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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.

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