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Golden Lecture of Prevention. Building a Global Prevention Network to Share Knowledge and Wisdom Updated November 2009. Life Expectancy Map. From Wikipedia. Hygeia In Greek mythology The goddess of health. Hygiene –The science that deals with the preservation & promotion of health. .

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golden lecture of prevention

Golden Lecture of Prevention

Building a Global Prevention Network to Share Knowledge and Wisdom

Updated November 2009

life expectancy map
Life Expectancy Map

From Wikipedia

slide3

Hygeia

In Greek mythology The goddess of health.

Hygiene –The science that deals with the preservation & promotion of health.

Importance of Hippocrates’ Teaching for public health and medicine of today

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.

objectives
Objectives
  • To define prevention and highlight its importance in global health.

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 further distribute the golden lecture to faculty, students and professionals all over the world

definition of prevention
Definition of Prevention

“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

public health and sanitation
Public Health and Sanitation

Achievements of the 20th century:

  • Improvements in hygiene practices
  • Improvements in food handling (refrigeration)
  • Improvement in Water and sewage treatment
  • Vaccination practices
rising life expectancy
Rising Life Expectancy

Source: United Nations (U.N.) Population Division, Demographic Indicators, 1950-2050 (The 1996 Revision) (U.N., New York, 1996).

slide10

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.

Koch

identified

tubercle

bacillus

Streptomycin

introduced

Vaccination

available

the sanitary revolution and the ascendancy of public health
The Sanitary Revolution and the Ascendancy of Public Health

1. 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

death rates for measles in children under age 15 england and wales 1850 1970
Death Rates for Measles in Children Under Age 15, England and Wales, 1850-1970

Source: Thomas McKeown, The Modern Rise of Population (Academic Press, San Francisco, 1976), pp. 93, 96.

example of successful prevention program in cuba vaccination program result
Example of successful prevention program in CubaVACCINATION PROGRAM RESULT

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

MORBIDITY

MENINGOCOCCICAL DISEASE REDUCTION 93%

TYFHOID FEVER REDUCTION 75%

B HEPATITIS REDUCTION 52%

slide19

Death Rates for Coronary Heart Disease by Country Men Ages 35-74, 1970 and 1993 (Rate/100,000)

750

FIN

USA

AUST

SCOT

NZ

CAN

500

SING

USSR

250

ITY

SPN

FRAN

JPN

HK

CHN

0

advances in cancer care and cancer prevention will arise from
Advances in Cancer Care and Cancer Prevention will Arise From
  • Genetics, genomics, proteomics
  • Cell biology and immunology
  • Molecular Epidemiology/biomarkers
  • Bioinformatics
  • Behavioral Sciences
slide24

Lifestyle Factors

“Genes load the gun.Lifestyle pulls the trigger”

Dr. Elliot Joslin

relation between chd events and ldl c in recent statin trials
Relation Between CHD Events and LDL-C in Recent Statin Trials

4S-PI

30

2° Prevention

25

4S-Rx

20

% with

LIPID-Rx

15

LIPID-PI

1° Prevention

CHD event

CARE-Rx

CARE-PI

WOSCOPS-PI

10

AFCAPS/TexCAPS-PI

5

WOSCOPS-Rx

AFCAPS/TexCAPS-Rx

0

90

110

130

150

170

190

210

Mean LDL-C level at follow-up (mg/dL)

PI=placebo; Rx=treatment

.

methods supercourse model

Teacher in Alexandria

Teacher in UAE- Sharjah

Teacher in Pittsburgh

Teacher in Tanzania

Teacher in Paris

Teacher in Moscow

Methods: Supercourse model
conclusions
Conclusions

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

what is the future of prevention
What is the future of prevention?
  • Globalization of Prevention
  • Networking of people in prevention
  • Sharing of data, knowledge and wisdom

Please forward the Golden Lecture to faculty, students and health professionals in your country

review questions developed by the supercourse team
Review Questions (Developed by the Supercourse team)
  • What caused the dramatic shift in life expectancy over the course of the 20th century?
  • What are the major levels of prevention?
  • Give an example of successful prevention activity that had a big influence on increasing life expectancy.
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