Addressing the environmental burden of asthma through expansion of a public health evidence base, practice, and stewardship: CDC's National Asthma Control Program

OBJECTIVE: To identify risk factors for death among patients with severe asthma. METHODS: This was a nested case-control study. Among the patients with severe asthma treated between December of 2002 and December of 2010 at the Central Referral Outpatient Clinic of the Bahia State Asthma Control Program, in the city of Salvador, Brazil, we selected all those who died, as well as selecting other patients with severe asthma to be used as controls (at a ratio of 1:4). Data were collected from the medical charts of the patients, home visit reports, and death certificates. RESULTS: We selected 58 cases of deaths and 232 control cases. Most of the deaths were attributed to respiratory causes and occurred within a health care facility. Advanced age, unemployment, rhinitis, symptoms of gastroesophageal reflux disease, long-standing asthma, and persistent airflow obstruction were common features in both groups. Multivariate analysis showed that male gender, FEV1 pre-bronchodilator < 60% of predicted, and the lack of control of asthma symptoms were significantly and independently associated with mortality in this sample of patients with severe asthma. CONCLUSIONS: In this cohort of outpatients with severe asthma, the deaths occurred predominantly due to respiratory causes and within a health care facility. Lack of asthma control and male gender were risk factors for mortality.

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Programs of the Cancer Control Program—U. S. Public Health Service

PEDIATRICS ◽

10.1542/peds.40.3.527 ◽

1967 ◽

Vol 40 (3) ◽

pp. 527-528

Author(s):

Charles J. A. Schulte

Keyword(s):

Public Health ◽

Cervical Cancer ◽

Health Service ◽

Public Health Service ◽

Environmental Control ◽

Cancer Control ◽

Control Program ◽

The United States ◽

The Public ◽

Cancer Control Program

ON JANUARY 1, 1967, the Cancer Control Program will become part of the National Center for Chronic Disease Control within the Public Health Service's new Bureau of Disease Prevention and Environmental Control. Our primary mission is to stimulate and encourage the application of currently available techniques of cancer prevention, cancer detection, and cancer control to the community at the grass roots level. If this will be the case after the reorganization remains to be seen. Figure 1 shows the new organization of the Public Health Service. By way of illustration, I think it would be well to briefly outline a few of our activities. An area of heavy emphasis has been the use of the Papanicolaou smears for cervical cancer control. These programs have been responsible for developing certified cytotechnology training schools, supporting and training large numbers of cytotechnicians. In addition, we are supporting some 90 hospital-based cervical cancer screening projects across the country. A program to encourage the general practitioner to screen his private patients in the office is jointly sponsored by the American Academy of General Practice and the Cancer Control Program. The very grave problem in the United States of smoking and carcinoma of the lung is the major responsibility of tile National Clearinghouse for Smoking and Health, a part of the Division of Chronic Diseases which developed out of the Cancer Control Program. We are engaged in a number of developmental projects, such as the flexible fiber optic proctosigmoidoscope. We hope to be able to produce a proctosigmoidoscope that will reach the splenic flexure.

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Analysis of corporate political activity strategies of the food industry: evidence from France

Public Health Nutrition ◽

10.1017/s1368980018001763 ◽

2018 ◽

Vol 21 (18) ◽

pp. 3407-3421 ◽

Cited By ~ 13

Author(s):

Melissa Mialon ◽

Jonathan Mialon

Keyword(s):

Public Health ◽

Food Industry ◽

Evidence Base ◽

Political Activity ◽

Health Issues ◽

Sources Of Information ◽

Corporate Political Activity ◽

The Public ◽

Health Related ◽

Different Sources

AbstractObjectiveTo identify the corporate political activity (CPA) of major food industry actors in France.DesignWe followed an approach based on information available in the public domain. Different sources of information, freely accessible to the public, were monitored.Setting/SubjectsData were collected and analysed between March and August 2015. Five actors were selected: ANIA (Association Nationale des Industries Agroalimentaires/National Association of Agribusiness Industries); Coca-Cola; McDonald’s; Nestlé; and Carrefour.ResultsOur analysis shows that the main practices used by Coca-Cola and McDonald’s were the framing of diet and public health issues in ways favourable to the company, and their involvement in the community. ANIA primarily used the ‘information and messaging’ strategy (e.g. by promoting deregulation and shaping the evidence base on diet- and public health-related issues), as well as the ‘policy substitution’ strategy. Nestlé framed diet and public health issues, and shaped the evidence base on diet- and public health-related issues. Carrefour particularly sought involvement in the community.ConclusionsWe found that, in 2015, the food industry in France was using CPA practices that were also used by other industries in the past, such as the tobacco and alcohol industries. Because most, if not all, of these practices proved detrimental to public health when used by the tobacco industry, we propose that the precautionary principle should guide decisions when engaging or interacting with the food industry.

