1. Preventive Medicine and Public Health Dagmar Schneidrová Dept. of Child and Youth Health 3rd Faculty of Medicine Charles University Prague

2. Ancient Greek philosophy and medicine (6th-4th century BC) „Medicine should take care of citizens who are physically and mentally healthy, not ill“. (Platon) Health was defined as a dynamic balance between organism and environment. Physical and social determinants of health were taken into account. Health education and public health policy was stressed.

5. Levels of prevention Primary prevention = the prevention of disease or injury: - health promotion, health education - immunization, environmental modification Secondary prevention = the early detection and prompt treatment of a disease: - screening programmes (e.g. inborn defects, PKU) - primary health care (preventive examinations) Tertiary prevention = the limitation of disability and rehabilitation from disease: - follow up care and social inclusion in mental disorders (depression, schizophrenia, addictions, etc.)

9. References Bencko, V. et al.: Hygiene and Epidemiology. Charles University in Prague. Teaching Texts. The Karolinum Press, Prague 2011. Cassens, B.J.: Preventive Medicine and Public Health. 2nd edition, Harwal Publishing, Philadelphia, 1992, pp. 1-3. Pencheon, D., Guest, Ch., Melzer, D., Gray Muir J.A.: Oxford Handbook of Public Health Practice. Oxford University Press, 2001. Mangham, C.: Health Promotion and Education. International Summer School on Prevention of Noncommunicable disease. Halifax, Nova Scotia, 1993.