Professional Documents
Culture Documents
Epidemiology, Ethics,
& the Health Care System
2018
Course Director
G. Jayakumar
Foundations of Public Health
Objectives of FPH Module
Exam (MCQ) 60
Group Work, Presentations or assignments 30
Participation in group discussion 10
Objectives of lecture
Public health is "the science and art of preventing disease, prolonging life
and promoting health and efficiency through organized community efforts
for the sanitation of the environment, the control of community infections,
the education of the individual in principles of personal hygiene, the
organisation of medical and nursing services for the early diagnosis and
preventive treatment of disease, and the development of the social
machinery which will ensure to every individual in the community a
standard of living adequate for the maintenance of health. (C.E.A.
Winslow - 1923).
Ten Great Public Health Achievements in US 1900-99
• Vaccination
• Motor-vehicle safety
• Safer workplaces
• Control on infectious diseases
• Decline in deaths from CHD and stroke
• Safer and healthier foods
• Healthier mothers and babies
• Family planning
• Fluoridation of drinking water
• Recognition of tobacco use as a health hazard
CDC MMWR 1999: 48(12)241-243
Results from public health achievements
•Outcomes (Results)
• Indicators of health status, risk reduction and quality of
life
CDC Public Health Program Office 1990
UNIQUE FEATURES OF PUBLIC HEALTH
Epidemiology
Biostatistics
Biomedical sciences
Policy Development
3.Inform, educate and empower people about health issues
4.Mobilize community partnerships to identify and solve health problems
5.Develop policies and plans that support individual and community health
efforts
Assurance
6.Enforce laws and regulations that protect health and ensure safety
7.Link people to needed personal health services and assure the provision
of health care when otherwise unavailable
8.Assure a competent public health and personal health care workforce
9.Evaluate effectiveness, accessibility, and quality of personal and
population-based health services
•Post-pathogenesis stage
Prevention Framework
Primary
Secondary
Tertiary