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Dr. j's orientation_september_2010

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JCPH employee orientation_Dr. Johnson

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  • Cleanliness guards the kingdom behind the quarantine gate, with cholera, yellow fever and smallpox threatening. At the Gates—our safety depends upon official vigilance
  • Don’t crowd the sleeping room or work room.

Dr. j's orientation_september_2010 Dr. j's orientation_september_2010 Presentation Transcript

  • Public Health in Jefferson County September 8, 2010 Dr. Mark B. Johnson, MD, MPH Executive Director Jefferson County Public Health
  • What if... ...there was no health care system ?
  • Would it make any difference where you lived?
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  • It’s public health that makes the difference!
  • So... what is public health, and how does it differ from medical care?
  • Most health care workers focus on an individual patient and are concerned with treatment.
  • Public Health focuses on a community and is concerned with prevention.
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  • Public Health Preventive Care Primary Care Specialty Care Hospital Care
  • Public Health Preventive Care Primary Care Specialty Care Hospital Care
  • Public Health Preventive Care Primary Care Specialty Care Hospital Care
  • Historically, public health has included at least six services:
    • Vital records
    • Communicable disease control
    • Environmental safety
    • Public health laboratory services
    • Reproductive health and maternal/child health services
    • Health education for the community
  • Corresponding Divisions at JCPH
    • Administration - Vital records, emergency preparedness and epidemiology
    • Community Health Services – Infectious and chronic diseases; reproductive health/MCH; access to health care
    • Health Promotion – Disease prevention and health education; promoting health behaviors
    • Environmental Health Services – Disease prevention and health regulation; providing a safe and healthy environment
  • The primary rule of public health: Never put a barrier between an individual and the public’s good.
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  • Public Health and Infectious Diseases
    • Modern public health began in Europe in the Middle Ages because of infectious disease epidemics that were of such magnitude that no individual or single city could deal with them alone.
  • The “Black Death” in Europe from the 14 th to the 18 th Centuries killed almost a third of the population.
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  • Public Health measures, such as quarantining, have often been controversial and confrontational.
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  • A visiting public health nurse shows a mother how to sanitize baby bottles.
  • A public health nurse checks for lice.
  • Major public health issues in infectious diseases.
    • Antibiotic resistance
    • Emerging infections
    • Bioterrorism and altered agents
    • Re-emerging diseases
    • Influenza pandemics
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  • Medical breakthroughs in medicine have contributed to longer lives… Source: Centers for Disease Control and Prevention, National Vital Statistics Reports, vol. 53, no. 6, November 10, 2004 Average Life Expectancy in the United States 1940 – 2002 Average Life Expectancy in Years 2000 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995
  • Major Accomplishment: Life Expectancy
    • In the 20 th Century life expectancy increased by 0.3 years each year = 3 years per decade.
    • Two-thirds of the increase in life expectancy at birth occurred before 1950.
    • Two-thirds of the increase in life expectancy at age 65 occurred after 1950.
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  • Chronic Disease Control The epidemics of lifestyle.
  • First…we needed some education for our health professionals!
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  • Next…we needed some public education!
  • In many immigrant families, parents were concerned if their kids were thin, because being skinny was a sign of poverty.
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  • Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%
  • Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%
  • Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
  • Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Obesity Trends* Among U.S. Adults BRFSS, 2002 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
  • Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • Obesity Trends* Among U.S. Adults BRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
  • County-level Estimates of Diagnosed Diabetes for Adults aged ≥ 20 years: United States 2005
  • Environmental Health Issues Our impact on the environment, and the environment’s impact on us.
  • A major improvement in health came from separating us from our waste and our animals.
  • Early precautions about indoor air quality.
  • Early Americans ignoring the precautions.
  • Consumer protection continues to be one of the top priorities in Environmental Health.
  • Environmental health programs focusing on zoonotic diseases.
  • Hazardous materials and their impact on the environment.
  • The Medically Uninsured and Underinsured Have we made progress in providing care to the “poor?”
  • Equality in health care access Over 47 million Americans, including 16% of Coloradoans (700,000), are uninsured or underinsured today and the number is rising.
  • Welcome to JCPH!