Review the powerpoints and then answer this discussion. 

Pick a health issue and discuss how you would create a primary, secondary, and tertiary prevention program to address that health issue. (Include one example for each level of prevention.) Make sure to research your response rather than simply stating your opinion. Please include at least three in-text citations and the full references at the bottom of your post.

Your initial post should be a minimum of 500 words.Chapter 1
Community and Public Health: Yesterday, Today, and Tomorrow

Chapter Objectives
After studying this chapter, you will be able to:
Define the terms health, community, community health, population health, public health, public health system, and global health.
Briefly describe the five major determinants of health.
Explain the difference between personal and community health activities.
List and discuss the factors that influence a community’ s health.
Briefly relate the history of community and public health, including the recent U.S. history of community and public health in the twentieth and early twenty-first centuries.
Provide a brief overview of the current health status of Americans.
Describe the purpose of the Healthy People 2020 goals and objectives as they apply to the planning process of the health of Americans.
Describe the major community and public health problems facing the United States and the world today.

Introduction
Much progress made over last 100 years in health and life expectancy
Still room for improvement
Achievement of good health is worldwide goal of 21st century
Requires individual actions to improve personal health and organized community actions

20th Century Achievements in Public Health
Vaccination
Motor vehicle safety
Control of infectious diseases
Decline of deaths from CHD and stroke
Healthier mothers and babies

Safer and healthier foods
Safer workplaces
Family planning
Fluoridation of drinking water
Recognition of tobacco use as a health hazard

Definition: Health
Can mean different things to different people
A dynamic state or condition of the human organism that is multidimensional in nature, a resource for living, and results from a person’s interactions with and adaptations to his or her environment

Definition: Community
A group of people who have common characteristics
Can be defined by location, race, ethnicity, age, occupation, interest in particular problems or outcomes, or common bonds
Characterized by
Membership, common symbol systems, shared values and norms, mutual influence, shared needs and commitment to meeting them, shared emotional connection

Other Definitions (1 of 2)
Public health – actions that society takes collectively to ensure that the conditions in which people can be healthy can occur; most inclusive term
Community health – health status of a defined group of people and the actions and conditions to promote, protect, and preserve their health
Population health – health outcomes of a group of individuals, including the distribution of such outcomes within the group

Other Definitions (2 of 2)
Global health – health problems, issues, and concerns that transcend national boundaries
May be influenced by circumstances or experiences in other countries
Best addressed by cooperative actions and solutions

Personal Health Activities Versus Community/Public Health Activities
Personal health activities
Individual actions and decision making that affect the Chapter 2
Organizations that Help Shape Community and Public Health

Chapter Objectives (1 of 2)
After studying this chapter, you will be able to:
Explain the need for organizing to improve community and public health.
Explain what a governmental health organization is and give an example of one at each of the following levels—international, national, state, and local.
Explain the role the World Health Organization (WHO) plays in community and public health.
Briefly describe the structure and function of the United States Department of Health and Human Services (HHS).
State the three core functions of public health.
List the 10 essential public health services.
Explain the relationship between a state and local health department.

Chapter Objectives (2 of 2)
Explain what is meant by the term Whole School, Whole Community, Whole Child (WSCC).
Define the term quasi-governmental and explain why some health organizations are classified under this term.
List the four primary activities of most voluntary health organizations.
Explain the purpose of a professional health organization/association.
Explain how philanthropic foundations contribute to community and public health.
Discuss the role that service, social, and religious organizations play in community and public health.
Identify the major reason why corporations are involved in community and public health, and describe some corporate activities that contribute to community and public health.

Introduction
Only in past ~100 years have communities taken explicit actions to deal aggressively with health issues continuously
Community response to own problems hindered by various issues
Three classifications based on funding sources, responsibilities, and organizational structure
Governmental
Quasi-governmental
Nongovernmental

Governmental Health Agencies
Part of governmental structure
Federal, state, or local
Funded primarily by tax dollars
Managed by government officials
Authority over some geographic area
Exist at four levels
International, national, state, local

International Health Agencies
World Health Organization (WHO) most widely recognized international governmental health organization
Headquartered in Geneva, Switzerland
Six regional offices around the world
Not oldest world health-related international agency, but largest

History of WHO
1945: charter of the United Nations; article calling for establishment of health agency with wide powers
1946: UN representatives created and ratified the constitution of WHO
1948: constitution went into force and WHO began work

Organization of WHO
Membership open to any nation that has ratified constitution and receives majority vote of World Health Assembly
World Health Assembly – delegates of member nations
Approves WHO programs and budget
194 member countries
WHO administered by different levels of staff

Purpose and Work of WHO
Primary objective: attainment of the highest possible level of health by all peoples
Six core functi




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