Public Health Confronts Modernity in the Shadow of the Pandemic

Author(s):  
Richard Cooper

Empirical science in the eighteenth and nineteenth centuries transformed public health. Improvement in nutrition and living conditions were the driving forces, linked to basic sanitation. The principles of public health also proved highly effective in prevention of chronic disease, such as cardiovascular disease and cancer. However, the dominant force in biomedicine has become genomics and “precision medicine,” both of which ignore the role of environmental exposures, and focus on individual, not collective risk. Genetic determinism and technological solutions have narrowed the scope of research aimed at improving population health, and reduced the benefits that biomedical science and public health could provide. The COVID-19 pandemic is the same story in bold print.

1979 ◽  
Vol 42 (2) ◽  
pp. 180-182
Author(s):  
BOYD T. MARSH

A brief review of the history of food-caused illness in humans and those categories or areas in a foodservice operations that are considered critical by public health personnel are discussed. The role of the foodservice manager is examined with respect to foodborne outbreaks. Some issues divergent from basic sanitation, but nevertheless, important to the foodservice manager and to public health personnel, are presented.


2018 ◽  
Vol 12 (42) ◽  
pp. 894-906
Author(s):  
Nicole Blanco Bernardes ◽  
Larissa De Souza Facioli ◽  
Maria Luzia Ferreira ◽  
Raissa De Moura Costa ◽  
Ana Cristina Fonseca de Sá

Este trabalho foi escrito devido a importância de apresentar maior conhecimento as pessoas, não somente da área da saúde, da importância do cuidado com os alimentos para evitar o aumento do número de ocorrência de casos de toxinfecção alimentar, principalmente  pela Salmonella spp. Dentro da contaminação do alimento pode-se ter a infecção, intoxicação e a toxinfecção alimentar, nos três tipos há diversos fatores que facilitam a ocorrência desses casos, que vão desde a precariedade no saneamento básico até a falta de cuidado e fiscalização dos alimentos, Diferenciando intoxicação, de infecção e de toxinfecção alimentar, mostrar os alimentos, microrganismos e os sintomas mais frequentes, quais os meios de contaminação, o papel da vigilância sanitária, as buscas foram realizadas em duas bases de dados bibliográficos, sendo estes SciELO (Scientific Eletronic Libray Online) e Google Acadêmico,foram selecionados artigos do período de 1996 a 2018. FOOD POISONING A PUBLIC HEALTH PROBLEMAbstractThis work was published because of the importance of the people with the highest number of cases reporting food poisoning cases, especially Salmonella spp. Contamination of food can be an interference, poisoning and food poisoning, several, several factors that facilitate the absence of cases, ranging from a precariousness in basic sanitation to a lack of care and inspection of food, differentiation intoxication, of infection and food toxinfection, such as food, microorganisms and the most frequent symptoms, such as means of contamination, the role of sanitary surveillance, as the searches were exposed in two bibliographic databases, these being SciELO and Google Scholar, were included in the period from 1996 to 2018.


Author(s):  
Sarah Bronwen Horton

The only survey of migrant farmworkers’ health in California that used clinical exams to collect data found this occupational group had “startlingly” high rates of hypertension and risk factors for cardiovascular disease. Drawing upon the narratives of two migrant farmworking women who were both hospitalized for hypertension, this chapter explores the role of “immigration stress” and “work stress” in producing their chronic disease. While public health researchers have recently pointed to racial minorities’ physiological response to chronic discrimination as an explanation for their higher rates of hypertension, this chapter makes an analogous argument for legal minorities. It suggests that the recent trend towards heightened interior immigration enforcement subjects all noncitizens to forms of “everyday violence,” only increasing their chronic worry and “perseverative stress.” This chapter explores how the stress of being a legal minority gets under migrants’ skin, helping account for migrant farmworkers’ higher rates of chronic morbidity and mortality.


2019 ◽  
pp. 453-456
Author(s):  
J. Lloyd Michener ◽  
Craig W. Thomas

Over the last few years, this chapter explains, the role of training and the workforce has moved from the position of not a primary concern to an important factor in public health issues. Part of the shift was the result of the rapid growth of community partnerships, making the opportunity to include learners more than an isolated possibility. Another was the infrequent presence of learners, training programs, or professional schools in the partnerships, even though many were occurring in the neighborhoods around the professional schools and programs. And a large part was the eagerness of the learners themselves. However, as this next section of chapters will explain, the voice of students and residents in the health improvement process has not yet reached full force.


Author(s):  
Joanna M. Charles ◽  
Rhiannon T. Edwards

This chapter describes the application of programme budgeting and marginal analysis (PBMA) as an evidence-based framework to make resource allocation decisions such as whether to invest or disinvest in certain services, products, or interventions. This evidence-based eight-step decision-making process can help decision-makers to maximize the impact of healthcare resources on the health needs of a local population. Programme budgeting is an appraisal of past resource allocation in specified programmes or services with a view to tracking future resource allocation in those same programmes or services. Marginal analysis is the appraisal of the added benefits and added costs of a proposed investment or the lost benefits and lower costs of a proposed disinvestment. This chapter pays particular attention to the use of the PBMA framework to appraise a national health improvement budget as a case study to illustrate the methods practical application in public health.


