Public Health
Policy Development
“Bridging the Gap Between Animal Health and
Human Health”
NIAA Symposium, Kansas City, MO...
Core Functions of Public Health
• Assessment
• Policy Development
• Assurance

IOM, Future of Public Health, 1988
Impact of Public Health
• In 1999, the Centers for Disease Control and
Prevention named the ten greatest public health
ach...
Increase in Life Expectancy
Determinants of Population Health

Over the life span

Living and working conditions
may include:
• Psychosocial factors
•...
The Social-Ecological Model

Society

Biology

Community

Relationships

Environment

Individual

Behavior

Adapted from V...
Policy Mechanisms
• Internal Policies/ Procedures (public and
private organizations)
• Rules and Regulations (Agency)
• St...
Typical State Regulatory Process
• Enabling legislation provides context (general
or specific guidance or requirements may...
Process (Continued)
• Initial approval by Board for issuance of draft
regulation
• Public hearing(s)
• Review of public he...
Framework for Evidenced Based Public Health

Ross Brownson, et al.
Political Theory 101
Perceived
Problems

Potential
Solutions
Political
Dynamics
Window of
Opportunity

Policy Change
Kingd...
Tobacco Reduction Policy
• Price (increase taxes)
• Environmental Control (place, access)
• Education
Lives Saved by Seat Belt Use
Between 1975-2008

NHTSA (2008)

14
Prevention of Dental Caries:
Community Water Fluoridation
• “Community water fluoridation has been
ranked one of 10 great ...
Flouridation
Prevention of Dental Caries:
Community Water Fluoridation (Cont.)
• 66% of individuals on public water systems —
more than...
Fluoridation
Not everyone agrees
K2, Spice, Bath Salts
Synthetic Drugs
Raw Milk Dangers
Raw Milk Press
Strong Feelings
Thank You!

Public Health
Policy Development
“Bridging the Gap Between Animal Health and
Human Health”
NIAA Symposium, Kan...
Syndemics
 Definition: two or more afflictions,
interacting synergistically, contributing to
excess burden of disease in ...
Syndemic
Substance
Abuse

Violence

HIV/AIDS

Centers for Disease Control and Prevention. (2008).
Syndemics prevention
net...
Dr. Paul Halverson - Evidence-Based Policy Development in Public Health
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Dr. Paul Halverson - Evidence-Based Policy Development in Public Health

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Evidence-Based Policy Development in Public Health - Dr. Paul Halverson, Founding Dean and Professor, Indiana University Richard M. Fairbanks School of Public Health, from the 2013 NIAA Symposium Bridging the Gap Between Animal Health and Human Health, November 12-14, 2013, Kansas City, MO, USA.

More presentations at http://www.trufflemedia.com/agmedia/conference/2013-niaa-antibiotics-bridging-the-gap-animal-health-human-health

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  • Dr. Paul Halverson - Evidence-Based Policy Development in Public Health