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Films for public health: developing the evidence base for films to support public health goals

Perspectives in Public Health ◽

10.1177/1757913917720153 ◽

2017 ◽

Vol 137 (5) ◽

pp. 260-261 ◽

Cited By ~ 4

Author(s):

Stella Botchway ◽

Silvana Bettiol ◽

May van Schalkwyk ◽

Deon Simpson ◽

Gerd Flodgren ◽

...

Keyword(s):

Public Health ◽

Evidence Base ◽

Health Goals

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A tool to guide the process of integrating health system responses to public health problems

Healthcare in Low-resource Settings ◽

10.4081/hls.2015.3260 ◽

2015 ◽

Vol 3 (1) ◽

Author(s):

Tilahun Nigatu Haregu ◽

Geoffrey Setswe ◽

Jullian Elliott ◽

Brian Oldenburg

Keyword(s):

Public Health ◽

Health System ◽

Chronic Diseases ◽

Evidence Base ◽

Health Problems ◽

Model System ◽

System Level ◽

Horizontal Integration ◽

Double Burden ◽

Integrated Architecture

An integrated model of health system responses to public health problems is considered to be the most preferable approach. Accordingly, there are several models that stipulate what an integrated architecture should look like. However, tools that can guide the overall process of integration are lacking. This tool is designed to guide the entire process of integration of health system responses to major public health problems. It is developed by taking into account the contexts of health systems of developing countries and the emergence of double-burden of chronic diseases in these settings. Chronic diseases – HIV/AIDS and NCDs – represented the evidence base for the development of the model. System level horizontal integration of health system responses were considered in the development of this tool.

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Evaluation of malaria risk factors prevention and control program in Kulon Progo Regency

Berita Kedokteran Masyarakat ◽

10.22146/bkm.26891 ◽

2017 ◽

Vol 33 (12) ◽

pp. 565

Author(s):

Husni Husni ◽

Th. B Rahayujati ◽

S Supargiyono

Keyword(s):

Public Health ◽

Risk Factors ◽

Health Center ◽

Prevention And Control ◽

Larval Fish ◽

Control Program ◽

Malaria Risk ◽

District Health ◽

And Control ◽

Malaria Risk Factors

Evaluation of malaria risk factors prevention and control program in Kulon Progo RegencyPurposeThe purpose of this research was to evaluate the program of prevention and control of malaria risk factors in Kulon Progo District in 2016 based on system approach.MethodThis research was evaluation program used mixed methods (sequential explanatory design). Data collected from 7 public health center of active focus malaria and district health office. Respondents were program managers and head of public health center, district program managers, head of control and eradication of communicable diseases, and head of district health offices. The instruments used structured questionnaires and in-depth interview guides. Quantitative data analysis was descriptive and qualitative data used Miles and Huberman model.Results Most of the availability of human resources, funds, facilities, materials, and methods already meet implementation needs except entomologists, allocation of funds activities other than IRS, time of the implementation of larval fish deployment. Most of the processes that started from the planning, implementation, monitoring, and evaluation have gone well except for planning other than IRS, preparation vector control without entomology database, implementation of environmental management, larviciding, and larval fish deployment. Coverage of LLINs, coverage of IRS, control of LLINs efficacy, and test of vector resistance have met the target, except coverage of larviciding and larval fish deployment was not available.ConclusionPrevention and control program of malaria risk factors has implemented but wasn’t based on entomological data. District health offices should recruit entomologist to support vector control activities.

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ANALISIS PELAKSANAAN PROGRAM PENGENDALIAN DEMAM BERDARAH DENGUE (DBD) DI PUSKESMAS KARYA WANITA KOTA PEKANBARU

Media Kesmas (Public Health Media) ◽

10.25311/kesmas.vol1.iss2.27 ◽

2021 ◽

Vol 1 (2) ◽

pp. 443-456

Author(s):

Qory Ayunitami ◽

Herlina Susmaneli ◽

Christine Vita Gloria Purba

Keyword(s):

