Lecture 8 Cultural Competence, HSAs, History of Prevention REV

Lecture 8 Cultural Competence, HSAs, History of Prevention REV

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PPD 230 Frankie Augustin, M.S.
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History of Prevention: The Healthy History of Prevention: The Healthy Lifestyle Lifestyle
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Obama-Healthcare Reform Cannot Wait…February 24, 2009 http://www.cnn.com/video/#/video/politics/2
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Prevention… Prevention… What is ‘prevention’? What are we preventing? Why is prevention important?
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Prevention and the Healthy Prevention and the Healthy Lifestyle Lifestyle Movement that focuses on everyday living with the fundamental understanding that the disease can be a consequence of making unhealthy choices. Its success relies on but is not limited to the viability of the built environment, the atmospheric environment, work/home/social environment and social economic status. The impact of sanitary reform, the development of public health and the motivation behind the development of healthy cities and health promotion are all components of the basic foundation that make up the healthy lifestyle
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Sanitary Reform Sanitary Reform Sanitary reform turned into a movement in England during the 1840s when it became clear that infectious diseases were linked to filth, unventilated spaces, and unsuitable drinking water. The physical living environment was an integral part of the filth equation, where city planning and growth was not regulated nor monitored by municipal officials. The industrialization era lured many to move into the city hoping to find work and this led to overcrowding. The lack of building regulations coupled with the growing urbanization created tight neighborhoods where living areas, sewers/waste removal, water mains and garbage lots all shared the same space.
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Sanitary Reform: Waste Sanitary Reform: Waste Removal Removal In 19 th century America, private-lot waste removal was the typical method where waste from households and businesses were funneled into a designated lot that was characteristically located within close vicinity of residences, food markets and shops. Pipes that drained privies overflowed polluted, sluggish water and excrement into alleys, yards and the streets. Rubbish was left on the streets until they were eventually picked up or devoured by scavengers or animals. New tenements continued to be built to accommodate the increasing number of immigrants which, of course, worsened the congestion, ventilation and limited sunlight.
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Figure 1. A New York Tenement in 1890. Figure 2. Back to Back Housing. Built this way to accommodate increasing city population. Note the narrow passage that separates housing entrances. Figure 3. Picture depicts source of Britain’s drinking water comes from the sewers. Captions say, “Give us clean water!,” “We shall all have cholera,” “What torrents of filth, some from that
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Sanitary Reform… Sanitary Reform… As a result diseases such as tuberculosis, cholera, and diphtheria spread increasing
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Lecture 8 Cultural Competence, HSAs, History of Prevention REV

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