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1

Dental Public Health Definition

____ and ___ of ___ and ____ ____ ____ and ____ ____ ____ thru ___ ____ ____

“Dental Public Health is the science and art of preventing and controlling dental diseases and

promoting dental health through organized community efforts”

2

Dentistry and Public Health

Who do we focus on?

Goal or Target ____ _____/ ____ ____

Type __ __ __/ ___ ____ ___ ____

We think about ____ _____/ _____

Research ____/____

Individuals/ Populations

Disease diagnosis, treatment and care for indiv/ Comm disease prevention and promotion

 

Prosth, Endo, ortho/ Epidemiology, occupational health, environmental health, nutrition

 

Biological Sciences; guided by needs of patients/ Major threats to the health of the popl

Research: Lab-->Chair/ Lab--> Field

 

3

We are seeing a rise in 

___ ____ and ____

oral cancer, oropharyngeal cancer and consequenses of exposure to HPV

4

Major areas of Public Oral Health Care

p___ m__ and a____

r____

o___ h___ p____

d___ s____

h____ p____

»Program Management and Administration
»Research
»Oral health promotion
»Delivery systems
»Health policy
 

5

Fluoridation

When we think about dental public health and the major contributions of dental public health measures that improved our quality of life, the ____ and most ___ and ____ implementation was fluoridation. 

After fluoridation started in 1945 in Grand Rapids, ____ studies show a marked and consistent ___ in dental ___

When we think about dental public health and the major contributions of dental public health measures that improved our quality of life, the easiest and most popular and famous implementation was fluoridation. 

After fluoridation started in 1945 in Grand Rapids, Michigan studies show a marked and consistent decline in dental decay.

6

Fluoride levels

 

About ____ of the US water receives fluoride and the target for Healthy People 2020 is that ____ of the country have access to fluoridated water. 

these levels are determined by ____ & ____

About _____Texans drink fluoridated water every day and across the country this number is close to ____

 

About 74.6% of the US water receives fluoride and the target for Healthy People 2020 is that 79.5% of the country have access to fluoridated water. 

these levels are determined by the existing concentration of fluoride in the water and also temperatures

About 20 million Texans drink fluoridated water every day and across the country this number is close to 210 million.

 

7

Hydrofluosilicic acid

The most ____ ___ ___ ____

AKA ____ ____ and ____

slg

Formula

may be ___ into ____ or may be ____

popular choice many treatment plants bc: and ____ to ___

However it can be ____ to ____ since its _____ _____ ___ and ___ than others

 

 

 

the most commonly used fluoridating chemical. 

This acid, also known as fluorosilicic acid, hexafluosilicic acid, and silicofluoric acid, is a liquid with the formula H2SiF6. 

The liquid may be fed directly into the raw water or may be diluted. 

Hydrofluosilicic acid is a popular choice in many water treatment plants because it is usually the least expensive fluoridation chemical and is the easiest to feed.  However, it can be expensive to ship since it is a liquid and is heavier than the other fluoridation chemicals.
 

8

The other two commonly used fluoridation chemicals are ____ ___

Sodium silicofluoride, AKA ___ ____ 
Formula
Solubility which makes it difficult to ____ and ___

 

NaF
lso dry, but is___ to ____ than other powdered fluoridation chemicals because it is ___ soluble in water.
was the ___ chemical used in fluor and is still ___
Not used in large plants bc ___ and _____

Dry powders

 

Sodium silicofluoride, also known as sodium fluorosilicate and characterized by the formula Na2SiF6, has limited solubility which makes it difficult to dissolve and use.  

Sodium fluoride, NaF, is also dry, but is easier to feed than other powdered fluoridation chemicals because it is more soluble in water.  Sodium fluoride was the first chemical used for fluoridation and is still used in small installations, but it is not generally used in large plants because of the high cost of chemicals and bulky saturators. 

 

9

Water Fluoridations

Although the results are so ____ and definitive, fluoride remains the topic of strong ___.

