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A dynamic state or condition that is multidimensional in nature and results from a person’s adaptations to his or her environment |
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health status of a defined group of people and the actions and conditions, both private and public (governmental), to promote, protect, and preserve their health |
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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 |
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health status of a defined group of people and the governmental actions and conditions to promote, protect, and preserve their health |
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Personal Vs. Community Health Activity |
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personal – affect health of an individual or his or her immediate family members (seldom behavior of others) community – ex: birth/death records, protection of food and water supply, fund drives for voluntary health organizations |
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Current Health status of Americans |
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fewer communicable diseases more lifestyle diseases—shorter lifespan than previous generation due to obesity, diabetes, heart disease leading causes of death: heart disease, cancer, stroke, chronic lower respiratory diseases cost of health care becoming astronomical, because harder to access for poor terrorism a stress to health |
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Geneva, Switzerland delegates of member nations primary objective: attainment by all peoples of the highest possible level of health guided by United Nations Millennium Declaration peace, security, disarmament development and poverty eradication protecting common envirnoment human rights, democracy , good government protecting vulnerable meet special needs of Africa strengthening UN Millenium Development Goals: reduce poverty and hunger tackling ill health gender inequality lack of education lack of access to clean water environmental degradation examples: - eradication of small pox |
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Secretary of HHS 12 operating divisions (agencies): PHS, AoA, ACF, CMS Public Health Service – comprises 8 of the 12 operating divisions Admin on Aging Admin for Children and Families Centers for Medicare and Medicaid Services |
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includes: FDA – drugs, medical devices, food, cosmetics, radiation CDC – divided into 4 groups and includes National Center for Health Statistics, NIOSH NIH – gives out grants, supports basic research (NCCAM for chiros) |
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United States Department of Agriculture inspects meat and dairy, includes WIC |
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OSHA – enforces NIOSH standards |
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Federal Register of Rules and Regs, regulates hazardous wastes Department of Commerce – includes Bureau of Census |
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oversees Medicare, Medicaid agency of HHS |
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Study of distribution and determinants of diseases and injuries in human populations |
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Any unexpectedly large number of cases and disease in a particular population at a particular time and place |
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Studies outbreaks of disease, injury, and death in human populations (epidemics) |
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1918 Influenza 1975 S. Louis Encephalitis 1976 Legionaires' disease 1980 Toxic Shock Syndrome 1980 AIDS 1980 Lyme Disease 1983 Plague 1983 West Nile Virus 2003 SARS |
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Number of events (births, cases of disease, deaths) in a given population over a given period or at a given point in time 3 General Categories: Natality Morbidity Mortality/fatality Enable comparison of outbreaks that occur at different times or in different places |
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The number of new cases of a disease in a population-at-risk in a given time period Important in the study of acute diseases |
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All current cases of a disease divided by the total population Useful for the study of chronic disease |
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Reporting of Births, Deaths, Diseases |
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Doctors, clinics, hospitals~ Local Health Department~ State Health Department~ CDC (via NETS)- makes weekly summary reports back to state health department which makes monthly reports back to local departments. |
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Average number of years a person from a specific cohort is projected to live from a given point in time (usually birth) |
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Years of Potential Life Lost |
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Life expectance minus person's age at death. |
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Disability-Adjusted Life Expectancy |
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Estimates of the number of healthy years of life that can be expected on average in a given population. |
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Infectious Biological agents or their products are the cause Transmissible from one individual to another |
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Noninfectious Can deplete a community's resources Leading causes of death: #1 heart disease #2 Cancer #3 Cerebrovascular disease #4 COPD |
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Peak severity of symptoms occurs and subsides within three months. Recovery of survivors is usually complete Communicable or noncommunicable |
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Symptoms continue longer than three months Recovery is slow and sometimes incomplete Communicable or noncommunicable |
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To forestall onset of injury or illness Health education, health promotion, Character building/personality development programs, immunizations, personal hygiene, chlorination of water supply; prohealth environment. |
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Early diagnosis and prompt treatment beforeadvanced disability health screenings. Use of antibiotics, home remidies, OTC's, isolation, quarantine, disinfection. |
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Retraining, re-education, rehabilitation of patient who has already incurred a disability. Therapy, burial of dead, emergency personnel/facilities, lifestyle/behavioral changes, support groups, counseling. |
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All external conditions, circumstances, influences surrounding and affecting growth and development of organism/community |
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Study of how living things interact with each other and environment |
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Zone of earth where life is found |
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Primary Sources: 1. Mining, gas, and oil production 75% 2. Agriculture (13%) 3. Industry (9.5%) 4. Municipalities (2.5%) |
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4 approaches to solid waste management |
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1. Collection 2. Sanitary Landfills-inground sites with clay soil or clay lining to prevent leachates 3. Combustion: reduces volume by 90%, toxic ash and poor air quality 4. Recycling: Includes composting. 28-30% of municiple solid waste 5. Source Reduction |
