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What is Public Health all about?. What does Public Health do?. Provide disease control and prevention Assure air and water quality Promote healthy lifestyles. Public Health is a wise investment. It helps people: Save money Enjoy good health Live longer. People are living longer!.

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What does Public Health do?

  • Provide diseasecontrol and prevention

  • Assure air andwater quality

  • Promote healthylifestyles


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Public Health is a wise investment

  • It helps people:

    • Save money

    • Enjoy good health

    • Live longer





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Public Health Is Your Health Too!


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Public Health Achievementsin the 20th Century


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Public Health achievements in the 20th century

  • Immunizations

  • have virtually eliminated:

    • Smallpox

    • Diphtheria

    • Pertussis

    • Tetanus

    • Polio

    • Measles

    • Rubella



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Public Health achievements in the 20th century

  • Safe and healthier foods

  • are now commonplace because of:

    • Hand washing

    • Sanitation

    • Refrigeration

    • Pasteurization

    • Pest control

    • Healthier animal care, feeding, and processing

    • Improved food supply safety


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Public Health achievements in the 20th century

  • Fluoridation

    • Primary factor in the decline of tooth decay

    • Benefits all, regardless of age, education, or income


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Public Health achievements in the 20th century

  • Coronary heart disease

  • and stroke

  • The leading cause

  • of death in the U.S.

  • despite a 60%

  • decrease in death rates

  • since 1950.


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Public Health achievements in the 20th century

  • Recognition of tobacco

  • as a health hazard

  • Smoking, once socially

  • acceptable, is on the

  • decline among U.S. adults.

  • % of population who smoke

  • 1965–42.4%

  • 1997–24.7%


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Public Health achievements in the 20th century

  • Motor vehicle safety

    • 1925–18 deaths per million VMT

    • 1997–1.7 deaths per million VMT

VMT: vehicle miles traveled


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Public Health achievements in the 20th century

  • Motor vehicle safety

  • Public Health efforts

  • have influenced:

    • Increased seat belt use

    • Vehicle safety improvements

    • Traffic safety regulation and enforcement

    • Improved streets and highways


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Public Health achievements in the 20th century

  • Mother and infant

  • mortality rates

    • Maternal mortality rates down 99%

    • Infant mortality rates down 90%


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Public Health achievements in the 20th century

  • Mother and infant

  • mortality rates

    • Improved standards of living

    • Technological advances in medicine

    • Greater access to maternal and

      well-baby care


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Public Health achievements in the 20th century

  • Family planning

    • Desired birth spacing and family size


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Public Health achievements in the 20th century

  • Safer, healthier

  • workplaces

    • Mining safety

    • Industrial safety

    • Indoor air quality

    • Ergonomics


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Public Health Is Your Health Too!


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Public Health

  • A population-based approach to healthy living


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Core functions of Public Health


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Core functions of Public Health

  • Assessment


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Core functions of Public Health

  • Assessment

  • Policy Development


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Core functions of Public Health

  • Assessment

  • Policy Development

  • Assurance


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Core functions of Public Health


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A. Assessment

  • Assess community health needs

  • Investigate health hazards and effects

  • Analyze health factors


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B. Policy Development

  • Advocate for community needs and issues

  • Prioritize health needs

  • Plan and develop policies


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C. Assurance

  • Manage resources

  • Implement programs

  • Evaluate programs

  • Inform the public


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Some top priority health issues in Nebraska

  • Obesity

  • Cardiovasculardisease

  • Diabetes

  • Poor nutrition

  • Lack of exercise

  • Environmentalhealth

  • Tobacco use

  • West Nile Virus

  • Other communicable diseases

  • Access to dentalcare

  • Bio-terrorism


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Problem:Obesity Epidemic

  • In Nebraska:

    • Three in five people are overweight or obese

    • 1989 to 1999 saw a 75% increase in obese people

    • Major cause of cardiovascular disease and diabetes

    • Cost Nebraska $741 million in 2002


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Obesity Epidemic:What we are doing

  • Education focus:

    • Risks

    • Prevention


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Problem:Cardiovascular Disease

  • Causes 29% of deaths in Nebraska

  • 84% of Nebraskans have at least one risk factor

  • $2.1 billion cost to Nebraska in 2003


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Cardiovascular Disease:What we are doing

  • Public health focuses

  • on prevention through

  • education


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Problem:Diabetes

  • 15% increase in deaths in Nebraska from 1989–98

  • Diabetes costs Nebraska $610 million per year


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Diabetes:What we are doing

  • Education is keyto prevention

  • Lifestyle changescan reduce diabetesdevelopment by40–60%


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Problem:Poor Nutrition

  • 4 of 5 Nebraskans don’t eat enough fruits and vegetables

  • Only 8 states rank lower than Nebraska


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Poor Nutrition:What we are doing

  • Promoting importance

  • of balanced diets


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Problem:Lack of physical activity

  • 30.4% of Nebraska adults report that they do not engage in leisure time physical activity

  • 4 in every 5 Nebraska high school students do not engage in sufficient levels of moderate and vigorous physical activity


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Lack of physical activity:What we are doing

  • Educating youth and adults about the value of physical activity

  • Creating environments and policies that are supportive of physical activity


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Problem:Tobacco use

  • 2,400 Nebraskans died in 1999 from tobacco use

  • Over $400 million each year on tobacco-related health care

  • 45,000 Nebraska youth will die prematurely as adults from smoking-related illness


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Tobacco use:What we are doing

  • Tobacco-Free Nebraska program including tobacco cessation quitline (ending 5/30/04)

  • Grants to local communities

  • Youth empowerment activities


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Problem:Oral health access

  • 18 Counties have no dentist

  • 33 Counties have one or two dentists

  • 50% of Nebraska dentists plan to retire by 2013


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Oral health access:What we are doing

  • Recruitment and incentives

  • Critical access facilities


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Problem:West Nile Virus

  • Nebraska in 2003:

    • 2022 human cases

    • 26 deaths


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West Nile Virus:What we are doing

  • Prevention

  • Education

  • Communication

  • Action


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Problem:Other communicable diseases

  • Prompt recognition and

  • identification are the

  • key challenges.


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Other communicable diseases:What we are doing

  • Nebraska’s public health

  • systems have instituted

  • an organized network

  • of surveillance processes.


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