 There will always be change  No one can predict the future

 Demographic profiles: age, sex, race & ethnicity  Change – U.S. population will continue to become more diverse. Race African American 13.0%14.0%13.7% Hispanic12.2%16.3%21.7% Native American 0.90%0.80%1.0% Asian/Pacific Islander 4.0%5.7%7.9% Source: Pearson Education

 Change: U.S. population will become older. › Age demographic of 65+ is expected to double by › Baby Boomers (those born between ).

Median Age of Population (Cottrell et al., 2009, p. 314) 1990 ……… years 2000 ……… years 2010 ……… years 2020 ……… years 2030 ……… years

 Technology  Family Structure  Political Climate  Medical Care Establishment

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FavorableUnfavorableDon’t know/Refused Source: Kaiser Family Foundation/Harvard School of Public Health The Public’s Health Care Agenda for the 112th Congress (conducted January 4-14, 2011) and Kaiser Family Foundation Health Tracking Polls As you may know, a health reform bill was signed into law early last year. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion of it? 2010

It is still the law of the land Don’t know/ Refused As far as you know, which comes closest to describing the current status of the health reform law that was passed last year: It has been repealed and is no longer law 48% Source: Kaiser Family Foundation Health Tracking Poll (conducted February 3-6, 2011)

 Informatics › “The systematic application of information, computer science, and technology to public health practice and learning.”  (IOM, Who Will Keep the Public Healthy, p. 63) › Electronic medical records › Computerized health assessments › Web-based strategies › Social marketing strategies/communication

 Genomics: › Genetics: Study of single genes › Genomics: Study of the entire human genome including single genes › Implications:  Therapeutic and preventive strategies  Ethical and medical limitations  Legal and social issues

 Become more analytical thinkers  Increase partnerships & collaboration  Analyze situations & examine trends  Cultural competence  Multilevel interventions › Community-Based Participatory Research  Focus on schools  More environmental activism

 Cultural sensitivity › Attitudes of respect and appreciation › Understanding cultural “norms” › Communication skills

 “a partnership approach to research that equitably involves community members, organizational representatives, and researchers in all aspect of the research process.” (Israel et al., 2001)  Changing funding practices  Partners form long-term commitments  Co-learning emphasized

 Re-emerging infections  New diseases  Environmental impact of overpopulation  Safety of food supply

 Current eligibility for entry-level academic preparation  Sub-special certifications  Reimbursement of services  Skills vs content

 School settings: › Children learn the best when healthy › Better coordination of services › Special skills may be needed  Worksite: › Health promotion/education seen as “fringe” benefit › Higher productivity & reduced costs

 Community / Public Health › Large variety of work › Monitor and improve health of population › Collaborative work effort › Advocate for policies  Health Care › Variety of facilities › Necessity for quality care

 Postsecondary institutions  Health care & journalism  International health education  Sales  Long-term care  Consultant opportunities

 Will have amazing opportunities  Need to constantly update their skills  Play a major role in keeping populations healthy  Collaborate with other professionals  Advocate for those who do not have a voice