Executive Summary: Environmental Health Indicators: Bridging the Chasm of Public Health and the Environment--Workshop Summary

2004 ◽  
Author(s):  
Lynn Goldman ◽  
Keyword(s):  
Public Health ◽  
Environmental Health ◽  
Health Indicators ◽  
Executive Summary ◽  
Workshop Summary

scholarly journals The Growing Relation between Environment and Public Health

2021 ◽  
Vol 3 (2) ◽  
pp. 100-115
Author(s):  
Françeska Korançe
Keyword(s):  
Public Health ◽  
Environmental Medicine ◽  
Environmental Health ◽  
Qualitative Method ◽  
National Level ◽  
Health Indicators ◽  
Environment And Public Health ◽  
Health Consequences ◽  
Health Tracking ◽  
The Relationship

Introduction: Environmental health is deteriorating worldwide. Evidence shows that exposure to air, water and soil pollution has caused many deaths worldwide, a trend that is increasing day by day. Health consequences from exposure to environmental pollutants range from cancer, lung disease, heart disease and a series health problems which often lead to death. The majority of pollution related deaths happens mostly in low and middle-income countries. Environmental and pollution health related issues are not getting the attention they deserve in Albania. The main purpose of this article is to identify the relationship between environmental problems and public health consequences, by analysing public policies, case studies and instruments for measuring environmental health indicators. The article also presents suggestions regarding development of Environmental Medicine in Albania, and Public Health Tracking methods. Methods: Qualitative method is thoughtfully used in this article. Specifically, literature review methodology is used to identify environmental indicators that directly affect public health, adequate policies and instruments for the protection of public health, as well as environmental health at the international and national level. Qualitative method is used to reveal and evaluate the topic through multiple facets covering relevant contextual conditions. This method helps identifying the link between public and environment health indicators in a real-life situation, and to understand the relationship between these indicators in the Albanian context. Results and Discussion: Albania lacks a specific measurement system of Environmental Public Health Tracking, as well an established methodology for linking environmental and public health. Potential capacities for measuring environmental and health indicators are limited at the national level, thus, the public health policies do not clearly and fully integrate environmental health indicators for the protection of public health. Vocational training in health and environment is being practiced through various disciplines, but there is a need for specialized environmental medicine health professionals, with adequate competences in the field. Conclusions: The correlation between environment and public health is gaining attention nationally and globally. As in other countries, the need for Environmental Medicine professionals is growing also in Albania. Strong correlations between of environmental pollution indicators (air, water, land pollution) and public health indicators (such as infant and general mortality, morbidity rates, respiratory diseases, etc.) have increased in the last years. Use of instruments (such as EPHT), a fully integrated university curricula and a specific discipline of Environmental Medicine should be made a priority not only nationally, but also globally as environmental problems such as climate change do not recognize national borders. In order to manage the rising cases, states need to be resilient, and build appropriate research based policies and action plans to prevent the occurrence of environmental related public health consequences. Doi: 10.28991/SciMedJ-2021-0302-3 Full Text: PDF

scholarly journals Identifikasi Indikator dalam Indeks Pembangunan Kesehatan Masyarakat (IPKM) untuk Meningkatkan Nilai Sub-Indeks Penyakit Menular

2018 ◽  
Vol 5 (3) ◽  
Author(s):  
Ika Dharmayanti ◽  
Dwi Hapsari Tjandararini
Keyword(s):  
Public Health ◽  
Health Status ◽  
Environmental Health ◽  
Health Research ◽  
Communicable Disease ◽  
Health Indicators ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five

