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SESSION
2004/2005
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OCTOBER
-
Presidential Address "Human
Liberty and Human Health"
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NOVEMBER -
Afternoon Symposium "Drugs Misuse"
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JANUARY -
Debate "This house believes that the Government
choice Agenda for the NHS is diametrically opposite to the reduction of
inequalities in health" |
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FEBRUARY
- Festival of Public Health
Work in the North West - Joint Meeting with the Public Health Grand
Rounds of the Evidence for Population Health Unit, University of Manchester
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MARCH -
Professor K Hamilton "Women Transport and Health"
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APRIL -
Evening symposium "Building for health: How design of buildings and planning
applications can influence public health"
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OCTOBER - Professor P Johnstone -
"Public Health in government - local regional and national: back to
the future" (postponed lecture
from April) |
OCTOBER 2004
The Presidential Address
of the Public Health Forum of the Manchester Medical Society was held on
Thursday 28th October 2004 at 6.00pm in Theatre 4 of the Stopford
Building, University of Manchester. In the absence of Dr Chris Harrison (the
outgoing President) Dr Rosemary McCann, Honorary Secretary, handed over the
medal to the incoming President, Dr Stephen J Watkins (Director of
Health, Stockport Primary Care Trust). Dr Watkins then proceeded to give his
Presidential Address entitled:-
"Human liberty and
human health"
Dr Watkins gave a
stimulating lecture which covered the following questions:-
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Is human liberty
merely the absence of constraint or is it positive empowerment?
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Is collective
action a threat to liberty or is it an essential element of personal
empowerment? |
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Is liberty a
threat to human health because people can make the wrong choice or is an
empowered community a positive ally of public health? |
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Is empowerment
itself a determinant of good health? |
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What does free
market theory have to offer health services? |
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What does freedom
of debate have to offer health and health services and is there enough of it
in the NHS? |
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Does the Nanny
State exist or is it a figment of the fevered imagination of the friends of
commercial organisations keen to continue killing people?
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Is there a
difference between a risk averse society and a safe society and does that
difference impact both human liberty and human health?
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Members of the
audience listened attentively and a lively discussion followed the address.
After the lecture the
Presidential Dinner was held in honour of Dr Watkins in one of the private
dining rooms of the University Refectory. Dr Watkins was joined by members and
guests of the Section and a pleasant evening took place.

NOVEMBER 2004
The Public Health Forum of the
Manchester Medical Society held a joint meeting with the Public Health Grand
Rounds of the Evidence for Population Health, University of Manchester on
Thursday 18th November 2004.
The afternoon symposium on "Drugs Misuse" commenced at 2.00 pm
and was held in the Manchester
Dental Education Centre (MANDEC), University of Manchester.
The meeting was
opened by President of the Section, Dr Stephen Watkins, who introduced the
speakers and their titles as follows:-
J McVeigh
(Head of Substance Use and Assistant Director of the North West Public
Health Observatory, Centre for Public Health,
Liverpool John Moores University)
and
K Hughes
(Manager of Behavioural Epidemiology, Centre for Public Health,
Liverpool John Moores University)
"Chemical Communities - Predicting Change and Promoting Health"
This talk discussed
recent trends in the use of recreational and problematic drugs. It explored how
such trends develop and how understanding such developments could help in
designing timely interventions to protect health.
Dr M Donmall
(Director, National Drug Evidence Centre, The University of Manchester)
"Perspectives from a growing evidence base"
Mike Donmall and his
two colleagues Petra Meier and Sam Weston focussed on the quality and
effectiveness of the current drug treatment services. Petra described a study of
drop out rates at 3 local treatment centres - in one centre 60% dropped out by
the end of the 3rd month. Sam described the overlap between the health service
and the criminal justice system. Mandatory drug testing is now in place for
certain crimes. It has been found that many of those in contact with the
criminal justice system are already in treatment. The speakers concluded that
there is clearly a considerable amount of improvement that could be achieved in
quality of services.
Sergeant D Gloster
(Divisional Drug Co-ordinator, North Manchester, Greater Manchester Police)
"32 years after the Misuse of drugs Act - What have we achieved?"
Sergeant Gloster's
lecture gave a short history on drugs, why the problem has escalated over the
last 30 years, the connection between drugs and crime, how drugs are brought
into the country, women and drug treatment, drugs and prostitution, drugs and
communities, drug effects in different settings, why people die from overdoses
in public areas and mandatory drug testing of young persons and adults. Each
area was then examined to identify what has been achieved. His lecture also
described what the Criminal Justice Intervention Programme is about.
Dr Watkins gave a
vote of thanks to the speakers for their excellent, informative lecture, which
was seconded by the audience, by way of prolonged applause.

