THE PRESIDENT'S PAGE

PEDIATRICS ◽  
1951 ◽  
Vol 8 (2) ◽  
pp. 275-276
Author(s):  
PAUL W. BEAVEN

I AM SURE that the majority of our members are not aware of the influence of the Academy in public health and child welfare. For this reason I will recount some of the incidents that have occurred in the past few months which illustrate this. In May, Dr. Edward Davens, representing our Committee on School Health, went to a meeting in Washington arranged by the National Educational Association to examine the real meaning of citizenship in our country. Excerpts from his report will be published in the News Letter. Last January, Dr. Reginald Higgons attended a conference on school health in Cleveland, which he reported in full to the Executive Board and which will appear in the agenda of committees published in Pediatrics. I would commend this to anyone interested in school health work. In April, Dr. Stewart Clifford used the report of this same School Health Committee, of which Dr. Thomas Shaffer is Chairman, to modify the school health laws in Massachusetts to conform to its recommendations. If members in states are attempting to introduce modern practices in school health, they are referred to the central office. Dr. Christopherson will be glad to send them a copy of Dr. Shaffer's report. In February, Dr. Danis' Committee on Hospitals and Dispensaries sent representatives to a meeting in New York, called to discuss the care of contagious diseases in a general hospital. This group represented many organizations, including the American Public Health Association, the American Medical Association, the American Hospital Association, the American Nursing Association, and others. It was financed by the National Foundation for Infantile Paralysis.

PEDIATRICS ◽  
1974 ◽  
Vol 53 (5) ◽  
pp. 663-673
Author(s):  
Pierce Gardner ◽  
Sylvia Breton ◽  
Diana G. Carles

Infections acquired in hospitals have been recognized as a significant cause of morbidity and mortality since before the era of Semmelweis and Lister. Hospital isolation and precaution procedures have evolved along highly individualistic lines depending on the facilities, patient population and the degree of concern regarding nosocomial infections at a particular hospital. In recent years, a number of valuable manuals which offer details of isolation and precaution techniques as well as recommendations for the hospital control of particular infectious diseases have become available. These include: 1. Public Health Service, U. S. Department of Health, Education and Welfare: Isolation Techniques Used in Hospitals. Washington, D.C.: U.S. Government Printing Office, 1970. 2. Report of the Committee on Infectious Diseases, ed. 16. Evanston, Illinois: American Academy of Pediatrics, 1970. 3. Infection Control in the Hospital, ed. 2. Chicago: American Hospital Association, 1970. 4. Benenson, A. S. (ed.): Control of Communicable Diseases in Man, ed. 11. New York: American Public Health Association, 1970. 5. Top, F. H. (ed.): Control of Infectious Diseases in General Hospitals. New York: American Public Health Association, 1967. In an attempt to synthesize these recommendations into a more easily utilized form, the following alphabetical listing of diseases and conditions has been developed by members of the Infections Control Committee at the Children's Hospital Medical Center. It should be stressed that these are guidelines based on current understanding of the natural history and epidemiology of certain infections. In our hospital, modifications are frequently necessary due to heavy demand for the limited isolation facilities.


PEDIATRICS ◽  
1949 ◽  
Vol 4 (1) ◽  
pp. 142-144

The National Foundation for Infantile Paralysis has awarded postgraduate fellowships in the fields of scientific research, physical medicine and public health. Three of the new fellows will devote their time to research projects in the field of pediatrics. Dr. John J. Osborn, of Larchmont, N.Y., has already begun his project at New York University—Bellevue Medical Center under Drs. L. Emmett Holt, Jr., Professor of Pediatrics, and Colin MacLeod, Professor of Microbiology; Dr. Paul Harold Hardy, Jr., of Baltimore, Md., and Dr. David I. Schrum, of Houston, Texas, will start their work July 1, respectively, at Johns Hopkins Hospital, under Drs. Francis F. Schwentker, Pediatrician-in-Chief, and Horace L. Hodes, Associate Professor of Pediatrics; and at Louisiana State University School of Medicine under Drs. Myron E. Wegman, Professor of Pediatrics, and G. John Buddingh, Professor of Microbiology.