Sejak tahun 2009, Kementerian Kesehatan melalui Badan Penelitian dan Pengembangan Kesehatan telah merumuskan Indeks Pembangunan Kesehatan Masyarakat (IPKM) untuk menggambarkan kesehatan masyarakat Indonesia. Tahun 2013, IPKM dijabarkan dalam tujuh subindeks yaitu kesehatan balita, kesehatan reproduksi, pelayanan kesehatan, perilaku kesehatan, penyakit tidak menular, penyakit menular, dan kesehatan lingkungan. Penyakit diare dan infeksi saluran pernafasan akut (ISPA) pada balita serta pneumonia merupakan penyakit infeksi yang digunakan dalam perhitungan subindeks penyakit menular dalam IPKM 2013. Tujuan penelitian ini untuk mengidentifikasi indikator-indikator dalam IPKM yang dapat meningkatkan nilai subindeks penyakit menular. IPKM merupakan komposit dari 30 indikator kesehatan utama yang dihitung dari data Riset Kesehatan Dasar (Riskesdas) 2013. Disain Riskesdas 2013 merupakan survei potong lintang dengan jumlah sampel yaitu seluruh rumah tangga di 33 provinsi dan 497 kabupaten/kota di Indonesia. Analisis data menggunakan regresi linier. Dari hasil penelitian didapatkan bahwa indikator cakupan akses sanitasi (p = 0,000), cakupan air bersih (p = 0,027), serta cakupan perilaku masyarakat dalam bercuci tangan dengan benar (p = 0,001) memiliki peran penting dalam meningkatkan nilai subindeks penyakit menular. Sehingga diharapkan dengan adanya peningkatan cakupan tiga indikator diatas, maka nilai tiga subindeks (penyakit menular, kesehatan lingkungan, dan perilaku kesehatan) akan turut meningkat. Oleh karena itu, apabila kabupaten/kota ingin meningkatkan nilai subindeks penyakit menular, yang perlu diperhatikan yaitu intervensi terhadap lingkungan dan perilaku manusia. Dengan demikian, nilai IPKM kabupaten/kota juga akan meningkat.Kata kunci: Lingkungan, penyakit menular, perilaku.Identification of Public Health Development Index (PHDI) Indicators to Increase the Value of Sub-Index of Communicable DiseaseAbstractSince 2009, Ministry of Health through Indonesia Agency fro Health Research and Development has formulated Public Health Dvelopment Index (PHDI) to describe public health status in Indonesia. In 2013, PHDI grouped into seven sub indices, namely health status of children under five, reproductive health, health service, health beaviour, non-communicable disease, communicable disease, and environmental health. Diarrhea and acute respiratory infection (ARI) on children under five and pneumonia are infectious diseases used in the calculation of subindex of communicable diseases in PHDI 2013. The aim of this research was to identify indicator in PHDI that could improve the subindex of communicable disease. PHDI is a composite of 30 major health indicators calculated from Basic Health Research (Riskesdas) 2013. The Riskesdas 2013 design was cross sectional survey with total sample of all households in 33 provinces and 497 district/cities in Indonesia. The data was analyzed by linier regression test. The result showed that indicator of access to sanitation (p=0.000), access to clean water (p=0.027) and people’s behavior in proper hand washing (p=0.001) had an important role in imporving the score of sub-index of communicable disease. It is expected that with the increase of the three indicators above, the value of three subindices (communicable disease, environmental health, and health behaviour) will also increase. Therefore, if the district/city wants to increase the value of sub index of communicable disease, the intervention to the environment and human behavior is needed. Thus, the PHDI score in district/city will also increase.Keywords: Behavior, communicable disease, environment.

scholarly journals The Importance of Using Public Health Impact Criteria to Develop Environmental Health Indicators: The Example of the Indoor Environment in New Zealand

2018 ◽  
Vol 15 (8) ◽  
pp. 1786 ◽  
Author(s):  
Kylie Mason ◽  
Kirstin Lindberg ◽  
Deborah Read ◽  
Barry Borman
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Environmental Health ◽  
Burden Of Disease ◽  
Selection Criteria ◽  
Indoor Environment ◽  
Health Indicators ◽  
Health Impact ◽  
Public Health Impact ◽  
Environmental Burden

