Conquering Today's Health Paradox with the Power of HEAL – An Expert Consensus Report plus Research Priorities and Policymaker Roadmap

A further post will follow with full PR, but the paper is now published:

Article type: Policy Brief
Journal: Frontiers in Public Health - Public Health Education and Promotion
Manuscript ID: 1695757
Received on date: 30 Aug 2025

Abstract

Background. Despite growing scientific evidence and health guidelines, the global health paradox persists, with rising lifestyle-related diseases and escalating healthcare costs exposing the inadequacy of current efforts.

Objective. 3 multidisciplinary congresses were held to generate evidence-based conclusions to tackle the global health paradox.

Methods. 58 experts from 62 entities participated in the international research and knowledge exchange panels. Experts reviewed the latest findings to develop practical strategies, key research and policy priorities, focusing on the “Healthy Eating & Active Living” (HEAL) approach.

Results, Conclusions, and Relevance. The expert consortium endorsed a 33 evidence-based consensual-statement policy roadmap for addressing global health challenges, emphasizing the HEAL approach can significantly contribute to the “Prevention First” appeal and broad ethical, social, ecological, and economic advantages, and eventually policy change.

Wirnitzer KC, Motevalli M, Tanous DR, Drenowatz C, Moser M, Cramer H, Rosemann T, Wagner K-H, Michalsen A, Knechtle B, Fras Z, Ritskes-Hoitinga M, Marques A, Mis NF, Stanford FC, Schubert C, Goswami N, Leitzmann C, Fredriksen PM, Ruedl G, Wilflingseder D, Lima RA, Kessler C, Jeitler M, Khan NA, Joulaei H, Fatemi M, Knight A, Kratky KW, Palmer KK, Haditsch B, Jakse B, Kofler W, Pfeiffer T, Cordova-Pozo K, Tortella P, Straub S, Lynch H, Schätzer M, Krishnan A, Fathima A. S, Gatterer L, Kriwan F, Abhishek M, Nandgaonkar H, Nandgaonkar S, Adedara AO, Haro JM, Gericke C, Neumann G, Akhtar A, Rashidlamir A, Thangavelu M, Ngoumou GB, Perpék É, Klaper M, Bhattacharya B, Kirschner W, Bessems KMHH, Jones P, Peoples G, Bescos R, Duftner C, Seifert G (2025). Toward a roadmap for addressing today’s health dilemma–The 101-statement consensus report. Frontiers in Nutrition, Volume 12:1676080. doi:10.3389/fnut.2025.1676080.

 https://doi.org/10.3389/fnut.2025.1676080

Yuki Kihara: Darwin in Paradise Camp - The Whitworth, Manchester

3 October 2025 – 1 March 2026

'A visually stunning exhibition centring Indigenous, queer worlds by Japanese-Sāmoan artist Yuki Kihara.

The Whitworth is proud to present Yuki Kihara’s acclaimed installation Paradise Camp (2022), first presented at the Aotearoa New Zealand Pavilion in the 59th Venice Biennale in 2022, and a new video work, Darwin Drag (2025).

Kihara delves into art histories and archives to unpick the effects of colonialism on the peoples and ecologies of the Pacific. Her visually compelling projects centre and empower the Fa’afafine and Fa’atama in Sāmoa, traditional yet marginalised third gender communities to which the artist belongs. In this exhibition, Kihara focuses on two celebrated Western figures – French modernist artist Paul Gauguin and evolutionary biologist Charles Darwin (1809-1882) – who each shaped Western understandings of the Pacific.

Paradise Camp responds to famous paintings of Tahiti and its people by French modernist artist Paul Gauguin (1848-1903). Through archival research, Kihara links Gauguin’s paintings to colonial photographs taken in Sāmoa. Described by Kihara as an act of 'upcycling', she recreates Gauguin’s compositions in a series of 12 resplendent high definition photographs, shot on location in Upolu Island. Collaborating with Fa’afafine models and production crew, Kihara repurposes these cultural artefacts to speak to, and from, queer Indigenous worlds in a profound gesture of reclamation.'

