Public Health-The Past, Present & Future

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A short view of the past 50 years of Public Health, how it has changed, how it will change in the future.

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Public Health Practice: How it Was, Is and Could Be. CMG Buttery, MBBS, MPH, FACPM Adjunct Professor of Public Health Dept. Epidemiology & Community Health Virginia Commonwealth University

How I started. 1946 Completed High School Military Service-RAMC-Lab.Tech. 1948 Completed Military Service entered Med School 1954 graduated Besides skills in trauma medicine, 20-30 major diseases for which we had reasonable intervention. Hospitals filled with children with communicable disease

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Global health is the health of populations in the global context; It has been defined as "the area of study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide".Health is a state of physical, mental, and social well-being in which disease and infirmity are absent. Global health practices can respond to some of the major health responsibilities such as non-communicable diseases (heart disease, diabetes, cancer, and chronic respiratory diseases) or injuries that occur in varying degrees in many countries, no matter how advanced. The guidelines set out the principles and practices that government can look at when making laws and regulating food programs. Inequality affects the health of the world. The future of global health is at risk and needs urgent strategies. Also, technology is contributing at a vast pace to overcome the various health challenges all over the world. For prevention of non-communicable diseases(NCD): Ban all forms of tobacco advertising, promotion, and sponsorship. Restrictions on the availability of retailed alcohol. Replacement of trans fats with polyunsaturated fats. Scale-up early detection and coverage starting with very cost-effective, high-impact interventions.

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Think of your local community. What health-related issue currently affects a large number of people within your community? How could research help address this issue? How would you go about obtaining more data on the health-related issue you identified? This is an opportunity for you to explore the practical application of how to create a plan to obtain data on a health-related topic, specifically in your community. Please respond in first person, share personal experiences to further develop your understanding of how evidence-based practice can affect health-related issues at the community level. Use as references: National Center for Health Statistics (NCHS) - National and state data sets as well as statistic reports. Information about ordering data sets that cannot be downloaded. CDC Data and Statistics page - much more than NCHS CDC WONDER - WONDER provides a single point of access to a wide variety of reports and numeric public health data. Agency for Healthcare Research and Quality - Data and Surveys Statewide Planning and Research Cooperative System (SPARCS) - Data dictionaries, documentation and request forms. No searchable data online. U.S. Census Bureau , Current census data including information broken down by state, city, and region. WHOSIS -- WHO Statistical Information System In two different paragraph give your personal opinion to Valencia Matilus and Malika Nelson, them do not need a different referents use the same as them. Valencia Matilus In the community in Florida many people are infected by the chronic illness hypertension is a common disease cholesterol, fatigues, and stress. Patients are major risks cardiovascular, stokes, and leading causes of death, respectively in the community. In 2016, 80,722 deaths were caused by high blood pressures. In 2014, high blood pressures were five times more deaths than it was in 2016. Hypertension has referred to high blood pressures. Hypertension is a big major cause of premature death worldwide (Benjamin, 2016). Hypertension very often had no signs or symptoms. Once the primary care doctor has diagnosed the patient had high blood pressures as a medication. Patients can lower their blood pressures by changing their diet, and exercises. In 2015-2016, in the communities 1/3 patients have controlled high blood pressures. 2017, recent revised guidelines more than one patient have unknown or undiagnosed if they have high blood pressures. In 2016, the total costs directed for high blood pressures were $54.8 billion. It’s projected for the year 2035, the total costs will be reach $221.8 billion. I’ll suggest implementing public health to have more programs to help to reduce the hypertension problems. Healthcare providers have provided more information, have classes for the patient, and show them how to eat, have nutrition in the clinic or private doctor offices to reduce mortality. (Benjanmin, 2016).Florida, adults ages 18-39; 45 to 79, nearly half of patients can .

