Exam 1 Flashcards
Class description of “health”
Health is defined as an individuals personal perception and being capable of balancing their physical, emotional, spiritual, psychological and social-wellbeing.
However health can be changed based on internal & external factors.
Public health definition:
Organized efforts to improve the health of populations
Dynamic, multidisciplinary approach that combines behavioral/social sciences
Central goal for public health:
Reduction of disease & the improvement of health in a population
Population health definition:
the physical, mental & social wellbeing of defined groups of people and the differences in health between population groups
evidence based approach to analyze determinants of health and disease
Intervention and prevention to preserve and improve health
Healthcare (medicine) definition:
Maintenance or improvement of health via the diagnosis, treatment and prevention of disease, illness, injury & other physical or mental impairments
Traditional tactics public health practitioners used in the practice of public health management
1) controlling epidemics
2) ensuring safe drinking water & food
3) reducing vaccine preventable diseases
4) Improving maternal/child health
5) Surveillance of health problems
Modern focus on public health:
1) Obesity
2) injury
3) violence
4) bioterrorism
5) substance abuse
6) STI’S, HIV/AIDS
7) natural disasters
Role of public health administrator/manager (7-POSDCRB)
Planning- specifying goals, establishing priorities
Organizing- structure or plans to be implemented & goals accomplished
Staffing- assignment of personnel to roles
Directing- making decisions and communicating them
Coordinating- task of assuring effective interrelationships
Budgeting- fiscal planning, accounting and control
Reporting- transfer of information and assurance of accountability
3 core public health functions (AAP)
Assessment-Assurance-Policy Development
Discuss assessment:
collect, assemble, analyze & make available info on the health needed of the community
stats on health status
community health needs
epidemiological studies
Discuss assurance:
Oversight responsibility for ensuring that essential components of an effective health system are in place
agreed upon goals by encouraging actions by other entities (private/public sector) by requiring action through regulation or providing services directly
Discuss policy development:
Promote the use of scientific knowledge base in decision making about public health and by developing public health policy
STRATEGIC APPROACH
Developing evidence-based recommendations and analysis to guide public policy
10 Essential Services
MONITOR health status to identify community health problems
DIAGNOSE health problems/hazards in community
INFORM people about health issues
MOBILIZE community partnerships to identify and solve health problems
DEVELOP policies and plans that support individual and community health efforts
ENFORCE laws and regulations that protect health and ensure safety
LINK people to needed personal health services and assure the provision of healthcare
ASSURE a competent public health and personal healthcare workforce
EVALUATE effectiveness, accessibility & quality of personal and population based health services
RESEARCH new insights and innovative solutions to health problems
Major Historical Developments in order
Hellenistic Health
Latin Engineering & Administration
Middle Ages
Industrialization & Great Britain Influence
Emergence/Impact Bacteriology
American Colonies and Early U.S.
Public health 19th century
Public health 20th century
Key points of hellenistic health
Hippocratic oath- medicine as an empirical practice, still used by physicians today
4 humours- blood, black/yellow bile, phlegm
Humours reflected essential events of physical universe- fire, earth, air & water
ENVIRONMENTAL FACTORS ARE DETERMINANTS OF HEALTH
divided diseases into endemic (always present) & epidemic (occurring occasionally)
Body composed of which 4 humours
Blood
black bile
yellow bile
phlegm
Key points of Latin engineering & administration
Built on Greek beliefs- complex sewage and bathing facilities and systems
FOCUSED ON WATER DELIVERY SYSTEMS
Roman empire recognized relationship between SWAPS, MARSHES & DISEASE
Public Health was role of state, regulations extended to bathing, water supplies street cleaning & spoiled food
Key points in Middle Ages
2 MAJOR EPIDEMICS: BUBONIC PLAGUE (PLAGUE OF JUSTINIAN) AND THE BLACK DEATH
Plagues spurred action in communities to promote public health
After roman empire declined, CHRISTIAN CHURCH became presiding authority & took role of public health!
CHURCH focused on health of poor and underprivileged
BLACK DEATH KILLED 75-200 MILLION
QUARANTINE- 40 DAYS -separate acute from chronic disease
recognized need for collective action to promote public health
Key points for Industrialization & Great Britain Influence
London tripled in size
MALNUTRITION, OVERCROWDING, FILTH, POOR WORKING CONDITIONS contributed to severe disease outbreaks
Rise of typhus in NY-significant cause of death was due to increased immigration
EDWIN CHADWICK- sanitary reform
Epidemics attributed to fifth, stagnant pools of water, rotting animals/veggies & garbage!
Edwin Chadwick did what
Championed sanitary reform
poor suffered more diseases and disabilities compared to affluent populations
Report concluded that gross environments caused the poor health!! Disease attributed to miasma and foul odors