Money Power Health with Nason Maani

• Episode 13: Industry-funded school education programmes with May van Schalkwyk

  Hi everyone and welcome back to Money Power Health. We often tend to think of our health as the product of our own energies, something we alone are accountable for. But in reality, our health is to a large degree shaped by the conditions we find ourselves in, the quality of our air, the wealth of our parents, the food we have access to, our opportunities for work, our time for exercise. Schools and education are a key part of this. Schools shape how we see the world and interact with each other at a critical stage in development. Most people might assume that schools are a place in which commercial influence is largely absent. That however is far from the case. Children are a key market, and brand loyalties formed in childhood can persist into adulthood, and standards of behaviour, of consumption, taste, and definitions of coolness, risk, fun are all being formed during this time.  In part due to this, there is now a long history of the manufacturers of unhealthy products funding the development of lesson plans, initiatives and activities in primary and high schools that involve issues like fossil fuels, firearms, alcohol, gambling or smoking. This has significant strategic value, and in order to understand more about why this happens, and what it means for children and young people, I am very pleased to be joined by someone who has led on several studies examining the nature and purpose of such funded materials in schools.  May van Schalkwyk is a research fellow in commercial determinant of health in the Global Health Policy Unit and Centre for Pesticide Suicide Prevention at the University of Edinburgh. She also has an honorary public health consultant role with Public Health Scotland and is an honorary research fellow at the London School of Hygiene and Tropical Medicine where she completed her PhD in 2023 and is a member of the commercial determinants research group.  May originally trained as a clinical doctor and then specialised in public health medicine. Her research aims to explain how commercial actors influence ideas, knowledge, science and policymaking. She publishes research on the tobacco, alcohol, gambling, fossil fuels, opioid, pesticide and firearm industries, including on the influence of youth education and safety programmes as a form of corporate political activity. Full disclosure: May and I are good friends and go back some time, having met at the London School of Hygiene and Tropical Medicine, and worked together for over seven years researching the commercial determinants of health, including some of the articles we will be discussing. You can find out more about the topics we have discussed, including some of May's recent research articles, in the links below: Alcohol industry funded school programmes: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0259560https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(22)00341-3/fulltextGambling industry funded school programmes: https://academic.oup.com/heapro/article/39/1/daad196/7565070https://www.sciencedirect.com/science/article/pii/S235282732200101XLink to public-facing videos May has made about research on the commercial determinants of health: https://www.youtube.com/channel/UCfnKnt8BHlSgTIdK7jfGwfg 

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• Episode 12: Commercially driven norms around drinking with Emeka Dumbili

  The alcohol industry is a significant commercial determinant of health, shaping global consumption patterns through aggressive marketing, lobbying against regulation, and expanding into new markets, particularly in low- and middle-income countries. With its substantial influence on policymaking and public perceptions, the industry has contributed to a global burden of alcohol-related harm, including chronic diseases, injuries, and social issues. In this episode, we are joined by Dr. Emeka Dumbili, a sociologist with a central interest in the shaping of social norms regarding substance use, to discuss the ways in which the alcohol industry is seeking to shape social norms around drinking in West Africa.Emeka is an Assistant Professor and Ad Astra Fellow at University College Dublin. He completed his PhD in the Department of Sociology and Communications, Brunel University London, exploring the interplay between media consumption, the gendering of alcohol, and aspirational drinking amongst young people. He held a lectureship position at the Department of Sociology and Anthropology, Nnamdi Azikiwe University, Awka, Nigeria. He was a Georg Forster Research Fellow of the Alexander von Humboldt Foundation, Germany. Between 2016 and 2017, he was a Mildred Blaxter Postdoctoral Fellow at Brunel University London. In 2019, he was awarded the ACU (Association of Commonwealth Universities) Blue Charter Fellowship to explore plastic pollution in Nigeria. Some recent articles by Dr Dumbili and colleagues: "Alcohol industry-sponsored music festivals, alcohol marketing and drinking practices among young Nigerians: Implications for policy" https://www.sciencedirect.com/science/article/pii/S0955395924000690?via%3Dihub"Perspectives of community leaders/members on factors hindering alcohol regulation in Nigeria" https://www.tandfonline.com/doi/abs/10.1080/09687637.2023.2247540"Making sense of ''drink responsibly'' messages: Explorations of the understanding and interpretations of young Nigerians who use alcohol" https://pubmed.ncbi.nlm.nih.gov/35290927/

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• Episode 11: GPs at the Deep End with David Blane

