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Building a Global Prevention Network to Share Knowledge and Wisdom Updated November 2009
From Wikipedia
Hygeia In Greek mythology The goddess of health. Hygiene The science that deals with the preservation & promotion of health.
Objectives
1. To define prevention and highlight its importance in global health. 2. To discuss the importance of network in the context of the Supercourse and to begin to organize the internet based globalization for prevention
3. To further distribute the golden lecture to faculty, students and professionals all over the world
Definition of Prevention
Actions aimed at eradicating, eliminating, or minimizing the impact of disease and disability. The concept of prevention is best defined in the context of levels, traditionally called primary, secondary, and tertiary prevention
A Dictionary of Epidemiology, Fourth Edition Edited by John M. Last
Source: United Nations (U.N.) Population Division, Demographic Indicators, 1950-2050 (The 1996 Revision) (U.N., New York, 1996).
Death rate for Tuberculosis, 1860-1960, United States, Source: US Bureau of the Census, Historical Statictics of the United States; Colonial Times to 1970 (Washington, D.C.:Government Printing Office, 1975), Part 1 pp58,63. Note: Data between 1860 and 1900 for Massachusetts only.
Death Rates for Measles in Children Under Age 15, England and Wales, 1850-1970
Source: Thomas McKeown, The Modern Rise of Population (Academic Press, San Francisco, 1976), pp. 93, 96.
TRANSMISSION INTERRUPTED SINCE 1994 TRANSMISSION INTERRUPTED SINCE 1995 TRANSMISSION INTERRUPTED SINCE 1995
MORBIDITY
MENINGOCOCCICAL DISEASE TYFHOID FEVER B HEPATITIS REDUCTION REDUCTION REDUCTION 93% 75% 52%
7.20 5.71
12.2 9.7
4.18
3.02 2.16 2.04 1.46 1.32 1.27 1.18
7.1
5.1 3.7 3.5 2.5 2.3 2.2 2.0
750
Death Rates for Coronary Heart Disease by Country Men Ages 35-74, 1970 and 1993 (Rate/100,000)
CAN 500
FI AUS US N SCOT T A NZ
USSR SP N
ITY
FRAN
Lifestyle Factors
Genes load the gun. Lifestyle pulls the trigger
Dr. Elliot Joslin
% with LIPID-Rx 15 CHD event LIPID-PI 1 Prevention CARE-Rx CARE-PI 10 WOSCOPS-PI AFCAPS/TexCAPS-PI 5 WOSCOPS-Rx AFCAPS/TexCAPS-Rx 0 90 110 130 150 170 190 210 Mean LDL-C level at follow-up (mg/dL)
PI=placebo; Rx=treatment .
Teacher in Alexandria
Teacher in
UAE- Sharjah
Teacher in Tanzania
Teacher in Pittsburgh
Teacher in Paris
Teacher in Moscow
Conclusions
Increased life expectancy in the past century was achieved through the improvement of sanitation and prevention Successful prevention in the past and in the future needs to be rooted in the networking of health professionals around the world to share their knowledge Internet based Information sharing is the key to prevention and a golden world
Please forward the Golden Lecture to faculty, students and health professionals in your country