Informing the Future Critical Issues in Health: Second Edition (2003) / Chapter Skim
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Assuring the Public's Health
Assuring the Public's Health
Pages 63-80
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From page 63... ...
But at a time when public Stealth threats are so numerous and diverse- obesity, All:) S, and bioter~-orism are but a few pressing problems— the need for ala effective public healths system remains as urgent as eves: Concurrently, our understancli'~g of tire determinants for healths— what snakes individuals or populations Meaty ~~ ~~`f~ leas expanded enormously.
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From page 64... ...
The problem will grow unless effective steps are talcen to adcIress tire causes of inequality: these include income disparities; lack of access to health insura'~ce and heat services; as well as language and culture barriers. In Unequa/ Treatment: Confronting Racial and Eth'?
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From page 65... ...
The domed lines between levee of the model denote interacEon each heathen and among the vshous leveh of health determinant (Lehman, 1 999t asocial conJidolls include, but are not whited to: economic Unequal; urbanlzadon; mobile; cultural values; attitudes and policies related to discrimination and intolerance on the bash of race, gender and other differences. bather condiDons at the naDonal level might include labor socioRoITical shift, such as recession, was and ~overnl~ental collapse.
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From page 66... ...
'l~ -- ~- I<~;yI-~.x CkI116-~L ~~S IN HE-~7yI! prejudices arid uncertainty Glen treating minorities Tire report recommencIs increasing awareness about tile Robe, improving provider trainin,,, and empowering patients Grog education.
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From page 67... ...
Tire growing ~ ate of obesity is another public I~ealtI, challenge float leas reacl~ec] epiclemic proportions in tire United States wield tire Department ~7
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From page 68... ...
Surgeon General issued a call to action to prevent and decrease overweight and obesity in tire United States. Recognizing tire need for greater attention clirected to children and youth, Congress requester!
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From page 69... ...
Tire report also noshes cleats treat health professionals alone cannot solve taxis p~^obletn anti that society as a Dipole must pay greater attentions to the tragedy of family violence. Approximately 30,000 people die each year as a result of suicide in the Unitec!
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From page 70... ...
ps-Rt~belia Vaccine and Autism (2001~. Taxis report conclucles that the total body of scientific evidence favors rejection of a causal relationship between measles-mumps-rubella (MMRi vaccination and autism at tire population level.
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From page 71... ...
Tire report concluded that scientific evidence favors a rejection of a causal relationship between multiple in~nunizations ant! increased risk of infections or type 1 diabetes, while being inadequate to either reject or accept a causal relationship witty allergic disorders.
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From page 72... ...
, Plaice is the most common cause of cleated cluring tire 'neonatal period; and cases in wl~icI~ infarcts die, wI~etl~e`- unexpectedly or not, citing their first four weel~s. Tire report concludes that scientific evidence favors rejections of a causal relatio~sI~ip between one type of vaccine Style combination dipl~tIleria, tetanus, wI~ole-cell pertussis vaccine)
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From page 73... ...
was free from the ancient scourge of smallpox. Tragically' l~oweve~; tire emergence of global terrorist organizations preparing to use biological weapons against tire United States ant!
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From page 74... ...
Tire report urges the CDC to malce every effort to plan, implement, and evaluate tl~e program, even without air official break between its pleases, in order to improve its implementation and protect boric the people Silo are vaccinated ant! tire public Tile main focus should be on maximizing preparedness to clear with a bioterrorist attack.
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From page 75... ...
in wl~icI~ rapidly evolving technology changing social and healths environments, and growing multicultural diversity pose new opportunities and complex cl~allenges. An explosion of research ilk tire ~eurobiological, behavioral, acid social sciences leas led to major advances in understanding tl~e conditions that influence core.
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From page 76... ...
and family well-being tl~rougI~ family work policies; training health professionals on family violence; achieving positive outcomes for cI~itciren in child! care; acid drawing policy implications from research on early cl~ilcIl~ood development Alice learning.
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From page 77... ...
In response to a request by tire Centers for Disease Control acid Prevention, a comprehensive review will focus Ott fungi and ~nycotoxins, inclucling StacI~ybotrys cI~artarum thought by some to be associated witty a cluster of pediatric pulmonary hemosiclerosis in Cleveland during tire early 1990s. In addition, it will malce recommendations or suggest guidelines for public health interventions and for future basic science, clinical, and public heat research in Rinse areas.
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From page 78... ...
One study in 1997 found Fiat poor literacy resulted in five times tire slumber of mistakes in interpreting prescriptions and twice tire number of visits to tire doctor compared to those witty acetate literacy skills. These costs fall riot only on patients, but also on employers, insurers, Medicaid/Meclicare, anti health care providers.
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From page 79... ...
programs, designed to change youth attitucles anti shrinking behaviors. Tire final study, A Strategy for Rerlucing and Prever2ti'~g Utacle rage Drinking, assesses programs that focus directly on behavio' changes as well as those treat seek to ~ educe adolescent access to alcohol (tl~rougi~ higher taxes, aggressive enforcement of age acid iclentificatio~ cI~ecks, acid restriction of alcohol Ott college campuses, for example)
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From page 80... ...
Congress, the executive branch, leaders of health care organizations, public arid private purchasers, and health intorma~ics associations and vendors should malice ~ renewed national eon~mit~nent to buiRling an inforn~ation infrastructure to support health care delivery, consumer health, quality measurement and improvement, public accountability, clinical and health services research, arid clinical education. Private and public purchasers should examine their current payment methods to remove barriers that currently impede quality improvement, and to build in stronger incentives for quality enhancement.
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