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Missouri’s Public Health System. Missouri Department of Health and Senior Services Center for Local Public Health Services. What is Public Health?. Public health is often confused with health care. A health care provider diagnoses and treats individual patients.
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Missouri’s Public Health System Missouri Department of Health and Senior Services Center for Local Public Health Services
What is Public Health? • Public health is often confused with health care. • A health care provider diagnoses and treats individual patients. • Public health professionals develop plans of action to improve the health status of the entire population.
Public Health cont. • Focus of public health has changed over the years. • Early efforts directed toward disease prevention. • Expanded insurance coverage to most people has allowed public health to focus on its principal roles of protecting the public and promoting health.
Effective Public Health System • Assesses and promotes health and safety • Prevents or minimizes the occurrence of diseases and injuries • Plans, prepares and responds to natural and manmade disasters • Identifies barriers, and facilitates access to primary and preventive health care, and • Enforces public health laws and regulations
CDC’s Ten Essential Services • Monitor health status to identify and solve community health problems • Diagnose and investigate health problems and health hazards in the community • Inform, educate and empower people about health issues • Mobilize community partnerships and actions to identify and solve health problems
Essential Services cont. • Develop policies and plans that support individual and community health efforts • Enforce laws and regulations that protect health and ensure safety • Link people to needed personal health services and assure the provision of health care when otherwise unavailable
Essential Services cont. • Assure a competent public and personal health care workforce • Evaluate effectiveness, accessibility and quality of personal and population based health services • Research for new insights and innovative solutions to health problems
Public Health System Primary focus on population Emphasis on disease prevention and health promotion that shape a community’s overall health profile Public Health System vs.the Health System (medicine) Health System • Primary focus on individual • Emphasis on diagnosis and treatment
Health System Hospital delivers the baby Public Health System • Regulates the hospital to ensure safety
Missouri’s Public Health System Public health is credited with adding 25 years to the life expectancy of people in the United States in this century.
Vaccinations Motor-vehicle safety Safer workplaces Safer and healthier foods Decline in deaths from coronary heart disease and stroke Great Public Health Achievements United States – 1900-1999
Great Public Health Achievements cont. • Healthier mothers and babies • Fluoridation of drinking water • Recognition of tobacco use as a health hazard • Control of infectious diseases United States – 1900-1999
Missouri’s Public Health System Public health’s disease control efforts have led to a sharp decline in deaths from infectious diseases since 1900.
Missouri’s Public Health System However, as these infectious diseases decreased, chronic diseases increased.
Missouri’s Public Health System “Health is worth more than learning.” -Thomas Jefferson (1743 - 1826) letter to his cousin John Garland Jefferson, June 11, 1790
Tobacco Use Proportion of Current Smokers Among Adults Aged 18 Years and Older, Missouri and the U.S., 1990-2006
ATCHISON NODAWAY WORTH HARRISON MERCER PUTNAM CLARK SCHUYLER SCOTLAND GENTRY SULLIVAN ADAIR KNOX HOLT LEWIS GRUNDY ANDREW DAVIESS DEKALB LINN MACON SHELBY MARION CALDWELL CLINTON LIVINGSTON CHARITON MONROE RALLS BUCHANAN CARROLL RANDOLPH RAY PLATTE PIKE CLAY AUDRAIN MONT-GOMERY SALINE LINCOLN BOONE LAFAYETTE HOWARD CALLAWAY JACKSON COOPER PETTIS JOHNSON ST. CHARLES WARREN CASS MONITEAU ST. LOUIS HENRY COLE GASCONADE MORGAN BENTON BATES OSAGE FRANKLIN MARIES JEFFERSON MILLER CRAWFORD ST. CLAIR CAMDEN HICKORY VERNON WASHINGTON STE. GENEVIEVE PHELPS PULASKI ST. FRANCOIS DALLAS PERRY LACLEDE DENT POLK IRON CEDAR MADISON BARTON CAPE GIRARDEAU REYNOLDS TEXAS DADE WRIGHT WEBSTER BOLLINGER SHANNON GREENE JASPER WAYNE LAWRENCE SCOTT CHRISTIAN DOUGLAS NEWTON HOWELL CARTER STODDARD STONE MISSISSIPPI BUTLER BARRY OREGON RIPLEY TANEY OZARK McDONALD NEW MADRID PEMISCOT DUNKLIN Tobacco Use Proportion of Current Smokers Among Adults Aged 18 Years and Older, by Region, Missouri, 2006 Northeast: 26.6% Northwest: 23.4% Central: 31.1% Kansas City Area: 20% St. Louis Area: 19.8% Southeast: 29.7% Southwest: 23.8%
Obesity Proportion of Obesity Among Adults Aged 18 Years and Older, Missouri and the U.S., 1990-2006
ATCHISON NODAWAY WORTH HARRISON MERCER PUTNAM CLARK SCHUYLER SCOTLAND GENTRY SULLIVAN ADAIR KNOX HOLT LEWIS GRUNDY ANDREW DAVIESS DEKALB LINN MACON SHELBY MARION CALDWELL CLINTON LIVINGSTON CHARITON MONROE RALLS BUCHANAN CARROLL RANDOLPH RAY PLATTE PIKE CLAY AUDRAIN MONT-GOMERY SALINE LINCOLN BOONE LAFAYETTE HOWARD CALLAWAY JACKSON COOPER PETTIS JOHNSON ST. CHARLES WARREN CASS MONITEAU ST. LOUIS HENRY COLE GASCONADE MORGAN BENTON BATES OSAGE FRANKLIN MARIES JEFFERSON MILLER CRAWFORD ST. CLAIR CAMDEN HICKORY VERNON WASHINGTON STE. GENEVIEVE PHELPS PULASKI ST. FRANCOIS DALLAS PERRY LACLEDE DENT POLK IRON CEDAR MADISON BARTON CAPE GIRARDEAU REYNOLDS TEXAS DADE WRIGHT WEBSTER BOLLINGER SHANNON GREENE JASPER WAYNE LAWRENCE SCOTT CHRISTIAN DOUGLAS NEWTON HOWELL CARTER STODDARD STONE MISSISSIPPI BUTLER BARRY OREGON RIPLEY TANEY OZARK McDONALD NEW MADRID PEMISCOT DUNKLIN Obesity Proportion of Obesity Among Adults Aged 18 Years and Older, by Region, Missouri, 2006 Northeast: 30.5% Northwest: 28.6% Central: 25.1% Kansas City Area: 28.3% St. Louis Area: 23% Southeast: 32.6% Southwest: 26.7%
Core Public Health General Revenue Funding Per Capita Fiscal Year
Local Public Health Agency Revenue Growth (Local Revenues vs. State Core Public Health GR Funding)
Missouri Public Health and You • In action every day, in every county of the state • Assures our children are immunized • Puts plans in place for emergency and disaster management • Detects and curtails infectious diseases • Reduces effects of diseases like diabetes and asthma • Monitors drinking water quality, and • Helps keep restaurant food safe