Focus of preventive medicine in the 1st half of the 20th century
Magic bullet pills, sanitation, immunizations,
Focus of preventive medicine in the 2nd half of the 20th century
Surgeon general’s strategic directions
Increase the # of Americans who are healthy at every stage of life by promoting 1) Healthy/safe communities 2) Preventive services 3) Empower people 4) Eliminate disparities
7 prevention priorities
Tobacco, drugs/alcohol, diet, exercise, mental health, sexual health, violence.
Prevention for CVD
Avoid foods high in saturated fat and eat whole foods.
How many of US cancers are attributed to diet (salt-cured, pickled and smoked foods especially)?
30-60%. Eating berries, cruciferous food, broccoli, brussels sprouts can reduce cancer. Diet can reduce cancer by 1/3.
Best way to BBQ to avoid carcinogens
Deeper BBQs or gas BBQs
Disparities in communities with low SES
Fewer grocery stores, fewer places to exercise
What is responsible for the rise in dental caries over the past 30 years?
Bottled water and water filters that take out the fluoride
How can you prevent myopia?
Get higher power lenses when reading fine print or working on the computer so you don’t strain and your focal point does not become closer over time.
What kills more people, suicide or homocide?
For every 2 homocide victims, 3 people die from suicide.
Best way to promote patient compliance and adherence
Formation of a therapeutic alliance: listen to patient, keep prescription simple, repeat information, be specific, find out about patient’s worries, acknowledge adherence at every visit, provide information about diagnosis and cause.
When do patients keep appointments better
When they make their own appointments