PEDIATRICS ◽  
1949 ◽  
Vol 3 (3) ◽  
pp. 353-361
Author(s):  
PAUL HARPER

THE problem of health services for children of school age is particularly timely in view of current interest in such services. The editors of this column have asked several authorities in this field to state their opinion of the objectives of a school health service and to describe practical methods of attaining these goals. The first two letters in the current issue deal with this subject; other letters on health services for children of school age will be published in subsequent issues. Dr. James L. Wilson is professor of pediatrics at the University of Michigan; Dr. Jessie M. Bierman is professor of maternal and child health at the University of California School of Public Health; and Dr. Dorothy B. Nyswander is professor of Public Health Education in the same school, and the author of "Solving School Health Problems, the Astoria Demonstration Study," the Commonwealth Fund, 1942. The last two letters are from Dr. Albert D. Kaiser, health officer of Rochester, New York. Dr. Kaiser has described the program of the Council of Rochester Regional Hospitals for improving medical care in the 11 counties served by the member hospitals in the June issue of this column. His first letter in this issue describes how these services might be extended if additional funds were available. His second communication serves to make clear what was meant by "institutes conducted for . . . governing boards" as described in the eighth paragraph of his first letter.


PEDIATRICS ◽  
1950 ◽  
Vol 6 (1) ◽  
pp. 172-172

Many individuals and organizations have had a part in the making of this book. They have described influences and forces whose interaction has resulted in the present pattern of our hospital services, and documented their interpretations. The result is a source book of basic information which should be valuable for all students of hospital problems. The Commission was appointed by the American Hospital Association, and chosen to represent a wide range of those providing hospital, health and welfare services, as well as the consuming public.


2020 ◽  
Vol 27 (8) ◽  
pp. 1306-1309
Author(s):  
A Jay Holmgren ◽  
Nate C Apathy ◽  
Julia Adler-Milstein

Abstract We sought to identify barriers to hospital reporting of electronic surveillance data to local, state, and federal public health agencies and the impact on areas projected to be overwhelmed by the COVID-19 pandemic. Using 2018 American Hospital Association data, we identified barriers to surveillance data reporting and combined this with data on the projected impact of the COVID-19 pandemic on hospital capacity at the hospital referral region level. Our results find the most common barrier was public health agencies lacked the capacity to electronically receive data, with 41.2% of all hospitals reporting it. We also identified 31 hospital referral regions in the top quartile of projected bed capacity needed for COVID-19 patients in which over half of hospitals in the area reported that the relevant public health agency was unable to receive electronic data. Public health agencies’ inability to receive electronic data is the most prominent hospital-reported barrier to effective syndromic surveillance. This reflects the policy commitment of investing in information technology for hospitals without a concomitant investment in IT infrastructure for state and local public health agencies.


Author(s):  
Daniel Wilson

Contagious diseases have long posed a public health challenge for cities, going back to the ancient world. Diseases traveled over trade routes from one city to another. Cities were also crowded and often dirty, ideal conditions for the transmission of infectious disease. The Europeans who settled North America quickly established cities, especially seaports, and contagious diseases soon followed. By the late 17th century, ports like Boston, New York, and Philadelphia experienced occasional epidemics, especially smallpox and yellow fever, usually introduced from incoming ships. Public health officials tried to prevent contagious diseases from entering the ports, most often by establishing a quarantine. These quarantines were occasionally effective, but more often the disease escaped into the cities. By the 18th century, city officials recognized an association between dirty cities and epidemic diseases. The appearance of a contagious disease usually occasioned a concerted effort to clean streets and remove garbage. These efforts by the early 19th century gave rise to sanitary reform to prevent infectious diseases. Sanitary reform went beyond cleaning streets and removing garbage, to ensuring clean water supplies and effective sewage removal. By the end of the century, sanitary reform had done much to clean the cities and reduce the incidence of contagious disease. In the 20th century, public health programs introduced two new tools to public health: vaccination and antibiotics. First used against smallpox, scientists developed vaccinations against numerous other infectious viral diseases and reduced their incidence substantially. Finally, the development of antibiotics against bacterial infections in the mid-20th century enabled physicians to cure infected individuals. Contagious disease remains a problem—witness AIDS—and public health authorities still rely on quarantine, sanitary reform, vaccination, and antibiotics to keep urban populations healthy.