JANUARY 2005
A meeting of the Public Health Forum of
the Manchester Medical Society was held on Thursday 27th
January 2005 at 6.00
pm in
Theatre 4 of the Medical School, University of Manchester.
The President of the
Section, Dr Stephen Watkins, opened the meeting which would take the form of a
debate entitled:-
"This house believes that the Government choice Agenda
for the NHS is diametrically opposite to the reduction of inequalities in
health"
For the motion:
Dr A J R Scott-Samuel
(Senior lecturer in Public Health, University of Liverpool)
Against the motion:
Professor P Corrigan
(Special Adviser to the Secretary of State for Health)
Each speaker presented their respective
arguments. There was then a debate amongst the members and guest s of the
audience following which each speaker gave a summing up.
There was a vote and the motion as carried by a majority of about 2 to 1.
A vote of thanks was given to both speakers
for their excellent contributions.
The customary dinner, which follows the
meetings, was cancelled as neither of the speakers could attend.
FEBRUARY 2005
A meeting of the Public health Forum, of
the Manchester Medial Society,
was held on Thursday 24th February 2005 at
2.00 pm in the Jubilee Rooms, 2nd Floor Refectory
Building, University of Manchester.
As with last year,
this meeting hosted the Festival of Public Health Work but also combined the Grand Rounds.
The aims of the meeting were:
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To present Public
Health research on Greater Manchester |
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To identify the
research that is needed |
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To explore ways
of encouraging the Public Health community to be be research active
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Members of the Council
of the Public Health Forum received thirteen papers at the closing date. After
much discussion the following papers were chosen:-
Poster
presentations
Pia Feig and Melinda
Barone, Manchester Public Health Development Service
"Community health tutor training"
Roger Harrison, Bolton PCT
"Is physical activity associated with geography? A cross sectional study"
"Using locality-based health and lifestyle surveys within health equity audit"
"Developing a local research support network: The Bolton Research Forum in
Health and Social Care"
Simon Kelly & Anjana
Sahu
"The association between smoking and eye
disease;
Quality improvement in health promotion"
Arpana Verma, Trafford
PCT/University of Manchester
"GAP analysis of the syllabus for the faculty of Public Health Part 1
examinations and the Manchester web based Masters in
Population Health course"
"Number of admissions prevented by on creasing the uptake of influenza
vaccination in the Trafford over 65's population"
"Using the Manchester web based Masters in Population Health (MPHE)
course for service training and fulfilling training competencies"
Oral
Presentations
Helen Lewis-Parmar
"Management of deep vein thrombosis at Stockport Foundation
Trust - Changing the D-dimer decision limit"
Ranjana Rani (Helen Tinker presenting)
"Challenges of opportunistic chlamydia screening at
young peoples clinic in Tameside and Glossop"
Roger Harrison
"Who and how many meet recommended levels of
physical activity? A population-based study"
Professor Stephen
Horsley facilitated the afternoon and discussed with the audience the public
health issues the posters highlighted.
A lively question and answer session followed each oral
presentation, led by Professor Horsley. All poster and oral presenters will
receive a commemorative certificate.

MARCH 2005
A meeting of the Section of the Public
Health Forum of the Manchester Medical Society was held on Thursday
17th
March 2005 at 6.00 pm in Theatre 4 of the Medical School, University of
Manchester.
The President, Dr
Stephen Watkins, opened
the meeting and introduced the evening's speaker and title as follows:-
Professor K
Hamilton
(Professor of transport, University of East London)
"Women Transport and Health"
Kerry Hamilton is
Professor of Transport Studies at the University of East London. She has a long
established record of research in social aspects of transport. Previously she
was Director of Transport and Environment at the London Research Centre
(1991-1997) and prior to that (1985-1991) she was Head of Transport Studies at
the University of Bradford.
Professor Hamilton
began by pointing out that although women make up 50% of the workforce, they
receive lower pay than males and their place of residence is dictated by the
workplace of their male partners. Over the past 10 years, the percentage of
single mothers has increased from 12% to 21%. in terms of transport, women
travel proportionately more by walking and the bus whereas men tend to use the
car and travel longer distances. In th UK, the increasing use of the car has led
to the development of suburbs, which limit work opportunities for women. In some
areas of London, the lowest levels of card ownership correlate with the highest
levels of traffic pollution. A recent study showed that as many as 20% of those
who did not attend outpatient appointments at Newham hospital had a lack of
public transport. Those who design new hospitals and health centres need to take
local access by public transport into consideration when siting such facilities.
A full and interesting discussion followed the lecture. The President gave vote
of thanks to Professor Hamilton for giving a stimulating lecture.
After the lecture, the President, the honorary Secretary (Dr Rosemary McCann)
and Professor Hamilton had a meal at a local restaurant.

