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Ecosystem Health

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Ecosystem Health Balancing Climate Change with Health Care John Howard MD, FRCPC Professor of Paediatrics and Medicine Schulich School of Medicine – PowerPoint PPT presentation

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Title: Ecosystem Health


1
Ecosystem Health Balancing Climate Change with
Health Care
John Howard MD, FRCPC Professor of Paediatrics
and Medicine Schulich School of
Medicine University of Western Ontario Chair,
Canadian Association of Physicians For the
Environment
2
Objectives
  • To emphasize that health is not the same as
    health care
  • To suggest that there are other important issues
    other than health care

3
What is Ecosystem Health??
4
The Evolution of the Doctor-Patient relationship
  • 1) Traditional Medical Model
  • 2) Patient-Centered Model
  • 3) Ecosystem Health Model

5
Traditional Medical Model Where we were
  1. What is the disease?
  2. How do I fix it?

HEALTH
Disease
  • Patient

6
Patient-Centered Model
  1. What is the disease?
  2. How do I fix it?
  3. What is my patient's unique illness??
  4. How do I help my patient?

HEALTH
Illness
Disease
  • Patient

Context
7
Ecosystem Health
  • The health of the context and the interaction
    of the context with human health
  • - the physical, social, economic and political
    environment

8
Ecosystem Health Model
  1. What is the disease?
  2. How do I fix it?
  3. What is my patient's unique illness??
  4. How do I help my patient?
  5. Why is this patient here?
  6. What can I do to prevent others from having the
    same illness?

HEALTH
Illness
Disease
  • Patient

Home
Community
Region
World
9
What is Health?
10
Spiritual
Moral
Environmental
Social
Nutritional
Community
Health
Physical
Mental
Personal Health
Political
Economic
Societal Health
Ecosystem Health
11
Spiritual Health - Aboriginal
  • The Earth is our Mother, the female giver of Life
    to all her children, some of whom are human
    beings.
  • We are related to the animals, the plants, the
    birds, the insects, and they are related to us.
    Our lives depend on them.

12
Moral Health
13
Is societys attitude to climate change morally
healthy?
14
Revelations
  • Many/all diseases have a significant Ecosystem
    Health component
  • We need to put less money in sickness care!
  • Uncertainty is more important than certainty
  • Bigger is better!
  • Things can be done!
  • Accountability should be replaced by
    responsibility

15
(No Transcript)
16
37/5years 7.4/year
17
Health
Sickness
18
Where are we going?
2016
2010
of Provincial Budget
Year
2044 100
19
Health Care
  • NOT a determinant of health
  • The majority of the health care dollar is spent
    in the last 6 months of ones life - 1993
  • Average health expenditures on people who are in
    their last year of life is between 50 and 100
    times more than expenditures on those who are
    not. - Health Canada -2005

20
Is there a crisis? If so what is the crisis?
Expectations
Expectations
21
CAPE is a group of physicians, allied health care
practitioners and citizens committed to a healthy
and sustainable environment.
www.cape.ca
22
(No Transcript)
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