Helen Vandenberg - College of Nursing, University of Saskatchewan, Regina, Saskatchewan, Canada.
Wanda Martin - College of Nursing, University of Saskatchewan, Regina, Saskatchewan, Canada.
Can Bull Med Hist. 2021;38(1):93-127. doi: 10.3138/cbmh.454-062020. Epub 2021 Apr 5.
After the Second World War, health prevention work in Canada shifted from a focus on sanitation and hygiene to illness prevention and health promotion. Canada became a significant global leader, beginning with the Lalonde Report of 1974. Yet less is known about the provincial public health associations and how their work differed from that of the national body. The purpose of this article is to examine the Saskatchewan Public Health Association's (SPHA) policy work from 1954 to 1986. Utilizing meeting minutes and newsletters, we found that while both national and provincial associations made efforts to prevent accidents, reduce tobacco use, and fluoridate water, the SPHA tended to advocate more for child health, and the cautious use of nuclear power. At the same time, the SPHA's resolutions tended to ignore emerging factors shaping health, including the social determinants of health, regional inequities, lack of public trust in experts, misinformation, and human psychology. Examining the SPHA's records revealed that region mattered in preventative policy work.
第二次世界大战后，加拿大的卫生预防工作重点从环境卫生和卫生转向疾病预防和健康促进。加拿大从 1974 年的 Lalonde 报告开始成为一个重要的全球领导者。然而，人们对省级公共卫生协会及其工作与国家机构的区别知之甚少。本文旨在研究萨斯喀彻温省公共卫生协会（SPHA）1954 年至 1986 年的政策工作。利用会议记录和通讯，我们发现，虽然国家和省级协会都努力预防事故、减少烟草使用和氟化水，但 SPHA 倾向于更多地倡导儿童健康和谨慎使用核能。与此同时，SPHA 的决议往往忽略了影响健康的新因素，包括健康的社会决定因素、区域不平等、公众对专家的信任缺失、错误信息和人类心理。对 SPHA 记录的审查表明，地区在预防政策工作中很重要。