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© 2010 Jones and Bartlett Publishers, LLC Basic Concepts of the U.S. Health Care Delivery System: Student Activity Workbook Chapter 4 Public Health Role Nancy J. Niles Introduction: Two Definitions Charles Winslow (1920) defined public health as the science and art of preventing disease, prolonging life, and promoting physical health and efficiency through organized community efforts for the sanitation of the environment, control of community infections, education of individuals regarding hygiene to ensure a standard of living for health maintenance. The Institute of Medicine in its’ 1988 Future of Public Health report defined public health as an organized community effort to address public health by applying scientific and technical knowledge to promote health . Introduction Public health specialists view health from a collectivistic and preventive care viewpoint—to protect as many citizens as possible from health issues and to provide strategies to prevent health issues from occurring. Public health concepts were in stark contrast to traditional medicine which focused on the sole relationship between a provider and patient. Private practitioners held an individualistic viewpoint—citizens more often would be paying for their services from their health insurance or from their own pockets. Physicians would be providing their patients guidance on how to cure their diseases, not preventing disease. What Is Health? The World Health Organization defines “health” as the state of complete physical, mental and social well-being and not merely the absence of disease or infirmity . The Institute of Medicine defines “health” as a state of well being and the capability to function in the face of changing circumstances. It is a positive concept emphasizing social and personal resources as well as physical capabilities. According to the Society for Emergency Medicine (SAEM), health is a state of physical and mental well-being that facilitates the achievement of individual and societal goals. How would you define the concept of health? Determinants of Health Health has several determinants or influences that impact the status of an individual’s health. The physical environment would include pollutants, hazardous exposure at work, water contamination, etc. The social environment would include socioeconomic status which relates directly to quality of health An individual’s lifestyle or behavior includes diet, exercise, sexual activity, stressful job, which all have an impact on health. Also, genetic factors or a person’s biology predispose individuals to certain diseases. Primary, Secondary And Tertiary Prevention Of Public Health Primary prevention activities focus on reducing disease development. Smoking cessation programs and immunization programs are examples. Secondary prevention activities refer to early detection and treatment of diseases. The goal of secondary prevention is to stop the progression of disease .

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Pam Discuss how you feel nurses can positively impact the Healthy people 2020 goals. Healthy people 2020 has many goals. I feel nurses can greatly impact the healthy people 2020 goals by first teaching patients about prevention. Healthy people goals for global health is one of those preventions. “Improve public health and strengthen U.S. national security through global disease detection, response, prevention, and control strategies.” Disease detection starts with well check-ups with your primary care physician. Nursing strategies include educating patients on the importance of keeping check-up appointments. Any chronic illness to be assessed and any new information to be given to patient verbally or written materials given to patient. Secondly, we as nurses can introduce health promotion. Healthy people 2020 in immunizations and infectious disease goals, “Increase immunization rates and reduce preventable infectious diseases.” Floor nurses can educate patients before discharge on influenzas, pneumonia, or shingles vaccine. We in the cancer center as nurses give handouts on neutropenia symptoms and how to prevent infection (we have many patients that are or become neutropenic). We handout thermometers and give face masks to our patients. According to NIH.gov, “Nurses must have an evidence-based understanding of the significant effect that can be made through health promotion interventions and communicate this understanding to the public at large. As more people grow in their awareness of activities that lead to good health and become knowledgeable about their own health status and the health of their families, the overall health of the population will improve.” At my hospital where I work we have health screening fairs a few times a year. Other hospitals around our town offer that as well. According to my current other class Caring for the Community in week 2 it discusses the first level of prevention which is primary prevention. “This is conventional prevention—preventing an undesirable thing from happening. It includes efforts at immunization, nutrition teaching, and education about modes of transmission of communicable disease. For example, encouraging people to protect themselves from the sun's ultraviolet rays is an example of primary prevention of skin cancer. Other examples in primary prevention include well baby clinics, HIV community education efforts, and programs that discourage substance abuse. In the community, this may involve fitness events, water fluoridation, or even efforts to install sidewalks near schools.” .

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