Embed Size (px)
Citation preview
CORSO DI IGIENE
Scuoladi
Medicina
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENEPublicHealth
thescienceandartofpreventingdisease,prolonginglife,andpromotingphysicalhealthandefficiencythroughorganizedcommunityefforts
C.E.A.Winslow,1923
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Thetools ofthePublicHealth
• sanitationoftheenvironment• controlofcommunity infections• educationoftheindividualinprinciplesofpersonal
hygiene• organizationofmedicalandnursingservicesforthe
earlydiagnosis andpreventivetreatmentdisease• development ofthesocialmachinerywhichwillensure
toevery individualinthecommunityastandardoflivingadequateforthemaintenanceofhealth
C.E.A.Winslow,1923
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENEPublicHealth
oneoftheeffortsorganizedbysocietytoprotect,promote,andrestorethepeoples’health.
JohnM.Last’sDictionaryofPublicHealth,2001
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Thegoals ofthePublicHealth
toreduceinthepopulationtheamountof• diseases• prematuredeaths• disease-produceddiscomfort• disability
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
ThreedimensionsforthePublicHealth
Socialinstitution
Discipline
Practice
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Theclinical approachYou have tomake aX-rayandsomeblood test…
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
ThePublicHealth approachSeveral children inAfricadiefordiarrhoea
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Why?
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
We have tobuild anaqueduct
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
ThePublicHealth Approach
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Why?
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENEThis is asamp
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Thewayofthewast fromthesamp
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Thefinal destination
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
ThePublicHealth efforts
• Forbiding thesamps• Improving thecontrolandthesafety ofthewaste
• Guaranteing thepresence ofcleaner• Planningavaccination strategy forHepatitis A
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
PublicHealt approach
Problem Response
Surveillance:What is the
problem?
Risk FactorIdentification:What is the
cause?
InterventionEvaluation:
Whatworks?
Implementation:How do you
do it?
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
PublicHealth approach
Requiresthecollection,analysis,andinterpretationofdatatodefinetheproblemandoutline:–What–Where–When–Who–How
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Thegoals
Clinicians
Mypatient is doing well• Heis healded• Thepain stop• Now,heis able towalk
Publichealth
Mypopulation is doing well• Thelifeexpectancy is
longer• Theburden of
diseseases is decreasing• Themortality rateis
declining
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
MedicinevsPublicHealth
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
The10PublicHealth Services
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Monitorhealth statustoidentify andsolvecommunityhealth problems.
• Burden ofdiseases• Morbidity rate• Mortality rate• Incidence ofinfectious diseases• Hospitalization rate
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Diagnose andinvestigatehealth problemsandhealth hazards inthecommunity.
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Inform,educate,andempowerpeople about health issues.
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Inform,educate,andempowerpeople about health issues
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Inform,educate,andempowerpeople about health issues
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Inform,educate,andempowerpeople about health issues
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Mobilize communitypartnerships andaction toidentify andsolvehealth problems.
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Develop policies andplans that supportindividual andcommunityhealth efforts.
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Enforce laws andregulations thatprotect health andensure safety.
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Enforce laws andregulations thatprotect health andensure safety.
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Linkpeople toneeded personalhealth services andassure theprovision ofhealth carewhen otherwise
unavailable.
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Assure competent publicandpersonalhealth careworkforce
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Evaluate effectiveness,accessibility,andqualityofpersonalandpopulation-based health
services.
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Research fornewinsights andinnovativesolutions tohealth problems.
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Syllabus
• Epidemiology• DiseasePrevention• Screening• Healthprotection• Vaccinology• Epidemiologyandmanagementofcommonandimportantinfectiousdiseases
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Syllabus
• Hospitalmanagement• Foodsafety• Epidemiologyandpreventionofnon-communicabledisease
• Travelmedicine• Migrantshealth• Principlesofinternationalhealthorganization
• Environmentalhealth
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Syllabus
• Hospitalmanagement• Foodsafety• Epidemiologyandpreventionofnon-communicabledisease
• Travelmedicine• Migrantshealth• Principlesofinternationalhealthorganization
• Environmentalhealth
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Recommendedtextbook
• JohanGiesecke.ModernInfectiousDiseaseEpidemiology,SecondEdition.Arnold
• CharlesGuest,WalterRicciardi,IchiroKawachi,andIainLang.OxfordHandbookofPublicHealthPractice.ThirdEdition.OxfordUniversityPress
SCUOLA
DIM
EDIC
INA
CORSO
DIIG
IENE
Professorworkplace
Departement ofBiomedicalScienceandHumanoncology,HygienesectionIstituti Biologici building,thirdfloor.BariPoliclinico GeneralHospital.
[email protected]+390805478473Facebook SilvioTafuri
