2010;38(2):152–204.CrossRefGoogle Scholar
  29. 29.
    Himelfarb A. Slowly, stealthily, the progressive state is being dismantled. CCPA Monitor 2012;19(2):1,6.Google Scholar
  30. 30.
    Saskatchewan Health. A Population Health Promotion Framework for Saskatchewan Regional Health Authorities. Regina, SK: Saskatchewan Health, 2002.Google Scholar
  31. 31.
    King A. Health, Not Health Care - Changing the Conversation. Toronto: Ministry of Health and Long-Term Care, 2011.Google Scholar
  32. 32.
    Kirkpatrick SI, McIntyre L. The Chief Public Health Officer’s report on health inequalities: What are the implications for public health practitioners and researchers? Can J Public Health 2009;100(2):93–95.Google Scholar
  33. 33.
    Raphael D. Getting serious about health: New directions for Canadian public health researchers and workers. Promot Educ 2008;15:15–20.CrossRefGoogle Scholar
  34. 34.
    Canadian Public Health Association. Welcome to CPHA. Ottawa: CPHA, 2011. Available at: http://www.cpha.ca/en/default.aspx (Accessed December 1, 2012).Google Scholar
  35. 35.
    Sudbury and District Health Unit. The most important things you can do for your health may not be as obvious as you think. Sudbury, ON: Sudbury and District Health Unit, 2011. Available at: http://www.sdhu.com/content/healthy_living/doc.asp?folder=3225&parent=3225&lang=0&doc=7846 (Accessed December 1, 2012).Google Scholar
  36. 36.
    Peterborough County-City Health Unit. Poverty and Health: Take Action for a Healthier Community. 2008. Available at: http://pcchu.peterborough.on.ca/PH/PH-home.html (Accessed December 1, 2012).Google Scholar
  37. 37.
    Sudbury and District Health Unit. Let’s Start a Conversation About Health... and Not Talk About Health Care at All. Sudbury: Sudbury and District Health Unit, 2011. Available at: http://www.youtube.com/watch?v=Gqla3a3rM6Q (Accessed December 1, 2012).Google Scholar
  38. 38.
    Raphael D, Brassolotto J, Baldeo N. Public Health Unit Actions on the Social Determinants of Health. Toronto: School of Health Policy and Management, York University, 2012. Available at: http://tinyurl.com/7v34pnh (Accessed December 1, 2012).Google Scholar
  39. 39.
    Mikkonen J, Raphael D. Social Determinants of Health: The Canadian Facts. Toronto: School of Health Policy and Management, York University, 2010. Available at: http://thecanadianfacts.org (Accessed December 1, 2012).Google Scholar

Copyright information

© The Canadian Public Health Association 2012

Authors and Affiliations

  1. 1.Faculty of Health, HealthSchool of Health Policy and ManagementTorontoCanada

Personalised recommendations