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Professor John Middleton,
Vice President, GNAPH
Immediate Past President, ASPHER
GPHW73-ASPHER’s Core Curriculum Programme
(CCP): what are the needs for teaching the role of
public health in preventing and responding to
armed conflict?
Prevention, Recovery, Rehabilitation

GPHW73-ASPHER’s Core Curriculum Programme (CCP): what are the needs for teaching the role of public health
in preventing and responding to armed conflict? Prevention, Recovery, Rehabilitation Middletonj april12th 2024

Violence
Sexual health
Mental health
Physical health
Weight and exercise
Increased risks of poor outcomes in adults with high levels of Adverse Childhood Experiences
Mental health
Violence
Substance use
Sexual health
Physical health
Weight and exercise
Bellis et al, In Press, 2022
Child maltreatment, neglect, domestic violence, family mental ill health, separation

The role of physicians and other
health workers in the preservation
and promotion of peace is the most
significant factor for the attainment of
health for all.
World Health Assembly, Resolution
34.38, 1981

An acceptable level of health for all the people of
the world by the year 2000 can be attained
through a fuller and better use of the world’s
resources, a considerable part of which is now
spend on armaments and military conflicts. A
genuine policy of independence, peace, détente,
and disarmament could and should release
additional resources that could well be devoted
to peaceful aims and in particular to the
acceleration of social and economic development
of which primary health care, as an essential
part, should be allotted its proper share’.
Alma Ata Declaration, Article 10 1978
World Health Organisation

The epidemiology of violence
Evidence-based violence prevention: a life course
approach
Asset based community development
Primary, secondary &tertiary prevention role of the
public health community as primary preventers of
violent conflict, through healthy public policies and
tackling major social inequalities in health; and as early
reactors, mitigaters and responders to violence.
New public mental health approaches
A role for public health in conflict resolution with aid
agencies, political scientists, theologians and
international lawyers
A role for public health educational bodies
A leadership and partnership role for public health
www.fph.org.uk/uploads/Violence%20report.pdf
Areas of action for the public health
community in preventing violence

Global & local violence-epidemiology and evidence
www.euro.who.int/violenceinjury
www.who.int/violence_injury
www.who.int/gender
◀️Middleton
J, Sidel V.
Terrorism &
public
health. In
Promoting
Public
Health.
Open
University
and Sage,
2007
Global deaths from interpersonal and collective violence,
2005 and 2015
0
100000
200000
300000
400000
500000
600000
2005 2015
Number
of
deaths
Collective violence
Bellis, M.
A.et al.
London:
NHS and
Dept. of
Health,
2012▶️
Source: GBD 2015 Mortality
and Causes of Death
Collaborators, 2016

Roman General Vegetius, 5C AD
Sun Tzu ‘The Art of War’, 2500BC.
“The supreme art of war is to subdue the enemy without fighting.”
Public Health and militarism: Professor John Middleton November 30th 2022
IF YOU WANT PEACE, PREPARE FOR WAR

The cause of war is the
preparation for war
The cost of liberty is less than
the price of repression
William Edward Burqhardt Du
Bois

The military –industrial
complex
Eisenhower, 1961
Only an alert and
knowledgeable citizenry can
compel the proper meshing of
the huge industrial and
military machinery of defense
with our peaceful methods
and goals, so that security
and liberty may prosper
together.

20240412 middletonj ASPHER war curriculum.pptx

Sun Tzu ‘The Art of War, 2500BC.
“The supreme art of war is to subdue the enemy without fighting.”
Public Health and militarism: Professor John Middleton November 30th 2022
IF YOU WANT PEACE, PREPARE FOR WAR….
In times of war, prepare for peace

‘Winning the
peace’

‘Winning the peace’
‘Health diplomacy’
Health as a ‘bridge for peace’
‘Moral rearmament’ France-
Germany 1946-50

Strong actions by women, Northern Ireland, Kenya, and
France-Germany 1946-50; especially needed in police forces
and peace-keeping forces
Truth and reconciliation South Africa, Rwanda
UN Peacekeeping : Namibia, Bosnia-Hercegovina, East Timor

Thank you
John Middleton
johnmiddleton@phonecoop.coop

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20240412 middletonj ASPHER war curriculum.pptx

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