Archive for the ‘HPH’ Category

Changing hospitals & health service culture to better promote health @IlonaKickbusch @Medici_Manager

22nd International HPH Conference
April 23-25, 2014
Barcelona, Spain

For the program of the 22nd International Conference on
Health Promoting Hospitals and Health Services (HPH)
in April 2014, the Scientific Committee decided to focus
on organizational culture and health.


World Health Day – 7 April 2013 @Medici_Manager

World Health Day is celebrated on 7 April to mark the anniversary of the founding of WHO in 1948. Each year a theme is selected for World Health Day that highlights a priority area of public health concern in the world.

The theme for 2013 is high blood pressure.

About high blood pressure

High blood pressure – also known as raised blood pressure or hypertension – increases the risk of heart attacks, strokes and kidney failure. If left uncontrolled, high blood pressure can also cause blindness, irregularities of the heartbeat and heart failure. The risk of developing these complications is higher in the presence of other cardiovascular risk factors such as diabetes. One in three adults worldwide has high blood pressure. The proportion increases with age, from 1 in 10 people in their 20s and 30s to 5 in 10 people in their 50s. Prevalence of high blood pressure is highest in some low-income countries in Africa, with over 40% of adults in many African countries thought to be affected.

However, high blood pressure is both preventable and treatable. In some developed countries, prevention and treatment of the condition, together with other cardiovascular risk factors, has brought about a reduction in deaths from heart disease. The risk of developing high blood pressure can be reduced by:

  • reducing salt intake;
  • eating a balanced diet;
  • avoiding harmful use of alcohol;
  • taking regular physical activity;
  • maintaining a healthy body weight; and
  • avoiding tobacco use.

Goals: Greater awareness, healthy behaviours, improved detection, and enabling environments

The ultimate goal of World Health Day 2013 is to reduce heart attacks and strokes. Specific objectives of the campaign are:

  • to raise awareness of the causes and consequences of high blood pressure;
  • to provide information on how to prevent high blood pressure and related complications;
  • to encourage adults to check their blood pressure and to follow the advice of health-care professionals;
  • to encourage self-care to prevent high blood pressure;
  • to make blood pressure measurement affordable to all; and
  • to incite national and local authorities to create enabling environments for healthy behaviours.

More information on high blood pressure

Smoking: It’s Killing Us @Medici_Manager @HPHitaly

By Dr. Francis Collins, on January 28th, 2013

Map of the United States showing Percentage of adult population that smokes. Highest percentages in West Virginia, Kentucky, and Oklahoma


Smoking harms just about every body part—from heart and lungs to bladder and blood vessels. What’s new is that smoking is more of a health hazard than we thought. Two new, NIH-funded reports make the persuasive, and alarming, case—on average, smoking takes an entire decade off of your life! But smokers take note: there are tremendous benefits from quitting, regardless of your age.

In the first report [1], the authors examined data from about 220,000 adult smokers who were followed for roughly 7 years. They showed that people who currently smoke are about three times more likely to die prematurely compared to “never-smokers.” Adults who quit smoking at ages 30, 40, and 50 gained 10, 9, and 6 years of life, respectively, compared with those who continued to light up.

The second study [2] measured 50-year trends in smoking in over 2.2 million men and women. One group the authors studied was the first generation of women to follow what had been primarily a male smoking pattern: starting seriously in adolescence and continuing into middle and older ages. Their relative risks of death from lung cancer, chronic obstructive pulmonary disease (COPD), and cardiovascular conditions were virtually identical with those of men, confirming the prediction that if women smoke like men they will die like men.

Another surprise was that the rate of COPD among male and female smokers is climbing. COPD is a progressive lung disease, including chronic bronchitis and emphysema, which makes it difficult to breathe; smoking is the leading cause. The authors suggest that changes in cigarettes promoting deeper inhalation may be contributing to this trend by exposing more lung tissue to cancer-causing chemicals and irritants.

Both papers show that if you quit early—before age 40—you can avoid most smoking-related health risks. That’s not to say you shouldn’t quit earlier; quit by 30 and you can gain back that entire lost decade.

In the US, about 45 million adults (18 years and older) smoke—that’s just over 19% of the population. Smoking kills 443,000 annually [3]. Smoking rates are the highest in the Midwest and South. While rates have declined over the last 50 years, they remain much higher in less educated and lower income groups, and in regions where there are fewer anti-smoking laws. Of great concern is that despite these frightening statistics, smoking rates have stopped declining in recent years.