Continued ... 
https://www.whitworth.manchester.ac.uk/whats-on/exhibitions/yukikihara/

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My source:

Josh Lustig. Yuki Kihara, Gallery, FT Magazine, November 22, 2025, #1152. pp.12-13.

Anti-Science countermeasures ...

'We are pleased to announce the winners for the 2025 Nature Awards for Standing Up For Science - The John Maddox Prize.

We are proud to announce that our Maddox Prize winner is Virginia Burkett, United States Geological Survey. Judges were impressed by her persistence, as a government adviser and an expert in coastal systems, in the face of opposition.' ...

https://www.nature.com/immersive/maddoxprize/winners/index.html

Virginia Burkett's five 'tips for resisting the anti-science lurch'

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2. KEEP RECEIPTS (your memory) know your institution's scientific integrity policy	2. Never compromise on scientific integrity
3. Find allies 5. Be prepared for setbacks, e.g. relying on family and religious faith.	keep receipts (your defence) 4. KNOW YOUR INSTITUTION'S  SCIENTIFIC INTEGRITY POLICY

My source:

Anjana Ahuja, Tips for resisting the anti-science lurch, Opinion, Research. Financial Times, Wednesday 5 November, 2025, p.20.

Auction: Twenty-two photographs of psychiatric patients at the Surrey County Lunatic Asylum [1850s]

DIAMOND, Dr Hugh Welch (1808–1886)

Twenty-two photographs of psychiatric patients at the Surrey County Lunatic Asylum [1850s]

Estimate - GBP 100,000 – GBP 200,000

Christie's London - December 10th 2025

https://www.christies.com/en/lot/lot-6564110?ldp_breadcrumb=back

Asylum patient by Hugh Welch Diamond, c1850-58
Hugh Welch Diamond (English, 1808-1886)
Public domain, via Wikimedia Commons

'The women Iook out at us across 170 years of history with a variety of expressions - bold and shy, serene and distressed. Yet all of them were regarded at the time as "lunatics". These faces were the  subjects of a pioneering project by the 19th-century psychiatrist Hugh Welch Diamond, superintendent of the female division of an asylum in London and the world's first photographer to take pictures of patients for the purpose of diagnosis and therapy.

Twenty-two of Diamond's asylum portraits - the largest surviving group - will be put up for auction on December 10 at Christie's in London, as part of a sale of books, manuscripts and photographs from the library of The Royal Society of Medicine. If they achieve their estimated prices, RSM, a membership charity, will raise more than £2mn to invest in physical and digital infrastructure.' ...

'Diamond was working at a time when society's views of people suffering from mental illness were changing. The earlier practice of shutting patients away in secure "madhouses" was giving way to more humane treatment. Diamond seems to have believed that photography would help doctors both to diagnose and to treat patients. His diagnoses were based partly on the idea, popular in Victorian medical circles, that an individual's physiognomy - their physical features, particularly the face - could reveal their mental state.

"He wanted to make people better and put them back into the world," says Sharrona Pearl, a medical historian at Texas Christian University who has studied Diamond's work. "He also enjoyed experimenting and liked the idea of bridging his expertise in medicine and photography.' p.32.

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Mental Illness PERSON - SUBJECT Patient's names not recorded Portrait - Consent?	Diagnosis and Treatment person - DATA - SUBJECT Photography as records Eagerness to classify - label
Social history Change in social attitudes Stigma and fear of mental illness Current relatives?	Confidentiality Institutional change Power imbalance Shift from 'custodial' to health care

My source:
Clive Cookson, Mind Hunter, FT Magazine, November 15, 2025, 1151, pp.30-34.

I have noticed Prof. Brendan Kelly is a regular FT respondent, as with this article:

'These photographs were likely to have been taken without meaningful consent and in the context of power imbalance. Yet publication can reclaim their individuality, address historical injustice and underscore our common humanity. Compassion, respect and humility should guide decisions. 

 Proceeds should support medical, educational, or justice-oriented programmes. Most importantly honouring forgotten patients of the past demands better care for people with mental illness today, who often languish, neglected, in homeless hostels or prisons. We can do better.'