Public Health ◽

Aedes Aegypti ◽

Health Center ◽

Age Groups ◽

Control Process ◽

Control Program ◽

Hemorrhagic Fever ◽

Public Health Center ◽

Dengue Disease ◽

The Government

Demam Berdarah Dengue (DBD) merupakan salah satu jenis penyakit menular yang disebabkan oleh virus dengue yang ditularkan melalui gigitan nyamuk Aedes Aegypti. Penyakit DBD dapat muncul sepanjang tahun dan dapat menyerang seluruh kelompok umur. Puskesmas Karya Wanita merupakan daerah yang endemis yaitu daerah yang mudah terjangkit penyakit dalam jumlah besar salah satunya penyakit DBD. Upaya dari pemerintah untuk mengatasi penularan penyakit DBD dengan melakukan program pengendalian DBD. Program pengendalian ini berupa pemberantasan sarang nyamuk, penyelidikan epidemiologi dan penggulangan fokus. Kegiatan ini mempunyai tujuan utama diantaranya untuk menurunkan angka kesakitan, menurunkan angka kematian, dan mencegah terjadinya KLB penyakit DBD. Tujuan penelitian ini untuk menganalisis pelaksanaan program pengendalian DBD di Puskesmas Karya Wanita Kota Pekanbaru tahun 2020. Penelitian ini merupakan penelitian kualitatif deskriptif dengan pendekatan studi kasus. Subjek penelitian ini terdiri dari 1 informan kunci yaitu Kepala Puskesmas, 2 informan utama yaitu Pemegang Program DBD, Petugas Promosi Kesehatan, dan 2 informan pendukung yaitu Kader dan Masyarakat. Teknik yang digunakan dalam penelitian ini adalah wawancara mendalam dengan menggunakan bantuan pedoman wawancara serta analisis data dilakukan secara deskriptif dan disajikan dalam bentuk narasi . Hasil penelitian ini menunjukkan bahwa pelaksanaan program pengendalian DBD belum optimal, hal ini disebabkan oleh kurangnya dana untuk melaksanakan program ini, dan juga masih kurangnya partisipasi masyarakat dalam melakukan program Pemberantasan Sarang Nyamuk (PSN). Diharapkan kepada pihak puskesmas agar dapat bekerjasama dengan pihak terkait seperti Dinas Kesehatan Kota/Provinsi dan lintas sektor dalam pendanaan untuk semua kegiatan pengendalian DBD dan lebih memotivasi masyarakat agar ikut serta dalam proses pengendalian DBD. Dengue Hemorrhagic Fever (DHF) is a type of infectious disease caused by the dengue virus which is transmitted through the bite of the Aedes Aegypti mosquito. DHF can appear throughout the year and can affect all age groups. Karya Wanita Public Health Center is an endemic area, namely an area that is easily infected by large numbers of diseases, one of which is DHF. Efforts from the government to overcome the transmission of dengue disease by implementing a dengue control program. This control program takes the form of eradicating mosquito nests, epidemiological investigations and focus repetition. This activity has the main objective of reducing morbidity, reducing mortality, and preventing outbreaks of dengue fever. The purpose of this study was to analyze the implementation of the DHF control program at Karya Wanita Public health center Pekanbaru City in 2020. This research is a descriptive qualitative research with a case study approach. The subjects of this study consisted of 1 key informant, namely the Head of the Puskesmas, 2 main informants, namely the DBD Program Holder, a Health Promotion Officer, and 2 supporting informants namely Cadres and the Community. The technique used in this research is in-depth interviews using interview guides and data analysis is done descriptively and presented in narrative form. The results of this study indicate that the implementation of the DHF control program is not optimal, this is due to the lack of funds to implement this program, and also the lack of community participation in carrying out the Mosquito Nest Eradication (PSN) program. It is hoped that the public health center will be able to collaborate with related parties such as the City / Provincial Health Office in funding for all DHF control activities and to further motivate the community to participate in the DHF control process

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Benzodiazepines Today and Tomorrow

The Benzodiazepines Crisis ◽

10.1093/med/9780197517277.003.0011 ◽

2020 ◽

pp. 193-215

Author(s):

John J. Coleman

Keyword(s):

Public Health ◽

Drug Abuse ◽

Data Collection ◽

Evidence Base ◽

The Public ◽

Drug Substances ◽

The Government ◽

Public Health Strategies ◽

Effective Public Health

Benzodiazepines (BZDs) and related drugs are widely used for treating a variety of conditions (with varying degrees of evidence-base), but their long-term use (more than 2–4 weeks) can be problematic. They were originally thought (or claimed) to be nonproblematic substitutes for barbiturates, but it is now clear that they have their own set of problems. In addition, they are commonly, albeit ill-advisedly, co-prescribed or used nonmedically in combination with other drug substances. The result of such combinations, particularly with the opioids, can be lethal. Administrative and statutory actions notwithstanding, it appears that reducing problems with BZDs will depend on a comprehensive approach that includes improved education for patients, prescribers, regulators, insurers, and the public. First and foremost, however, there is a pressing need for the government to improve its drug-abuse data collection, specifically how it monitors drug-related morbidity and mortality. This chapter reviews the information that demonstrates how an understanding of all of the dynamics is essential for designing effective public-health strategies to reduce BZD-associated problems.

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