APRIL 2005
A
meeting of the Public Health Forum of the
Manchester Medical Society was held on Thursday
28th April 2005 at
6.00 pm in the Manchester Dental
Education Centre (MANDEC), University of Manchester.
Unfortunately due to
election period constraints on civil servants, (voting day 5th may 2005)
Professor Paul Johnstone was unable to give the Chadwick Lecture as advertised.
Therefore, regrettably the meeting was postponed until Thursday 6th October
2005.
However, the
President, Dr S Watkins organised an alternative meeting for the evening on the
topic:-
"Building for health: How design of
buildings and
planning applications can influence public health"
Three speakers kindly
agreed, at short notice, to address the Public health Forum as follows:
Jilla Burgess-Allen
(Public Health Researcher, Stockport PCT)
"Review of a course in how public health can influence building design"
Dave Bryant
(Manager Planning policy, Hygarth House, Stockport)
"The sustainability appraisal of the UDP"
Tara Hughes
(Health & Environment Adviser, Hygarth House, Stockport)
"Green roofs and eco-homes"
Each speaker gave
vivid illustrations supporting their findings and providing the audience with an
insight of issues which require careful examination before decisions are made.
The speakers were well received and a question and answer session took place.
Members of the audience then showed their appreciation by way of prolonged
applause and the President thanked them individually, once more, for their
excellent contributions at such short notice.

OCTOBER 2005
The sixth Chadwick Lecture of the Public Health
Forum of the Manchester Medical Society was held on Thursday 6th October 2005
at 6.00 pm in Theatre 4 of the Stopford Building, University of
Manchester. This meeting had previously been organised for April 2005 but
due to election period constraints had to be postponed until now.
Dr S Watkins, President of the Section,
was delighted to introduce the speaker as follows:-
Professor P Johnstone
who spoke on
"Public health in government – local,
regional and national:
back to the future"
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Public health challenges are life
expectancy, deaths, illnesses, determinants of health and health
inequalities.
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Health inequalities are not
diminishing and the gap in life expectancy is not decreasing between England
& Wales and Yorkshire & Humber.
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Northern regions are the most
deprived. Yorkshire & Humber has the 3rd was death rate for
circulatory disease in the country.
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Compared to 1929 there has been an
increase in health inequalities in relation to infant mortality in Leeds.
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The SMRs All Cause between 1931 and
1991 indicate that health inequalities have increased since the 1970’s.
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Yorkshire & Humber has the 3rd
highest rate of DLA claims in the country.
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If life expectancy is compared to
literacy, people with lower literacy levels are observed to have shorter
life expectancy.
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Huge issues around inequalities
relating to housing and health and fuel poverty.
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BMI in 3 year olds has been
consistent up until 1993 but since then there has been a year on year
increase.
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Huge economic cost of obesity and
physical inactivity.
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Note the publication of the Marmot
Report on Health Inequalities in August 2005.
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Public Health History - Edwin
Chadwick looked at the effects of poor laws which resulted in these being
rescinded (giving environmental reform). John Snow’s link between the Board
Street pump and the cholera epidemic resulted in medical reforms. R Virchow
investigated a typhus outbreak and promoted universal education and the
right of the individual to a healthy life (giving social reform). William
Duncan brought in the Local Authority obligation to have a MHO. Paddy
Donaldson, who was a MHO in 1974, ensured the development of a wide range of
traditional health services in addition to those which are retained by the
Local Authority today.
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Public Health today – focus on
health inequalities and life expectancy targets, plus Choosing Health and
the Wanless Report.
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National Action – driven forward by
PSAs, national roles of RDsPH in Government Departments, Sports Strategy for
England (linking the successful Olympic bid to health improvement).
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Local Government and Public Health –
driven forward by joint DPH appointments, LAAs, Duty of Well Being (Local
Government Act 2000), Commissioning a Patient Led NHS.
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Debate – nanny state versus
individual choice, alongside New Labour’s desire not to create labels.
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Debate – note the global health
strategy. Think globally, act (globally) locally.
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 | Public Health in Government – At a local level
there is a need to be more systematic and aware of the context in which we
work (locally, regionally, nationally and globally). |
The customary dinner after the meeting
did not take place as Professor Johnstone
could not attend.

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