Brendan Kelly Professor of Psychiatry, Trinity College, Dublin, Ireland.

Letters, FT Weekend. 22-23 November 2025, p.10.

See also: 'asylum' : 'photos'

Abstract accepted: 6th World Conference on Complex Systems - WCCS 2026

April, 20-22, 2026

Mohammed VI Polytechnic University, Ben Guerir-Marrakesh, Morocco

About Us

Building on the success of previous editions, we are delighted to announce WCCS26, organized by the Chair of Complexities ∞ Humanities - UM6P and the Moroccan Society of Interdisciplinary Studies, with technical sponsorship from IEEE. This conference remains a premier international platform where researchers and Ph.D. students come together to share cutting-edge research, address emerging challenges, and explore new frontiers in complex systems and interdisciplinary science.

WCCS26 fosters collaboration and debate on the most advanced methodologies and approaches for understanding, modeling, simulating, predicting, and mastering societal, ecological, biological, and engineered complex systems. By bringing together experts from diverse disciplines, the conference bridges theory and real-world applications, driving scientific progress and innovation.

Join us for a stimulating exchange of ideas at WCCS26!

WCCS26 Theme :

Navigating Contemporary Complexity:
Transdisciplinary Approaches to Economic, Social,
Political, and Environmental Challenges

Conference Topics (But not limited to...) :

• Foundations and Approaches to Complex Systems
• Social and Economic Complexity
• Complexity in the Anthropocene
• Biological Complexity: From Cells to Societies
• Complexity in Health and Medicine
• Philosophical Dimensions of Complexity
• Complex Systems With Artificial Intelligence
• Complexity in Emerging Technologies
• Grand Challenges in Complexity Science
  
  

Continued at: https://wccs-conference.org/wccs26/#call

See also: 'complexity'

n.b. I am attending (unsponsored) as an independent scholar and researcher.

Invitation to EPI-WIN webinar: 1 Dec, on UNiTE to end digital violence ...

... why digital safety is a gender and public health imperative in emergencies

UNiTE to end digital violence:
why digital safety is a gender and public
health imperative in emergencies

We are delighted to invite you to join our webinar on #UNiTE to end digital violence, on 1 December 2025, 13.00 CET (geneva time), with Ms Reem Alsalem, UN Special Rapporteur for violence against women, its causes and consequences, Dr Stella Chungong, Director and Chair of the WHO Health Emergencies Gender Working Group, and voices of community experiences.  

Please do join the discussion and share widely.

Title: UNiTE to end digital violence: why digital safety is a gender and public health imperative in emergencies

Time and Date: 13:00 – 14:30 CET (Geneva), Monday, 1 December 2025

Registration: https://bit.ly/4prKGeu

Webpage: WHO EPI-WIN webinar: UNiTE to end digital violence: why digital safety is a gender and public health imperative in emergencies

Digital violence, such as doxxing, deepfakes, and online harassment, poses significant public health risks. Millions of women, girls, and adolescents face harassment, stalking, and threats in digital spaces meant for connection.

In crisis settings, these digital threats create multiple challenges. Understand what they are and why it is important to integrate digital safety into humanitarian health responses.

Tentative Agenda and Speakers

Welcome/Opening remarks: Digital safety as a public health imperative in crises:  Dr Stella Chungong, Director, Department of Health Emergency Preparedness & Chair, WHE Gender Working Group

Preparedness begins with protection: why digital violence must be addressed in humanitarian health work: Dr Stella Chungong, Director, Department of Health Emergency Preparedness & Chair, WHE Gender Working Group

UNFPA perspective from Executive Director, UNFPA: delivered by Dr Eugene Kongyuy, Deputy Director of Humanitarian Response Division to represent the United Nations Population Fund (UNFPA).

