{"title":"Protecting health","authors":"J. Ashton","doi":"10.1093/oso/9780198743170.003.0005","DOIUrl":"https://doi.org/10.1093/oso/9780198743170.003.0005","url":null,"abstract":"This chapter explores the concept of health protection, defines its scope, and illustrates how health protection may be needed in relation to a wide range of issues with specific examples that the author has been involved with during his public health career. A framework for health protection which covers both communicable and non-communicable disease threats in both the natural and built environment is proposed. Examples covered include chemical incidents; the emergence of new and novel infectious diseases; the crisis in measles, mumps and rubella vaccination following the publication of a since-discredited scare in the Lancet by former Dr Andrew Wakefield; the Hillsborough football stadium disaster; the humanitarian crisis in North Macedonia during the Kosovo emergency; and a fatal mass shooting in Cumbria. The emergence of the threat of HIV infection to injecting drug users in Liverpool is described together with details of the response which included the first large-scale syringe exchange programme. The importance of preparedness, training, intelligence, and inclusive public communication is stressed as well as the dynamic nature of health protection.","PeriodicalId":153748,"journal":{"name":"Practising Public Health","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121754597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reflections","authors":"John Ashton","doi":"10.1093/oso/9780198743170.003.0010","DOIUrl":"https://doi.org/10.1093/oso/9780198743170.003.0010","url":null,"abstract":"In this endpiece the author reflects on the book as a whole and on his career in public health over 40 years. He considers the challenges, joys, and frustrations and pays tribute to the giants whose shoulders contemporary practitioners stand on. In taking the long view on how public health has changed during his career, he paints a picture of the route map necessary to make a contribution in the twenty-first century and regrets some of the recent developments in the organizational arrangements in England that have impeded progress. His hope is that this personal account may inspire a new generation of public health workers as they make their way with an ever-evolving agenda.","PeriodicalId":153748,"journal":{"name":"Practising Public Health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124362229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthy cities","authors":"J. Ashton","doi":"10.1093/oso/9780198743170.003.0008","DOIUrl":"https://doi.org/10.1093/oso/9780198743170.003.0008","url":null,"abstract":"In this chapter the origins of the WHO Healthy Cities Project are described, beginning with the project group meeting in Copenhagen. The early days of the project are reported together with an account of how the project developed from small beginnings to become a global movement with political leadership from the city level. The achievements of the project are reported together with issues raised in creating a new dynamic for urban health. The chapter concludes with the latest phase of the project beginning in 2018, which saw Healthy Cities aligned to the pursuit of the 17 United Nations Sustainable Development Goals for 2030.","PeriodicalId":153748,"journal":{"name":"Practising Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129976369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}