Health

Video | A life-course approach to hygiene

February 02, 2021

Global
Elizabeth Sukkar

Senior research manager

Elizabeth is a senior research manager in global health in the policy and insights team at Economist Impact. Prior to this, she was the managing editor and global healthcare editorial lead at Economist Intelligence Unit’s Thought Leadership division. She is the lead on global health projects that help build effective action to develop a sustainable health economy, with patients at the centre. She has led major research projects on universal healthcare, climate change and its impact on lung health, health literacy, digital health, cancer care, self-care, sin taxes, health financing and patient-centred care.  She is also the lead on The Economist Group’s World Cancer Initiative which has led to the development of new thinking in cancer care and is a key moderator at the Economist Impact Events’ such as the World Cancer Series, Future of Healthcare and Sustainability Summit. She is a member of the Royal Pharmaceutical Society, a fellow of the Royal Society for Public Health, and has two degrees: a bachelor of pharmacy degree from Monash University (Australia) and a Master of Science in International Health Policy from the London School of Economics (LSE). She has been a journalist and editor for more than 15 years, covering healthcare policy, R&D and science for medical journals and UK newspapers, including the British Medical Journal and the Guardian. Before joining The Economist Group, she was the deputy news editor at the Royal Pharmaceutical Society, where she ran the news and analysis desk and was often called to comment about healthcare issues on BBC radio. She also managed an international team of journalists when she was the world editor of Informa’s Scrip Intelligence, a global publication on pharmaceutical and healthcare policy, where she won the Informa Journalist of Year award. Before moving into journalism, Elizabeth worked as a pharmacist in community, hospital and health authority settings, and she maintains her pharmacist registration.

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Hygiene refers to the practices that help to maintain health and prevent the spread of diseases. While good hygiene is primarily about behaviours, the ability to practise them well is supported by having the appropriate infrastructure in place, such as access to clean water and soap.

Poor water, sanitation and hygiene (WASH) increases death rates and ill health, creates greater demand for healthcare interventions, widens social inequalities, and has repercussions for quality of life and the wider economy.

There are two main transmission routes for infection—the faecal-oral and respiratory pathways—and hygiene measures work by disrupting them.

Attaining good hygiene is complex, and it is becoming increasingly clear that a more holistic approach is needed that engages and empowers local populations, and is locally sensitive and sustainable.

The life-course approach, which has its origins in preventing or reducing the impact of non-communicable diseases through encouraging good behaviours while recognising the contribution of other factors, including environmental ones, could provide a useful framework for communicable disease and hygiene. Looking at hygiene through a life-course lens could form part of a smarter approach that embeds good hygiene behaviour from childhood (to gain the most cumulative benefit), and then reinforces it throughout a person’s lifetime to boost good hygiene practices if these start to wane.

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