14 th Inter Island Public Health Forum Jersey Thursday 6 th July. Why Islands are special and related issues
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1 14 th Inter Island Public Health Forum Jersey Thursday 6 th July Why Islands are special and related issues
2 Presentation Outline Why Islands are special Changing national/international context Public Health Organisations & Community Structures My intended presentation Conference theme: Inequalities Where IIPHF has been and where it might go
3 Why Islands are special:
4 Why Islands are special: Volcanic Island Arc formation has driven evolution
5 Galapagos Islands: 1000 miles from mainland
6 Darwin s Finches
7 Seed eater Cactus flower eater Bud eater Insect eater Ground finches Tree finches Warbler finches Finch Evolutionary Tree Common ancestor from South American mainland
8 2014 UN Report Islands constitute less than 5% of earth s landmass but provide habitat for 40% of endangered/critically endangered species
9 Islands: Challenge of water supply/ disposal
10
11 Ecological Footprint URBAN land GRAZING land FOREST land FISHING land CROP land CARBON footprint Land required for balance
12 Ecological Footprint Highest consumption per resident Rank Flag Ecological Footprint gha/person 1 Luxembourg Aruba Qatar Australia United States Canada United Kingdom Sierra Leone Nepal Eritrea 0.42 Greatest country contribution to regeneration per resident Rank Flag Biocapacity contribution gha/person 8 Canada Australia China United States United Kingdom Kuwait Singapore Qatar Aruba Luxembourg
13 Easter Island
14 What Easter Island might have looked like
15 Islands and Climate Change Rainfall Changing Surface Air Temperature Rising Extreme Events Changing Carbon Dioxide Concentrations Rising Winds and Waves Changing Sea Surface Temperature Rising Ocean Heat Content Rising Sea Level Rising Habitats and Species Distributions Changing Ocean Chemistry Changing Base flow in Streams Decreasing
16 Kiribati Islands: At risk of drowning!
17 Changing national/international context Brexit UK election USA/Russia Terrorism
18 Changing National Context Brexit shock result Remain Leave All
19 Brexit Inequalities (the condition of being unequal) Age Remain Leave
20 Brexit Inequalities Social class Remain Leave AB C C DE 37 63
21 Brexit Inequalities Education Remain Leave Degree A level GCSE or lower 32 68
22 Constituency Remain Leave Gibraltar Orkney [Scotland Isles of Scilly [Cornwall Eilean Siar Isle of Anglesey [Wales Isle of Wight [South East
23 Constituency Remain Leave Gibraltar Orkney [Scotland 62 38] Isles of Scilly [Cornwall ] Eilean Siar Isle of Anglesey [Wales ] Isle of Wight [South East ]
24 Differing experience and perception of benefits of membership Or just differing attitude to immigrants
25 Changing International Context Departure from evidence based policy making Healthcare inequalities Increasing inequalities in Russia
26 Terrorism inequalities: Women and children Women and children
27 Terrorism: Women and children
28
29
30 Core Ethical Values FPH: Public Health Practice should be:!equitable! Empowering! Effective! Evidence-based! Fair! Inclusive
31 Public Health Organisations
32 EUROPEAN PUBLIC HEALTH ASSOCIATION Based in The Netherlands Founded 1992: 15 members 12 countries 2 UK founder members
33 Establishing a EUPHA Section for Islands Group of PH Professionals proposes If interested, informs Network so others can join initiative EUPHA Secretariat If 1. Initiative membership increases 2. Initiative holds at least one workshop at EUPH Conference Can create a proposed section Presented to Governing Board for approval EUPHA warns procedure may take at least three years!
34 Future EUPHA Conference dates: 10 th Nov 2017 Sweden 11 th Nov 2018 Slovenia 12 th Nov 2019 France
35 Potential Venues for Public Health Pub Village Hall Church School Health Service Island Communities Shop/ Supermarket Workplace Gym Museum/ Gallery
36 Potential of Museums & Galleries for Public Health Presentation to the 14th Inter-Island Public Health Forum 6 to 7th July 2017, Jersey Jersey
37 Structure of Presentation: 1. Carisbrooke Castle Museum Outreach Service 2. Growing Public Health Literature on Museums 3. Museums for Health and Wellbeing Survey 4. Museums Change Lives (Museum Association) 5. Examples from Island Museums: Opportunities and Constraints
38 Survey for this Conference of UK Islands & Gibraltar Historic, attempted collaborative survey of the Public Health approach to Suicide failed. This time no survey form requesting numbers and details. Instead, selected museums sent intended Powerpoint Presentation on: Potential of Museums and Galleries for Public Health... with invitation to comment. Presentation sent to 8 Islands & Gibraltar: Two replied. How might response rate be improved?! Back-up communication by snailmail! Phone apparently non-responding curators! Offer an inducement
39 What museums bring to the party: Museums are trusted organisations Follow Museums Association Ethical Standards etc Museums have independence Not part of the health/social service, faith, criminal justice or school sector Museums have shown they can address a range of issues Slavery!Tribalism (eg Africa) LGBT!War British Imperialism Museums encourage reflection Museums as public meeting spaces On Islands, public spaces tend to be limited churches and pubs etc are closing Museum objects can be available to handle in supervised sessions Ideal for memory sessions and discussion Museum staff and volunteers as educators and enthusers
40 Island specific issues & conclusions Island museums can be crowded but some have extensive space for activity Grants generally not available to Jersey, Guernsey & IOM South Uist: State of the art modern museum facility Guernsey: well used memory box scheme The Isle of Man: extensive programme of public health outreach Conclusion In spite of challenges, Museums and Galleries have considerable potential for Public Health Benefit
41 Conference theme: Understanding and addressing inequalities
42 Philosophy of Equality Equality Jan 2013: Article by Helen McCabe First published Tue Mar 27, 2001; What is Equality? Substantive revision Wed Jun 27,
43 Equality Act 2010 Has the same goals as 4 key EU Equal Treatment Directives Mainly codifies existing legislation Parts do not apply in Northern Ireland
44 People in more equal societies live longer, have better mental health and have better chances for a good education regardless of their background. Community life is stronger where the income gap is narrower, children do better at school and they are less likely to become teenage parents. When inequality is reduced people trust each other more, there is less violence and rates of imprisonment are lower.
45 Income Equality by Country Gini Coefficient (World Bank) 0 Everyone has the same income 100 One person has all the income
46
47 Election Inequality Topics Pensioners v hard working families Higher rate taxation Energy market England v Devolved Authorities
48 UK Government Spend by Region as a Percentage of the Total England Wales Scotland N. Ireland
49 UK Inequalities widen DUP obtains 1 bn extra for Northern Ireland
50 Where IIPHF has been 1. Oct 93 Isle of Wight 2. Oct 95 Channel Islands 3. Apr 97 Isles of Scilly 4. Oct 98 Isle of Man 5. May 00 Gibraltar 6. Oct 01 Guernsey 7. Sep 02 Western Isles 8. Oct 03 Jersey 9. Oct 04 Isle of Wight 10. Oct 05 Orkney Islands 11. May 07 Guernsey 12. Sep 08 Gibraltar 13. Jun 15 Guernsey Gibralter
51 Where IIPHF might go Partnership during Brexit?EUPHA Section for Islands?
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