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Panel

Social Epidemiology: Public Health + Social Movements | Future of Health Summit 2023

  • Global life expectancy is projected to decline due to social determinants despite biomedical advances, with the trend expected to persist in the United States as societal structures weaken.
  • International and corporate cooperation is anticipated to erode into adversarial postures and litigation, reversing the alignment seen during the early pandemic.
  • Grassroots activism following the 2012 Sandy Hook tragedy is expected to drive legislative change at state and federal levels, shifting the political calculus on gun safety.
  • Youth awareness regarding the link between nicotine and mental health is predicted to fuel the success of campaigns like "Depression Stick," though regional variations in tobacco control outcomes will remain.
  • Smoking rates in "Tobacco Nation," spanning from Michigan to Louisiana and North Carolina to Oklahoma, are forecast to stay high due to insufficient vaccination, regulation, and pricing measures.
  • HIV is expected to remain a persistent health equity issue with approximately 15,000 deaths and 35,000 transmissions annually, disproportionately affecting Black, Brown, and Southern populations.
  • Tobacco industry marketing targeting vulnerable communities, such as the Black and LGBTQ demographics, is expected to continue exacerbating health disparities.
  • The gun industry faces anticipated legal challenges to 2005 civil immunity and research prohibitions, alongside efforts to stigmatize manufacturers and link specific brands like Glock to crime.
  • Strategies for gun safety legislation are expected to include state-by-state approaches to mirror marriage equality successes, while facing constitutional hurdles that necessitate careful navigation to avoid legal setbacks.
  • Future gun safety innovations are projected to include safer product features like palm print recognition and weighted triggers to mitigate negligent storage and teen suicides.
  • Gun safety is expected to emerge as a potent political issue among suburban, female, and minority demographics, potentially without political penalty for Republican candidates.
  • Financial institutions like Citi, American Express, Visa, and MasterCard are expected to deepen involvement in social issues, exemplified by new merchant codes for gun purchases.
  • Corporate domestic partnership benefits are anticipated to serve as social indicators and leverage points for movements like the Respect for Marriage Act, driven by younger workers aligning values with employers.
  • The private sector is expected to play a larger role in health by shaping culture and providing cessation access, as the focus shifts from general tobacco control to a "tobacco end game" aimed at industry denormalization.
  • Tobacco sales restrictions modeled on New Zealand's birth-year bans are expected to be part of a global trend to denormalize use, though current success in the "Truth Campaign" and tax measures remains uneven.
  • Social media companies face a critical choice between using data to prevent retaliatory violence or allowing platforms to fuel conflict.
  • The stigma surrounding HIV is expected to diminish only when non-positive individuals share stories and policymakers enact actionable changes, requiring social movements to combine noise with active listening.
  • Global tobacco regulation is expected to shift toward generational bans, while the gun industry is pressured to adapt products to prevent black market sales and negligence.