Public health and community medicine is an enormously diverse and dynamic field enthralling with so many sub-specialities. It has grown from infection prevention to chronic diseases, mental health, environmental health, bioterrorism, demography and many more. Public health is still at its infancy in India, but there is a huge potential in the next 10-15 years. MBBS students in India find it very difficult to digest community medicine as a subject in their curriculum in general till now. This presentation will show the importance of the subject and how they can think community medicine as their future career, all its job prospects and opportunities.

1. Dr. Abhishek Paul, Dr.Suresh Ch Malick, Dr.Somdipta
Bhattacharjee, Dr.Shatanik Mondal, Dr.Partha Saha
1st year MD PGT, Dept. Of Community Medicine,
R.G.kar Medical College,Kolkata

2.  WHAT IS PUBLIC HEALTH ?
Public health refers to all organized measures
(whether public or private) to prevent disease,
promote health, and prolong life among the
population as a whole. Its activities aim to
provide conditions in which people can be
healthy and focus on entire populations, not on
individual patients or diseases.

3.  The assessment and monitoring of the health of
communities and populations at risk to identify
health problems and priorities.
 The formulation of public policies designed to
solve identified local and national health problems
and priorities.
 To assure that all populations have access to
appropriate and cost-effective care, including
health promotion and disease prevention services.

4. 5000 BC
AYURVEDA

6. Hippocrates (460
BC-380 BC) was
the founder of
Western medicine.

8. Edwin Chadwick (1800-1890)
 A LAWYER AND SOCIAL
REFORMER
 “THE SANITORY
CONDITIONS OF THE
LABOURING POPULATION IN
GREAT BRITAIN – A
LANDMARK IN THE HISTORY
OF PUBLIC HEALTH.
 PUBLIC HEALTH ACT 1848-
State has a direct responsibility of
health of the people.

9. Lemual Shattuck (1793-1859)
• A BOOKSELLER AND PUBLISHER
• PUBLISHED REPORT ON HEALTH
CONDITIONS IN MASSACHUSETTS.
• LEAD TO IMPROVEMENT OF PUBLIC
HEALTH CONDITIONS OF AMERICAN
PEOPLE.
• BY THE BEGINNING OF 20TH CENTURY
FRANCE,SPAIN,AUSTRALIA,GERMANY,
ITALY,BELGIUM AND SCANDINAVIAN
COUNTRIES –ALL DEVELOPED THEIR
PUBLIC HEALTH POLICY.
• AFTER 1ST WORLD WAR – 3 NEWCOMERS
TO THE PUBLIC HEALTH SCENE—
RUSSIA,TURKEY AND YUGOSLAVIA.

10. John Snow (1813-1858)
 English physician ---one of the first
physicians to study and calculate dosages
for the use of ether and chloroform as
surgical anaesthetics.
 personally administered chloroform to
Queen Victoria when she gave birth to the
last two of her nine children, Leopold in
1853 and Beatricein 1857.
 He identified the source of the CHOLERA
epidemic in SOHO 1854, as the public
water pump on Broad Street
 He also showed that the Southwark and
Vauxhall Waterworks Company was taking
water from sewage-polluted sections of
the Thames and delivering the water to
homes, leading to an increased incidence
of cholera.

12. Mary Mallon
(September 23,
1869 –
November 11,
1938),

13.  Typhoid Mary, was the first person in the United
States identified as an asymptomatic carrier of the
pathogen associated with typhoid fever
 presumed to have infected 51 people, 3 of whom
died, over the course of her career as a cook.
 In late 1906, one family hired a typhoid researcher
named George A. Soper (1870—June 17, 1948),
a sanitation engineer to investigate
 Soper published the results on June 15, 1907 in
the Journal of the American Medical Association.
He believed Mallon might be the source of the
outbreak
 "It was found that the family changed cooks on
August 4. This was about three weeks before the
typhoid epidemic broke out. She remained in the
family only a short time, leaving about three
weeks after the outbreak occurred. The cook was
described as an Irish woman about 40 years of
age, tall, heavy, single. She seemed to be in
perfect health.“

14.  In the video game franchise Call of Duty: Black
Ops there is a reference in the "Zombies" mode
of the game. If one upgrades the HS10 shotgun
with the Pack-a-Punch it becomes the "Typhoid &
Mary".
 The movie Paranormal Asylum (2013) is
based on Typhoid Mary
 In the episode of Warehouse 13 called
"Trials," Steve Jinks and Claudia
Donovan go after "Typhoid Mary's Knife"
which transfers injuries and diseases
from one person to another, leaving the
holder healthy.

15. French
chemist/bacteriologist
Louis Pasteur

18. 12th JANUARY
2012

20. DR DILIP MAHALANABIS - born Nov 12th ,1934
 At present the man who saved millions with his crucial
oral solution lives in a two- stored CF-198 building
located in Salt Lake.
 Over 3,000 patients with cholera received ORT in this
way. The mortality rate was 3.6 % with ORT and 30 %
with IV fluid therapy.
 After its mass application in the refugee camps, the
World Health Organisation (WHO) took up the project
across 105 countries and accredited the use of ORS
globally.
 Later, it was used in hundreds of refugee camps by the
United Nations (UN). The initiative has successfully
reduced total diarrhoea deaths.
 PREVENTED ARROUND 60 MILLION CHILD DEATH
FROM DIARRHOEAL DISSEASES.

