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Missouri Association of Local Boards of Health (MALBOH) Presents. THE TEN GREAT ACHIEVEMENTS OF PUBLIC HEALTH MODULE #1. TEN GREAT ACHIEVEMENTS OF PUBLIC HEALTH (WHY WE DO THE THINGS WE DO)! Modules developed by Ross McKinstry , MPH; Sheila Guice , MPH; and Mahree Skala , MA.

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TEN GREAT ACHIEVEMENTS OF PUBLIC HEALTH

(WHY WE DO THE THINGS WE DO)!

Modules developed by

Ross McKinstry, MPH;

Sheila Guice, MPH; and

MahreeSkala, MA

module 1
MODULE #1
  • INTRODUCTION—What is Public Health?
  • OVERVIEW OF 10 GREAT ACHIEVEMENTS
  • ACHIEVEMENT #1: VACCINATION
ten greatest public health achievements united states 1901 2000

Vaccination

Motor Vehicle Safety

Safer Workplaces

Control of Infectious Diseases

Decline in Deaths from Coronary Heart Disease and Stroke

Safer and Healthier Foods

Healthier Mothers and Babies

Family Planning

Fluoridation of Drinking Water

Recognition of Tobacco Use as a Health Hazard

Ten Greatest Public Health Achievements United States, 1901-2000
ten greatest public health achievements united states 2001 2010

Vaccine-Preventable Diseases

Prevention and Control of Infectious diseases

Tobacco Control

Maternal and Infant Health

Motor Vehicle Safety

Cardiovascular Disease Prevention

Occupational Safety

Cancer Prevention

Childhood Lead Poisoning Prevention

Public Health Preparedness and Response

Ten Greatest Public Health Achievements United States, 2001-2010
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What Is Public Health?

Prevent

Promote

Protect

confusion of ph and medical care
CONFUSION OF PH AND MEDICAL CARE
  • Medical care typically treats illnesses after someone is sick.
  • Public Health attempts to prevent the illness in the first place.
  • Upstream versus Downstream
public health mission
Public Health Mission

To Fulfill Society’s Interest In Assuring Conditions In Which People

Can Be Healthy

public health is
Public Health is……
  • For everyone…every day!
  • Public Health makes good fiscal sense because it is cheaper to prevent health problems than to fix them after the fact.
  • Example: Flu shots….a $20 shot could save thousands of dollars at the hospital, and there are numerous examples of this type of savings. Dental sealants, clean water, safe food…..
progress during the 20 th century
Progress During the 20th Century
  • What was the average life expectancy in the U.S. in 1900?
    • 47.3 years old
  • What was the average life expectancy in 2000?
    • 76.8 years old
at the turn of the 20 th century in the us in 1900
At The Turn Of The 20th Century in the US—In 1900:
  • There were 8,000 cars in the US and 144 miles of paved road
  • Maximum speed limit was 10 mph in most cities
  • 14% of the households had a bathtub
  • 8% of the households had a telephone
  • 90% of all US physicians had no college education
  • 95% of all births were home births
  • The average wage earner:
    • earned 22 cents per hour
    • averaged $200-$400 per year
in 1900
In 1900...
  • The American flag had 45 stars
  • Insulin & antibiotics had not yet been discovered
  • One in 10 adults could not read or write
  • Only 6% of Americans graduated from high school
  • Marijuana, heroin & morphine were over-the-counter drugs. Coca-cola contained cocaine.
in 19001
In 1900...
  • Five leading causes of death (in order)
    • Pneumonia & Influenza
    • Tuberculosis
    • Diarrhea
    • Heart Disease
    • Stroke
during the 20th century
During the 20th Century..
  • The health and life expectancy of US citizens improved drastically
  • Since 1900 the average lifespan increased by more than 30 years.
  • 25 of those added years can be attributed to the efforts of Public Health
vaccine preventable diseases
Vaccine-Preventable Diseases
  • 1900 - 21,064 cases of Smallpox
    • 894 patients died
  • 1920 - 147,991 cases of Diphtheria
    • 13,170 patients died
  • 1920 - 469,924 cases of Measles
    • 7,575 patients died
  • 1922 - 107,473 cases of Pertussis (Whooping Cough)
    • 5,099 patients died.
today
Today
  • Vaccine-Preventable Diseases at record low levels in the United States
  • Smallpox Eradicated
  • Polio Has Been Eliminated In The Americas
  • WHO (World Health Organization) Seeks Total Elimination of Polio in 2015
today1
Today
  • Improvement in pneumococcal disease
  • Varicella vaccine cut chickenpox incidence and deaths
  • Hepatitis A has declined drastically
vaccination challenges
Vaccination - Challenges
  • New & existing vaccine supplies & financing must be more secure.
  • Parents need to understand the importance.
  • We need to reach out to immunize children, especially those under 2!
  • Missouri has ranked near the bottom in recent surveys of 2-year-old immunization rates
policy issue immunization requirements are important
Policy Issue: Immunization requirements are important
  • Recently, attempts have been made to take away the state’s authority to require immunizations for child care and school attendance.
  • Immunization requirements have been the driving force behind the reduction in diseases.
  • All major medical organizations support the requirements.
references
References
  • Ten Great Achievements of Public Health in the 20th Century

Morbidity and Mortality Weekly Report

April 2, 1999 / 48 (12);241-243 http://www.cdc.gov/mmwr/preview/mmwrhtml/00056796.htm

  • Update, May 20, 2011 / 60(19);619-623

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019a5.htm

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Thanks!

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