1. HAS 3150 What is public health? Chapters 1-3

2. Story of AIDS

3. Lack of disease Greeks WHO Body, mind, spirit Definition of Health

4. Body Disease Impairment Disability Dependency

5. Mind

6. Spirit

7. Determinants of Health Scientifically established factors that relate directly to the level of the health problem.

8. History Dark ages Colonial America Agriculturalism vs Industrialization 1850s Today

9. 1735 Proclamation

12. History Dark ages Colonial America Agriculturalism vs Industrialization 1850s Today

13. Question… What actions has government taken to ensure that people are safer and healthier today than people were 100 years ago?

14. Core functions… Assessment Policy development Assurance

15. More… How does public health differ from medical care? In what ways are they similar?

16. Six disciplines… Epidemiology Statistics Biomedical sciences Environmental sciences Social/behavioral sciences Health policy and management

17. Activity… Identify a health problem in our community. What are some of the risk factors associated with the problem? Suggest a possible intervention. Describe the health problem in terms of a chain of causation. What “links” could be interrupted to help prevent the problem?

18. Controversy

19. The issues… Economic impact Individual liberty Moral and religious opposition

20. Activity… Give an example of a measure that would improve public health but might be expensive to implement. Who would benefit? Who would pay the cost?

21. Public health agencies Local public health State public health Federal public health

22. Local Where the “rubber meets the road” Carry out laws and ordinances Usually organized at county level Some of what they do…

23. State Public Health Usually limited to federal grants –Revenue sharing –Block grants –Categorical grants Core functions of state health department

24. Federal Public Health Public Health Service Assistant Secretary for Health Surgeon General

25. Components of public health service Alcohol, drug abuse and mental health administration Centers for Disease Control Agency for Toxic Substances and Disease Registry Food and Drug Administration Health Resources and Services Administration National Institutes of Health