City Health International

BLOG
City Health International is delighted to announce we have established a blog on the website to promote debate and discussion around current issues of interest to the network. David MacKintosh, one of the founders of the network, writes a weekly piece, posted here. We also invite contributions to the blog from others with ideas and opinions on issues relating to health behaviours and urban health and well being and who wish to share with others. If you would like to contribute, please send your post to This email address is being protected from spambots. You need JavaScript enabled to view it. and we will ensure it is posted on the site and placed in the weekly City Health alerts sent to those in the network.

Я не хочу наступать на пятки своим друзьям и коллегам, ведущим блог по науке и политике Никотина, но, поскольку 14 марта был Национальный День отказа от курения, немного поразмышляю о курении в Великобритании. Это было в 1984 году, сразу после того, как я начал свою первую работу, и я, признаюсь, курил. 34 года - это не о потраченных деньгах, поврежденной одежде, случайных ожогах (курение в шлеме безопасности - это не то, что я сделал бы снова), или другие риски, связанные с курением табака. Нет, это о факте, что мир тогда был совсем другим.

Now I don’t want to tread on the toes of my friends and colleagues on the Nicotine Science and Policy blog but, as it was National No Smoking Day on 14 March, I am going to reflect a little on smoking in the UK. It was first held in 1984, just after I had started my first job, and I was, I confess, a smoker. 34 years on what stands out most is not the money spent, the clothes damaged, accidental burns endured (smoking with a crash helmet on is not something I would do again) or the other risks associated with smoking tobacco.  No, it’s the fact the world was very different.

Добро пожаловать в мой первый блог для «Здоровья в городе» (City Health International). Мое намерение в ближайшие месяцы - взглянуть на инновации в исследованиях, политике и средствах массовой информации через призму городского здоровья и что это может означать для городского сообщества (и тех, кто читает этот блог). Хотя мой опыт работы в области национальной и региональной политики связан со злоупотреблением психоактивными веществами, и недавним интересом к вопросам преступности и антиобщественного поведения, я буду рассматривать гораздо более широкий круг тем. Прежде чем мы приступим к этому, я вкратце объясню, как я занялся феноменом городского здоровья, и как это помогло расширить мои горизонты, помимо алкоголя и наркотиков.

"Without knowledge action is useless and knowledge without action is futile."
Abu Bakr

I have now worked in the drugs and alcohol policy field long enough that people have started interviewing me to provide historical context. This prompts deeply ambivalent feelings. I am reminded that I am no longer in the first flush of youth, but the opportunity to reflect on developments over the last twenty years, consider what worked and why, is something to relish. Unlike the frustration at seeing the same failed idea or approach coming around the track again (and again..)

Tuesday, July 16, 2019
Last week I met with someone who, having just completed a Masters in Epidemiology, is keen to work in the health field. Over a hot chocolate I outlined my perception of the current big issues relating to substance misuse, our most vulnerable populations and the policies and structures we have in place to address these issues.
Tuesday, July 02, 2019
Absolutely outstanding. That’s my carefully considered assessment of the Global Forum on Nicotine in Warsaw that I was fortunate enough to attend two weeks back. I say this despite the mosquito bites and the fact that the weather was rather warm for me. The event was one of those that provide a buzz and an energy that comes back to the workplace with you. This was fuelled by an outstanding array of speakers and a vibrant audience mix. Discussion and argument were not limited to the auditorium or breakout rooms, but instead could be heard throughout the venue, over lunch, during coffee breaks. There were attendees from every continent (well, ok, I didn’t actually meet anyone from Antarctica). Academics, clinicians, researchers, harm reduction advocates, retailers, product developers, policymakers, and- most importantly - vapers and users of other tobacco harm reduction products, all mixed together sharing views, experiences, and- as we should expect- differences of opinion. It certainly lived up to the conference strapline Its Time to Talk About Nicotine and the rich promise of a genuinely horizontal approach.
Monday, May 27, 2019
The value of partnership approaches and joint working to tackle major health public policy issues is widely accepted, if more rarely practised. Even where there is engagement with other professions or disciplines there is a tendency to work with those whose outlook is not too challenging and are closest to us in practice and approach. City Health has been at the forefront in challenging this and others are also working to weaken the silo walls. In the last two weeks I have been a spectator and a participant in two very different events which highlighted how important it is to include the end user, the public, our communities when developing and delivering services.
Wednesday, May 15, 2019
The confidence we have in our health systems is at the core of how we use and, hopefully benefit, from them. If we lack confidence in the benefits of going to see our GP for a health check, seeing a nurse about a travel vaccination or asking advice from the local pharmacist why would we bother? In terms of dealing with drug and alcohol problems the importance of a positive therapeutic relationship or alliance is recognised not just as being a pleasant “extra” but being central to aiding recovery. It has an important role across all fields of treatment. There are also benefits where a society has faith and confidence in those that oversee and provide healthcare systems and treatments at a population level. By and large, despite many complaints and challenges, the National Health Service in the UK remains a highly valued and trusted part of our society. And rightly so. But that doesn’t mean we should shy away from acknowledging where things have gone horribly wrong.

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CITY HEALTH INTERNATIONAL EVENTS

CHI Melbourne 2019

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CHI Liverpool 2019

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CHI Odessa 2018

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CHI Basel 2017

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CHI London 2016

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CHI Barcelona 2015

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CHI Amsterdam 2014

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CHI Glasgow 2013

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CHI London 2012

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City Health International
Founded in 2012 City Health International is a network of individuals and organisations engaged in the study of and response to structural health issues and health behaviours in the urban environment.
For the first time in history the majority of the world’s population now live in urban environments and the proportion continues to grow. As national governments struggle to deal with the pressures and demands of growing urban populations against a backdrop of financial deficits and uncertainty, it is increasingly left to those working at a city level to provide the leadership and support needed to tackle key health issues.