South-East Asia Regional Conference on Epidemiology
South-East Asia Regional Conference on Epidemiology
South-East Asia Regional Conference on Epidemiology
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Introducti<strong>on</strong><br />
A Brain-to-Society approach to chr<strong>on</strong>ic disease<br />
preventi<strong>on</strong> and epidemiology<br />
Laurette Dubé<br />
The Brain-to-Society (BtS) approach to chr<strong>on</strong>ic disease preventi<strong>on</strong> and epidemiology has been<br />
developed as the scientific anchor of the McGill World Platform for Health and Ec<strong>on</strong>omic C<strong>on</strong>vergence<br />
(MWP). The MWP is an unique initiative anchored in McGill University’s Desautels Faculty of<br />
Management and Faculty of Medicine. The traditi<strong>on</strong>al divide between market, ec<strong>on</strong>omy and society<br />
has created challenging envir<strong>on</strong>mental c<strong>on</strong>diti<strong>on</strong>s for human health and well-being. The MWP is<br />
rooted in the c<strong>on</strong>victi<strong>on</strong> that by harnessing the power of the best minds and leading organizati<strong>on</strong>s in<br />
the health, social, business and ec<strong>on</strong>omic sectors operating at local, nati<strong>on</strong>al and global levels, and that<br />
of the most recent developments in genetics, neuroscience and computati<strong>on</strong>al systems sciences, this<br />
divide and the complex issues at the interface of health and ec<strong>on</strong>omics can be bridged. The MWP’s<br />
missi<strong>on</strong> is to foster developments in science, policy, innovati<strong>on</strong> and educati<strong>on</strong> to mainstream health<br />
into management and ec<strong>on</strong>omic decisi<strong>on</strong>s impacting health and health care, and, c<strong>on</strong>versely, to weave<br />
management and ec<strong>on</strong>omic c<strong>on</strong>siderati<strong>on</strong>s into public health and health care systems design and<br />
delivery. What follows is a brief descripti<strong>on</strong> of the key tenets of the Brain-to-Society (BtS) approach<br />
as well as an overview of some of the early research findings. It ultimately offers a new model that<br />
could be tied to the study of epidemiology to yield more positive health outcomes in a biologically and<br />
ec<strong>on</strong>omically sustainable manner around the world. Indeed, many features of the BtS approach could<br />
enrich traditi<strong>on</strong>al disease epidemiology and lead to better interventi<strong>on</strong>s <strong>on</strong> the ground.<br />
Background<br />
The Brain-to-Society approach to chr<strong>on</strong>ic disease preventi<strong>on</strong> and epidemiology aims at articulating<br />
a new science of the hows to feed – and be fed by – complex collaborati<strong>on</strong> and innovati<strong>on</strong> across<br />
disciplines, sectors and jurisdicti<strong>on</strong>s. This will allow us to scale up our abilities to address issues that<br />
lie at the interface of biology and modern society. It capitalizes <strong>on</strong> cutting-edge methods, metrics and<br />
models from genetics, neuroscience and computati<strong>on</strong>al systems science, and integrates them with<br />
those of health, behavioural, social, agricultural, business and ec<strong>on</strong>omic disciplines. The BtS approach<br />
also builds up<strong>on</strong> the ground-breaking accomplishments of the Human Genome Sequencing Project<br />
(Individual-Level Diagnostic) and the approach to envir<strong>on</strong>mental research and acti<strong>on</strong> pi<strong>on</strong>eered by the<br />
2009 Nobel Laureate, Elinor Ostrom (Societal-Level Diagnostic).<br />
The Individual-Level Diagnostic will examine the degree to which individual differences in<br />
genetics, neuro-cogniti<strong>on</strong> and socio-envir<strong>on</strong>mental exposures modulate behaviour, body weight<br />
and nutriti<strong>on</strong>al risk over time. The Societal-Level Diagnostic examines the exposure c<strong>on</strong>diti<strong>on</strong>s that<br />
emerge from the single and combined impact of policy, investment, business and social innovati<strong>on</strong><br />
from various stakeholders.