In 2015, Ontario and Quebec introduced new sexual health education programs in elementary and secondary schools. Formal evaluations on the effectiveness of these education programs have yet to be conducted. For now, however, we can pose some preliminary questions: What are their similarities and differences between the two curricula? How comprehensive are they? What do they bring that is novel? Could we give each of them a passing grade?
Author: Salomé Aubert
Sedentary behaviour has been identified as a specifically deleterious personal practice on multiple levels of health of individuals at all ages, including the pediatric population (i.e., 0 to 18 years of age). The aims of this paper are to (I) summarize the literature concerning the definition, the characteristics, the context, the determinants and the consequences of sedentary behaviour among children and youth; (II) propose a conceptual model that summarizes these findings; and finally (III) highlight research gaps in the literature. Sedentary behaviours are common and complex behaviours that can potentially affect the health of children and youth on the physiological and psychological levels. Those deleterious effects on health can vary depending on how they are accumulated throughout the day, for example with or without interruption, or in which context. While childhood engagement in sedentary behaviours is too high in the majority of countries where it has been assessed, developing research and policies that target the reduction of sedentary behaviours among children and youth must be ranked as a top priority for all public health organizations worldwide. Although further research is needed concerning the identification of the specific determinants and consequences of different types and patterns of sedentary behaviours in various contexts, the Conceptual Model for the Study and Understanding of Children and Youth’s Sedentary Behaviour, which I have proposed in this paper, gives an overview of the topic and supports the development of policy and further research.
Authors: Sara Hanafy, Ayah Nayfeh
Increasing conflict and political fragility in Syria has forced the large-scale displacement of millions of Syrians into neighbouring countries like Jordan, Lebanon, and Turkey. Nearly one in every four people in Lebanon is a refugee, many of whom are women and children whose medical needs are not being met . The influx of refugees from Syria over the past five years has moved Lebanon from the 69th largest refugee-hosting country to the third largest.
The healthcare sector has come to represent an environmental concern, due to its facilities’ massive consumption of energy and production of biomedical waste. As such, we observe a troubling paradox: while the healthcare sector seeks to ensure population health and prevent illnesses, it contributes directly to greenhouse gas emissions, which in turn greatly hinders population health and well-being.
Saturated fat has long been demonized by public health experts due to its established effect on raising cholesterol and, by proxy, association with increased cardiovascular disease. However, a recent editorial by Malhotra et al. (2016) , claiming that reduced saturated fat has no effect on coronary heart disease, has caught the attention of the media and the public, many of whom are now wondering if they can consume all of the butter and bacon they want without worrying about the health of their hearts.
Author: Hayley Pelletier
An invitational meeting organized by the Centre for Rural Health Research convened to facilitate respectful dialogue with general surgeons in British Columbia to clearly understand concerns and address questions around rural family physicians with enhanced surgical skills (FPESS). In particular, the meeting focused on interprofessional challenges that hinder the adoption of a network model between general surgeons and FPESS. This report summarizes the findings (n=5) and recommendations (n=8) from the meeting. The meeting underscored the need for more thoughtful discussions to develop interprofessional trust and support between general surgeons and FPESS through an integrated health care system and proper networks.
Radon is a known carcinogen found in indoor air that exists at higher than the federal reference level (200 Bq/m3) in about 10% of Canadian homes. Every year, over 3,000 people die from radon-induced lung cancer, which accounts for 16% of annual lung cancer deaths in Canada. Radon is the leading cause of lung cancer deaths among non-smokers and is second among smokers. Children, women, and smokers from lower income groups are disproportionately affected. Although the Federal Government has reset the guideline (from the previous 600 Bq/m3 down to 200 Bq/m3) and provincial governments revised the building codes to limit exposure, there remain controversies with the latest scientific development in adopting strategies of radon management in Canada.
This review applies an Integrated Population Health Framework to look at the relationships and interactions between population health determinants such as biology and genetics, environment and occupation, and social and economic factors, that influence the health risk of radon. The evidence gathered supports policy analysis with the application of ethical and risk management principles that lead to the identification of efficient and affordable broad-based and population-level preventive strategies. The final inferences enhance the framework by adding critical intervention modalities to Health Canada’s National Radon Program.
Authors: Kassandra Messier, Ayah Nayfeh
Universal access to sexual and reproductive health care is at the forefront of human rights issues of the 21st century. Every year in developing countries, there are 74 million unintended pregnancies leading to approximately 36 million abortions. Of these abortions, 21 million are unsafe which makes up nearly 13% of all maternal deaths globally . The global advancement of sexual and reproductive health and rights are susceptible to change in 2017, as new international aid agendas are set.
Social determinants of health are the social, economic, and environmental factors that influence health and well-being. Social determinants influence health as they define the extent of resources and opportunities that can be made available to individuals, given their social location (Marmot & Wilkinson, 2005; Raphael, 2009). They explain the health disparities observed among individuals and represent an important and continuing public health concern within the health promotion and health services spheres of research.
In 2016, Cuba made headlines for the status of its economic embargo with the US, its increasing foreign investments through tourism, and the death of Fidel Castro. Besides these recent events, in a sense foreshadowing Cuba’s future political and economic paths, throughout the 20th century, Cuba’s healthcare system has been acclaimed as one of the best healthcare systems in the world with very good health outcomes for the Cuban people. For example, infant mortality is lower than in the US and the life expectancy is 77.5 years of age (WHO, 2016). What are the Cuban healthcare system’s defining features? Will recent events alter some of its key aspects?