Transcript What is Health? - AGW Public Health Network

Dr Liz Parry
Registrar in Public Health
Bath and North East Somerset Council
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A = 10%
B = 15%
C = 20%
D = 30%
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A = Meningitis
B = Hepatitis A
C = Hepatitis B
D = Infectious Diarrhoea
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A = Men 21 units, Women 14 units
B = Men 14 units, women 14 units
C = Men 21 units, Women 21 units
D = Men 28units, Women 21 units
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A = Cancer
B = TB
C = Heart disease
D = AIDS
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A = 13%
B = 23%
C = 33%
D = 43%
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A = Cancer
B = Stroke
C = Heart disease
D = Car accidents
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A=1
B=4
C = 16
D = 32
E = 100
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A = 10%
B = 15%
C = 20%
D = 30%
Answer 20%, this has fallen from 26% in
2003 and 45% in the 1960’s
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A = Meningitis
B = Hepatitis A
C = Hepatitis B
D = Infectious Diarrhoea
Answer – C – Hepatitis B is sexually
transmitted, all others can be transmitted
through sneezing or coughing.
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A = Men 21 units, Women 14 units
B = Men 14 units, women 14 units
C = Men 21 units, Women 21 units
D = Men 28units, Women 21 units
Answer – B
Guidelines changed from A in early 2016
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A = Cancer
B = TB
C = Heart disease
D = AIDS
Heart disease - 7.4 million
Stroke - 6.4 million
Pneumonia – 3.1 million
HIV/ AIDS – 1.5 million
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A = 13%
B = 23%
C = 33%
D = 43%
Answer – C – of which 19% are obese and
14% are overweight
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A = Cancer
B = Stroke
C = Heart disease
D = Car accidents
29% of deaths in the UK in 2015 were due
to cancer
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A=1
B=4
C = 16
D = 32
E = 100
Answer = 16 per day, of which 75% are
men
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No perfect definition currently exists
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WHO definition
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Good Points
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Problems
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◦ Health is a state of complete physical, mental and social wellbeing NOT - merely the absence of disease or infirmity.
◦ Considers social and mental aspects of health
◦ Leaves most of us unhealthy all of the time
◦ Health is unachievable for most of the population
Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June,
1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and
entered into force on 7 April 1948.
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The science and art of promoting & protecting
health and well-being, preventing ill-health and
prolonging life through the organised efforts of
society.
-
Health Service Planning
- Clinical Effectiveness
Health Services
- Infectious
diseases
- Chemicals
and radiation
- Emergency
response
planning
Health
protection
Health
Improvement
-Healthy lifestyles
– smoking,
alcohol,
breastfeeding
- Tackling health
inequality
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In the early 19th century, the growing
towns of Britain were characterised by
overcrowding, poor housing, bad
water and disease.
1842, Edwin Chadwick argued that
disease was the main reason for
poverty, and that preventing disease
would reduce the poor rates.
In 1848, a cholera epidemic terrified
the government into doing something
about prevention of disease - through
both public and individual health
measures.
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1853 vaccination against smallpox
was made compulsory.
1854 improvements in hospital
hygiene were introduced (thanks in
large part to Florence Nightingale).
1875 a Public Health Act enforced
laws about slum clearance and
provision of sewers and clean
water
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1911, United Kingdom: The National
Insurance scheme is introduced. It proves
unemployment benefits, sick pay and the
cost of doctors and medicines
1948, United Kingdom: The National
Health Service is launched, providing free
point of care treatment for all.
1948, New York: World Health
Organisation is launched to aid developing
countries combat health issues.
1967: World Health Organisation begins
campaign to eradicate Smallpox. It is
successful, smallpox has not been
reported anywhere in the world since
1980.
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The influences on health are the conditions in
which people are born, grow, live, work and age.
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These conditions combine to create health and ill
health and are dependent on the quality of
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Education
employment and economic wellbeing
the built environment,
housing and a nurturing environment in childhood,
Many of these determinants are responsible for
inequities in health – the unfair and avoidable
differences in health status seen within and
between groups of people.
Dahlgren, G. and Whitehead, M. (1991). Policies and strategies to promote social equity in health. Stockholm: Stockholm
Institute for Future Studies
Principal adviser
on all health matters to elected members
and officers, with a leadership
role spanning all three domains of public
health
Director of Public
Health
Public Health
Consultant
Development &
commissioning
managers
Health
Improvement
Officers
Intelligence
Analyst
Business manager
Early years
education
Sexual
Health
Injury
Prevention
Immunisation
& screening
Health
Protection
National Childhood
measurement
Programme
Suicide and Self harm
prevention
Substance
misuse
School nurses
Sexual health nurses
Practice nurses
General
Practitioners
Housing
officers
Teachers
Pharmacists