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Global Health
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an area of study that focuses on understanding health issues and concerns that transcend national boundaries, classes, races, ethnicities and cultures.
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Public Health
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a science of protecting and improving the health of communities through education, promotion of a healthy lifestyle, and research for disease and illness prevention.
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International health
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application of principles of public health to health practices, policies, and problems that affect low and middle income countries.
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Global citizen
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someone who understands interconnectedness, respects and values diversity, has the ability to challenge injustice, and takes action in personal meaningful ways.
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Health
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a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
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Epidemiologic transition
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shift from burden of disease dominated by communicable disease to non-communicable disease.
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Emerging and re-emerging disease
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resistant forms of disease emerge/re-emerge when bacteria, parasites and viruses are genetically altered (climate change and abuse of antibiotics)
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Excess deaths
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more death in a population than predicted
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Social determinants of health
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the circumstances in which people are born, grow up, live, work and age.
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List at least 3 examples of social determinants of health.
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1. Access to safe housing
2. Access to education and opportunities
3. Exposure to crime, violence, or social disorder
2. Access to education and opportunities
3. Exposure to crime, violence, or social disorder
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Socio-structural determinants
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ties back to how community is structured.
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Give at least 3 examples of socio-structural determinants of health.
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1. Racial Discrimination
2. Gender based discrimination
3. Access to healthcare
2. Gender based discrimination
3. Access to healthcare
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Bio-psycho-social pathway
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Starts with a chronic stress and moves on to depression which leads to an increase in cortisol levels which leads to DEATH
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In the documentary we watched in class, what was the subject of the study which showed the adverse effects of a prolonged increase in cortisol levels?
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rhesus macaques
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Culture
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a way of life of people which includes beliefs, values and symbols that are passed along by communication and imitation.
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Perception of illness
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the way a cultural group interprets and abnormal manifestation of any dimension of health
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Folk illness
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local cultural interpretations of illness that does not have physiological cause
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Perception of disease
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how interpret underlying causes of physiological experience.
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Prevention of illness
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activities the group perform that help prevent illness
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Treatment of disease
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approaches to dealing with health states
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Outbreak
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an occurrence of cases of disease in excess of what would normally be expected in a defined community, area or season
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Epidemic
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a sudden increase of disease greater than expected in a given area or increase in the incidence of a disease in an area. More widespread than outbreak
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Pandemic
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worldwide spread of disease, more widespread than an epidemic
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Place the following in order from most widespread to least widespread: Epidemic, Pandemic, and Outbreak.
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1. Pandemic
2. Epidemic
3. Outbreak
2. Epidemic
3. Outbreak
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Complex humanitarian emergency
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multi party, intra-state conflict, resulting in humanitarian disaster which might constitute multi-dimensional risks or threats to regional and international security
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Global warming
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increase in the overall average temperature of the earth's atmosphere due to the greenhouse effect caused by pollutants such as CO2 and CFCs
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Climate change
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unpredictable changes to climate and weather patterns due to rise in global atmospheric temperature
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Cholera
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acute diarrheal infection cause by ingestion of food of water contaminated with the bacterium Vibrio Cholerae
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Environmental health
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the study of all aspects of human health that are determined by physical, chemical, biological, and social factors in the environment
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Risk factor
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an element such as personal behavior or lifestyle, an environmental exposure or an inborn inherited characteristic associated with health related conditions based on epidemiologic evidence
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Core areas of public health
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HEEBS:
Health Services Administration
Epidemiology
Environmental Health
Biostatistics
Social and Behavioral Health
Health Services Administration
Epidemiology
Environmental Health
Biostatistics
Social and Behavioral Health
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What's Health Services Administration?
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Management of healthcare services
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What's epidemiology?
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The study of how diseases occur and spread
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What's Biostatistics?
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Trends and patterns of health indicators.
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What's Social and Behavioral health?
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Social influences on behavior and health
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Importance of Global Health
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-Because we're global citizens
-It trains your mind and equips you with skills to better understand global issues
-learn about our interconnected world
-Diseases transcend national boundaries
-Learn about the impact of global policies
-Better understand human health
-to achieve world peace and unity
-It trains your mind and equips you with skills to better understand global issues
-learn about our interconnected world
-Diseases transcend national boundaries
-Learn about the impact of global policies
-Better understand human health
-to achieve world peace and unity
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What're human rights?
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Human rights are rights inherent to all human beings, whatever our nationality, place of residence, sex, national or ethnic origin, color, religion, language, or any other status.
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What are the leading causes of death worldwide?