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Above 100 year flood plane Away from fault zones Double lined with clay or synthetic Equipped with pipes to monitor for seepage Equipped with wells for monitoring groundwater and surrounding surface water. |
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5 Methods of Hazardous Waste Management |
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1. Secured landfill 2. Deep well injection- developed byu petroleum refineries, lined wells below drinking water aquifers into layers of permeable rock surrounded by impermeable rock. 3. Incineration 4. Recycling and neutralization 5. Source reduction |
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Comprehensive Environmental Response, Compensation, and Liability Act Enacted to deal with cleanup of abandoned hazardous wastes 1. Created national priority list of hazardous waste sites 2. Stated government would make responsible parties pay for cleanup. 3. Provided funds to support identification of sites |
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Scale that relates pollutant concentrations to health effects (high PSI, poor air quality) |
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Most pervasive outdoor air pollutants in US Sulfer dioxide CO Nitrogen Oxides Ozone Respirable particle matter Lead |
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Emissions from burning of fossil fuels, includes SO2, NO2, NO3. React in atmosphere, combine with water vapor to form sulfuric and nitric acids which fall to the earth as acid rain Acidification of surface water, death of certain species of water life, damage to vegetation at higher elevations, erosion of monuments and buildings |
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Stratospheric Ozone layer filters out 99% of UV radiation. Hole in southern hemisphere. Primary cause of hole: CFC's |
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When air pollutants (NO2, NO3, hydrocarbons, ozone, peroxyacyl nitrates) react with oxygen and sunlight, produce brownish haze, trapped in some cities and causes thermal inversion |
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1. Asbestos 2. Biogenic pollutants-airborn materials of biological origin (fungi, bacteria, animal dander) Combustion by-products: gasses, particulates Radon Secondhand smoke Volatile organic compounds: exist as vapors from construction material etc. Formaldehyde: chemical in hundreds of products |
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Water Treatment Coagulation |
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Alum added to water causes suspended solids to attract one another and form larger particles (flakes or flock) |
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Water Treatment Floculation |
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Water Treatment Sedimentation |
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water permitted to stand so large particles will settle out. |
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Water treatment Filtration |
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Water passes through sand filters to remove solids and dissolved chemicals remaining after sedimentation |
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Water treatment Disinfection |
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Chlorine added to water to kill lots of things |
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Nitrates of amounts > 10ppm harmful to infants, causes methoglobinemia. Also check fluoride levels |
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Single identifiable source that discharges pollutants into water |
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all pollution that occurs through the runoff, seepage, or falling of pollutants into the water |
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Categories of water pollution |
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1. Biological pollutants 2. Nonbiological pollutants (inorganic chemicals, organic chemicals) |
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Biological Oxygen Demand Bacteria wich eat organics deplete O2 in water, killing fish and vegetation. |
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1. Primary: bar screens, grid chamber, floatation 2. Secondary: activated sludge (blowing in air) trickling filters. Bacteria added to break down organic materials 90% clean discharged into water ways 3. Tertiary-chlorination (not always performed |
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Natural:cosmic, terrestrial, internal Human made: X-rays, Power plants, smoke detectors, etc. |
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Noise Pollution Reduction |
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Noise control Act of 1972 Education programs-alter behavior Environmental changes-Earplugs etc. |
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Study and management of environmental conditions that affect health and well-being of humans |
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Factors in environment that increase risk of human injury, disease, death |
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Practice of establishing and maintaining health and hygienic conditions in environment |
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Protects of communities from biological hazards resulting from the mismanagement of wastewater or solid waste |
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Waterborne Disease Outbreak |
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WBDO: At least two people get similar illness after illness after ingestion of drinking water/exposure to water |
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Disease caused by the usual suspects in food |
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Living organism that transmits microscopic disease agents to susceptible hosts |
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Any organism that has an adverse affect on human interests |
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Natural or synthetic chemicals developed for the purpose of killing pests. DDT is chlorinated hydrocarbon |
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Organism against which pesticide is applied |
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Remains in environment and accumulates in fish and birds that fed on insects |
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Break down in days or hours Ex: organophosphates such as Malathion. |
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Environment Tobacco Smoke |
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Secondhand smoke Includes mainstream and sidestream smoke Passive smoking. Inhaling ETS |
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Electric Batteries Pipe Solder Paint Plastic Pigments Leaded Gasoline |
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Elimination of lead from gasoline 1995 Ban on lead paints 1977 Lead contamination control act 1988 (CDC |
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Attaches to dust particles, then inhaled 2nd leading cause of lung cancer |
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Increased risk of Skin Cancer |
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CFC's reduced ozone layer, allowing more UV rays to reach surface of earth |
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Rate of Growth has begun to decline Adding 74 million people/year 9.1 Billion by 1050 |
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