Wednesday, March 6, 2013

Toronto Public Health DOES Get It

This is a poster I saw at a bus shelter a few days ago in downtown Toronto:





It's self-explanatory, but let's go over what it says--and perhaps even more importantly, given the hysterical, anti-obesity environment we're living in--what it doesn't say.

What we see is a public health poster on certain things we can do to prevent type 2 diabetes. It is made up of some text and three pictures. The picture on the left shows a family going for a walk. They're pretty ordinary people, not particularly slim nor fat. Just ordinary folk, not two ripped young people running through the woods, making sure their arm muscles appear to their best advantage.

The picture on the upper right shows a man of about 60. He's a little on the heavy side, again, not some super, lean and mean senior showing off his incredible physique despite his age. The gentleman is holding some fruit. He's standing in front of the fresh produce section of a grocery store.

The picture on the lower right shows a young man drinking from what is clearly a (non-plastic) water bottle. Just an ordinary guy.

The messages are simple, clear and POSITIVE: "be active - eat well - be tobacco-free". The question, "what's your small step?" simply encourages people to do their best.

This kind of inclusive public service message tells us that we can all do something to improve our health, rather than telling us that we are BAD and FAT and destined to be SICK.

Compare this poster with the fortunately short-lived Georgia campaign to stop childhood obesity:

That's a mighty positive message, isn't it (sarcasm alert)?

Contrary to the state of Georgia, I think Toronto Public Health has got it right.




5 comments:

  1. It seems like blogspot's eating my readers' comments, so I'm trying it out myself. Let's see if this stays posted.

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  2. Great comments! I totally agree with you;)

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  3. Wonderful post! I especially enjoy the line "...Just ordinary folk, not two ripped young people running through the woods, making sure their arm muscles appear to their best advantage." :) Ain't that the truth! We see that b.s. so much in popular media, in fact, I now believe we are socially trained in subliminal ways to look at our own bodies through those kinds of weird distorting lenses of oppression---you know, desperately straining at times to find those idealized shadows and "cuts" hopefully presented by our own muscles, and (if you're like me) sometimes feeling inadequate because they aren't visible. Yeah. It's hurtful to portray "health" through an airbrushed, photo-shopped (distorted) points of view.

    I would love to see intentionally subversive ads that call into question the meaning of "health", "healthy" and "sick"---showing that surface appearances are biased indicators of underlying conditions---and that "health" and "sickness" carry diverse and complex meanings depending on many other (hidden) factors.

    For some people, for instance, having the medical diagnosis of "diabetes" does not present such a tragic or even severely limiting kind of health issue or problem because they have so many other kinds of advantages and privileges and options available to make their lives less burdensome and more rewarding (secure, comfortable, etc). But that same diagnosis, "diabetes", can be utterly devastating and even lethal for people who don't have those socioeconomic advantages, or for people who are also disabled by other conditions which make access to adequate health care services (and/or access to the means to meet basic needs) close to impossible.

    In the latter cases, the disease process itself (including symptom severity and outcomes) can be extremely (starkly) different---even though the medical diagnosis ("diabetes") is the same. As a result, they might as well be two completely different diseases that just happen to share the same name.

    I get really cranky about this topic, "health", as something we all can improve by taking small steps and making little or gradual changes because of my own limitations. Frequently, unfortunately, the results of such efforts more closely resemble two baby steps forward then three giant steps back.

    But you already know that because of your own struggles with finding the best ways to care for and live with health problems and disabilities. :)

    Most of my concern comes from the similarities between the beliefs that fat people can just do simple and small things differently, make small choices each day, which are then (according to cultural mythology) supposed to result in BIG reductions in weight...over time, with patience, etc. I don't know of a much more oppressive message than one which suggest people can change something (with the right attitude and effort, for instance) over which they personally have little control.

    I find that distorted thinking dominates many aspects of health and illness discourses, too, and have begun to notice able-ism and other kinds of bias at the root of our culture's false assumptions.

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  4. Yikes, hopeful and free, you're always so brilliant! I need some time to answer. Stay tuned!

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  5. Hey, NewMe---Ahh, shucks, ma'am, I just calls 'em as I sees 'em. LOL. Not brilliant, btw (well, maybe, on my very best day), but mostly fortunate to have experienced some incredible learning opportunities related to "health" and disability and ways in which social systems interact with, and construct, physiological-social processes (e.g. dis-ease and "health") that our dominant discourses teach us to conceptualize as personal things that individual people (bodies) "have"---as if market ideology legitimates personal ownership of health ("biological") processes---and to conceptualize diseases as processes existing INSIDE individual bodies as consequences of genetics, or pathogens (germs or viruses or parasites, etc), or environmental toxins, or accidents, or personal choices...but we have almost NO ways of thinking about and talking about "health" and illness as socially constructed conditions, which are inextricable from culture and from social conditions.

    Anyway, it's important to acknowledge, as you do in your post, whenever there is enlightened social movement away from oppressive and distorted discourses (e.g. "just stay thin and you'll avoid these---XYZ---risks for terrible disease!!!"). Indeed, to borrow your metaphor, by taking small steps away from oppressive social/cultural perspectives, we open the way forward toward better ways of conceptualizing health.

    In other words, I'm suggesting that we still have a long way to go in this movement AWAY from health discourses that are distorted, oppressive and harmful, and TOWARDS critical health discourse that can help free us from our limited/limiting ways of understanding "health." Nevertheless, those beginning, uncertain, and small movements are ESSENTIAL. :) Thanks for reminding me to recognize progress, and to avoid the folly of ALL OR NOTHING thinking. :)

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