1- INTRODUCTION AND HISTORY OF PUBLIC HEALTH Flashcards
the science and art of preventing disease, prolonging life and promoting physical health through organized community
efforts and informed choices of society,
PUBLIC HEALTH
DIVISIONS OF PUBLIC HEALTH:
- Epidemiology
- Biostatististics
- Health Services/Healtb Policy and Management/Health Administration
- Environmental Health
- Occupational health
- Social and Behavioral Health
- Nutrition
CHARACTERISTICS OF PUBLIC HEALTH:
- It deals with the PREVENTIVE ASPECTS of health rather than curative aspects.
- It deals with POPULATION LEVEL, rather than individual health issues.
3 CORE FUNCTIONS OF PUBLIC HEALTH/10 ESSENTIAL PUBLIC HEALTH SERVICES
- Assessment
- Policy Development
- Assurance
a. Monitor health status to identify community health problems.
b. Diagnose and investigate health problems and health hazards in the community.
Assessment
a. Inform, educate and empower people about health issues.
b. Mobilize community partnerships to identify and solve health problems.
c. Develop policies and plans that support individual and community health efforts.
Policy Development
a. Enforce laws and regulations that protect health and ensure safety.
b. Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
c. Assure a competent public health and persosnal healthcare workforce.
d. Evaluate effectiveness, accesibility, and quality of personal and population-based health services.
Assurance
5 STEPS OF PUBLIC HEALTH APPROACH IN ADDRESSING HEALTH PROBLEMS IN COMMUNITY
- Define the health problem.
- Identify the risk factors associated with the problem.
- Develop and test community-level interventions to control or prevent the cause of the problem.
- Implement interventions to improve the health of the population.
- Monitor those interventions to assess their effectiveness.
LEVELS OF PREVENTION
- Primary Prevention
- Secondary
- Tertiary
prevents an illness or an injury from occuring at all, by preventing exposure to risk factors.
Primary Prevention
seeks to minimize the severity of the illness or the damage due to an injury-causing event once the event has occurred.
Secondary
seeks to minimize disability by providing medical care and rehabilitation services.
Tertiary
CHAIN OF CAUSATION OF DISEASE
-Host
-Agent
-Environment
- person’s physical and psychological capacity to establish and maintain balance.
- Successful defense of the host against forces that disturb body equilibrium.
HEALTH
failure of the body’s defense mechanism to cope with forces tending to disturb body equilibrium.
DISEASE
DETERMINANTS OF HEALTH
- Income and Social Status
- Education
- Physical environment
- Employment and working conditions
- Social support networks
- Culture
- Genetics
- Personal behavior and coping skills
- Health services
- Gender
STAGES OF DISEASE
- Pre-disease stage
- Latent stage (asymtomatic)
- Symptomatic stage
RISK FACTORS FOR DISEASE:
- Biologic and Behavioral Factors
- Environmental Factors
- Immunologic Factors
- Nutritional Factors
- Genetic Factors
- Services, Social Factors and Spiritual Factors
(up to 1898)
Pre-American Occupation
(1898-1907)
American Military Government
(1907-1916)
Philippine Assembly
(1916-1936)
The Jones Law
(1936-1941)
The Commonwealth
(1941-1945)
Japanese Occupation
(1945-1972)
Post World War II
(1986 to present)
Post EDSA Revolution
Public health works began at the
Franciscan Convent in Intramuros
Hospitals before the Americans came to Philippines:
General Hospitals
a. San Juan de Dios Hospital
b. Chinese General Hospital
c. Hospicio de San Jose in Cavite
d. Casa dela Caridad in Cebu
e. Enfermeria de Santa Cruz in Laguna
Hospitals before the Americans came to Philippines: Contagious Hospitals
a. San Lazaro Hospital
b. Hospital de Palestina in Camarines Sur
c. Hospital delos Lesprosos in Cebu
d. Hospital de Argencina in Manila for smallpox and cholera
Hospitals before the Americans came to Philippines:
Military Hospital
a. Hospital Militar de Manila
b. Hospital Militar de Zamboanga
Hospitals before the Americans came to Philippines:
Naval Hospital
a. Hospital dela Marie in Cebu
b. Hospital de Basilan
Hospitals before the Americans came to Philippines:
Other hospitals/Asylums
a. Hospicio de San Pascual Baylon in Manila
b. Asylum of St. Vincent de Paul in Manila for poor girls
c. Hospital of SanJose for orphaned children and mentally ill
- Control of epidemics such as cholera, smallpox and plague
- Fight against communicable diseases such as leprosy, diarrhea, malaria, beri-beri
AMERICAN MILITARY GOVERNMENT
- Retrogression rather than progression in so far as the health was concern
- Increased deaths from smallpox, cholera, typhoid, malaria, beri-beri and TB
- Re-organization happened (re-organized the health service and encouraged effective supervision
JONES LAW YEARS
Retrogression rather than progression in so far as the health was concern
- Increase CDR
- Increase IMR
- Increase Morbidity
- Process of gaining and maintaining altitude (because the later years under Jones Law was successful)
- The epidemiology of life threatening diseases was studied – diphtheria, yaws, dengue
- Research in the field of health was promoted
- UP School of Public Health was established to train public health leaders
THE COMMONWEALTH PERIOD
creation of Department of Public Health and Welfare
1939,
Bureau of Census and Statistics was created to gather vital statistics
1940,
In spite of development:
- Inequitable distribution of health services remained a problem
- 80% of those who died were never given medical attention
During this time, all public health activities were practically paralyzed
JAPANESE OCCUPATION
- Manila was selected as Headquarters for the WHO Western Pacific Office
