"Obesity is increasing in every country around the world, and if the Leader of the Opposition puts this down to a global collapse of willpower, or globally everybody wanting to be fat, that's just shallow and wrong thinking.” Prof @BoydSwinburn newshub.co.nz/home/politics/…
Obesity is *not* lack of willpower.
- 1 in 3 adults in NZ are obese
- 1 in 10 NZ children obese
- rising obesity overseas and with rise in modernity
- genetic factors at play
Putting all this on personal responsibility creates obesity stigma, which harms our patients. Stop.
In 2018, @TheRACP launched its obesity position statement. Our working group chair @BoydSwinburn described the “obesogenic environment” which works to systematically drive obesity in society, it requires a whole of society approach racp.edu.au/news-and-event…
The position statement itself outlines recommendations for evidence-based policies to systematically tip the balance in favour of preventing obesity, and a call to end weight bias amongst health professionals
To understand how obesity is systematically increasing in society, we need a more sophisticated understanding of the context (“environments”) within which we humans are able to make (some) decisions for ourselves. Being able to afford “healthy” perishable foods, to live close...
Enough to amenities, school or work to be able to avoid using a car, to live in societies where children are protected from targeted marketing of sugary drinks, and living in advantaged neighbourhoods which are not systematically targeted w fast food outlets, having the optimal..
Genetic deck of cards - all of these are largely outside of our control yet massively impactful on our individual choices.
We need strong government action on obesity to tip the balance back in our favour. /end
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I was inspired to do this after listening to @d_spiegel's excellent podcast Risky Talk discussing (and lamenting) w science communicators the poor quality of public communication to the UK public during the pandemic riskytalk.libsyn.com
I thought to share the NZ experience /2
First, there is a daily update from the Ministry of Health at 1pm. Early on in the pandemic, there would be an update on COVID-19 cases in NZ from Ashley Bloomfield, the Director General of Health, then an update from Prime Minister Jacinda Ardern. Having Bloomfield present /3
@sasanof@simonthornley30@AucklandUni Yes, @simonthornley30 is academic staff at UoA. I’ll let Simon respond with whether he thinks his views are supported by other NZ epidemiologists. This rapid rebuttal suggests not
If you’ve read a piece in @nzherald today about the WHO stance on lockdowns, and wonder if this is relevant for NZ - then read this piece alongside. The Herald really needs to select articles that provide better info for NZ, our lockdown was used to good effect as recommended.
People help read the Herald piece might be falsely led to think that the WHO is chastising countries like NZ for lockdowns - that isn’t the case. WHO has praised NZ’s response, BECAUSE we test, trace, isolate, distance and mask (when needed) and have successfully contained...
The virus, multiple times, and in the last Auckland cluster - at a lower alert level. Lockdowns are our “last resort”, we are using them exactly as WHO advises. So don’t be fooled by Herald piece (biased selection), *this* is the point:
This is why Judith’s show of praying was concerning for me, as a believer. A genuine follower of Jesus’ teachings wouldn’t respond to a child’s question about taxes so cynically. Jesus’ teachings support radical giving to the poor (Mark 10:21) as well as taxes (Matt 22:21) /1
Across scripture there is a theme of not holding onto wealth, that wealth belongs to God, not to individuals, and wealth should be used justly for the benefit of others. The early believers sold their possessions, shared the proceeds & gave willingly to those in need (Acts 2:45).
Some may ask who am I to judge? For genuine believers, challenging those who would publicly be seen as Christians but who manifestly are against Jesus’ teachings is a core part of faith. Jesus himself reserved his strongest criticism for religiosity without heart (Matt 6:1).
Royal Society DELVE economic report explains why NZ’s go-for-zero strategy wins:
“uncertainty and fear of infection [are] major drivers of reduced spending, alongside the lockdown itself...consumer confidence will only return when people’s perceptions of public safety improve.”/1
In our second outbreak, NZ chose to rapidly contain viral spread: 3 weeks of Alert Level 3 in Auckland, rest of country at Level 2. Slowly loosening restrictions allowed containment of two other potential outbreaks without further lockdown. We’ve now had 15 days of zero cases /2
In the community, which only increases public confidence to get out and support local businesses and events again. Rather than continual Level 2+ as seen overseas, we rapidly contain the virus, trust the process to work (it does), and reap the benefits. Keep it up NZ
The @nzherald have just published a COVID-19 op-ed written by me and Dr Veronica Playle, on how "Plan B" is totally flawed, inequitable, and totally unworkable for our unique NZ situation.
For those who love details, here's a THREAD with references /1
First, why did we write this? Unfortunately, it is very likely that we will have to face-off with COVID-19 again in NZ (although I hope this is a long way away). When alert levels rise again, there will be dissenters. Plan B will be back in the news. We can't let that happen /2
We are 6 months into the pandemic. Yet Plan B is still a bare bones 10-point plan, hopelessly lacking in detail. We couldn't find any modelling on the Plan B website to show how it will impact our communities and hospitals. Yet they receive disproportionate news coverage /3