scholarly journals The Medical Care Activities of Local Health Units: Preliminary Report of a National Survey

1968 ◽  
Vol 83 (9) ◽  
pp. 757 ◽  
Author(s):  
Beverlee A. Myers ◽  
Bruce J. Steinhardt ◽  
Mary L. Mosley ◽  
John W. Cashman



2008 ◽  
Vol 13 (13) ◽  
pp. 1-2
Author(s):  
S Thierry ◽  
S Alsibai ◽  
I Parent du Châtelet ◽  
on behalf of the investigation team

Between the end of January and 12 March 2008, 16 cases of measles were reported to the local health authority in Reims in eastern France. The outbreak has to date affected nine adults and seven children, aged from seven months to 28 years. Among these cases, 13 were biologically confirmed.



2009 ◽  
Vol 124 (6) ◽  
pp. 875-882 ◽  
Author(s):  
Carlyn Orians ◽  
Shyanika Rose ◽  
Brian Hubbard ◽  
John Sarisky ◽  
Letitia Reason ◽  
...  

Objectives. We evaluated the effectiveness of the Protocol for Assessing Community Excellence in Environmental Health (PACE EH) in building competency in essential environmental health services and renewing efforts to engage the community in problem solving. Competency and community engagement have been identified by environmental health practitioners as important to meet new threats to public health. Methods. We conducted a national survey and 24 case studies of public health agencies. We invited 917 organizations to participate in the national survey because they had requested a copy of the protocol. Results. We received 656 total responses: 354 had not considered implementation, 302 had considered implementation, and 66 had implemented PACE EH. For the 24 case studies, we interviewed 206 individuals in communities implementing PACE EH. We found that PACE EH has had a positive effect on building community and professional networks, enhancing leadership, developing workforce competence, and expanding definitions of environmental health practice. Conclusions. With appropriate investments, PACE EH can be an effective tool to meet the environmental health challenges identified by local environmental health practitioners and state, tribal, and federal agencies.



1975 ◽  
Vol 4 (3) ◽  
pp. 189-195 ◽  
Author(s):  
M. H. BANKS ◽  
S. A. A. BERESFORD ◽  
D. C. MORRELL ◽  
J. J. WALLER ◽  
C. J. WATKINS


Author(s):  
Carolina Pimentel Bertasso ◽  
Amanda Cristina Netto Guerra ◽  
Fernanda Pereira ◽  
Lissa Nakazato ◽  
Lara Godela Delatore ◽  
...  

Abstract: Introduction: The World Health Organization defined the compulsory need to redirect all educational, research and public health service activities of medical schools to meet all priority health needs, attributing to them this social responsibility role. Due to the emergency situation in the public health system caused by the COVID-19 pandemic, as a measure of social accountability, remote medical care services and online education were adopted in order to continue following the curricular program and to provide assistance to local city governments. Experience report: Two months before graduation, medical students followed-up on the monitoring of residents and COVID-19 healthcare professionals of forty-three ILPIs (Long-Term Elderly Care Facilities) in the city of Sao Jose do Rio Preto, state of Sao Paulo, Brazil. The medical students made daily telephone calls to all these ILPI units, requesting information, generally from the head nurses and owners, about the main COVID-19 symptoms that were detected in the residents and employees of these facilities. All the collected information was discussed daily with the teacher in charge of mentoring the program, fed into an online database and into a work schedule chart, then relayed to the local Municipal Health Secretariat. A COVID-19 contingency plan was devised by the team, authorized by the Local Health Secretariat and then presented to the ILPIs, aiming to offer them the best guidance throughout the pandemic. Discussion: the COVID-19 pandemic revealed the Health Education System’s fragilities, limitations and capacity to adapt to this crisis, thus largely contributing to improving the training of new medical doctors. During the program, medical students faced many challenges, especially regarding the difficulty to contact some ILPIs by telephone, omitted or erroneous information provided by employees in these facilities and delays in reporting suspected cases. In spite of this scenario, daily contact with these facilities allowed the team to identify the ILPIs that were more adequately prepared and the ones that needed auditing and further supervision. Also, this daily contact established a bond between the team and the ILPIs. Conclusion: During the pandemic, it was possible to perform actions according to the logic of social accountability, demonstrating that remote online medical practice is a tool capable of both maintaining interns in contact with the practical aspects of medical care and providing medical assistance to the community and to the local government.



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