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1 Introduction
Pages 24-28

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From page 24...
... Concerns over substance abuse, chronic diseases, tobacco use, teenage pregnancy, environmental pollutants, and geriatric disorders captured the attention of decision makers. Public health systems were expected to address these complex, challenging, and diverse problems facing the public, as well as to continue to perform their traditional roles in disease surveillance, responding to epidemics and preventing infectious diseases.
From page 25...
... The enduring problems of chronic illness and injury, the rising specter of environmental pollutants, and the transformation of the nation's health care system provide strong incentives for public health to develop innovative systems for infectious disease surveillance and response. Privatization of health care and public health laboratories poses significant challenges to the traditional way in which disease surveillance has been conducted.
From page 26...
... Providing health care services to underserved and indigent populations is viewed by many as an important role of public health departments, as part of the health care "safety net". Alternatively, some public health departments have focused their efforts on providing a more limited set of clinical services that are important for
From page 27...
... Thus, discontinuing clinical services delivery in health departments can destabilize the financial infrastructure on which many public health systems depend for financial viability. Yet, continuing to provide clinical services in light of the changing and increasingly competitive health care environment and growth of managed care, can also be a destabilizing force for many public health departments.
From page 28...
... Communication of public health issues requires a strategy that reframes a number of important issues in terms that people understand. This is an important transition for public health, and the public health community must be positioned to maximize the opportunity to promo~te~public health and its special role and importance in health care.


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