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58 Cards in this Set

  • Front
  • Back
Health
A state of complete, physical, mental, and social well-being and not merely the absence of disease.
Dynamic State/ Condition
Multi-dimensional in nature, a resource for living, and results from a persons interactions with and adaptations to his/her environment
Community
A group of people who have common characteristics; can be defined by location, race, ethnicity, age, occupation, interest in particular problems or outcomes, or other common bond.
Characteristics of communities (6)
membership,
common symbol system,
shared values and norms,
mutual influence,
shared needs andcommitment,
shared emotional connection
Examples of communities
schools, work place, clubs/ organizations
Public Health
Health status of a defined group of people and the government actions and conditions to promote, protect, and preserve health
Community Health
Health status of a defined group of people and the actions and conditions (public & private) to promote, protect, and preserve health.
Population Health
Health status of people who are not organized and have no identity as a group or locality and the actions and conditions to promote, protect, and preserve their health.
Population Health examples
homeless people, immigrants, etc.
Personal Health Activities
Individual actions and decision making that affect the health of an individual or his/her immediate family.
Community Health Activities
Those aimed at protecting or improving the health of a population or community.
Categories for "Health of the Community" (4)
Physical factors,
community organization,
social/cultural factors,
individual behaviors
Physical factors of "Health of the Community"
industrial development,
community size,
environment,
geography
Social cultural factors of "Health of the Community"
beliefs, traditions, prejudice
economy, politics, religion
socioeconomic status
social norms
Community organization of "Health of the Community"
Ways in which communities identify common problems or goals; organize their resources; and implement strategies to reach their goals
Idividual behaviors of "Health of the Community"
Takes the concerted effort of many- if not most- to make a community.
Voluntary program work
Ancient societies before 500 B.C. in Northern India
Evidence of bathrooms and sewers.
Ancient societies before 500 B.C. in Ancient Egypt
Evidence of water drainage
Ancient societies before 500 B.C. in Crete
Evidence of toilets, flushing systems, and sewers.
Ancient societies before 500BC in Sumerian Clay Tablet
Evidence of prescription drugs.
Ancient Societies before 500BC in Guides
Code of Hammurabi; Book of Leviticus
Egyptian diseases
smallpox, polio, constipation, etc.
Classical cultures (500BC-500AD)
Greek Golden Age and Roman Society
Greek Golden Age
Hippocrates uses terms "endemic" and "epidemic"
Men involved in games of strength and skill
Active community sanitation running water
Roman Society
Improved on Greek engineering
Built aquaducts and sewer systems, food markets, and public bath houses
Christians built hospitals for the public as charitable organizations
Greek Medical Practices
Blood, yellow bile, black bile, phlegm
Health consists of balancing the Four Humors
Described personalities that were not liked
Blood
heart, spring, air
Yellow bile
liver, summer, fire
Black bile
spleen, autumn, earth
Phlegm
brain, winter, water
Middle Ages 500AD-1500AD
Growing revulsion of Roman materialism
Spiritual era of public health
Great epidemics of plague
Plague epidemic (middle ages 500AD-1500AD)
Caused by YERSINIA PESTIS
Bacteria carried from rats to humans via fleas
Policies related to care and slaughter of animals introduced
ISOLATION and QUARANTINE introduced
Dark Ages 500AD-1000AD
Drift into superstition and irrational dogma
Cleanliness is a sign of weakness, worldliness, and luxury
Move back to improper sanitation
Papacy (office of the Pope) forbids dissection, surgery, and for monks to practice medicine
Medical advancements brought to a halt for almost100 years
Plague of Justinian
Years 543-600
Bubonic plague ravaged known world for 70 years
Black Death
Years 1348-1388
25-75% of European populations died
Plague= number one killer
Medical advancements of the 18th century
1790: 1st US census is conducted
1796: Dr. Edward Jenner developed the smallpox vaccine saving millions of lives
1798: Marine hospital service is formed leading to the US public health service
Renaissance and Exploration 1500-1700
Rebirth of thinking about nature of the world and human kind
More careful accounting of who was getting sick (saints and sinners)
Surgeon general
Considered Admiral
US public service has military power
General population does not get does not get vaccinated with smallpox
Industrial Growth: 18th century
Cities overcrowded as rural poor move to cities
Water supplies inadequate
Streets heaped with trash and garbage
Workplaces unsafe and unhealthy
Occupational regulations not in place
Child labor laws not developed
Workers poor and powerless
Life expectancy only about 29 years
Thomas Hopps
Says that we need a social contract- something that keeps us from killing each other
First half of 19th century
Few advancements in public health
Federal government is LAISSEZ FAIRE
Epidemics continued
London cholera epidemics
MIASMA theory of contagious disease
Life expectancy about 40 years
Laissez Faire
Noninterference
Health quakery thrived
Conditions in the 1850s
No landfill filteration
Urine/ feces everywhere
No paved roads
No floors in houses
John Snow
Fixed the broad street pump
British physician
Put chlorine over patients mouth covered with rag to knock them out for surgery
"Father of Epidemiology"
Collera
Violent explosive diahhrea
"Rice water stool"
22,000-52,000 deaths
John Snow's Investigation
Found that certain areas used different water pumps which is what caused collera
The second half of the 19th century
Modern era of public health begins Shattucks report
Commonwealth of Massachusetts
Violence, mental, etc.
Snow removes pump handle
Pasteur proposed germ theory
APHA theory
Koch established relationship- microbe and disease
Reed finds yellow fever transmitted by mosquitos
VECTOR of Disease
The pathogen, germ that is causing the diseases
The 20th Century
Reform Phase
Great Depression and WW2
Postwar years
Reform Phase 1900-1920
National Association for the study and prevention of tuberculosis formed 1st health agency
Upton Sinclaires "The Jungle" published
1st school of public health at John Hopkins
The Great Depression and WW2 1929- 1945
Social Security Act of 1935
National Institutes of Health in 1930s
The Tuskegee Study
US public health study of the effects of syphillis on African-American men
Men given periodic exams but NEVER treated
Frequent medical publications
NOT kept secret- many publications
Syphilis made people go crazy and drop dead
Postwar Years 1945-1960
Communicable Disease Center established in 1946
World Health Organization founded in 1948
Polio vaccine introduced in 1952
Polio vaccine
Leading killer under age 20
Pediatric peralysis
Gave polio to kids
March of Dimes: Prevent kid illnesses
Importance of Public Health 1900-2000
Life expectancy raises from 47.3-76.9
Cause of death= lifestyle behaviors
Top ten achievements in public health
Vaccination
Motor-vehicle safety
Safer workplace
Infectious disease control
Lower deaths from CHD and strok
Safer/ healthier foods
Healthier moms/ babies
Family planning
Flouridation of drinking water
Tobacco health hazard
Healthy People 2020
A resource for promoting improved health
Occurs every ten years
High-quality, longer lives
Healthy equity
Social/ physical environments that are healthy
Promote quality of life, healthy development/ behaviors
Emphasizes the importance of involving sectors OUTSIDE of health (education, housing, environment)
Issues Ahead
Health care delivery
Environmental problems
Lifestyle diseases
Communicable diseases
Alcohol/ drug abuse
Natural disasters/ terrorists