2. Paediatric public health

Question 1

What are the health issues for English children

Answer 1

1/10 children have a chronic illness that effects normal day to day function
Long term conditions (asthma, dm, epilepsy and disability)
Special educational needs
Allergies
34.3% of 10-11 aged children are obese
Poor diet leading to risk factor for half of CVS risk and oral health
Communicable disease
Youth violence increasing

Question 2

What are the factors that impact child Health

Answer 2

Social (cultural attitudes to Health)
Conic (low income, recession)
Political determinants (austerity, housing policing)
Behaviour and commercial determinants (tobacco use, alcohol oil miscues)
Medical (access, genetic risk, systemic racism)
Familial (neglect, crisis)
Temporal (transitions)
Education

Question 3

How do we prevent ill health

Answer 3

Healthy weight - improved food information, weight magement)
Vaccination and immunisations
Oral health (preventive dental care, water fluoridation, improved diet)
Accidents and violence (20mph speed limits, reduce car usage)
Sexual and reproductive health (easy access contraception, reduce stigma)
Adult tobacco use (smoking cessation, nicotine replacement, smoking bans)
Substance misuse(minimum unit alcohol pricing, drug treatment)

Question 4

What are the 3 public health intervention areas

Answer 4

Health improvement (change4life, brush4life, while systems approach and obesity) 
Health protection (child vaccination schedules, screening, surveillance) 
Healthcare public health ( impoveing access to service, data and epidemiology)

Question 5

What are the aspects to consider in the future of child health

Answer 5

• Child health is key driver of adult health
• Obesity dominates the agenda but intervention needs a move from the individual
• Childhood poverty is likely to increase
• Majority of child health is preventable!!
• Children want to be included in health making decision