Carol Litten Touloukian, MD
With the exception of safe water, no other
intervention, not even antibiotics, has had such a
major effect on mortality reduction and population
Severe, high-mortality, high-morbid
What is Environmental Tobacco
Definition: Environmental tobacco smoke (ETS)
is a mixture of particles that are emitted from the
burning end of a cigarette, pipe, or cigar, and
Car Seat Rules
According to the AAP:
Always use a car safety seat, starting with your baby's first
ride home from the hospital.
Never place a child in a rear-facing car safety seat in the front
Bioterrorism and Children
What is Bioterrorism?
Bioterrorism involves the intentional or
threatened use of viruses, bacteria, fungi,
toxins from living organisms, or chemicals,
to produce death or disease in humans,
V450 Exam 2 Study Guide
A $100 Billion Idea Tapping Migrants for Financing Development
o In 2015 over $100 billion was raised by mobilizing diaspora savings, reducing
remittance costs, reducing recruitment costs, and mobilizing diaspora giving.
V450 Final Study Guide
Why do people migrate?
o The world distribution of opportunities is extremely unequal.
o More than 75% of international migrants go to a country with a higher level of
human development than their
V-450 Homework 3
a) It allows developing countries to access international markets by having these bonds
with a credit rating that is usually investment grade. Developing countries can borrow
money cheaper with the lower rates on these se
V450 Exam 1 Study Guide
o United Nations Sustainable Development Goals have huge funding needs
o Estimated that $4.5 trillion per year in investment will be required in developing
countries between 2015 and 2030
V450 Homework 2
2024 has the largest amount of principal and interest amount due.
Yes, they are investment grade.
When the bond was issued Pana
a) Ghana is located in the eastern part of Africa. It is surrounded by Ivory Coast, Brukina
Faso, and Togo. To Ghanas south in the Gulf of Guinea.
b) Ghana has operated under a stable democracy since 1992, and in 2016 Gha
Hesiod wrote during the Archaic period
o Before the archaic is the dark ages
o Before Mycenaean
The first generation of gods
o First there was chaos (empty space, the void, gap)
In Greek this means nothing was going on
o Then Gaia (the earth) , and
The Effects of Lead
Lead is toxic to many of your body's tissues and
enzymes. Children particularly are susceptible to
lead poisoning because it can accumulate in
their nervous system as their bodies grow and
Death by lead
What is WIC?
WIC is a special supplemental food and
WIC participants receive checks which
can be redeemed for specified nutritious
foods at designated grocery stores.
WIC participants also receive nutrition
education, nutrition counseli
Safety and Injury Prevention
Issues in Children and
What are they and how can they be
Cause of Death - 2000
Source: CDC Vital Stati
Early Newborn Discharge
Early Newborn Discharge
the past, mothers stayed in hospitals for a
week after normal deliveries
patients are not willing to give up a
week to stay in a hospita
What is UV?
Stands for ultraviolet radiation (rays)
UV rays are an invisible form of radiation that
Wheeled sports pose real dangers. Every year
around 11,000 11-16 year olds on skateboards,
roller skates and in-line
Health in the Juvenile Justice System
>100,000, 75% male, 60% black/Hispanic
50% increase over the last decade
40% repeat offenders - started crime younger
Disenfranchised from traditional healthcare
No medical home
How Children are Different - 4 Ds
Dependence on adults for accessing care
and implementing treatments
Different disease epidemiology from adults
Demographic characteristics unique to
childhood - school, living situations, etc.
Leading Causes of Death
Accidents - auto, drug or gun-related, risktaking behavior
Homicide - drug or gun-related
Suicide - males > females, drug or gunrelated
Cancer - leukemia, lymphoma, Hodgkins,
Laws vary by
Incidence of Exposure
6000 youth start smoking every day - half will
become daily smokers
1/2 of smokers start before age 14, 90% before 19
Higher than adults rates - 31% high school seniors
Higher smoking rates in low socioeconomic families
ETS in 4
What is an ATV?
(ATVs) are motorized,
vehicles that generally
weigh between 300 and
They have oversized,
A seat designed to be
straddled by the user
And handlebars for
Child Health Policy H455/V450: Course Description, Objectives and Grading Plan
Instructor: Carol Litten Touloukian, MD
[email protected] (preferred method of contact)
Office Hours: Before and after class or by appointment
Fall, 2005 - Tentative Syllabus Child Health Policy H455/V450 update 9/7/05
Monday, Aug. 29
Why should we care? Childrens Rights and the History of
Child Health as a Social and Legal Issue (1-32)
Wednesday, Aug. 31
How can we define the healthy child? Wha
Child Advocacy Project:
Form groups (2-4 per group) must submit to instructor
Topic selection due approval by instructor mandatory!
Background research summary due (15% of project grade)
Do the arts help the economy?
o Cultural secretary
o Saves the day by the ministry of arts not getting a huge budget cut in the UK
o How did she convince them art helps the economy?
30 January 2017
The Midrash presented explains a problem along with the solution to the line I am the
Lord Thy God due to this line coinciding with the ten commandments. This
Mitigating Strategies/ Politically Feasible
Strategic Entry Points
Goal 1: Increase participation by of people with disabilities who participate in USAID programs, particularly
participation by women and youth.
(how) is late
And why could that matter for NGOs?
Whats a paradigm?
the practices that define a scientific discipline at
certain point in time. (Thomas Kuhn)
Are culturally-based frameworks containing the