Cigarette smoking costs the US $193 billion annually in lost productivity and health care [4]. How can we discourage people from smoking? At the World Economic Forum in Davos, which I just attended, several successful approaches were discussed—high cigarette prices, taxes, smoking bans, and anti-smoking campaigns. Physicians should educate all of their patients about the dangers of smoking, and provide resources to help smokers to quit. But let’s not blame the victims—smoking is an addiction, and it’s not easy to stop cold turkey.  Support groups and counseling should be readily available.

The evidence is overwhelming. The burden—to smokers, their loved ones, and our society—is even greater than we knew. We must redouble our efforts to end our addiction to smoking.

Map of the USA shwoing smoking bans in workplaces, bars and restaurants in Hawaii, Washington, Oregon, California, Montana, Utah, Arizona, Colorado, New Mexico, South Dakota, Nebraska, Kansas, Minnesota, Iowa, Wisconsin, Illinois, Michigan, Ohio, Maine, Vermont, New Hampshire, New York, Massachusetts, Rhode Island, Connecticut, New Jersey, Delaware, Maryland, and Washington DC


Want help quitting?  Here are some resources that can help:

NHBLI Strategies To Quit:

Quit Smoking Help:
These resources can help you set up a plan for quitting smoking:
1–800–QUIT–NOW and

SmokefreeTXT is a mobile service designed for young adults across the United States. It provides 24/7 encouragement, advice, and tips to help smokers stop smoking for good.


[1] 21st-century hazards of smoking and benefits of cessation in the United States. Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, McAfee T, Peto R. N Engl J Med. 2013 Jan 24;368(4):341-50.

[2] 50-year trends in smoking-related mortality in the United States. Thun MJ, Carter BD, Feskanich D, Freedman ND, Prentice R, Lopez AD, Hartge P, Gapstur SM. N Engl J Med. 2013 Jan 24;368(4):351-64.

[3] Adult Cigarette Smoking in the United States: Current Estimate

[4] Smoking and Tobacco Use, CDC Factsheet

Nuova campagna antifumo nel Regno Unito: usate tattiche shock! @Medici_Manager @HPHItaly

Interesante articolo apparso sul BMJ

Theories of Health Promotion @Medici_Manager

The following essay is a comparative analysis of two theories of health promotion, one which is a theory of and the other a theory for health promotion. Beattie’s   model will be used as theory of and transtheoritical stages of change model as a theory for health promotion. An example from area of work practice will be used to demonstrate the differing aspects emphasised by each Theory. Furthermore the essay will seek to suggest an explanation of current health promotion. This assignment will therefore aim to achieve a greater comprehension of what health promotion actually is and to understand what is meant by ‘Theories of and for…’.Difference of theories and models will also be given. Being able to state what health promotion actually is will be the first priority and by looking at its origins and influences will aid this task.

An exploration of health promotion is envisaged on understanding of health. Like health promotion health is difficult to define as it means different things to different people. Health has two common meanings in day to day use, one negative and one positive. The most commonly quoted definition of health is that formalized by Ottawa Charter for Health Promotion. WHO, (1986) “a complete state of physical, mental and social well-being, and not merely the absence of disease or infirm. In keeping with the concept of health as a fundamental human right, the Ottawa Charter emphasises certain pre-requisites for health which include peace, adequate economic resources, food and shelter, and a stable eco-system and sustainable resource use. Recognition of these pre-requisites highlights the inextricable links between social and economic conditions, the physical environment, individual lifestyles and health. These links provide the key to a holistic understanding of health which is central to the definition of health promotion

Trying to define Health promotion is not an easy task. The term health…[continues]

Read full essay

Cite This Essay


(2012, 12). Theories of Health Promotion. Retrieved 12, 2012, from

Pubblicata la Newsletter internazionale n. 59 del dicembre 2012 @HPHItaly @Medici_Manager

Notizie dal movimento internazionale!

Il futuro della promozione della salute in Canada @Medici_manager

Il punto sulla promozione della salute in Canada dopo aver celebrato , nel 2011, i 25 anni della Carta di Ottawa.Il motore intellettuale del movimento rimane in Canada? Ecco l’intero rapporto.