Why is public health important to countries of eastern europe and russia
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Why is Public Health Important to Countries of Eastern Europe and Russia?. TH Tulchinsky MD MPH Braun School of Public Health Oct 2003. "All mankind is of one author, and is one volume; when one man dies, one chapter is not torn out of the book, but translated into a better language; …..

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Why is Public Health Important to Countries of Eastern Europe and Russia?

TH Tulchinsky MD MPH

Braun School of Public Health

Oct 2003


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"All mankind is of one author, and is one volume; when one man dies, one chapter is not torn out of the book, but translated into a better language; …..

As therefore the bell that rings to a sermon, calls not upon the preacher only, but upon the congregation to come: so this bell calls us all: …

“No man is an island, entire of itself...any man's death diminishes me, because I am involved in mankind; and therefore never send to know for whom the bell tolls; it tolls for thee."


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Learning from Others man dies, one chapter is not torn out of the book, but translated into a better language; …..

Science and technology – “the state of the art”

Disease patterns

  • Infectious

  • Non-infectious

  • Toxic

  • Trauma

  • Nutritional

    Interventions for prevention

    Interventions for case management

    Managing health systems


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GDP Per Capita CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Crude Fertility Rates, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Crude Mortality Rates man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Life Expectancy, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Maternal Mortality, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Stroke Mortality, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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CHD Mortality, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Ca Cx Mortality, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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MVA Mortality, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Trauma Mortality, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Cirrhosis Mortality, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Diabetes Mortality, CEE, Russia, Israel man dies, one chapter is not torn out of the book, but translated into a better language; …..


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Public Health Burden of CEE, Russia man dies, one chapter is not torn out of the book, but translated into a better language; …..

  • High mortality from preventable disease

  • Nutrition e.g. MNDs, obesity-unfitness, diabetes

  • Chronic disease e.g. congestive heart failure, diabetes, cancer, osteoporosis, dementias

  • Infectious diseases (new and old)e.g. TB, HIV, STDs

  • Inequalities e.g. geographic disparities

  • Mental health, substance abuse, depression

  • Costs (rising), resources (limited), priorities (needed)


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Health Status: International Data Source man dies, one chapter is not torn out of the book, but translated into a better language; …..

  • Health for All Data Base, WHO European Region

  • Accessible at www.who.dk/

  • Country programs

    • Copy Diskette 1 and diskette 2 to hard disc

    • Open

    • Includes all countries in WHO Euro region

    • Superb: Use it


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Why Health Targets? man dies, one chapter is not torn out of the book, but translated into a better language; …..

  • US and WHO experience

  • Objectives with funding support

  • Measurable set of objectives, targets, goals

    • National, regional comparisons

    • International comparisons

    • Funding allocation

  • Relevant to Israel

    • Ethnic and deprived group health

    • Diabetes

    • Hypertension

    • Nutrition status monitoring etc


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Urgent Issues man dies, one chapter is not torn out of the book, but translated into a better language; …..

  • International standards

  • Down size hospital sector, transfer to home care

  • Training in NPH

  • National health priorities, policies, targets

  • Immunization

  • Vitamin K for newborns

  • Hypertension control at primary care level

  • Clinical guidelines

  • TB, STD, HIV control

  • Monitoring and continuing adaptation


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What Should You Be Reading? man dies, one chapter is not torn out of the book, but translated into a better language; …..

  • MMWR www.cdc.gov/mmwr

  • HFA Data Base www.who.dk

  • WER www.who.int/

  • Am Journal of Pub Health

  • European Journal of Pub Health

  • NEJM

  • Lancet/BMJ

  • Pubmed

  • Internet

  • Promed


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Thank You man dies, one chapter is not torn out of the book, but translated into a better language; …..


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