Keynote address: Ms Reem Alsalem, UN Special Rapporteur for Violence Against Women, its causes and consequences

Risk communication, community engagement and infodemic management: digital violence as a driver of misinformation: Dr Kai Von Harbou, Unit Head, Community Protection & Resilience, WHO 

Surviving Digital Violence: DR Millie Phiri, journalist, researcher and author on digital violence

Community Voice:  Ms Sohaila Shamseldeen, Youth and Development Coordinator, Etijah

Interesting ... 'Incidence structure(s)'

Unsurprising, in studying 'Hodges' model, I've been aware of Wilfrid Hodges and model theory for many years.

Now, trying to look at (Brian) Hodges' model using maths, I've wondered about possible connections with Wilfred Hodges' work.

Dr W. Hodges was listed in searches on lines, axes, and structure:

'Algebraists and geometers like to classify structures by the laws which they obey. A typical law for incidence structures reads:

"For any two different lines L and M, there is exactly one point which lies on both L and M."'

My imagination may be getting the better of me, but there seems something profound in the intersection of the model's two axes and the care - knowledge domains that are created (proposed - adopted..)?

So, is Hodges' model a form of 'incidence structure', or does it contain several incidence structures? 

Hodges, W. (1985). Truth in a Structure. Proceedings of the Aristotelian Society, 86, 135–151. http://www.jstor.org/stable/4545041

If "mechanism-based approach to theorizing offers an encompassing way ...

... to think about social and ecological phenomena":

What if there was a model that could encompass 
mechanism-based and humanistic-based theorising?

'A core challenge of studying ecosystems and societies as one system is integrating social and ecological theorizing. Although the social and the ecological intertwine in multiple ways, much traditional theory focuses on one or the other (Schlüter et al. 2022). Despite good intentions, attempts for integration are often only partially successful. One reason for this is the apparent incommensurability of methodological and theoretical approaches. However, the mechanism-based approach to theorizing offers an encompassing way to think about social and ecological phenomena by framing them in terms of entities and their interactions. Mechanism-based theorizing has been gaining popularity in science philosophy (Machamer et al. 2000, Craver 2007, Glennan and Illari 2017), including social sciences philosophy (Elster 1989, Hedström and Swedberg 1998, Hedström and Ylikoski 2010) and philosophy of ecology (Pâslaru 2017, González del Solar et al. 2019). It has helped to resolve many traditional problems related to scientific explanation and it is consistent with the way in which social and natural scientists talk about theorizing, causation, and explanation.'

 

Fig. 1. The social-ecological expansion of Coleman’s diagram.

Martínez-Peña, R., & Ylikoski, P. (2024). Coupling social and ecological mechanisms with the Coleman boat. Ecology and Society, 29(4). https://doi.org/10.5751/ES-15209-290406

See also: 'micro' : 'macro' : 'Bunge'

The Silent Pandemic? The Global Rise of Early-Onset Colorectal Cancer - via HIFA

Last year, a team at The Christie NHS Foundation Trust in Manchester, UK published a real-world analysis of 203 patients with early-onset colorectal cancer (eoCRC). The study showed a dramatic surge in cases over a short period, with over half of patients presenting with metastatic disease, predominantly left-sided tumours, and a median symptom duration of just 3 months before diagnosis. The authors warned that eoCRC could represent an "evolving pandemic." 

See - http://doi.org/10.1093/oncolo/oyae239

Since then, incidence continues to rise across all continents, with similar patterns emerging in multiple national and international datasets.

Why This Matters for the HIFA community

• eoCRC is rising rapidly among people in their 20s, 30s, and early 40s.
• Most cases are sporadic, suggesting major gaps in understanding modifiable and early-life risk factors.
• Awareness among young adults and clinicians remains limited, contributing to delayed presentation.
• Meanwhile, short-form social media (e.g. TikTok reels) and AI-driven content are now the dominant information sources for young people - creating both opportunities and risks for public health.