1964 ◽  
Vol 22 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Abrão Anghinah ◽  
Alberto Alencar Carvalho

Os autores relatam os efeitos da cinesioterapia em 24 crianças portadoras de déficits motores por lesão de nervos periféricos. A avaliação do grau de fôrça muscular foi feita mediante o emprêgo de testes musculares manuais, adotados pela National Foundation for Infantile Paralysis (New-York) e, de acôrdo com os déficits musculares existentes, foi seguido programa cinesioterápico com base nos exercícios de resistência progressiva de De Lorme; além disso os pacientes foram submetidos a exercícios para recuperar e desenvolver funções básicas da vida diária (preensão e marcha). Todos os pacientes foram medicados com ACTH e cortisona durante a fase aguda. Em 23 pacientes (99,8%) foi possível obter a recuperação da capacidade de preensão e da marcha; em um (0,2%) a recuperação da marcha foi parcial. O tempo médio de cinesioterapia durante a internação foi de 45 dias. Êstes resultados mostram que as polineuropatias periféricas em fase aguda são beneficiadas com a hormonioterapia e que a recuperação motora é abreviada com a utilização precoce da cinesioterapia. A cinesioterapia não só evita que se instalem seqüelas irremissíveis, como conserva o mecanismo efetor durante a regeneração nervosa, constituindo-se em valioso auxiliar da terapêutica medicamentosa.


PEDIATRICS ◽  
1950 ◽  
Vol 5 (4) ◽  
pp. 754-756

The National Foundation for Infantile Paralysis is offering fellowships to physicians for one academic year of study leading to a Master of Public Health degree at a school of public health approved by the American Public Health Association. Eligibility requirements include United States citizenship, graduation from a Class A school of medicine, completion of an interneship of not less than one year, license to practice medicine in one or more states and sound health.


2016 ◽  
Vol 10 (4) ◽  
pp. 576-582 ◽  
Author(s):  
Jennifer S. Love ◽  
David Karp ◽  
M. Kit Delgado ◽  
Gregg Margolis ◽  
Douglas J. Wiebe ◽  
...  

AbstractObjectivesBoarding admitted patients decreases emergency department (ED) capacity to accommodate daily patient surge. Boarding in regional hospitals may decrease the ability to meet community needs during a public health emergency. This study examined differences in regional patient boarding times across the United States and in regions at risk for public health emergencies.MethodsA retrospective cross-sectional analysis was performed by using 2012 ED visit data from the American Hospital Association (AHA) database and 2012 hospital ED boarding data from the Centers for Medicare and Medicaid Services Hospital Compare database. Hospitals were grouped into hospital referral regions (HRRs). The primary outcome was mean ED boarding time per HRR. Spatial hot spot analysis examined boarding time spatial clustering.ResultsA total of 3317 of 4671 (71%) hospitals were included in the study cohort. A total of 45 high-boarding-time HRRs clustered along the East/West coasts and 67 low-boarding-time HRRs clustered in the Midwest/Northern Plains regions. A total of 86% of HRRs at risk for a terrorist event had high boarding times and 36% of HRRs with frequent natural disasters had high boarding times.ConclusionsUrban, coastal areas have the longest boarding times and are clustered with other high-boarding-time HRRs. Longer boarding times suggest a heightened level of vulnerability and a need to enhance surge capacity because these regions have difficulty meeting daily emergency care demands and are at increased risk for disasters. (Disaster Med Public Health Preparedness. 2016;10:576–582)


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