    1. 1. Public Health Policy Development “Bridging the Gap Between Animal Health and Human Health” NIAA Symposium, Kansas City, MO November 12, 2013 Paul K. Halverson, DrPH, FACHE Founding Dean and Professor www.pbhealth.iupui.edu
    2. 2. Core Functions of Public Health • Assessment • Policy Development • Assurance IOM, Future of Public Health, 1988
    3. 3. Impact of Public Health • In 1999, the Centers for Disease Control and Prevention named the ten greatest public health achievements of the 20th century. These advances have been largely responsible for increasing the lifespan of populations; over twenty-five of the 30 years can be accredited to public health initiatives, while medical advances account for less than 4 years. Furthermore, since 1900, the average life expectancy for Americans has increased by about 30 years. Turnock, BJ. Public Health: What it is and How it Works, 3rd Edition. Sudbury, MA: Jones and Bartlett Publishers, 2004
    4. 4. Increase in Life Expectancy
    5. 5. Determinants of Population Health Over the life span Living and working conditions may include: • Psychosocial factors • Employment status and occupational factors • Socioeconomic status (income, education, occupation) • The natural and builtc environments • Public health services • Health care services SOURCE: The Future of the Public’s Health (IOM, 2003) NOTES: Adapted from Dahlgren and Whitehead, 1991. The dotted lines denote interaction effects between and among the various levels of health determinants (Worthman, 1999).
    6. 6. The Social-Ecological Model Society Biology Community Relationships Environment Individual Behavior Adapted from Violence-a global public health problem by Dahlberg, L.L., Krug, E.G. (2002). In Krug, E., Dahlberg, L.L., Mercy, J.A., Zwi, A.B., Lozano, R., (Eds.). World Report on Violence and Health. Geneva, Switzerland: World Health Organization; 2002:1-56. Retrieved from: 6 http://www.cdc.gov/ncipc/dvp/Social-Ecological-Model_DVP.htm
    7. 7. Policy Mechanisms • Internal Policies/ Procedures (public and private organizations) • Rules and Regulations (Agency) • Statutes & Ordinances
    8. 8. Typical State Regulatory Process • Enabling legislation provides context (general or specific guidance or requirements may exist for regulatory language). • Internal or external case is made for regulatory change or initiation • Agency creates first draft • Vetting process may include informal or formal consultation
    9. 9. Process (Continued) • Initial approval by Board for issuance of draft regulation • Public hearing(s) • Review of public hearing comments • Re-draft or issuance for Board approval • Legislative review (depending on jurisdiction) • Governor approval (some jurisdictions) • Filing with Secretary of State • Enactment within 10-30 days (unless emergency)
    10. 10. Framework for Evidenced Based Public Health Ross Brownson, et al.
    11. 11. Political Theory 101 Perceived Problems Potential Solutions Political Dynamics Window of Opportunity Policy Change Kingdon J.W. Agendas, Alternatives, and Public Policies (1984, 2003)
    12. 12. Tobacco Reduction Policy • Price (increase taxes) • Environmental Control (place, access) • Education
    13. 13. Lives Saved by Seat Belt Use Between 1975-2008 NHTSA (2008) 14
    14. 14. Prevention of Dental Caries: Community Water Fluoridation • “Community water fluoridation has been ranked one of 10 great public health achievements in the 20th century” • Fluoride occurs naturally in all drinking water in varying concentrations, according to geological features • In 1931, Dr. Frederick S. McKay, proved that naturally occurring fluoride in the water supply could inhibit dental caries Centers for Disease Control and Prevention (n.d.) Preventing Chronic Diseases Invetsing Wisely in Health - Preventing Dental Caries. Retrieved 8/26/2008 from http://www.dental.ufl.edu/Patients/Files/PreventingDentalCaries.pdf Pfizer Inc. (2006). Chapter 9: Oral health: Case study. In Milestones in public health : Accomplishments in public health over the last 100 year. (pp.176-178). New York, NY: Pfizer Inc.
    15. 15. Flouridation
    16. 16. Prevention of Dental Caries: Community Water Fluoridation (Cont.) • 66% of individuals on public water systems — more than 162 million people — receive community water fluoridation • “Community water fluoridation effectively prevents dental caries in communities with varying disease prevalence – Children in communities with water fluoridation experienced 29% fewer cavities” Centers for Disease Control and Prevention. (n.d.). Preventing Chronic Diseases Invetsing Wisely in Health - Preventing Dental Caries. Retrieved August 26, 2008 from http://www.dental.ufl.edu/Patients/Files/PreventingDentalCaries.pdf
    17. 17. Fluoridation
    18. 18. Not everyone agrees
    19. 19. K2, Spice, Bath Salts
    20. 20. Synthetic Drugs
    21. 21. Raw Milk Dangers
    22. 22. Raw Milk Press
    23. 23. Strong Feelings
    24. 24. Thank You! Public Health Policy Development “Bridging the Gap Between Animal Health and Human Health” NIAA Symposium, Kansas City, MO November 12, 2013 Paul K. Halverson, DrPH, FACHE Founding Dean and Professor Richard M. Fairbanks School of Public Health
    25. 25. Syndemics  Definition: two or more afflictions, interacting synergistically, contributing to excess burden of disease in a population  Related concepts include: linked epidemics, interacting epidemics, connected epidemics, co-occurring epidemics, comorbidities, and clusters of health-related crises Centers for Disease Control and Prevention. (2008). Syndemics prevention network: spotlight on syndemics. Retrieved from: http://www.cdc.gov/syndemics/
    26. 26. Syndemic Substance Abuse Violence HIV/AIDS Centers for Disease Control and Prevention. (2008). Syndemics prevention network: Syndemics overview - history: What is a syndemic? Retrieved from: http://www.cdc.gov/syndemics/overviewhistory.htm

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