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Countries are mainly classified by
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World Health Organization (WHO) regions and income groups by World Bank
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What is the OECD and what do they do?
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Organization for Economic Cooperation and Development. They bring together member countries that collaborate on key global issues
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Why do we study global health?
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to understand:
-the progress that has already been made
-the challenges that still remain
-that diseases are not limited by national boundaries
-that there are disparities among groups
-the health-development link
-the need for different actors to work together
-the progress that has already been made
-the challenges that still remain
-that diseases are not limited by national boundaries
-that there are disparities among groups
-the health-development link
-the need for different actors to work together
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What is 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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What is public health?
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the science and art of preventing disease, prolonging life, and promoting physical health and mental health and efficiency through organized community efforts toward a sanitary environment
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what is global health?
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an area for study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide
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what are the key issues in global health?
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-environmental health
-nutrition
-womens health and reproductive health
-child and adolescent health
-communicable diseases
-noncommunicable diseases
-injuries
-nutrition
-womens health and reproductive health
-child and adolescent health
-communicable diseases
-noncommunicable diseases
-injuries
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What are sustainable development goals?
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Formulated in 2015, they played out 17 goals related to health. Countries that signed pledged to meet goals by 2030.
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what is much of the health progress over the last 50 years a result of?
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public hygiene, better water and sanitation, and better education
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What are determinants of health?
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The interconnected factors that determine an individual's health status
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what are the determinants of health?
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-personal and inborn features
-socioeconomic status
-culture
-environment
-education
-health behaviors
-childhood development
-access to care
-government policy
-socioeconomic status
-culture
-environment
-education
-health behaviors
-childhood development
-access to care
-government policy
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what is 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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what is mortality?
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death
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what is disability?
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temporary or long-term reduction in a person's capacity to function
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what is 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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What are health status indicators critical for?
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-determining the causes of morbidity, disability, and death
-carrying out disease surveillance
-making comparisons about health within and across countries
-carrying out disease surveillance
-making comparisons about health within and across countries
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infant mortality rate
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The number of deaths of infants under age 1 per 1,000 live births in a given year
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life expectancy at birth
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the average number of years a newborn baby could expect to live if current mortality trends were to continue for the rest of the newborn's life
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maternal mortality ratio
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the number of mothers who die as a result of pregnancy or childbirth complications per 100,000 live births in a given year
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neonatal mortality rate
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the number of deaths of infants under 28 days of age in a given year per 1,000 live births in that year
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under-5 mortality rate (child mortality rate)
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the probability that a newborn baby will die before reaching age 5, expressed as a number per 1,000 live births
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communicable diseases
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infectious diseases which are transmitted from the environment; including through air, water, food and other infected organisms (including other humans)
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noncommunicable diseases
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illnesses not spread by an infectious agent
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what is vital registration
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vital registration systems record births, deaths, and causes of deaths
-key to having quality data on a population
-many low and middle income countries lack this
-often have cultural barriers
-key to having quality data on a population
-many low and middle income countries lack this
-often have cultural barriers
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what is health data used for?
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-measure health status
-carry out disease surveillance
-make decisions about health investments
-assess health program performance
-carry out disease surveillance
-make decisions about health investments
-assess health program performance
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What countries have the lowest health status?
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1- Sub-saharan africa
2-south Asia
2-south Asia
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burden of disease
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a combination morbidity, mortality, and disability, usually measured DALY and HALE to compare health status across genders, ages, and regions
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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.
-calculated by weighting the number of years of ill health according to severity, subtracted form the overall life expectancy
-calculated by weighting the number of years of ill health according to severity, subtracted form the overall life expectancy
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Disability Adjusted Life Year (DALY)
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the sum of years lost due to premature death and years lived with disability (YLD)
-calculated by subtracting the age at which one dies anyone's life expectancy at that age
-calculated by subtracting the age at which one dies anyone's life expectancy at that age
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Globally, who lives longer men or women?
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women, by 5 years
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In the last 4 decades there have been significant declines in
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communicable, maternal, neonatal, and nutritional causes of death
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burden of disease is predominantly
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noncommunicable in all regions except SSA
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are rural or urban populations healthier?
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urban
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elderly support ratio
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ratio between the number of people aged 15 to 64 years, compared to the number of people over 65
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Low fertility, declining populations, and aging populations
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highest-income countries
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high fertility, although it is slowly declining
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lowest-income countries
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the demographic transition
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shift in patter of high fertility and high mortality to low fertility and low mortality, with population growth in between
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the epidemiologic transition
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1. high and fluctuating mortality, related to poor health conditions, epidemics, and famine
2. progressive decline in mortality as epidemics become less frequent
3. further declines in mortality, increases in life expectancy, and the predominance of noncommunicable diseases
(movement of pattern from communicable to noncommunicable)
2. progressive decline in mortality as epidemics become less frequent
3. further declines in mortality, increases in life expectancy, and the predominance of noncommunicable diseases
(movement of pattern from communicable to noncommunicable)
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factors that lead to improvements in health
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-nutrition
-education
-political stability
-scientific improvements
-education
-political stability
-scientific improvements
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leading cause of death and DALYs worldwide for both sexes and all age groups is
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ischemic heart disease
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3 key demographic trends
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population growth, population aging, and urbanization