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THEME ONE
Understanding of Public Health
SECTION 1
Health and Public Health
Kwan
She is blind and deaf
She reads book by
lips
http://
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Body
(physical
health)
Spirit
(mental
health)
Society
(social
wellbeing)
HEALTH
Others
Age infants and the old have weaker immune system
Hereditary diseases (e.g. Thalassemia )
Race e.g. White people are more likely to have skin cancer
1.24 Remark
The context of peoples lives determine
Public Health
Past
Promote health
Present
Prevention of
disease
Food nutrition
Improve living
environment
Access to
community
health care
service
Vaccination
subsidy
Improve
medicare
system
into 3 domains:
Health protection
Health improvement
Health services
Health Protection
- Control of
infectious diseases
- Food safety
- Environmental
health
Health
Improvement
- Vaccination
- Health education
- Organ donation
Health Services
- Public medical
service
- Reform of the
medical system
Population structure of HK
Class work 2
Class work 3
In sub-Saharan Africa, 71.8% of urban residents live in slums,
where sanitation, clean drinking water and electricity are lacking.
Pathogens that cause infectious diseases, such as cholera,
dengue fever, and yellow fever, breed in ditches and dirty water.
The crowded environment also enables the spread of pertussis
( ) and influenza. However, vaccination is not common.
In Niger, immunization coverage in slums is only 35%.
SECTION TWO
Factors affecting the public understanding
about public health
Technology
Religion
and culture
Economic
Public
understanding
about Public
Health
Mass Media
Family
Education
Gender
medicine @$15000)
gender and age
female is more likely to look for treatment when compared with male
Friends
social
networking
groups
Family
members
Determine a
persons
opinion on
public
health
The media
Delivery of health and public health information
Monitor of health and public health issues (e.g. )
- Arouse decision makers awareness of the incident
- NGOs may pay attention to those loopholes upon reading the
relevant news reports.
Scientific evidence
Clinical research and statistical surveys
e.g. hazard of smoking
Government - medical system and policy
Quality of medical services
Health policies
Health education can raise publics awareness of precaution (e.g.
cervical cancer screening)
http://www.youtube.com/watch?v=ixSkIuOivjA
SECTION TWO
Development of Scientific theories and
Public Health:
Understanding of Infectious Diseases
Prehistoric times
Fifteenth century
Theory of contagion ( )
Late eighteenth
century
Late nineteenth
century
Germ theory
Modern
Epidemiologic Triangle ( )
antibodies.
The antibodies destroy the vaccine germs just as they
Modern: Epidemiology
A theory proposes that microorganisms are the cause of
many diseases
E.g. Cholera ( )
Modern: Epidemiology
A specialized field of medical study that studies disease
trends
To examine the features of diseases through the
analysis of disease distribution, trends and the
environment
freshwater
o 20th century water consumption of developed and developing
Aggravation of inequality
Advanced technology is costly
The rich are more advantageous following the emergence of new
technology
Widening wealth gap aggravates the problem of inequality (e.g.
Mental illness public hospital $0.5/pill Vs. private doctor $50/pill)
Moral issues
Illegal smuggling of organs
Development of embryonic stem cells
Tailor made babies?
Agent
Something that can cause disease
Bacterium
Host
Host is where the agent lives
Mode of transmission
Examples
Agent
micro-organisms that cause disease
Host
stands for organism (humans or animals)
that carries the disease
Environment
stands for external factors that affect the
rate and mode of disease transmission
Vector of disease
stands for the transmitter of disease.
Example: Malaria
Example 2: Ebola
https://www.youtube.com/watch?v=bXWWPPm9W-M
Bats family
Wild animals
eaten by
people; close
contact
Ebola virus
Epidemics ( )
Pandemics ( )
An epidemic is specific
to one city, region or
country
Cause
Epidemics like
influenza are generally
caused by subtypes of
a virus that is already
circulating among
people.
A pandemic is usually
caused by a new virus
strain or subtype - a
virus human either
have no immunity
against, or very little
immunity so the virus
is much more likely to
spread around the
world if it becomes
easily human
transmissible.
Impact
Videos
SECTION 3
SARS as a public health risk (infectious
disease)
AIDS
Lessons learnt regarding public health
Focus on Prevention, Education and Acceptance
Governments and NGOs active propaganda
Safety sex - use of condoms
Drug addicts dont share syringes
Proper support and guidance to HIV carriers
www.avert.org
Present: Both the government and the public are aware that preventive
Problem 2
Lack of a sense of awareness/ prevention
e.g. health workers were unaware of the highly contagious nature of the disease
and therefore got infected collectively
Problem 3
Confused message delivered to the public
e.g. the government officials postponed the announcement of the outbreak of
SARS and failed to raise the alertness among the public
Problem 4
Lack of understanding about the diseases
e.g. SARS was a new disease and little information was available. Investigation
and invention of medicines were therefore slow.
Class work 4
SARS within the hospital, and the disease cannot be stopped from
spreading into the community.
Preparation
Detection
Response
Evaluation
1. Preparation
Surveillance system: regular reports
Outbreak response plan for each disease:
2. Detection
2. Detection
To ensure rapid detection of an outbreak in an
3. Response
4. evaluation
2. Information flow
Hong Kong
Different countries
China
3. Control of disease
Scientists in Hong Kong remotely connected 80 clinicians
SECTION FOUR
Development of Scientific theories and Public
Health:
Understanding of Non-infectious Diseases (1)
Mental Disorder
assessment
0-10
11-15
16
psychosis.
Neurosis
Mental imbalance
which causes distress
Symptoms:
anxiety, depression
Psychosis
Mental state that
impairs thoughts,
perception and
judgment
Symptoms:
Hallucinations,
delusion
Examples
Physiological factor
Brain problems
Psychological factor
Environmental factor
Hereditary factor
3.22 Situation in HK
The number of mental patients has been rising
mental patients in
thousand
social discrimination
Class work 6
http://www.youtube.com/watch?v=UdhGhs0xLm0
>
http://www.youtube.com/watch?v=G7WcX15Uh-
Q&playnext=1&list=PL89D055850B01CD6C&feature=res
ults_video
Lack of resources
2. Socio-cultural level
Chinese traditional thinking regards mental disorder as a
moral problem (Source D)
This prevents people from seeking medical help as they
often feel shameful
Chinese tend to seek help from family and friends
Media exaggeration
3. Political level
Lack of long-term policy (Source D)
- Treatment of mental illness is often conducted separately
from the mainstream community. Rehabilitation facilities
are inadequate in urban areas.
- Education concerning mental illness is fragmented and
inadequate.
SECTION 5
Development of Scientific theories and Public
Health:
Understanding of Non-infectious Diseases (2)
Chronic disease
Non-modifiable
risk factors
Behavioural
risk factors
Cultural and
environmental
risk factors
Age
Gender
Inheritance
Lack of exercises
High-calorie diet
Smoking and alcohol abuses
Pollution
Cultural and religious malpractices
Increasing cases
Ageing population
Chronic
diseases a
potential
threat Absence of
Imbalance of
mandatory medical
healthcare services insurance scheme
What is Globesity?
What is the public health problem reflected?
Class work 5c
(Michael Bloomberg)
30
16 (470 )
3
reports