L1- Public health and your clinical practice

Question 1

public health definition

Answer 1

The art and science of preventing disease, prolonging life and promoting health through the organized efforts of society (Acheson, 1988; WHO)

Question 2

what cause most premature deaths

Answer 2

behaviour patterns (40%)

and then genetic predisposition (30%)

Question 3

example of an early health intervention

Answer 3

start of BCG vaccination

• hugely reduced rate of TB mortality

Question 4

best treatments are

Answer 4

non-health associated e..g living conditions

Question 5

whether you live in a deprived or affluent area dictates your

Answer 5

HLE and LE

Question 6

HLE

Answer 6

health life expectancy

Question 7

LE

Answer 7

life expectancy

Question 8

3 broad categories of prevention

Answer 8

primary
secondary
tertiary

Question 9

primary prevention example

Answer 9

poster campaigns

increasing cost of alcohol

Question 10

secondary prevention

Answer 10

brief advice about alcohol risk in appointments

Question 11

tertiary prevention

Answer 11

Thiamin b1 vitamin can be used to prevent alcohol related diseases

Question 12

example of health protection for infectious disease

Answer 12

e.g. MMR offered to all children

Question 13

example of health protection for chemical hazards

Answer 13

adding black dye to chemical ‘blue lagoons’ to prevent people swimming in it

Question 14

example of health protection for emergency response

Answer 14

ambulance

Question 15

health improvement examples

Answer 15

• Smoking cessation
• Public mental health
• Sexual health services
• Substance misuse services
• NHS health checks
• Weight management

Question 16

healthcare public health

Answer 16

• Strategic direction and leadership
• Evaluation and research
• Support evidence-based decision making
• Needs assessment
• Service design
• Prioritisation