- Strengthening Health and Dental services in rural areas
POST WORLD WAR II
creation of several offices
Re-organization of DOH
Re-organization of DOH – creation of several offices
- Dental Health Services
- Malaria Education Services
- Disease Intelligence Center
- Food and Drug Administration
- National Schistosomiasis Control Commission
- National Nutrition Program
Initiation of programs with multilateral assistance
- WHO and UNICEF assisted TB and BCG programs
- TB control program as basic service of RHU
- TB sputum case finding by microscopy
- Serum and vaccine production in Alabang
- Expanded MCH and Mental Health Program
- Training programs for Midwives
- Strengthened graduate health programs at the UP-CPH
Rizal Development Project
- Restructuring of the DOH Rural Health Care Delivery System
- Each barrio was provided with midwife
- For, the first time, dengue virus was isolated from typical H fever cases
- Creation of National Economic Development Authority (NEDA)
- Department of Health was renamed as Ministry of Health (MOH)
MARTIAL LAW YEARS
- Implementation of restructure health care delivery system (primary, secondary, tertiary)
- Construction of tertiary hospitals (Phil. Heart Center, Lung Center, Kidney Center, Lund Center,
Lungsod ng Kabataan – PCMC)
Formulation of National Health Plan
- Promotive and preventive are rather than curative care
- Philippines was the first country to implement PHC
Adaption of the Primary Health Care (PHC)
- Nationwide program providing supplementary food for infants and pre-school and school children
Launching of Operation Timbang and Mothercraft
Progress in Public Health research:
a. Nutrition council of the Philippines
b. RITM
c. PCHRD
to address problems on malnutrition
Nutrition council of the Philippines
for infectious and tropical diseases
RITM
mandated to lead, direct and coordinate science and technology activities in health and nutrition
PCHRD
more provisions on health making comprehensive health care available
1987 Constitution
CORAZON AQUINO ADMINISTRATION
Major activities influencing public health during this period:
- Milk Code
- Universal child and mother immunization
- International safe motherhood initiative was launched to reduced maternal mortality rate
- Act prohibiting discrimination against women (RA 6725)
- National Epidemic Surveillance System (NESS)
- National Drug Policy and Genetics Act
- Local Government Code governors and mayors
- Organ Donation Act of 1991 (RA 7170)
required the marketing of breast milk substitute
Milk Code
this was made to track down the occurrence of 14 diseases with potentials of causing outbreaks
National Epidemic Surveillance System (NESS)
ensure the availability of safe, effective and affordable quality drugs (RA 6675)
National Drug Policy and Genetics Act
from national government to governors and mayors – devolution (RA 7160)
Local Government Code
– Legalizing donation of all or body parts after death for specified purpose
Organ Donation Act of 1991 (RA 7170)
“Health in the Hands of People” and “Let’s DOH it”
by then Sec. Juan Flavier
BCG, DPT, OPV, MMR
National Immunization Day
this strategy ensures the survival and health of children through breast feeding
Mother and Baby- Friendly Hospital InitiativE
DOH and DOST
Promotion of Philippine Traditional Medicine
transformed 45 government hospitals from disease places to centers of wellness
Hospitals as Center of Wellness
Anti-smoking campaign
Yosi Kadiri
aimed to prevent vitamin A, iron and iodine deficiency
Araw ng Sangkap Pinoy
Family planning program
Kung Sila’y Mahal Mo Magplano
Consumer Act of the Philippines- an act providing penalties for manufacture, distribution and sales of adulterated
foods, drugs and cosmetics
RA 7394
Special protection of children against child abuse, exploitation and discrimination`
RA 7610
which created the Philippines National AIDS Council as a national policy and advisory body in the prevention and
control of HIV-AIDS
EO 39
Senior Citizen’s Act – which grant benefits and special privileges in order to maximize the contributions of senior
citizens to nation building
RA 7432
The National Blood Services Act of 1994 which was passed to promote voluntary blood donation
RA 7719
An act for Salt Iodization Nationwide (ASIN) – providing salt iodization nationwide approved in 1996 and renamed
FIDEL (Fortified for Iodine Elimination)
RA 8172
to eliminate polio measles and neonatal tetanus
Expanded Program on Immunization (Oplan Alis Disease)
vitamin A, iron and iodine utilization (Araw ng Sangkap Pinoy)
Nutrition
– it has been forecast that by the year 2020, the urban population comprise 65 to 75% of the total population
- The chaotic growth of cities will result in a multitude of economic and social problems.
- The rise of slums, criminality, disease and unemployment
- Overcrowding, inadequate housing facilities, poor environmental sanitation
URBANIZATION
- more women joining the work force. This may or may not have adverse effect on the family. Care of
children will be entrusted to caretakers - Occupational hazards become a major concern
- Air, soil and water pollutions
INDUSTRIALIZATION
environmental degradation caused by deforestation, deterioration of seas and rivers due to industrial waste, indiscriminate disposal of waste. All these lead to ecological imbalance and pave the way for the emergence of the new types of microorganisms.
ENVIRONMENTAL CONCERN
the discriminate consumption and overuse of antibiotics have resulted in drug-resistant bacteria, viruses and parasites. Switching from inexpensive penicillin to other drugs increased treatment costs which are beyond the reach of the poor.
THE REVENGE OF THE GERMS