21. BREADTH OF PUBLIC HEALTH
 LETS LOOK AT SOME NOTABLE PUBLIC
HEALTH CAMPAIGNS OF PRESENT DAYS
1. Vaccination

22. 2. CONTROL OF INFECTIOUS DISEASES
3.PROMOTION OF SAFER AND HEALTHIER
FOODS

24. 5. MOTOR
VEHICLE
SAFETY
6.SAFER
WORKPLACES

25. 7.SAFE
DRINKING
WATER

26. 8.DECLINE IN
DEATHS FROM
NON –
COMMUNICABLE
DISEASES

27. 9.RECOGNITION OF
TOBACCO USE AS
A HEALTH HAZARD

28.  TOP 20 CAUSES OF DEATH
1. CAD
2. LUNG DISEASES
3. DIARRHOEAL DISEASES
4. STROKE
5. PNEUMONIA & INFLUENZA
6. TB
7. HTN
8. DM
9. LIVER DISEASES
10. FALLS
11. KIDNEY DISEASES
12. OTHER INJURIES
13. SUICIDE

29. 14. RTA
15. LBW
16. HIV / AIDS
17. BIRTH TRAUMA
18. PEPTIC ULCER DISEASE
19. BREAST CANCER
20. ORAL CANCER.

30. A POPULATION OF MORE THAN 1.2 BILLION

31. • INDIA HAS 160 STATE RUN AND 188
PRIVATE MEDICAL COLLEGES.
• ONLY 65 DOCTORS FOR 1 LAKH
POPULATION
• 73.6 % OF THOSE DOCTORS LIVE IN
URBAN AREAS WHERE ONLY 26.4 %
OF OUR POPULATION LIVES.
• ONLY 90 BEDS FOR 1 LAKH
POPULATION
• SITUATION WORST IN RURAL AREAS.

33. CONSIDERING THE SITUATION IN
THE 2006 THE PUBLIC HEALTH
FOUNDATION OF INDIA (PHFI) WAS
LAUNCHED --- A PUBLIC PRIVATE
INITIATIVE ,
VISION - TO STRENGTHEN INDIA’S
PUBLIC HEALTH INSTITUTIONAL
AND SYSTEMS CAPABILITY AND
PROVIDE KNOWLEDGE TO
ACHIEVE BETTER HEALTH
OUTCOMES FOR ALL

34. “The importance of public
health in India’s development
cannot be over emphasised.
The largest growing
demographic segment in
India over the next two
decades lies between 15-59
years. This provides a wide
window of opportunity to
enhance national growth
provided one can
productively deploy this large
base of human resources.
- Dr. Manmohan Singh, Prime
Minister of India (2004-14)

39. -
As a
CAREER

40. GOVT.
SECTOR
JOBS
INTER-
NATIONAL
AGENCIES
TEACHING
FACULTY
HIGHER
STUDIES/
RESEAR
CHMEDICAL
OFFICER/
PRIVATE
PRACTICE

43. WHO HEADQUARTER,
GENEVA,SWITZERLAND

44. InterNational
Agencies
WHO
UNICEF
WORLD BANK
BILL & MELINDA
GATES
FOUNDATION
UNFPA
PATH
CDC
MSF
CARE
Consulting
firms
ACADEMIC
INSTITUTIONS
Courtesy: Dr. Anchita Patil,UNFPA

45. Know your
subject
Ground
Realities
Power of
clicking
Gift of gab
Hello,
I am...
Courtesy: Dr. Anchita Patil,UNFPA

46.  INN - INDIAN NCD NETWORK
 NICED- National Inst. Of Cholera& Enteric Ds
 CPHR – Centre for Public Health research
 IDEA- Indian Diabetes Education Association
 PHFI
 WHO
 UNICEF
 CDC

47.  PHD
 Epidemic Intelligence Service
 Health Management
 Fellowship in Preventive Oncology
 Hospital Administration

48. Epidemiol
ogy Health
managme
nt
Immunisa
tion
Occupatio
nal
Health
Adolesce
nct
Health
Food
Safety
Sanitation
Environm
ental
Health
Gender
Inequity
Preventiv
e
Medicine
Road
safety
Health
Administr
ation
Woman
Empower
ment
Health
Education
BioStatist
ics
Medical
Entomolo
gy
Disaster
Managem
ent

49. Public Health Careers offer
Something For EveryOne . . .

50. Perhaps never
has there been
more Exciting
time
To pursue a
Career in Public
Health . . . . .

53. (6th Semestar MBBS students at Urban Field Practice area,
Bagbazar UTC, R.G.Kar Medical College, Kolkata)