Health Promotion



"I am standing by the shore of a swiftly flowing river and hear the cry of a drowning man.  I
jump into the cold waters.  I fight against the strong current and force my way to the
struggling man. I hold on hard and gradually pull him to shore.  I lay him out on the bank
and revive him with artificial respiration.
Just when he begins to breathe, I hear another cry for help.
I jump into the cold waters. I fight against the strong current, and swim forcefully to the
struggling woman.  I grab hold and gradually pull her to shore.  I lift her out on the bank
beside the man and work to revive her with artificial respiration.
Just when she begins to breathe,  I hear another cry for help.
I jump into the cold waters.  Fighting again against the strong current,  I force my way to the
struggling man.  I am getting tired,  so with great effort I eventually pull him to shore.  I lay
him out on the bank and try to revive him with artificial respiration.
Just when he begins to breathe, I hear another cry for help.
Near exhaustion,  it occurs to me that I'm so busy jumping in,  pulling them to shore,
applying artificial respiration that I have no time to see
who is upstream pushing them all in...."
A story told by Irving Zola - but is used in an article by John B. McKinlay in "A Case for Refocusing
Upstream: The Political Economy of Illness" McKinlay, J.B. (1981

Public Health is about going upstream and finding the solution to the problem. We want to find the source that leads to an unhealthy life.


To help illustrate this point here are some videos that will help better understand this concept.



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