Ms Samah Alageel Community Health CHS 212 Outline What is health What is community The definition of Public Health History of Public Health The importance of public health The difference between public health and clinical medicine ID: 563596
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Slide1
What is Public Health? Ms. Samah Alageel
Community Health
CHS 212Slide2
Outline What is health?
What is community?
The definition of Public Health.
History of Public Health.
The importance of public health.
The difference between public health and clinical medicine.
Public Health approach.
Example for illustration. Slide3
Definition of healthHealth is defined by the WHO as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. Slide4
Definition of community Community could be seen in two different ways:
Community can refer to a usually small, social unit of any size that shares common values. The term can also refer to the national community or international community.
in biology, a community is a group of interacting living organisms sharing a populated environment.Slide5
What is public health?
http
://www.youtube.com/watch?v=
Bpu42LmLo4U
In your opinion, what is Public Health? Slide6
What is public health?
The
Acheson Report (1988) defines Public health
as: ‘The
science and art of preventing disease, prolonging life, and promoting health through organized efforts of
society’.
“ Fulfilling society’s interest in assuring conditions in which people can be healthy”. (IOM,1988)Slide7
“You are only as healthy as the world around you”
Pubic Health
constitute
of multidiscipline:
epidemiology, biostatistics, environmental science, management science, behavioral
science… etc. Slide8
History of public health 500 BC-500 AD
Hippocrates (460 BC-380 BC) was the founder of Western medicine. He manifested an amazingly modern perspective in his treatise entitled On Airs, Waters, and Places that was published in the fifth century.Slide9
Cont.
The Middle Ages
(500-1500)
The Middle Ages were also known as "The Dark Ages”. Health problems were considered to have spiritual causes and solutions. Illness was considered to be the result of sin thus stigmatizing the victim. Most importantly, this failure to consider the role of the environment in health led to epidemics and the inability to control them.Slide10
Cont.
John
Graunt
The period saw an increased understanding of the need to collect qualitative data for the purpose of defining the state. The first solid use of data collection for the purpose of understanding health status came from John Graunt (1620-1674), the father of demography and descriptive epidemiology. By studying London death data for the previous 75 years, Graunt found certain predictability of mortality with respect to natural events and phenomenon. Slide11
Cont.
1700-18
Yellow Fever
In 1793, Philadelphia was the scene of one of the worst outbreaks. The city was the
capital
then and the epidemic forced the evacuation of many of most prominent citizens, including George Washington, Thomas Jefferson and Alexander Hamilton.Slide12
Cont. 1800 – 1900
John Snow (1813-1858)
John Snow was the first to link the cholera epidemic in London to one particular water source—the Broad Street Pump. When the pump handle was removed the disease incidence drastically decreased. This was the birth of applied epidemiologySlide13
Cont. 1800 – 1900
The American Public Health Association
In 1872, the American Public Health Association was founded. APHA is now the oldest and largest organization of public health professionals in the world.Slide14
1900-2000
As a result of the acceptance and understanding of public health, several actions were taken in 1900-2000, such as:
Meat inspection.
Addressing childhood labor.
Family planning.
The discovery of Penicillin.
Centers for Disease Control and Prevention (CDC) was established
The World Health Organization (WHO) was establishedSlide15
Cont. Water Fluoridation began in 1948.The first effective polio vaccine was developed.
The development of the first highly effective contraceptive pills.
A mysterious
epidemic was identified as acquired immune deficiency syndrome (AIDS).
In 1990, the Nutrition Labeling Education Act was signed into law.Slide16
Why Public Health is important toady?
Reviewing public health achievements in
USA:
Enhance life expectancy at
birth
(
47yrs in 1900 vs. 77
years
in 2000)
Reduce infant mortality rate
(110 per 1000 live births in 1900 vs. 7 in 2000)
Vaccination
Motor-vehicle safety
Control of infectious disease
Safer workplace
Decline deaths from heart diseases and
strokeSlide17
Why Public Health is important toady
? (Cont.)
Safer and healthier
foods.
Decline in deaths from coronary heart disease and
stroke.
Healthier mothers and
babies.
Family planning.
Fluoridation of drinking
water.
Recognition of tobacco use as a health
hazard
. Slide18
The difference between public health and clinical medicine:
Public
health
Medical care system
Targeted to: Population
health
Individual
health (sick)
1. Assessment: problem
identification for a group of individuals
1. Diagnosis
2. Assuring
necessary
interventions are put into place
2.
Treatment
3. Policy development: collectively deciding which intervention is the best for the problems identified.
3. Formulation treatment planSlide19
Public Health ApproachDefine the health problem.
Identify risk factors associated with the problem.
Develop and test community-level interventions to control or prevent the cause or the problem.Slide20
Cont. Implement interventions to improve the health of the population.
Monitor those interventions to assess their effectiveness.Slide21
Public Health Approach
Problem
Response
Surveillance:
What
is the
problem?
Risk Factor
Identification:
What is the
cause?
Intervention
Evaluation:
What
works?
Implementation:
How do you
do it?Slide22
Now its time to do it yourself…
According to Forbes, Saudi Arabia ranks 29 on a 2007 list of the fattest countries with a percentage of 68.3% of its citizens being overweight (BMI>25).