Golden Lecture of Prevention. Building a Global Prevention Network to Share Knowledge and Wisdom. Hygeia In Greek mythology The goddess of health. Hygiene –The science that deals with the preservation & promotion of health. . September 19, 2003 Hippocrates Day.
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Building a Global Prevention Network to Share Knowledge and Wisdom
In Greek mythology The goddess of health.
Hygiene –The science that deals with the preservation & promotion of health.
September 19, 2003
This lecture is dedicated to a man who is currently recognized as the “father” of medicine. It’s because of his work, healers became doctors instead of sorcerers. Hippocratic oath is administered during the graduation ceremonies of all modern medical schools.
2. To discuss the importance of network in the context of the Supercourse and to begin to organize the internet based globalization for prevention
3. To distribute the golden lecture to 1 million faculty, students and professionals all over the world
“Actions aimed at eradicating, eliminating, or minimizing the impact of disease and disability. The concept of prevention is best defined in the context of levels, traditionally called primary, secondary, and tertiary prevention”
A Dictionary of Epidemiology, Fourth Edition
Edited by John M. Last
Achievements of the 20th century:
Source: United Nations (U.N.) Population Division, Demographic Indicators, 1950-2050 (The 1996 Revision) (U.N., New York, 1996).
Death rate for Tuberculosis, 1860-1960, United States, Source: US Bureau of the Census, Historical Statictics of the United States; Colonial Times to 1970 (Washington, D.C.:Government Printing Office, 1975), Part 1 pp58,63. Note: Data between 1860 and 1900 for Massachusetts only.
The sanitary revolution produced the greatest transformation in the pattern of disease that the world had known since nomadic hunter-gatherers settled in permanent villages, and ultimately developed modern urban industrial communities
Source: Thomas McKeown, The Modern Rise of Population (Academic Press, San Francisco, 1976), pp. 93, 96.
Diarrhea and Wales, 1850-1970
TyphoidEpidemiologic Transition, MexicoDecline in Communicable, Rise of NCDs
POLIO ELIMINATED SINCE 1962
DIPHTHERIA ELIMINATED SINCE 1969
NEWBORN TETANUS ELIMINATED SINCE 1972
CONGENITAL RUBELLA ELIMINATED SINCE 1989
MENINGITIS POST MUMPS ELIMINATED SINCE 1989
MEASLES ELIMINATED SINCE 1993
WHOOPING COUGHTRANSMISSION INTERRUPTED SINCE 1994
RUBELLATRANSMISSION INTERRUPTEDSINCE 1995
MUMPS TRANSMISSION INTERRUPTEDSINCE 1995
MENINGOCOCCICAL DISEASE REDUCTION 93%
TYFHOID FEVER REDUCTION 75%
B HEPATITIS REDUCTION 52%
Government-invests US $99,970/yr, protects 3.4 million people in transmission zone at $0.03 per head
Death Rates for Coronary Heart Disease by Country Men Ages 35-74, 1970 and 1993 (Rate/100,000)
Lifestyle Factors 35-74, 1970 and 1993 (Rate/100,000)
“Genes load the gun.Lifestyle pulls the trigger”
Dr. Elliot Joslin
Mean LDL-C level at follow-up (mg/dL)
Prevention and Internet: Internet “Epidemic” 35-74, 1970 and 1993 (Rate/100,000)
Number of Internet users (millions)
Teacher in Alexandria 35-74, 1970 and 1993 (Rate/100,000)
Teacher in Cairo
Teacher in Pittsburgh
Teacher in Tanzania
Teacher in Paris
Teacher in MoscowMethods: Supercourse model
Telepreventive Medicine 35-74, 1970 and 1993 (Rate/100,000)
Inexpensive Low to High bandwidth systems designed to reach large numbers of healthy people to prevent disease.
Expensive High bandwidth systems designed to reach small numbers of sick people to cure disease.
Supercourse Lecture Growth 35-74, 1970 and 1993 (Rate/100,000)
Increased life expectancy in the past century was achieved through the improvement of sanitation and prevention
Successful prevention in the past and in the future needs to be rooted in the networking of health professionals around the world to share their knowledge
Internet based Information sharing is the key to prevention and a “golden” world
Please forward the Golden Lecture to faculty, students and health professionals in your country