Developing environmental health indicators is challenging and applying a conceptual framework and indicator selection criteria may not be sufficient to prioritise potential indicators to monitor. This study developed a new approach for prioritising potential environmental health indicators, using the example of the indoor environment for New Zealand. A three-stage process of scoping, selection, and design was implemented. A set of potential indicators (including 4 exposure indicators and 20 health indicators) were initially identified and evaluated against indicator selection criteria. The health indicators were then further prioritised according to their public health impact and assessed by the five following sub-criteria: number of people affected (based on environmental burden of disease statistics); severity of health impact; whether vulnerable populations were affected and/or large inequalities were apparent; whether the indicator related to multiple environmental exposures; and policy relevance. Eight core indicators were ultimately selected, as follows: living in crowded households, second-hand smoke exposure, maternal smoking at two weeks post-natal, asthma prevalence, asthma hospitalisations, lower respiratory tract infection hospitalisations, meningococcal disease notifications, and sudden unexpected death in infancy (SUDI). Additionally, indicators on living in damp and mouldy housing and children’s injuries in the home, were identified as potential indicators, along with attributable burden indicators. Using public health impact criteria and an environmental burden of disease approach was valuable in prioritising and selecting the most important health impacts to monitor, using robust evidence and objective criteria.

scholarly journals Public Health Tracking to address the complexity of environmental health: The case of France

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Medina ◽  
A Le Tertre ◽  
C Caserio-Schönemann ◽  
A Fouillet ◽  
G Leonardi ◽  
...  
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Air Pollution ◽  
Environmental Health ◽  
Syndromic Surveillance ◽  
Health Indicators ◽  
Great Promise ◽  
Complex Relationship ◽  
Environment And Health ◽  
Health Tracking

Abstract To address the complex relationship between environment and health, public-health professionals have recognized the benefits of building enduring interdisciplinary partnerships and of developing innovative Environmental and Public Health Tracking (EPHT) systems. In specific, EPHT can increase understanding of environmental health threats; improve comparability of risks between different areas of the world; enable transparency and trust among citizens and institutions; and inform preventive decision making. EPHT does so by sharing data and knowledge; and by identifying and supporting best practices. In France, the concept of EPHT builds on the observation that our changing environment creates new risks that require both specific surveillance of the link between exposure and health indicators, and syndromic surveillance (SyS) of sentinel health indicators. A specific surveillance of air pollution and health has been informing French policies on air pollution for 23 years. France has also coordinated the European Apheis and Aphekom specific-surveillance projects. Using routine pollution and health data, these projects succeeded by being built on a Europe-wide collaborative network that facilitates decision-making on local and national levels. In addition, since the 2003 heat wave France has developed syndromic surveillance for detecting the health impacts of new threats as diverse as environmental phenomena and emerging infectious diseases. France also coordinated the Triple-S project, which inventoried SyS activities in Europe; and produced guidelines for human and veterinary SyS in Member States and a proposal for a European SyS strategy. Examples of the complementarity between specific and SyS in environmental health in France include: heat and cold waves, air pollution, flooding, storms and industrial accidents. In today's world of open data, EPHT shows great promise for contributing to better informing decision makers and the population on environmental-health risks. Key messages Environmental and Public Health Tracking (EPHT) systems and enduring interdisciplinary partnerships provide an innovative way to address the complex relationship between environment and health. France has been in the forefront of applying innovative EPHT (Environmental and Public Health Tracking) by using complementary specific and syndromic (SyS) surveillance systems.

