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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:
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Save money Enjoy good health Live longer

People are living longer! Drugs and medical care +5 years Public Health impact +25 years Public Health Is Your Health Too! Public Health Achievements in the 20th Century
Public Health achievements in the 20th century

Immunizations

have virtually eliminated:


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Smallpox Diphtheria Pertussis Tetanus Polio Measles Rubella

Public Health achievements in the 20th century

Infectious disease control


Public Health achievements in the 20th century

Safe and healthier foods are now commonplace because of:


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Hand washing Sanitation Refrigeration

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Pasteurization Pest control Healthier animal care, feeding, and processing Improved food supply safety

Public Health achievements in the 20th century

Fluoridation
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Primary factor in the decline of tooth decay Benefits all, regardless of age, education, or income

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.
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

196542.4%

199724.7%

VMT: vehicle miles traveled

Public Health achievements in the 20th century

Motor vehicle safety


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192518 deaths per million VMT 19971.7 deaths per million VMT

Public Health achievements in the 20th century

Motor vehicle safety Public Health efforts have influenced:


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Increased seat belt use Vehicle safety improvements

Traffic safety regulation and enforcement Improved streets and highways

Mother and infant mortality rates


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Maternal mortality rates down 99% Infant mortality rates down 90%

Public Health achievements in the 20th century Public Health achievements in the 20th century

Mother and infant mortality rates

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Improved standards of living Technological advances in medicine Greater access to maternal and

well-baby care Public Health achievements in the 20th century

Family planning
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Desired birth spacing and family size

Public Health achievements in the 20th century

Safer, healthier workplaces


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Mining safety Industrial safety

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Indoor air quality Ergonomics

Public Health Is Your Health Too! Public Health A population-based approach to healthy living Core functions of Public Health Core functions of Public Health

Assessment

Core functions of Public Health Assessment Policy Development Core functions of Public Health

Assessment Policy Development Assurance Core functions of Public Health


A. Assessment

Assess community health needs Investigate health hazards and effects Analyze health factors

B. Policy Development

Advocate for community needs and issues Prioritize health needs Plan and develop policies

C. Assurance

Manage resources

Implement programs Evaluate programs Inform the public Some top priority health issues in Nebraska

Obesity Cardiovascular disease Diabetes Poor nutrition Lack of exercise Environmental health Tobacco use West Nile Virus Other communicable diseases Access to dental care

Bio-terrorism

Problem: Obesity Epidemic In Nebraska:


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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

Obesity Epidemic: What we are doing Education focus:


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Risks Prevention

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 Cardiovascular Disease: What we are doing Public health focuses on prevention through education

Problem: Diabetes 15% increase in deaths in Nebraska from 198998 Diabetes costs Nebraska $610 million per year Diabetes: What we are doing

Education is key to prevention Lifestyle changes can reduce diabetes development by 4060%

Problem: Poor Nutrition 4 of 5 Nebraskans dont eat enough fruits and vegetables Only 8 states rank lower than Nebraska Poor Nutrition: What we are doing

Promoting importance of balanced diets 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 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

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 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 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 Oral health access: What we are doing

Recruitment and incentives Critical access facilities Problem: West Nile Virus

Nebraska in 2003:
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2022 human cases 26 deaths

West Nile Virus: What we are doing


Prevention Education Communication Action

Problem: Other communicable diseases Prompt recognition and identification are the key challenges. Other communicable diseases: What we are doing Nebraskas public health systems have instituted an organized network of surveillance processes.

4 innovation

Deploy the full spectrum of community health care workers and providers, thereby improving the capacity, reach, and quality of health care services; Use simple, low-cost interventions and health technologies to improve medical, preventive, and dental care; Help people find and access the health information, services, and providers they need through new tools and processes; Provide high quality and personalized care in non-traditional settings; and Use design thinking to find new ways to engage patients in their care, particularly patients with chronic illnesses.