speech abstract

What do we want to achieve with Health Promotion?

What do we want to achieve with Health Promotion? What are the primary objectives from the 2004 Health Strategy? Obesity is a huge and growing problem with an estimated cost of one billion dollars a year. The impact is mainly on type two diabetes which is increasing in prevalence in young New Zealanders. What are the different approaches we can take with regard to obesity prevention and how successful are they likely to be? The population based approaches include targeted programmes for high risk individuals, targeted health promotion, education based public health programmes and legislation or regulation. There is some evidence in favour of intense programmes for high risk groups but little for broad, education based approaches. It is time to consider a regulatory and legislative response to this epidemic.

biography

I started my training in endocrinology at the end of 1985 but on acquiring specialist status realised that I also enjoyed the challenges of acute internal medicine. I have continued to be a keen supporter of "general" medicine and it is in this capacity that I have been an examiner for the College of Physicians since 1995. I have had many roles within diabetes including President of the New Zealand Society for the Study of Diabetes from 2000 – 2003 and currently as representative on the council of the Western Pacific Region of the International Diabetes federation. In my employment I have taken up a management role working half-time as a clinical director. In 2002 my frustration with a clinical approach to the problem of obesity led me to set up the advocacy group FOE with Sarah Thomson, CEO of Diabetes New Zealand.

I have two terrific daughters in their late teens and we all share a passion for travelling. But when it comes to my enthusiasm for cycling, running and tramping they think I’m crazy.

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