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1. Ischaemic heart disease
2. Stroke
3. Chronic obstructive pulmonary disease
4. Lower respiratory infections
5. Alzheimers disease (and other demensias)
6. Trachea, bronchus, lung cancers
7. Diabetes
8. Road injury
9. Diarrheal Diseases
10. Tuberculosis
I Saw Cats Licking A Tuna-Dog Readily During Thanksgiving (it's weird, but it works)
2. Stroke
3. Chronic obstructive pulmonary disease
4. Lower respiratory infections
5. Alzheimers disease (and other demensias)
6. Trachea, bronchus, lung cancers
7. Diabetes
8. Road injury
9. Diarrheal Diseases
10. Tuberculosis
I Saw Cats Licking A Tuna-Dog Readily During Thanksgiving (it's weird, but it works)
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Global health successes/challenges
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Successes:
eradication of small pox
improvement in hygiene and sanitation (John Snow)
immunizations and vaccines to millions
decreased infant mortality rate
decreased maternal mortality rate
Challenges: (PESCEP)
Abiding by cultural standards
Political stability
Economic Development
Scientific and technological change
climate change
Emerging and reemerging infectious diseases
Projecting the burden of disease
Global water stress
eradication of small pox
improvement in hygiene and sanitation (John Snow)
immunizations and vaccines to millions
decreased infant mortality rate
decreased maternal mortality rate
Challenges: (PESCEP)
Abiding by cultural standards
Political stability
Economic Development
Scientific and technological change
climate change
Emerging and reemerging infectious diseases
Projecting the burden of disease
Global water stress
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Measures of Morbidity
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-Incidence rate: Measure of the spread of illnesses
-Prevalence rate: Measure of the burden of disease
-Mortality rate: measure of frequency of occurrence of death in a defined population during a specific interval
-(DALY's) Disability Adjusted Life Years: the sum of years of potential life lost due to premature mortality and the years of productive life lost due to disability
-Years lived with disability- YLDs
-Years of healthy Life Lost- DALYS
-mortality rate
-Prevalence rate: Measure of the burden of disease
-Mortality rate: measure of frequency of occurrence of death in a defined population during a specific interval
-(DALY's) Disability Adjusted Life Years: the sum of years of potential life lost due to premature mortality and the years of productive life lost due to disability
-Years lived with disability- YLDs
-Years of healthy Life Lost- DALYS
-mortality rate
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Measures of Mortality
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-Mortality ratio
-Health life Expectancy (HALE)
-Years of Life Lost- YLLs (due to premature death)
-Health life Expectancy (HALE)
-Years of Life Lost- YLLs (due to premature death)
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Life expectancy
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The average number of years an individual can be expected to live, given current social, economic, and medical conditions.
-the average number of years a newborn infant can expect to live.
-the average number of years a newborn infant can expect to live.
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social- ecological model
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-allows us to make connections between individual and world
-health is a product of our environment
Individual: knowledge, attitude, skills
Interpersonal: social network
Organizational: environmental, ethos
Community: cultural values, norms
Public policy
IIOCP
-health is a product of our environment
Individual: knowledge, attitude, skills
Interpersonal: social network
Organizational: environmental, ethos
Community: cultural values, norms
Public policy
IIOCP
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poverty
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social determinant of health that prevents people from adequate access to basic social necessities of life such as:
-adequate education
-adequate nutrition
-sustainable income
-resources to improve heath
-adequate education
-adequate nutrition
-sustainable income
-resources to improve heath
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ways culture impacts health
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-perception of illness
-folk illness
-perception of disease
-prevention of illness
-treatment of disease
-folk illness
-perception of disease
-prevention of illness
-treatment of disease
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perception of illness
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the way a cultural group interprets an abnormal manifestation of any dimension of health
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folk illness
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local cultural interpretations of physical states that people perceive to be illness but that do not have a physiologic cause
-example: empacho
-example: empacho
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perception of disease
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the way a cultural group interprets the underlying cause of an abnormal physiologic experience
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prevention of illness
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activities that help with the prevention of a specific illness or even disease
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treatment of disease
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approaches to dealing with health related states
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culture impacts on health case studies
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-Birthing services in Peru
-created a new health care system to help with culture
-Ebola
-created a new health care system to help with culture
-Ebola
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germ theory
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-Louis Pasteur
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What were some cultural aspects of the 2014-2015 Ebola outbreak?
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The people wanted to do traditional funeral practices, but the disease is most transmissible right before death. As a result of poor communication, many locals hid the dead bodies in order to complete these funeral rites and ended up intensifying the spread of disease.
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Public Policy
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Increased cortisol levels which narrows the blood vessels and can lead to a weakened immune system and cardiac arrest.
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Community
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External, physical, chemical, and microbiological exposures and processes that impinge upon individuals and groups and are beyond the immediate control of individuals
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Interpersonal
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# of people who die from a health issue per 100,000 in a given year
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Individual
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Organizational
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What is the significance of social subordination?
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Environment
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Mortality Ratio
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