Introducing Our Upcoming Initiative

We, the Special Interest Group in Digital Health & AI at WHO/Europe Youth4Health network, are launching a global project to develop evidence-based communication guidance for raising eoCRC prevention and awareness among young adults. The project will:

• Convene clinical specialists, youth advocates, communication scientists, social-media creators, and digital-health experts.
• Identify which prevention and awareness messages should be prioritised for youth.
• Define how these messages can be adapted effectively for short-form platforms such as TikTok and Instagram Reels.
• Examine how generative AI can support safe, accurate, and engaging content creation.
• Co-design prototype posts to illustrate how the consensus messages can be translated into youth-appropriate communication
• Our aim is to bridge the gap between emerging science, behavioural insights, and contemporary digital communication channels.

Why We're Sharing This Here

As we shape this work, we're keen to learn from the HIFA community:

• What approaches have you seen succeed in raising awareness of cancer symptoms among younger populations?
• Are there youth-driven or co-designed campaigns that we should look to as models?
• What are the risks you foresee when using short-form social media or AI tools for public-health communication?
• What considerations are especially important in LMIC contexts?
• How can we strike the right balance between urgency and fear-avoidance when communicating about cancer to young adults?

eoCRC incidence is increasing rapidly and globally. Communication strategies - particularly those targeting young people - have not kept pace with this trend. We would greatly value your insight and experience as we develop this work.

HIFA profile: Kathleen Guan is a multidisciplinary researcher passionate about all things digital behavioral health and (global) community engagement. Her PhD research focuses on involving young people in the co-design of personalized AI and emerging technologies, including adaptive mobile apps, LLMs, neurotechnology, and social media reels. By developing novel participatory approaches with a focus on preventative and precision health, Kathleen aims to inform how digital tools can meaningfully enhance everyday life and help reduce mental health challenges alongside chronic disease risks. To achieve this, she prioritizes community-based implementation by working closely with stakeholders across healthcare, engineering, policy, industry, education, and the arts.

Kathleen previously studied human rights and developmental neuroscience (BSFS, Georgetown; MRes, UCL) and has experience in public health and digital innovation (with WHO, Johns Hopkins, Yale, Qatar Computing Research Institute, various early-stage digital health start-ups) as a research collaborator and advisor. She chairs the Special Interest Group in Digital Health & AI within WHO Europe's Youth4Health Network. Kathleen has resided in 7 countries and worked in diverse settings across Asia, North America, and Europe, fostering her deep commitment to global health equity. She is always open to collaboration for social impact and can be found at https://www.linkedin.com/in/kathleenwguan/.

NW England: NIHR Health & Care Professional (HCP) Internship Programme 2026

Dear CHAIN member,

We would like to draw your attention to the following opportunity. Please pass on as appropriate. Thank you.

NIHR Health & Care Professional (HCP) Internship Programme 2026

Are you a Nurse, Midwife, Allied Health Professional, Pharmacist, Healthcare Scientist or working in Social Care, Social Work, looking to embark on a practitioner research career and make a difference through undertaking high quality research?

Do you have the drive and ambition to be a future research leader?

NHS R&D North West is pleased to announce that alongside its regional partners from NHS Trusts, Professional Networks and HEIs it will be delivering the NIHR Health and Care Professional Internship Programme across the North West Region of England in 2026.

There are 23 places available on this highly prestigious 12-month programme providing predoctoral tailored and bespoke learning and development to the full range of health and care professions (not including doctors and dentists) across the full range of research related career aspirations i.e. from a desire to increase research awareness within clinical practice up to and including providing individuals with a strong foundation on which to build a research related career.

The internship provides a funded opportunity for early career health and care researchers with dedicated time away from their substantive role to engage in research-based activities.

Closing date for online applications, 5pm 19th December 2025.

For more details please see:
https://research.northwest.nhs.uk/our-work/nihr-health-care-professional-hcp-internship-programme/

Regards,

Irina Johnston

CHAIN Administrative Assistant

If you wish to publicise information on the CHAIN Network please email your request to: 

enquiries AT chain-network.org.uk

CHAIN - Contact, Help, Advice and Information Network – is an online international network for people working in health and social care. For more information on CHAIN and joining the network please visit website: www.chain-network.org.uk

Follow CHAIN on X: @CHAIN_Network ; Connect with CHAIN on LinkedIn