Canadian Journal of Public Health

, Volume 108, Issue 1, pp e1–e6 | Cite as

The weakening of public health: A threat to population health and health care system sustainability

  • Ak’ingabe GuyonEmail author
  • Trevor Hancock
  • Megan Kirk
  • Marjorie MacDonald
  • Cory Neudorf
  • Penny Sutcliffe
  • James Talbot
  • Gaynor Watson-Creed
Editorial • Éditorial

L’affaiblissement de la santé publique: une menace pour la santé des populations et la viabilité du système de soins de santé


  1. 1.
    Rutty C, Sullivan S. This is Public Health: A Canadian History. Ottawa, ON: Canadian Public Health Association, 2010. Available at: See especially History of Public Health: 12 Great Achievements. Available at: (Accessed February 26, 2017).Google Scholar
  2. 2.
    Ministers of Health and Health Promotion/Healthy Living. Creating a Healthier Canada: Making Prevention a Priority. A Declaration on Prevention and Promotion from Canada’s Ministers of Health and Health Promotion/ Healthy Living. Ottawa, ON: Public Health Agency of Canada, 2010. Available at: (Accessed March 5, 2017).Google Scholar
  3. 3.
    National Advisory Committee on SARS and Public Health. Learning from SAPS: Renewal of Public Health in Canada. Health Canada, 2003.Google Scholar
  4. 4.
    Potvin L. Canadian public health under siege. Can J Public Health 2014;105(6):e401–3. doi: 10.17269/cjph.l05.4960.CrossRefGoogle Scholar
  5. 5.
    National Collaborating Centre for Healthy Public Policy. Structural Profile of Public Health in Canada. Quebec, QC: The Centre, 2015. Available at: (Accessed March 5, 2017).Google Scholar
  6. 6.
    New Brunswick Medical Society. Strong, Independent, Medical Officers of Health. Fredericton, NB: The Society, 2014. Available at: (Accessed March 5, 2017).Google Scholar
  7. 7.
    Russell E. We deserve a government that respects scientific integrity. CMAJ 2015;187(15):1107. PMID: 26391718. doi: 10.1503/cmaj.151006. Available at: (Accessed March 5, 2017).CrossRefGoogle Scholar
  8. 8.
    Public Health Agency of Canada. Core Competencies for Public Health in Canada, Release 1.0. Ottawa, ON: The Agency, 2008. Available at: (Accessed March 5, 2017).Google Scholar
  9. 9.
    Hancock T. Advocacy: It’s not a dirty word, it’s a duty. Can J Public Health 2015;106:e86–88. PMID: 26125246. doi: 10.17269/cjph.l06.5094.PubMedGoogle Scholar
  10. 10.
    World Health Organization. Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health. Geneva, Switzerland: Commission on the Social Determinants of Health, 2008.Google Scholar
  11. 11.
    Kirk M, MacDonald M, Schreiber R, Kothari A. Exploring the changing nature of public health nursing practice. Presented at the 22nd International Union for Health Promotion and Education World Conference on Health Promotion, Curitiba, Brazil, May 22–26, 2016.Google Scholar
  12. 12.
    Ballinger G. Refining estimates of public health spending as measured in National health expenditure accounts: The Canadian experience. J Public Health Manag Pract 2007;13(2):115–20. PMID: 17299314. doi: 10.1097/00124784-200703000-00006.CrossRefGoogle Scholar
  13. 13.
    Guyon A, Perreault R. Public health systems under attack in Canada: Evidence on public health system performance challenges arbitrary reform. Can J Public Health 2016;107(3):e326–29. PMID: 27763850. doi: 10.17269/cjph.l07.5273.CrossRefGoogle Scholar
  14. 14.
    Moloughney BW. The Renewal of Public Health in Nova Scotia: Building a Public Health System to Meet the Needs of Nova Scotians. Halifax, NS: Ministry of Health, 2005. Available at: (Accessed March 5, 2017).Google Scholar
  15. 15.
    Select Standing Committee on Health. The Path to Health and Wellness: Making British Columbians Healthier by 2010. Victoria, BC: The Legislative Assembly of British Columbia, 2004. Available at: web/cmt/37thparl/session-5/health/reports/PDF/Rpt-HEALTH-37-5-lstRpt-PathToHealthWellness-2004-NOV-25.pdf (Accessed March 5, 2017) and Select Standing Committee on Health. A Strategy for Combating Childhood Obesity and Physical Inactivity in British Columbia. Victoria, BC: The Legislative Assembly of British Columbia, 2006. Available at: (Accessed March 5, 2017).
  16. 16.
    Auditor General of BC. Health Funding Explained. Victoria, BC: The Auditor General, 2013.Google Scholar
  17. 17.
    Association of Local Public Health Agencies. Letter to Hon. Eric Hoskins, Minister of Health and Long-Term Care, Re: Public Health Funding Model, November 3, 2015. Available at: Letter_PHFM_031115_FINAL.pdf (Accessed March 5, 2017).Google Scholar
  18. 18.
    Sudbury and District Health Unit. 2017 Pre-Budget Consultation: Investing in Public Health. Sudbury, ON: SDHU.Google Scholar
  19. 19.
    The Senate of Canada. A Healthy, Productive Canada: A Determinant of Health Approach. Ottawa, ON: Sub-Committee on Population Health, 2009.Google Scholar
  20. 20.
    Accreditation Canada. Standards for Public Health Services. Ottawa, ON: Accreditation Canada, 2017. Available at: (Accessed March 5, 2017).Google Scholar

Copyright information

© The Canadian Public Health Association 2017

Authors and Affiliations

  • Ak’ingabe Guyon
    • 1
    • 9
    Email author
  • Trevor Hancock
    • 2
  • Megan Kirk
    • 3
  • Marjorie MacDonald
    • 4
  • Cory Neudorf
    • 5
  • Penny Sutcliffe
    • 6
  • James Talbot
    • 7
  • Gaynor Watson-Creed
    • 8
  1. 1.Public Health Clinical DepartmentPublic Health and Preventive Medicine SpecialistMontrealCanada
  2. 2.School of Public Health and Social PolicyUniversity of VictoriaVictoriaCanada
  3. 3.University of VictoriaVictoriaCanada
  4. 4.School of Nursing and Co-Director, Research in Public Health Systems and Services InitiativeUniversity of VictoriaVictoriaCanada
  5. 5.Saskatoon Health RegionUniversity of Saskatchewan and CMHOSaskatoonCanada
  6. 6.Medical Officer of Health/CEOSudbury & District Health UnitSudburyCanada
  7. 7.School of Public HealthUniversity of AlbertaEdmontonCanada
  8. 8.Department of Community Health and EpidemiologyDalhousie UniversityHalifaxCanada
  9. 9.School of Public HealthUniversité de MontréalMontrealCanada

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