Managing the effectiveness of the regional health system

2020 ◽  
Vol 26 (3) ◽  
pp. 698-720
Author(s):  
E.V. Lobkova ◽  
A.S. Petrichenko
Keyword(s):  
Public Health ◽  
Health System ◽  
System Analysis ◽  
Health Indicators ◽  
Krasnoyarsk Krai ◽  
Regional Health ◽  
Luenberger Observer ◽  
Efficiency Assessment ◽  
Public Health Indicators

Subject. This article studies the mechanism of State health regulation and methods of management of efficiency of regional healthcare institutions. Objectives. The article aims to analyze the territorial health system in the context of the urgent need to optimize budget expenditures and address public health problems, as well as develop directions to improve the effectiveness of the regional health system of the Krasnoyarsk Krai. Methods. For the study, we used the method of index numbers and calculation of dynamics indicators using official statistics data. Results. We have developed and now present a system of indicators of regional health efficiency assessment, focused mainly on public health indicators and quality of medical services. We also offer our own version of the Luenberger observer modification adapted to the objectives of the regional health system analysis. Conclusions and Relevance. The article concludes that it is necessary to optimize the regional health system using the parameters of medical and social efficiency of the system. The proposed approach to assessing the effectiveness of regional health system can be used as a mechanism to develop recommendations for the management of the network of medical and prophylactic institutions of the region.

Understanding Economic and Health Factors Impacting the Spread of COVID-19 Disease (Preprint)

2020 ◽  
Author(s):  
Aleksandr Farseev ◽  
Yu-Yi Chu-Farseeva ◽  
Yang Qi ◽  
Daron Benjamin Loo
Keyword(s):  
Public Health ◽  
Quantitative Research ◽  
Health Indicators ◽  
Initial Study ◽  
Disease Spread ◽  
Factors Affecting ◽  
Country Level ◽  
Development Scenarios ◽  
Health Factors ◽  
Country Clusters

UNSTRUCTURED The rapid spread of the Coronavirus 2019 disease (COVID-19) had drastically impacted life all over the world. While some economies are actively recovering from this pestilence, others are experiencing fast and consistent disease spread, compelling governments to impose social distancing measures that have put a halt on routines, especially in densely-populated areas. Aiming at bringing more light on key economic and public health factors affecting the disease spread, this initial study utilizes a quantitative statistical analysis based on the most recent publicly-available COVID-19 datasets. The study had shown and explained multiple significant relationships between the COVID-19 data and other country-level statistics. We have also identified and statistically profiled four major country-level clusters with relation to different aspects of COVID-19 development and country-level economic and health indicators. Specifically, this study has identified potential COVID-19 under-reporting traits as well as various economic factors that impact COVID-19 Diagnosis, Reporting, and Treatment. Based on the country clusters, we have also described the four disease development scenarios, which are tightly knit to country-level economic and public health factors. Finally, we have highlighted the potential limitation of reporting and measuring COVID-19 and provided recommendations on further in-depth quantitative research.

Occupational and Environmental Health

2017 ◽  
Keyword(s):  
Public Health ◽  
Occupational Health ◽  
Environmental Health ◽  
Health And Safety ◽  
Practical Experience ◽  
Global Perspective ◽  
Clear Understanding ◽  
Practical Case ◽  
Environmental Sciences ◽  
Wide Range

This thoroughly updated seventh edition is a comprehensive, clearly written, and practical textbook that includes information on both occupational health and environmental health, providing the necessary foundation for recognizing and preventing work-related and environmentally induced diseases and injuries. National and international experts share their knowledge and practical experience in addressing a wide range of issues and evolving challenges in their fields. A multidisciplinary approach makes this an ideal textbook for students and practitioners in public health, occupational and environmental medicine, occupational health nursing, epidemiology, toxicology, occupational and environmental hygiene, safety, ergonomics, environmental sciences, and other fields. Comprehensive coverage provides a clear understanding of occupational and environmental health and its relationships to public health, environmental sciences, and government policy. Practical case studies demonstrate how to apply the basic principles of occupational and environmental health to real-world challenges. Numerous tables, graphs, and photographs reinforce key concepts. Annotated Further Reading sections at the end of chapters provide avenues for obtaining further infomation. This new edition of the book is thoroughly updated and also contains new chapters on climate change, children’s environmental health, liver disorders, kidney disorders, and a global perspective on occupational health and safety.

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