CHRONIC DISEASES RELATED TO AGING AND HEALTH PROMOTION AND DISEASE PREVENTION Report of the Standing Committee on Health Joy Smith, M. P. Chair MAY 2012 41st PARLIAMENT, 1st SESSION Published under the authority of the Speaker of the House of Commons SPEAKER'S PERMISSION Reproduction of the proceedings of the House of Commons and its Committees, in whole or in part and in any medium, is hereby pe [...] Within the context of this priority, CIHR notes the need 7 to enhance patient-oriented care, the pressures placed on the health care system due to the aging population and rising rates of chronic disease, and the importance of leveraging resources by working collaboratively with other departments, agencies and non- governmental organizations to address research needs. [...] To increase the capacity of Aboriginal communities to act as partners in the creation, oversight and application of research to reduce the health disparities among Aboriginal Peoples, the Committee heard that CIHR has developed the "Pathways to Health Equity for Aboriginal Peoples". [...] The project was described as addressing the need to balance compassion and technical expertise in the provision of patient-centred care.39 It also heard that this approach, within a health promotion and disease prevention model, has been proposed by the Association of Faculties of Medicine of Canada to address the evolving training needs of future medical practitioners in response to the increasin [...] This initiatve will help to remove the stigma of mental illness, to allow seniors to identify symptoms and to help people feel more comfortable about raising the issue with their physicians and ask for help.77 The Committee was told of the Seniors Advisory Committee of the Mental Health Commission of Canada and of its contribution to Commission's Mental Health Strategy, which was subsequently rele.

Since 1938 and 1941, nutrient intake recommendations have been issued to the public in Canada and the United States, respectively. Currently defined as the Dietary Reference Intakes (DRIs), these values are a set of standards established by consensus committees under the National Academies of Sciences, Engineering, and Medicine and used for planning and assessing diets of apparently healthy individuals and groups. In 2015, a multidisciplinary working group sponsored by the Canadian and U.S. government DRI steering committees convened to identify key scientific challenges encountered in the use of chronic disease endpoints to establish DRI values. Their report, Options for Basing Dietary Reference Intakes (DRIs) on Chronic Disease: Report from a Joint US-/Canadian-Sponsored Working Group, outlined and proposed ways to address conceptual and methodological challenges related to the work of future DRI Committees. This report assesses the options presented in the previous report and determines guiding principles for including chronic disease endpoints for food substances that will be used by future National Academies committees in establishing DRIs.

This Open Access book highlights the ethical issues and dilemmas that arise in the practice of public health. It is also a tool to support instruction, debate, and dialogue regarding public health ethics. Although the practice of public health has always included consideration of ethical issues, the field of public health ethics as a discipline is a relatively new and emerging area. There are few practical training resources for public health practitioners, especially resources which include discussion of realistic cases which are likely to arise in the practice of public health. This work discusses these issues on a case to case basis and helps create awareness and understanding of the ethics of public health care. The main audience for the casebook is public health practitioners, including front-line workers, field epidemiology trainers and trainees, managers, planners, and decision makers who have an interest in learning about how to integrate ethical analysis into their day to day public health practice. The casebook is also useful to schools of public health and public health students as well as to academic ethicists who can use the book to teach public health ethics and distinguish it from clinical and research ethics.