Policy makers are failing to meet public health challenges
An editorial in The Lancet for 6 March laments what it calls “the catastrophic failures of public health”.
Despite the advance of the 19th and 20th centuries, it comments, at the
beginning of the 21st century there are frequent reports of an exploding
threat to public health which promises to reverse many of the earlier
gains. It is not the emergence of new infections, although there are
some of these, nor the potential for exposure to chemical or biological
weapons, but a simpler problem which promises to become difficult to
combat. Simply, people are growing fatter and less physically active.
These tendencies render them more prone to lethal chronic diseases such
as cardiovascular diseases, diabetes, stroke and cancer.
Alarming figures are that in the US more than 60 per cent of adults are
overweight or obese and 39 per cent engage in no physical activity in
their leisure time. Even young children are also overweight and less
active than they were 10 to 20 years ago. Moreover, there are indications
that poor and less well educated individuals are more severely affected
by disabilities.
According to The Lancet, public health physicians and government policy
makers are failing to meet the challenge. “Properly thought out
prevention strategies implemented now, especially targeting young adults,
will save the resources necessary for treatment of chronic diseases later.” Yet
the authorities remain complacent. Suggested measures would include reduction
of poverty, and better urban planning for health needs. Cities and towns
should be rendered safer places for pedestrians, cyclists and children,
so that walking, cycling and playing in the open can be incorporated
into daily activity. Adults should undertake physical activities for
30 minutes daily, children for 60 minutes daily.
Regrettably, health ministries are too subservient to professional and
commercial interests and unready to tackle the real causes of unhealth. “Our
public health leaders must replace prevarication with imagination.” Strong
words, but wise ones.
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