EXCELLENCE, INNOVATION AND

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CCIH ANNUAL CONFERENCE
EXCELLENCE, INNOVATION AND INFLUENCE PATHWAYS
TO HEALTH AND WHOLENESS
May 27-29, 2006
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Christian Faith, Health, and Social Justice
Dave Hilton, MD
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?
What is health
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If you dont know where you are going...
You may end up somewhere else!
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1. Stand up 2. Join two persons you dont know
3. Complete the sentence
Health is . . . . . .
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Health is a dynamic state of complete physical,
mental, spiritual, and social well being and not
merely the absence of disease or infirmity.
World Health Organization, 1998
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Medical science has no vocabulary or framework to
deal with the concept of well being.
Jonathan Mann, 1994
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But the Christian community does
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Shalom
, n., well being
I have come that they may have life, and have it
to the full.
John 1010 (NIV)
complete
Be perfect, therefore, as your heavenly Father is
perfect.
Matthew 548 (NIV)
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Be all you can be!
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Health is a dynamic state of complete physical,
mental, spiritual, and social well being and not
merely the absence of disease or infirmity.
World Health Organization, 1998
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(No Transcript)
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After ten years of doing all the jungle doctor
heroics at a mission hospital in northern
Nigeria, seeing this cartoon changed my life.
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1. Describe the picture.
2. What is the problem?
3. Where does this happen in real life?
4. Why?
5. What to do?
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HEALTH is not primarily MEDICAL
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Tobacco is the worst human disaster of the
century. WHO, 1990
Annual Deaths Globally
3 million
1970
7 million
1999
10 million
2010 predicted
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Why do we allow tobacco companies to continue to
entice our children and grandchildren to use
their deadly product?
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Tobacco is not a medical issue!
Continuing thousands of deaths daily from tobacco
are an issue of justice.
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Standard of Living
McKeown, T., Lowe, C.R. An Introduction to Social
Medicine, Oxford 1974, p 237
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UNITED STATES
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Source National Center for Health Statistics
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GDP for medical services
11
hundreds
17.5
10
medical services
Mortality rate
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15
8
12.5
7
10
6
5
7.5
4
5
3
1900
1920
1940
1960
1980
2000
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DISEASES OF POVERTY
Tuberculosis
AIDS
Malaria
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Poverty suppresses the immune system.
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Infant Mortality and Poverty
Côte dIvoire DHS, 1994 Bolivia DHS, 1998
Kyrgyz Rep. DHS 1997 Burkina Faso DHS 1992/3
Colombia DHS, 1995 India National Family
Health Survey 1992/3 Indonesia DHS 1997.
Source WORLD BANK
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Hemorrhage of capital from Africa
Low prices for natural resources
So called aid
- High prices for imports
- High interest on external debt
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FREE MARKET?
FREE TRADE?
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(No Transcript)
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The most important determinant of health is
social justice.
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Woe to you Pharisees, because you give God a
tenth of your mint, rue and other garden herbs,
but you neglect justice and the love of God.

Jesus (Luke 1142)
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?
What to do
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CCIH ANNUAL CONFERENCE
EXCELLENCE, INNOVATION AND INFLUENCE PATHWAYS
TO HEALTH AND WHOLENESS
May 27-29, 2006
31
CCIH ANNUAL CONFERENCE
EXCELLENCE, INNOVATION AND INFLUENCE PATHWAYS
TO HEALTH AND WHOLENESS
May 27-29, 2006
32
Is continuing to mop the floor without shutting
off the faucet
EXCELLENCE ?
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INNOVATION
We must address the root causes of illness,
which are largely issues of social justice.
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EXCELLENCE, INNOVATION AND INFLUENCE PATHWAYS
TO HEALTH AND WHOLENESS
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We pray, Thy will be done on earth as it is in
heaven.
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It seems clear that the minority in the world
with power and money will not voluntarily use it
to change significantly the plight of the poor.
Dave Hilton, Contact 106, December 1988
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EXCELLENCE, INNOVATION AND INFLUENCE PATHWAYS
TO HEALTH AND WHOLENESS
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FEUDALISM
DEMOCRACY ?




G8





white men from wealthiest nations
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DEMOCRACY




G16




white men from wealthiest nations

women of color from poorest nations
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EXCELLENCE, INNOVATION AND INFLUENCE PATHWAYS
TO HEALTH AND WHOLENESS
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What to do about tobacco?
Letter writing campaign to the chosen leaders of
your national community
a. Ban all advertising of tobacco products.
b. Remove tobacco from the Free Trade Act list
c. Require the same warnings on exported tobacco
as in the U.S.
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EXCELLENCE, INNOVATION AND INFLUENCE PATHWAYS
TO HEALTH AND WHOLENESS
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Economic and social development, based on a new
economic order, is of basic importance for the
attainment of health for all.
WHO, Declaration of Alma Ata, 1978
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The people have the right and duty to participate
individually and collectively in the planning and
implementation of their health care.
WHO, Declaration of Alma Ata, 1978
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EXCELLENCE, INNOVATION AND INFLUENCE PATHWAYS
TO HEALTH AND WHOLENESS
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Go to the people. Live among them. Learn from
them. Begin with what they have. Build on what
they know. And of the best of leaders, when the
task is done the people will say We have done it
ourselves.
Lao Tsu 300 BCE
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HELP
LISTEN
Give to,
Do for,
Facilitate thinking,
Tell
speaking acting
(mobilize individual and
Dependence
community resources)
Empowerment
Status Quo
Change
Health (well-being) for all
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MAKE SURE THAT YOUR HELP IS HELPFUL
ALWAYS COMBINE RELIEF WITH EMPOWERMENT
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Paulo Freire Pedagogy of the Oppressed
Training for Transformation by Ann Hope Sally
Timmel
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The Role of the Facilitator
LISTEN
strong feelings
reflect back
input
think
decide
assess
act
Paulo Freire as described in Training for
Transformation by Hope Timmel
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EXCELLENCE, INNOVATION AND INFLUENCE PATHWAYS
TO HEALTH AND WHOLENESS
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Isaiah 65 17-35 For I am about to create
new heavens and a new earth the former things
shall not be remembered or come to mind. But be
glad and rejoice forever in what I am creating
for I am about to create Jerusalem as a joy, and
its people as a delight. I will rejoice in
Jerusalem, and delight in my people no more
shall the sound of weeping be heard in it, or the
cry of distress. No more shall there be in it an
infant that lives but a few days, or an old
person who does not live out a lifetime for one
who dies at a hundred years
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will be considered a youth, and one who falls
short of a hundred will be considered accursed.
They shall build houses and inhabit them they
shall plant vineyards and eat their fruit. They
shall not build and another inhabit they shall
not plant and another eat for like the days of a
tree shall the days of my people be, and my
chosen shall long enjoy the work of their hands.
They shall not labor in vain, or bear children
for calamity for they shall be offspring blessed
by the LORD--and their descendants as well.
Isaiah 6517-23
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Health is a dynamic state of complete physical,
mental, spiritual, and social well being and not
merely the absence of disease or infirmity.
World Health Organization, 1998
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(No Transcript)