[Trish]

Debbie I couldn't agree more about guilt and blame being self defeating. I worry about legitimate public health messages induucing guilt and self blame and I am unsure of the way forward but I think setting up an environment that encourages health is key. The reduction in smoking gives me some hope. I live in Australia and 25 years ago smoking was acceptable in public buildings,workplaces and a lot of people's homes and now it is unthinkable to smoke in restaurants and even in bars smoking is highly restricted. Reduced advertising has made a big contribution to that shift in mentality I'm sure. Perhaps restriction of advertising of high fat and salty fast foods would help reduce the prevalence and accepatability of "junk foods". I was mildly offended the other day when a paper bag advertising a well known hamburger chain blew into my garden-more than the littering I disliked the fact that the presence of the bag somewhat legitimises a product and more importantly a mentality that contributes to obesity. I was bemused by the fact that it wouldn't have bothered me in the past but the problem of obesity has shifted my thinking. I am far from a health puritan and actually benefit from the good role models around me. Seeing people out walking, riding and cycling always encourages me to keep up my level of activity. Design of cities that makes it easier and more pleasant to cycle and walk certainly helps people to integrate physical activity into their lives.The trick is to facilitate healthy lifestyles and discourage unhealthy habits without stigmatising those who are struggling. Easier said than done of course.
Trish