Lecture6-Public Health Practice

Lecture6-Public - 1 100 Years from Now… 95 reduction in infant mortality 1 of 2,000 infants die before 1 st birthday 30 years longer life

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Unformatted text preview: 1 100 Years from Now… ¡ 95% reduction in infant mortality ¡ 1 of 2,000 infants die before 1 st birthday ¡ 30 years longer life ¡ Average lifespan of 107 Improvements in Health Infectious Disease ¡ 900,000 less measles than 1941 ¡ 200,000 less diphtheria than 1921 ¡ 250,000 less whooping cough than 1934 ¡ 21,000 less polio than 1951 Unique Features of Public Health Science & Social Values ¡ Social justice perspective ¡ Inherently political ¡ Evolving expectations leading to expanding agenda ¡ Link with government ¡ Grounding in science ¡ Focus on prevention ¡ Uncommon culture 2 Public Health ¡ The art and science of maintaining, protecting and prolonging the health of the people through organized community effort Governmental Public Health ¡ Before 1908 ¡ No full-time county health officer ¡ 1910 – 1911 ¡ Epidemics of typhoid fever ¡ Between 1908 & 1934 ¡ 25% of county health departments ¡ Full-time health officer Governmental Public Health Growth of federal activities between 1930’s & 1970’s ¡ Social Security Act (1935) ¡ 1960’s ¡ Prevention & medical care became more coordinated 3 National Health Objectives ¡ Health strategy was initiated in 1979 ¡ Healthy People: The Surgeon General’s Report on Health Promotion & Disease Prevention National Health Objectives ¡ Objectives were based on multiple determinants of health ¡ Prevention strategies were targeted accordingly ¡ By 1987, half the objectives were met National Health Objectives ¡ Major declines in death rates gave hope ¡ Spurred next installment ¡ Healthy People 2000: National Health Promotion & Disease Prevention Objectives 4 National Health Objectives Healthy People 2000 ¡ 319 objectives; 22 priority areas ¡ Testimony from 750 people ¡ Three broad goals National Health Objectives Healthy People 2010 ¡ 467 objectives ¡ Added area of infrastructure ¡ 10 Leading Health Indicators National Health Objectives Healthy People 2010 ¡ Local public health problems must be identified & prioritized 5 National Health Objectives Healthy People 2010 ¡ Progress reports are available at http://www.healthypeople.gov/ Institute of Medicine Future of Public Health ¡ Findings ¡ Public health in disarray ¡ No clear, universal mission ¡ Tension between profession & politics ¡ Tension between medicine & public health ¡ Not many strategies to demonstrate expertise Institute of Medicine Future of Public Health ¡ To counter attrition of vigilance ¡ Collaboration ¡ Contributions of public health & current challenges ¡ Three core functions proposed 6 Three Core Functions 1. Assessment ¡ Collect, assemble & analyze ¡ Make information available Three Core Functions 2. Policy Development ¡ Comprehensive PH policies ¡ Based on scientific knowledge ¡ Health assessments ¡ Standards for local agencies Three Core Functions 3. Assurance ¡ Provide services to achieve goals ¡ By self or other agencies ¡ Through regulation or direct services 7 The Essential Public...
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This note was uploaded on 11/09/2011 for the course PUBLIC HEA 232 taught by Professor Berger during the Fall '11 term at Rutgers.

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Lecture6-Public - 1 100 Years from Now… 95 reduction in infant mortality 1 of 2,000 infants die before 1 st birthday 30 years longer life

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