  Hello everyone, and welcome back to Money, Power, Health with me, Nason Maani. This week we are speaking to Dr David Blane, a GP in Pollokshaws and Clinical Research Fellow at the University of Glasgow, and the academic coordinator of the Deep End GP network. As you know, in this podcast we have spoken about the ways in which the wider physical and social environments people find themselves in can profoundly shape their health, and how these environments are shaped by inequality and powerful commercial forces. In some ways, we have been talking about mich of what shapes health occurs outside of healthcare, and I have been contacted by clinicians who know only too well how frustrating it can be to attempt to treat patients, only to send them back into the conditions that made them sick, and to try to devote themselves to making their communities healthier, when those wider conditions are worsening, particularly for the most vulnerable.   Yet, healthcare can, and should engage with these forces, and one example of an initiative that has sought to do so in inspirational and innovative ways, is the Deep end GP here in Scotland. Today I have the great privilege of speaking to Dr David Blane, senior clinical lecturer in General Practice and Primary care, and academic coordinator of the Deep End GP group in Scotland. Glasgow in particular suffers from extremely high levels of health inequality and deprivation, and it is there that The Deep End GP network, while pools the experience and ideas of GPs in the most deprived areas, was established with the goal of increasing advocacy, mitigating burnout, and providing practical, grassroots interventions to improve patient care in areas with the highest patient need. Together, we explore the origins of the project, how these relate to cost of living challenges, and how one keeps going in spite of sometimes challenging circumstances. I hope you enjoy the conversation. More information on the Deep End GP Network can be found below:The Scottish Deep End Project:https://www.gla.ac.uk/schools/healthwellbeing/research/generalpractice/deepend/Link to latest Deep End reports, manifesto and newsletters:https://www.gla.ac.uk/schools/healthwellbeing/research/generalpractice/deepend/reports/Davids profile:https://www.gla.ac.uk/schools/healthwellbeing/staff/davidblane/Julian Tudor Harts 1971 article on the inverse care law:https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(71)92410-X/fulltext

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• Episode 10: Money, Power and Gambling with Rebecca Cassidy

  Hello everyone, and welcome back to Money Power Health.  Today I have the great privilege of speaking to Rebecca Cassidy, professor of social anthropology at Goldsmiths, on the gambling industry and her experience of working on gambling industry research.  The gambling industry has experienced tremendous growth in recent years, particularly through online and mobile gaming, and is increasingly consolidating globally. Gambling has significant health and social implications for both users and their families, particularly as the industry relies on a small proportion of players for the majority of gambling revenue. Notably, a significant proportion of gambling-related public health research is industry-funded, as are most academic conferences, despite a clear conflict of interest. Professor Cassidy and her colleagues were among the first to step into these spaces, and critically examine how the industry had coopted gambling research, terminology, and outcomes, and so besides being something of a hero of mine, her experience and example is relevant to anyone who has to stand up and say the unwelcome, but important truth about the root causes of health problems. I hope you enjoy this conversation as much as I did.  You can find out more about the work she refers to below. The report Fair Game on gambling research: https://research.gold.ac.uk/id/eprint/11731/1/Fair-Game-Web-Final.pdf  Her book, Vicious Games: https://blackwells.co.uk/bookshop/product/9780745340395?gC=5a105e8b&gad_source=1&gclid=CjwKCAjwkY2qBhBDEiwAoQXK5e8ilKkXnT5UqoYDR8RressAYaK72CcDuitgLkPtZEdBB_WAFBKFFBoCFm4QAvD_BwE A recent paper she co-authored on a public health approach to gambling regulation: https://linkinghub.elsevier.com/retrieve/pii/S2468-2667(21)00098-0 Music in this podcast was composed and performed by Daniel Maani. You can find out more about his music here:  https://open.spotify.com/artist/4GDF0XnCn78nce0gesJoC7 And here: https://open.spotify.com/artist/0Gs6V1gnUYEkZLfU2kjBdK See you in the next episode. 

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• Episode 9: The Power of PR with Grant Ennis

  Hello and welcome back to Money Power Health.    “Think global, act local!” “Be the change you want to see in the world!” “Every little bit counts!” We can all get on board with such sentiments, right? Well, todays guest Grant Ennis, would question that. He is the author of the book "Dark PR: How corporate disinformation undermines our health and the environment". In this new book, drawing on his experience working in the environmental, philanthropy, and public health sectors, he lays out the costs of commercial efforts to influence citizen action and discourse, individually and cumulatively. The book offers a wide-ranging appraisal of the narratives that he feels hold us back, the costs of our approaches to issues such as subsidies and tax breaks ,and, argues for the need to think more structurally, to organise, and to unite in broader coalitions if we wish to improve health in foundational, structural ways. I hope you enjoy the conversation. The book is available from Dajara Press in print or ePub: https://darajapress.com/publication/dark-pr-how-corporate-disinformation-harms-our-health-and-the-environment and from Audible as an audiobook: https://www.audible.co.uk/pd/Dark-PR-Audiobook/B0CCT1WMQ2 The publication he mentions led by Mark Petticrew is available here: https://jech.bmj.com/content/71/11/1078 and our related paper on the pollution of discourse and the need for effective counterframing is here: https://www.bmj.com/content/377/bmj.o1128 Dr. Terry Lynn Karl is the researcher he mentioned from Stanford in relation to electorialism: https://cddrl.fsi.stanford.edu/people/Terry_L_Karl The asian disease experiment was published here: Tversky, Amos, and Daniel Kahneman. "The framing of decisions and the psychology of choice." science 211, no. 4481 (1981): 453-458. The full quote from Arundhati Roy that he refers to is here: [the] whole idea of 'you have to be a saint first and then be political' is [a] way of making sure that a whole lot of people are not political.” (Roy, Arundhati. “Interview and Q&A with Arundhati Roy.” In Earth at Risk: Building a Resistance Movement to Save the Planet. Oakland, CA: PM Press, 2013) Music in the podcast was composed and performed by Daniel Maani. You can find out more about his music here: https://www.danielmaani.com

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