2021 ◽  
Vol 22 (9) ◽  
pp. 4339
Author(s):  
Erika Aparecida Silveira ◽  
Rômulo Roosevelt da Silva Filho ◽  
Maria Claudia Bernardes Spexoto ◽  
Fahimeh Haghighatdoost ◽  
Nizal Sarrafzadegan ◽  
...  

Obesity is globally a serious public health concern and is associated with a high risk of cardiovascular disease (CVD) and various types of cancers. It is important to evaluate various types of obesity, such as visceral and sarcopenic obesity. The evidence on the associated risk of CVD, cancer and sarcopenic obesity, including pathophysiological aspects, occurrence, clinical implications and survival, needs further investigation. Sarcopenic obesity is a relatively new term. It is a clinical condition that primarily affects older adults. There are several endocrine-hormonal, metabolic and lifestyle aspects involved in the occurrence of sarcopenic obesity that affect pathophysiological aspects that, in turn, contribute to CVD and neoplasms. However, there is no available evidence on the role of sarcopenic obesity in the occurrence of CVD and cancer and its pathophysiological interplay. Therefore, this review aims to describe the pathophysiological aspects and the clinical and epidemiological evidence on the role of sarcopenic obesity related to the occurrence and mortality risk of various types of cancer and cardiovascular disease. This literature review highlights the need for further research on sarcopenic obesity to demonstrate the interrelation of these various associations.


Author(s):  
Stephen Peckham ◽  
Anna Coleman ◽  
Erica Gadsby ◽  
Julia Segar ◽  
Neil Perkins ◽  
...  

Chapter 8 reports research on the changing role of commissioning in the restructured public health system. The chapter will discuss how public health commissioning responsibilities have changed and become more fragmented, being split amongst a range of different organisations, most of which were newly created in 2013. It will focus on discussing how the re-organisation substantially changed the way public health commissioning is done, who is doing it, and what is commissioned, since the reforms. There have been significant changes in commissioning processes, with important consequences for what health improvement services are ultimately commissioned. Also new opportunities for creativity and joining public health with wider determinants of health (e.g. housing and leisure).


Stroke ◽  
2022 ◽  
Author(s):  
Mitchell S.V. Elkind

This Presidential Address was delivered at the International Stroke Conference in March 2021, during the coronavirus pandemic. Dr Elkind, the President of the American Heart Association (AHA) at the time, is a vascular neurologist with a research focus on stroke epidemiology. This address interweaves personal reflections on a career in clinical neurology, stroke research, and public health with a discussion of the role of the AHA in improving cardiovascular health at multiple levels. Throughout its history, the AHA has had leaders representing many different areas of cardiovascular science and medicine, including stroke. More recently, its focus has expanded from a traditional emphasis on cardiovascular events illness and events, like heart disease and stroke, to an appreciation of the role of the vascular system in brain health, healthy aging, cognitive decline, and dementia. During the pandemic, as the bidirectional effects of the coronavirus on cardiovascular disease has been elucidated, the benefits of a broad and multidisciplinary approach to cardiovascular disease and public health have become more apparent than ever. In addition, with growing awareness of the disproportionate effects of the pandemic on communities of color in the United States and globally, the AHA has redoubled its focus on addressing the social determinants of health, including structural racism. Central to these efforts is the construction of bridges between the generation of scientific knowledge and action for the public good. Our success will depend on the combination of basic, translational, clinical and population research with programs of public and professional education, advocacy, and social action.


2013 ◽  
Vol 23 (5) ◽  
pp. 642-655 ◽  
Author(s):  
Ahmed Omran ◽  
Dalia Elimam ◽  
Keith A. Webster ◽  
Lina A. Shehadeh ◽  
Fei Yin

AbstractCardiovascular diseases in children comprise a large public health problem. The major goals of paediatric cardiologists and paediatric cardiovascular researchers are to identify the cause(s) of these diseases to improve treatment and preventive protocols. Recent studies show the involvement of microRNAs (miRs) in different aspects of heart development, function, and disease. Therefore, miR-based research in paediatric cardiovascular disorders is crucial for a better understanding of the underlying pathogenesis of the disease, and unravelling novel, efficient, preventive, and therapeutic means. The ultimate goal of such research is to secure normal cardiac development and hence decrease disabilities, improve clinical outcomes, and decrease the morbidity and mortality among children. This review focuses on the role of miRs in different paediatric cardiovascular conditions in an effort to encourage miR-based research in paediatric cardiovascular disorders.


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