To the Editor: It is a worthy aspiration for Australia to become the world’s healthiest country, but it will take revolutionary leadership to prevent and manage the effects of obesity that will reverse the previous gains in reducing heart disease.1 In addition, we have to overcome the adverse impact on the health of young people caused by fundamental changes in Australia, highlighted by Eckersley.2 He also identifies medical practitioners as a potential obstacle in that we are overfocused, with government approval, “on an individual, biomedical, disease-centred approach to health at the expense of a more social, preventative model”. He also calls for an increase from the current investment in prevention and public health programs, 1% of health expenditure — but that will only occur if his more radical suggestion is adopted: that governments change their focus from wealth to health creation.
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- Australasian Faculty of Public Health Medicine, Sydney, NSW.
- 1. Ring IT, O’Brien JF. Our hearts and minds — what would it take to become the healthiest country in the world? Med J Aust 2007; 187: 447-451. <MJA full text>
- 2. Eckersley RM. The health and well-being of young Australians: present patterns and future challenges. Int J Adolesc Med Health 2007; 19: 217-227.
- 3. Barker DJP. The origins of the developmental origins theory. J Intern Med 2007; 261: 412-417.
- 4. Heckman JJ. Skill formation and the economics of investing in disadvantaged children. Science 2006; 312: 1900-1902.
- 5. Hayhow BD, Lowe MP. Addicted to the good life: harm reduction in chronic disease management. Med J Aust 2006; 184: 235–237. <MJA full text>