General Health: What It Is and How It Works, Fourth Edition

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Section 9 Future Challenges for Public Health in America. . Section 9 Will Help You To:. depict lessons gained from the dangers and difficulties confronted by general wellbeing in the 21st centurycharacterize the restrictions and difficulties confronting general wellbeing in the new centurydetermine how these impediments and difficulties can be succeed.

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General Health: What It Is and How It Works, Fourth Edition Chapter-by-Chapter Power Point Slides Links to Internet-based assets

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Chapter 9 Future Challenges for Public Health in America

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Chapter 9 Will Help You To: depict lessons gained from the dangers and difficulties confronted by general wellbeing in the 21 st century describe the confinements and difficulties confronting general wellbeing in the new century decide how these constraints and difficulties can be overcome

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Lessons from a Century of Progress in Public Health Remarkable accomplishments Unfinished motivation Science and social qualities Public wellbeing framework: a work in advance

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Emerging Infectious Diseases

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Origin of Emerging Infectious Diseases Changes in condition (innovation and industry) Economic improvement Population development or movement Human conduct International travel and trade Microbial adjustment Breakdown in general wellbeing measures

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SARS: Global Outbreak… Local Impact Local Outbreak… Global Impact…

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SARS Transmission in Singapore February 25 – April 30, 2003 Bogatti SP. Republished in MMWR 5-9-03

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SARS Transmission Spring 2003 2 relatives 2 close contacts Guangdong Province, China 4 relatives 10 HCWs 4 HCWs* Hospital 2 Hong Kong Canada F An A F G † G † 3 HCWs K † K † Ireland 156 close contacts of HCWs and patients A Hospital 3 Hong Kong H I Hotel M Hong Kong L § J I United States E 99 HCWs (incorporates 17 restorative understudies) J D B M § Hospital 1 HK C D E B Germany 0 HCWs Singapore HCW B Vietnam Hospital 4 Hong Kong 34 HCWs 28 HCWs 2 relatives 37 HCWs HCW 37 close contacts 4 other Hong Kong Hospitals Unknown number close contacts HCW Bangkok

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TX-2 GR NJ RS, BP TS, SM TX-3 RS, SM DM TX-6 TS, SM DM WI Human cases: 17 affirmed 22 likely/suspect IL ‡ Human cases: 8 affirmed 4 plausible/suspect 42 PDs followed 14 PDs followed IN Human cases: 7 affirmed 9 plausible/suspect IL-1 § GR, DM IA † GR, DM 24 PDs followed IL-2 DM TX-10 DM TX-4 DM TX-5 DM TX-8 DM TX-7 DM TX-9 DM Japan DM MN DM WI DM 200 prairie pooches (PDs) at office 1 PD followed MO Human cases: 2 affirmed 1 PD followed SC No human cases 11 PDs followed KS Human cases: 1 affirmed MI No human cases Rodent Shipment Ghana Monkeypox Outbreak 2003 TEXAS 50 Gambian mammoth rats (GR) 53 rope squirrels (RS) 2 brushtail porcupines (BP) 47 tree squirrels (TS) 100 striped mice (SM) ~510 dormice (DM)

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Obesity as an Emerging Public Health Issue

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Heart Disease Cancer Stroke Chronic lower respiratory sickness Unintentional wounds Diabetes Pneumonia/flu Alzheimer's malady Kidney infection 0 5 10 15 20 25 30 35 Percentage (of all passings) Health Problems: Two Different Views Leading Causes of Death* United States, 2000 Actual Causes of Death † United States, 2000 Tobacco Poor eating routine/physical inertia Alcohol utilization Microbial specialists (e.g., flu, pneumonia) Toxic operators (e.g., contaminations, asbestos) Motor vehicles Firearms Sexual conduct Illicit medication utilize 0 5 10 15 20 Percentage (of all passings) *Minino AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Passings: last information for 2000. National Vital Statistics Reports 2002; 50(15):1-20. † Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Real reasons for death in the United States, 2000. JAMA. 2004;291 (10): 1238-1246.

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1991 Obesity Trends* Among U.S. Grown-ups BRFSS, 1991, 1996, 2003 (*BMI  30, or around 30 lbs overweight for 5'4" man) 1996 2003 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

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No Data <10% 10%–14% Obesity Trends* Among U.S. Grown-ups BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs overweight for 5' 4" man)

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No Data <10% 10%–14% 15%–19% Obesity Trends* Among U.S. Grown-ups BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs overweight for 5' 4" man)

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No Data <10% 10%–14% 15%–19% ≥20 Obesity Trends* Among U.S. Grown-ups BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs overweight for 5' 4" man)

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Obesity Trends* Among U.S. Grown-ups BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs overweight for 5' 4" man) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

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Factors Contributing to Obesity Biological Genetic Metabolism Medications Behavioral Diet Physical Activity Environmental Culture Socioeconomic Status Home Schools Work

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Discussion What was the most vital accomplishment of general wellbeing in the twentieth century? Why?

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Discussion What will be the most imperative accomplishment of general wellbeing in the twenty-first century? Why?

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Discussion Using a scale from 1 to 10, how viable is the general wellbeing framework in the United States? How could you touch base at this rating?

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Discussion Do you concur with the IOM declaration that general wellbeing is in confuse or with the counter-affirmation that it is government, not general wellbeing, that is in confuse?

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Discussion What affect did The Future of Public Health have on the general wellbeing group amid the 1990s? What affect has The Future of the Public's Health in the 21st Century had on the general wellbeing group since 2003?

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Discussion What do you believe are the most critical new or extended parts for general wellbeing in the twenty-first century?

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Discussion Your state has $100 million from tobacco settlement stores. What systems and projects ought to get subsidizing? Why?

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Discussion How has your comprehension of what general wellbeing is and how it functions changed subsequent to inspecting the points in this book?

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Additional Resources Public Health: Costs of Complacency . Government Performance Project Governing Feb 2004. The Personal Predicament of Public Health . Smith JS. Annal of Higher Education ; June 27, 2003. The Pitfalls of Bioterrorism Preparedness: The Anthrax and Smallpox Experiences . Cohen HW, Gould RM, and Sidel VW. AJPH 2004;94(10):1667-1671 The Unfulfilled Promise of Public Health: Deja Vu All Over Again . Charge E and Brown T. Wellbeing Affairs 2002;21(6):31-43

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