Very recent there is a movement to ___ fluoridation in ___ and claiming that if they stop fluoridating the public water supply they will save _____

 

Although the results are so conclusive and definitive, fluoride remains the topic of strong debate. Very recent there is a movement to stop fluoridation in Dallas and claiming that if they stop fluoridating the public water supply they will save 1 million/year. 

 

10

Dr. Lawrence Wolinsky

Dr. Lawrence Wolinsky is dean of Texas A&M University Baylor College of Dentistry.

What did he do?

Dallas currently fluoridates the water at ____.

The fate of water fluoridation in Dallas is still ____, they need to vote to renew a___ ___ ___ to ____ the addition of fluoride in the city water.

My opinion is___ stopping water fluoridation, evidence is strong that it is beneficial for the population but we cannot ignore that life now is different than in the 20th century and we get fluoride exposure in many ___ ___.

 If they indeed stop fluoridating Dallas City water we will only know the real consequences in ____ years if there are enough well-____ ____ studies looking at prevalence and incidence of tooth ___y along with all sources of ___ ___

 Such studies will cost much more than __ million in 3 years

 

Dr. Lawrence Wolinsky is dean of Texas A&M University Baylor College of Dentistry. Published an opinion article at the Dallas News on May 1st 2014.

Dallas currently fluoridates the water at 0.4ppm. 

The fate of water fluoridation in Dallas is still undecided, they need to vote to renew a 3-year contract to finance the addition of fluoride in the city water. My opinion is against stopping water fluoridation, evidence is strong that it is beneficial for the population but we cannot ignore that life now is different than in the 20th century and we get fluoride exposure in many different ways. If they indeed stop fluoridating Dallas City water we will only know the real consequences in several years if there are enough well-designed epidemiological studies looking at prevalence and incidence of tooth decay along with all sources of fluoride exposure.  Such studies will cost much more than 2 million in 3 years

 

11

City of Houston

___ of ___ 2010 Survey (PI: S. Linder, PhD)

»Provide ___ information about ___ residents

»Follow-up survey under ___ – UT School of ___ ___

»UTSD is collaborating with ____  for the follow up survey
 


»Health of Houston 2010 Survey (PI: S. Linder, PhD)

»Provide health information about Houston residents

»Follow-up survey under planning – UT School of Public Health

»UTSD is collaborating with questions for the follow-up survey
 

12

Health of Houston 2010 Survey (PI: S. Linder, PhD

objective of providing ___ ___ about Houston residents

there is a follow-up survey under planning and because of the results of the first survey we submitted a block of ___ questions for the follow-up survey.

I followed up with Dr. Linder in February and they were still working on gathering ___ for the next survey but he was optimistic!

objective of providing health information about Houston residents

there is a follow-up survey under planning and because of the results of the first survey we submitted a block of ten questions for the follow-up survey.

I followed up with Dr. Linder in February and they were still working on gathering funds for the next survey but he was optimistic!

13

And one of the surprising and unexpected results of this survey only ____% of surveyed adults (they surveyed over ___ adulsts) had ____ during all ____.


In the followup survey we hope to 

We proposed questions such as _______, _______, ______,

is that only 42% of the surveyed adult residents – and they surveyed over 5,000 adults, had dental insurance during all 12 months. In the follow-up survey we hope to collect more data – we proposed questions such as: how do you perceive your oral health, do you have your natural teeth; frequency of dental visits, cleanings and check-ups.

