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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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public health
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the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals
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global health
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health problems, issues, and concerns that transcend national boundaries and are beyond the control of individual nations, and are best addressed by cooperative actions
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Antimicrobial resistance, emerging infectious diseases, Eradication of polio, TB, Malaria, HIV, global increase of diabetes & heart disease, maternal mortality, climate change
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What are some examples of Global Health issues?
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One Health
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integrative effort of multiple disciplines working locally, nationally, and globally to attain optimal health for people, animals, and the environment
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Planetary Health
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the achievement of the highest attainable standard of health, wellbeing, and equity worldwide through judicious attention to the human systems—political, economic and social, that shape the future of humanity and the earth's natural systems that define the safe environmental limits within which humanity can flourish
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animal, human, and environmental health
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One health focuses on the interconnectedness of __________
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environment
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Planetary health has a greater focus on the health of the ____________ and the connections between that and human and animal well-being
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Smallpox
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In 1980, WHO declared _________ the first disease in history to have been eradicated. (Last case in 1977)
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passed directly between people (no reservoirs), easy diagnosis, survivors gained lifetime immunity
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What features of smallpox made it a prime candidate for eradication?
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public hygiene
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Much progress in improving health status over last 50 years is the result of _________ ________, better water and sanitation, and better education
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False
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Countries need to be high-income to enjoy good health status (T/F)
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burying old people instead of young people (making transition as fast as possible at least cost)
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Low-income countries should focus on:
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morbidity
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sickness or any departure, subjective or objective, from a psychological or physiological state of well-being
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mortality
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death
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disability
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temporary or long-term reduction in a person's capacity to function
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prevalence
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number of people suffering from a certain health condition over a specified period
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Incidence
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the rate at which new cases of a disease occur in a population
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primary intervention
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intervening before health effects occur
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secondary prevention
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screening to identify disease before the onset of signs and symptoms
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tertiary prevention
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managing disease post diagnosis or stopping disease progression
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natural environment, macro issues, inequalities
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Determinants of health classified as root causes include:
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built environment and social context
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Determinants of health classified as underlying causes include:
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material circumstances, behavioral factors, psychosocial factors
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Determinants of health classified as proximal causes include:
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Vital Registration
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records of births, deaths and causes of deaths (Many low- and middle-income countries lack)
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Sub-Saharan Africa and South Asia
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Which regions have the lowest health status?
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neonates
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In high-income countries, the majority of child deaths are among _______
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The number of children under 28 days of age, who die for every 1,000 live births
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The neonatal mortality rate is:
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The government makes education, including for girls, a national priority
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Children are likely to be healthier in a country in which:
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Both genetic make-up and age
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Some inborn determinants of health include:
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Health-adjusted life expectancy (HALE)
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number of years a person of a given age can expect to live in good health, taking account of mortality and disability
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Disability-adjusted life year (DALY)
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the sum of years lost due to premature death (YLLs) and years lived with disability (YLDs)
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YLL + YLD = DALY
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What is the formula for DALY?
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increasing
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Years of life lost due to premature death are _______for diabetes, some cancers, drug use disorders, conflict, and terrorism
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noncommunicable
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Burden of disease is predominantly __________
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reproductive
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Although ischemic heart disease and stroke are leading causes of death for females, global health literature focuses on _______ health
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Highest-income
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__________ countries have low fertility, declining populations, and aging populations
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ischemic heart disease
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Leading cause of death and DALYs worldwide for both sexes and all age groups is:
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Subsaharan Africa
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Burden of disease is predominantly noncommunicable in all regions except:
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Equity
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describes differences in health that are not only unnecessary and avoidable, but also unfair and unjust; ____ is about fairness, equality is about outcomes
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Inequality
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differences in health status or in the distribution of health determinants between different population groups
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Health disparity
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a type of difference in health that is closely linked with social or economic disadvantage
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Sierra Leone
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Maternal mortality in _________ is 450 times higher than in Greece, Iceland, and Poland