The Rome Manifesto
Join the Public Health Movement!
“We call on all Public Health actors to take this opportunity and effectively advocate for a concerted evidence-based action to safeguard the health of the public globally“. Join a movement of action-orientated like-minded Public Health advocates by signing the manifesto and making a commitment.
The World is in turmoil. The climate crisis, antimicrobial resistance (AMR), and worldwide conflicts have added to the difficulties of recovering from the pandemic and being prepared for future threats. Against this backdrop, ASPHER and EPHA have recognised the urgent need for a reinvigorated public health movement. Together they have brought their constituencies of schools of public health and organisations advocating for health to put people, partnership and funding requirements alongside a proactive defence of evidence-based public health measures in a single manifesto.
The manifesto demands action and commits its signatories to five actions for a new public health movement to foster collaboration and co-creation. This Manifesto was presented to the 17th World Congress on Public Health in Rome and signed by many in Rome including the leadership of EPHA and ASPHER who presented it to the congress.
We now invite all to sign the manifesto and make a personal commitment to what they will undertake to contribute to the five actions of the manifesto.
The Rome Manifesto is a united call for Public Health Action and advocacy centred on people and planet, evidence, trust, partnership and investment.
Public Health is recognised as the science of preventing disease, promoting health and prolonging life through organized efforts and informed choices of society, organisations, public and private, communities and individuals. Public Health is thus called upon to use evidence-based best practice approaches for action-orientated interventions to protect the health and well-being of all. To be effective in today’s connected world, it must do so on a ‘glocal’ scale, reflecting both local and global considerations, with people at front and centre.
We find ourselves in ‘A World in Turmoil’. A World still reeling from the repercussions of global pandemic while facing conflicts in multiple regions; and impacted by environmental degradation and escalating real effects of climate change. These destabilizing factors have only further exacerbated the wicked problems of health and social inequalities with large parts of the population still left out of health service provision, marginalised communities living in extreme poverty, living with homelessness, and unprecedented numbers fleeing violence, persecution, resource depletion and extreme climate events. Concurrently, the public has been inflamed and mitigation efforts stymied by the scale of misinformation and direct opposition to evidence-based policy making. The public health and allied primary health care communities have been ill-positioned to respond to the mounting challenges after extended periods of austerity and lack of investment that has led to an erosion of capacity.
It is in recognition of the multiplicity of adversity, that the Association of Schools of Public Health in the European Region (ASPHER) and the European Public Health Alliance (EPHA) have come to call for Concerted Public Health Advocacy. We must act now!
Considering the gravity of the current moment, ASPHER and EPHA are issuing a call for action for systematic cooperation and collaboration of all who support Public Health’s core values rooted in scientific evidence-based knowledge, inter-disciplinarity and inter-sectorality, respect and compassion for diversity, solidarity and inclusivity.
Five actions are preconditions for success in order to advance public health universally and advocate for the common good:
Putting people front and centre must be the first of all public health considerations and interventions.
Trust in science needs to be proactively restored, and bad faith actors and misinformation actively rebutted.
Active working partnerships must be nurtured such that all Public Health communities – from experts and policy makers, over training and education programmes, to civil society and the public – collaborate as one, in an action-orientated and proactive manner, with specific and actionable commitments.
Quality, evidence-based science should be the foundation of public health interventions and training of public health professionals to make the greatest impact over the shortest time.
Sufficient investment is critical to ensure that this collaboration is impactful, robust and sustainable. Specific constituencies that need proactive support include: national public health institutes; public health training and education programmes; civil society organisations including those of marginalised or discriminated groups; local authority leaders and city mayors; legislators and parliamentarians; young public health activists; and public health professionals.
We call all Public Health actors to take this opportunity and effectively advocate for a concerted evidence-based action to safeguard the health of the public globally.
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