Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Can J Public Health. 2019 Jun;110(3):340-343. doi: 10.17269/s41997-019-00207-2. Epub 2019 Apr 12.
There has been renewed concern about the state of public health in Canada, with several recent articles in this journal suggesting that the discipline of public health is under threat and that there has been a significant erosion of its core infrastructure. We strongly agree with the need for a well-resourced formal public health system and preservation of capacity to carry out core public health functions, while also positing a complementary narrative that emphasizes the possibility for a broad notion of public health to persevere and thrive in the face of these challenges. We consider what public health is, who public health is, and why public health exists, and suggest that the answers to these questions point to opportunities to strengthen the necessary interdisciplinary approaches that can best address current and future public health concerns.
人们对加拿大的公共卫生状况重新感到担忧,本刊最近的几篇文章表明,公共卫生学科受到威胁,其核心基础设施受到严重侵蚀。我们强烈认为需要有一个资源充足的正式公共卫生系统,并保持开展核心公共卫生职能的能力,同时还提出一个补充性的说法,即强调有可能在面对这些挑战时坚持和促进广泛的公共卫生概念。我们考虑公共卫生是什么、公共卫生由谁来做以及公共卫生为什么存在,并认为这些问题的答案指向加强必要的跨学科方法的机会,这些方法可以最好地解决当前和未来的公共卫生问题。