5 Mission of Public Health “…to fulfill society’s interest in assuring conditions in which people can be healthy.”IOM. Future of Public Health.
6 Population HealthImproving Everyone’s Quality of Life: Group Health Foundation, 2001
7 Population HealthConsiders a broad set of options for improving and sustaining healthHighlights role of social and economic forces in combination with biological and environmental factorsResults in benefits to all
8 Public Health Practice Compared to Clinical Nutrition Practice Public Health PracticeClinical Nutrition PracticeFocusPreventionDisease treatmentTargetPopulationsIndividualsSettingStates & CommunitiesClinics & HospitalsStrategiesMultiple, ReinforcingCounseling and education
19 10 Essential Public Health Services: Public Health Functions Steering Committee - State and Local Monitor Health Status to identify community health problemsDiagnose and investigate health problemsInform, educate, and empower people about health issuesMobilize community partnerships to identify and solve health problemsDevelop policies and plans that support individual and community health effortsEnforce laws and regulations that protect health and ensure safety
20 Link people to needed personal health services and assure the provision of health care when otherwise unavailableAssure a competent public health and personal heath care workforceEvaluate effectiveness, accessibility, and quality of personal and population-based public health servicesResearch for new insights and innovative solutions to health problems
22 Achievements in Public Health, 1900-1999: Safer and Healthier Foods (MMWR ) “During the early 20th century, contaminated food, milk, and water caused many foodborne infections, including typhoid fever, tuberculosis, botulism, and scarlet fever.”“Once the sources and characteristics of foodborne diseases were identified--long before vaccines or antibiotics--they could be controlled by handwashing, sanitation, refrigeration, pasteurization, and pesticide application. Healthier animal care, feeding, and processing also improved food supply safety.”
24 “The discovery of essential nutrients and their roles in disease prevention has been instrumental in almost eliminating nutritional deficiency diseases such as goiter, rickets, and pellagra in the United States.”
26 “During , with the implementation of a statewide prevention program, the goiter rate in Michigan fell from 38.6% to 9.0 %.”“In 1921, rickets was considered the most common nutritional disease of children, affecting approximately 75% of infants in New York City.”
29 Last Decade: Strong Emphasis on Policy & Environmental Change
30 Healthy People 2020Healthy People provides science-based, 10-year national objectives for improving the health of all Americans.Overarching GoalsAttain high-quality, longer lives free of preventable disease, disability, injury, and premature death.Achieve health equity, eliminate disparities, and improve the health of all groups.Create social and physical environments that promote good health for all.Promote quality of life, healthy development, and healthy behaviors across all life stages.