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- W85668860 abstract "The Canadian Paediatric Society (CPS) was pleased to see Dr David Naylor call for the creation of a National Agency for Public Health in his report, Learning from SARS: Renewal of Public Health in Canada (1), and we commend the Government of Canada for moving forward with such an important initiative. However, it is vital that the unique public health issues faced by children and youth be addressed by this new agency. We believe that the needs of children and youth are not only related to ensuring that they are protected from communicable diseases, but are also related to other key public health issues like physical activity/nutrition/obesity, mental health, maternal and infant health, and injury prevention, which are of paramount importance.The CPS believes that the realisation of such a coordinated concentration of health activities and programs guided by the same set of public health principles, with appropriate funding, will lead to a significant improvement in the health of all Canadians, both young and old. It also offers a unique opportunity for governments, nongovernmental organizations (NGOs) and health professionals to work creatively in addressing the special health needs of Canada’s children and youth.The CPS recommends that, in addition to other resources, the following centres be established within the new public health agency: A Centre for Child and Youth Health to focus on health promotion and disease prevention for our youngest citizens.A National Immunization Program to build on the progress to date of the National Immunization Strategy. The program should have the following five components: a plan to ensure that all recommended vaccines are available and delivered in a coordinated and cost-effective manner across Canada;a plan to review targets and measures for the control of vaccine-preventable diseasesa plan for vaccine procurement to enhance stability of price and security of supply;a plan to ensure immunization safety; andCanada-wide, compatible, immunization registries and a national immunization records network.The National Immunization Program would focus on all Canadians, children as well as adults, and provide for emergency planning to contain possible pandemics of vaccine-preventable diseases.A Centre for Communicable Disease Prevention that includes paediatric expertise to address the significant risk for children and youth in confronting infectious diseases.A Centre for Emergency Response that includes dedicated paediatric expertise to provide advice and direction on the specific responses of children and youth to emergencies and disasters, both physically and emotionally.A Centre for Injury and Violence Prevention. Preventable injuries are the leading causes of death for children and youth from one to 18 years of age. They also have a significant impact on the health and quality of life of the elderly, and represent a huge cost to the health care system and the economy.A Centre for First Nations and Inuit Health specifically responsible for the public health of Canada’s Aboriginal peoples.The CPS believes that a Centre for Child and Youth Health would strengthen current priority setting and planning for health promotion and disease prevention programs aimed at children and youth.The following programs should fall within the responsibilities of the proposed Centre for Child and Youth Health: Surveillance into child and adolescent health and disease, building on current programs.Health promotion and disease prevention programs. Maternal and infant health programs: Good health starts preconception and a coordinated effort to improve maternal health in areas such as nutrition, smoking cessation and alcohol avoidance would lead to better outcomes for infants. As well, parents need and want guidance on how best to care for their infants to ensure their optimal development.Child and youth mental health promotion programs:As pointed out by Dr Naylor (1), Canadian health systems are not adequate, and our children and youth are severely affected by the lack of services and coordination. We believe that there is an excellent opportunity within the new centre to gather together expert scientists and clinicians to determine standards of care and resources to improve the mental health system for children and youth in this country.Behavioural health programs: The number of children and youth reported to be suffering from behavioural conditions such as attention deficit hyperactivity disorder and autism is rising. There is a lack of best practice models coordinating the best clinical, community and home care for these children, as well as for determining the optimal allocation of resources. The new centre could work with NGOs and health professionals to improve the standard of care for these children and youth, in addition to providing better information and guidance for their parents.Child development: The new Centre for Child and Youth Health could establish guidelines for diagnostic testing and for treatment standards for children with a broad range of developmental problems, such as hearing loss, fetal alcohol spectrum disorder, genetic disorders and birth defects. The surveillance mentioned above could help to guide these initiatives.Healthy active living/obesity reduction: Canada’s children and youth are becoming obese and inactive at an alarming rate. Having a focus on this issue will allow continued scientific research into the best ways to combat the problem and determine programs to encourage young Canadians and their parents to adopt healthier lifestyles.Risky behaviour: Despite many efforts to prevent youth from adopting risky behaviours such as smoking, drinking, drug use and unsafe sex, there is still disturbing evidence that these programs are not effective, as shown by the increase in rates of smoking in adolescent girls, drug use and impaired driving, and the rise in sexually transmitted infections in the youth population. A coordinated approach, based on research into risk behaviours and harm reduction strategies, may contribute to determinining effective interventions.A clearing-house for the best practices from across the country in programs for children and youth. The centre could encourage collaboration and information sharing between governments, health regions, hospitals, NGOs and professional groups.We propose that the centre have an advisory board made up of government leaders, chief scientists at the centre, and representatives from leading NGOs dedicated to child and youth health issues, as well as independent clinicians and scientists. The mandate of such an advisory board would be to set goals and objectives based on the areas where children and youth have the greatest needs, to monitor and evaluate the progress the centre is making on key issues, and to oversee a report to the public on how well Canadian children and youth are doing, or the areas where more work is needed.The CPS believes that such a centre, if appropriately mandated and funded, will lead to significant improvements in the health of all Canadians. We hope that the government of Canada will seize the opportunity to focus on children and youth as it creates the new National Agency for Public Health. It is an opportunity that cannot be missed." @default.
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- W85668860 title "Child and youth health in the National Agency for Public Health" @default.
- W85668860 doi "https://doi.org/10.1093/pch/9.3.149" @default.
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