 

14

Public Health

____ Science

____ health

Recognized as a specialty since ____

 

 

 

 

 

 

 

 


»Evolving Science

»Population health

»Recognized as a specialty since 1951

 

15

Oral health in America:
A Report of the Surgeon General
 

Dr. _______

Published in ____

Lack of ___ of ____ of ___ ___ among the public

Marked disparity bw ___ and ____ groups in relation to ____ and ____

 Brought awareness from policy makers that ___ ___ should be part of ___ ___


»Dr. David Satcher, Surgeon General
»Published in 2000
»Lack of awareness of the importance of oral health among the public
»Marked disparity between racial and socioeconomic groups in relation to oral health and overall health issues

Brought awareness from policy makers that oral health should be part of general health

16

Oral health in America:
A Report of the Surgeon General
Key points

»“That oral health means much more 
»“That oral health is ___  to general health
»“Safe and effective disease prevention measures are available for ____ ____ ____ and ____ ____ however, there are profound ____ in the ___ 
»“____ ____ and ___ ____also effect ____ & ____health”

 


»“That oral health means much more than healthy teeth”
»“That oral health is integral to general health”
»“Safe and effective disease prevention measures are available for improved oral health and disease prevention, however, there are profound disparities in the oral health of Americans”
»“Tobacco use and poor diet also effect oral and craniofacial health”

 

17

Oral health and General health
“A window to your overall health”

Diseases with links to oral health (echo pd)

E___

C____
P____
D____
H___
O____

 


»Endocarditis
»Cardiovascular disease
»Pregnancy and birth
»Diabetes
»HIV/AIDS
»Osteoporosis
 

 

18

Government Initiatives

Healthy People

Centers for Disease Control
(CDC)

World Health Org (WHO)

19

Healthy People

  • ___ based
  • Objectives to ____ 
  • ____ Oral Health Objectives (Oral health ____, public health ____)
  • Years
  • "A society in which all peeps ____"

  • Evidence-based
  • Objectives to improve health of all Americans
  • 17 Oral health objectives (oral health interventions, public health infrastructure)
  • Healthy People 2000; 2010; 2020
  • “A society in which all people live long, healthy lives”

20

US Healthy People 2020

____ ____

____ ____

_____ _____

»Clinical recommendations
»Community Interventions
»Consumer Information
»http://www.healthfinder.gov/prevention/

 

21

Centers for Disease Control
(CDC)

  • A member of the Department of ___ and ___ ____
  • Current Oral Health budget:
  • Texas funding
  • ____ ___ ___ ___ Plan (years)
  • Apprx ____ children elibible for _____ (       )

»A member of the Department of Human and Health Services
»Current Oral Health Budget $ 14.4 million
»Texas receives funding (ranges from $235,000 - $355,000) per year from CDC
»Oral Health Strategic Plan 2011-2014
»Approximately 732,000 children eligible for SCHIP (Texas Children's Health Insurance Program)
 

22

A few facts about Texas (2009)

Dental Schools

Hygiene schools

% fluoridated water

UTSD is partner of ___ ____ of ____ ____ ____

»3 dental schools
»21 dental hygiene schools
»78% of population public water receives fluoridated water
»UTSD is a partner of the Texas Department of Health State Services

 

23

World Health Organization
(WHO)

  • Def of health: _ _____ __ ______ ___ _____; a ____ for ___ ____
  • ___ policies in oral health promotion
  • Oral disease ____
  • Target groups:

»Definition of health: “A capacity to respond to challenges” a resource for everyday life

»Global policies in oral health promotion

»Oral disease prevention
»Target groups: School children, youth and elderly
 

24

WHO and its global strategies for oral disease prevention and health promotion

  • Reducing ___ ___ ___ and ____, esp in ____ ____
  • Prevention and control of ____-____ _____
  • Promotion of ____ ____
  • Appropriate ___ to ____


»Reducing oral disease burden and disability, especially in underserved populations

»Prevention and control of non-communicable diseases
»Promotion of healthy lifestyles
»Appropriate exposure to fluoride
 

25

Oral health promotion in schools

»Why schools are a good place for health promotion?

  • ____
  • _____
  • ____ and ____ ___ for ___ ___

»Why schools are a good place for health promotion?
»Access to adequate water supply
»Safety : less accidents and dental trauma
»Physical and educational environment for healthy habits
 

26

New millennium challenges

____ of the ____

____ in ___ ___

____ in ___ ___ ___ ____

»Aging of the population
»Modification in disease patterns
»Changes in oral health coverage policies