The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-02-01

Total Pages: 536

ISBN-13: 0309133181

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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.


Changing Numbers, Changing Needs

Changing Numbers, Changing Needs

Author: National Research Council

Publisher: National Academies Press

Published: 1996-10-11

Total Pages: 327

ISBN-13: 0309055482

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The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.


Global Burden of Disease and Risk Factors

Global Burden of Disease and Risk Factors

Author: Alan D. Lopez

Publisher: World Bank Publications

Published: 2006-04-02

Total Pages: 511

ISBN-13: 0821362631

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Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.


Communities in Action

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.


Nursing Staff in Hospitals and Nursing Homes

Nursing Staff in Hospitals and Nursing Homes

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1996-03-27

Total Pages: 558

ISBN-13: 0309175704

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Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.


Future Directions for the Demography of Aging

Future Directions for the Demography of Aging

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-07-21

Total Pages: 409

ISBN-13: 0309474108

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Almost 25 years have passed since the Demography of Aging (1994) was published by the National Research Council. Future Directions for the Demography of Aging is, in many ways, the successor to that original volume. The Division of Behavioral and Social Research at the National Institute on Aging (NIA) asked the National Academies of Sciences, Engineering, and Medicine to produce an authoritative guide to new directions in demography of aging. The papers published in this report were originally presented and discussed at a public workshop held in Washington, D.C., August 17-18, 2017. The workshop discussion made evident that major new advances had been made in the last two decades, but also that new trends and research directions have emerged that call for innovative conceptual, design, and measurement approaches. The report reviews these recent trends and also discusses future directions for research on a range of topics that are central to current research in the demography of aging. Looking back over the past two decades of demography of aging research shows remarkable advances in our understanding of the health and well-being of the older population. Equally exciting is that this report sets the stage for the next two decades of innovative researchâ€"a period of rapid growth in the older American population.


Born to Die

Born to Die

Author: Noble David Cook

Publisher: Cambridge University Press

Published: 1998-02-13

Total Pages: 272

ISBN-13: 9780521627306

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The biological mingling of the Old and New Worlds began with the first voyage of Columbus. The exchange was a mixed blessing: it led to the disappearance of entire peoples in the Americas, but it also resulted in the rapid expansion and consequent economic and military hegemony of Europeans. Amerindians had never before experienced the deadly Eurasian sicknesses brought by the foreigners in wave after wave: smallpox, measles, typhus, plague, influenza, malaria, yellow fever. These diseases literally conquered the Americas before the sword could be unsheathed. From 1492 to 1650, from Hudson's Bay in the north to southernmost Tierra del Fuego, disease weakened Amerindian resistance to outside domination. The Black Legend, which attempts to place all of the blame of the injustices of conquest on the Spanish, must be revised in light of the evidence that all Old World peoples carried, though largely unwittingly, the germs of the destruction of American civilization.


The Coming of the Spirit of Pestilence

The Coming of the Spirit of Pestilence

Author: Robert Thomas Boyd

Publisher: University of Washington Press

Published: 1999

Total Pages: 436

ISBN-13: 9780295978376

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In the late 1700s, when Euro-Americans began to visit the Northwest Coast, they reported the presence of vigorous, diverse cultures--among them the Tlingit, Haida, Kwakwaka'wakw (Kwakiutl), Nuu-chah-nulth (Nootka), Coast Salish, and Chinookans--with a population conservatively estimated at over 180,000. A century later only about 35,000 were left. The change was brought about by the introduction of diseases that had originated in the Eastern Hemisphere, such as smallpox, malaria, measles, and influenza. The Coming of the Spirit of Pestilence examines the introduction of infectious diseases among the Indians of the Northwest Coast culture area (present-day Oregon and Washington west of the Cascade Mountains, British Columbia west of the Coast Range, and southeast Alaska) in the first century of contact and the effects of these new diseases on Native American population size, structure, interactions, and viability. The emphasis is on epidemic diseases and specific epidemic episodes. In most parts of the Americas, disease transfer and depopulation occurred early and are poorly documented. Because of the lateness of Euro-American contact in the Pacific Northwest, however, records are relatively complete, and it is possible to reconstruct in some detail the processes of disease transfer and the progress of specific epidemics, compute their demographic impact, and discern connections between these processes and culture change. Boyd provides a thorough compilation, analysis, and comparison of information gleaned from many published and archival sources, both Euro-American (trading-company, mission, and doctors' records; ships' logs; diaries; and Hudson's Bay Company and government censuses) and Native American (oral traditions and informant testimony). The many quotations from contemporary sources underscore the magnitude of the human suffering. The Coming of the Spirit of Pestilence is a definitive study of introduced diseases in the Pacific Northwest. For more information on the author go to http: //roberttboyd.com/