health - Answers The combination of physical, mental/emotional, and social well-being
public health - Answers the general state of people's health with organized community efforts
community health - Answers the health of smaller groups of people with things in common ie)
church, university
population health - Answers health speaking in broad terms like "Americans" or "children"
public health vs. healthcare 3P's - Answers P- Prevention
P- Population
P- Perspective
public health deals with small and larger groups +society as a whole
healthcare deals with 1 patient and the specific care
upstream metaphor - Answers people rescuing downstream are health care; people going
upstream to prevent are public health; knowing what is causing the problem allows for
appropriate prevention strategies.
- the bodies kept on coming downstream, so public health goes upstream to figure out what's
causing the problem
primary prevention - Answers - efforts to prevent exposure to risk factors
- reduce incidence/occurrence
secondary prevention - Answers - early detection and management
- minimize harm
- ie) Screening for cancer (trying to detect problems before it happens)
tertiary prevention - Answers - mostly healthcare
- minimize disability and mortality
- ie) with diabetes: you manage insulin and check feet regularly to prevent complications
socio-ecological model - Answers goes up from: individual, behavior, social, community, and
society
list the top 10 achievements of PBH - Answers 1. safer workplaces
, 2. fortify foods = safer + healthier
3. vaccination
4. family planning
5. healthier mothers + babies
6. Fluoridation of water
7. Recognition of tobacco as a health hazard
8. decline death from Heart disease + stroke
9. motor vehicle safety
10. antibiotics = control infectious disease
4 essential public health services - Answers assessment, public development, assurance, equity
market justice - Answers individual responsibility, minimal obligation to the common good
distributive justice - Answers fair distribution of wealth and resources
social justice - Answers fair distribution of opportunities, privileges, and power
fundamental ethical dilemma of PBH - Answers freedom and autonomy vs. the common good
how much can PBH infringe on personal choice/freedom
ie) no smoking area, mask mandates, vaccines
paternalism - Answers law/policy that restricts freedom for purpose of protecting their own
safety and health
ie) wearing a seatbelt: keeps YOU safe, not just others
basic powers health authorities hold - Answers 1. can submit any medical examination
2. order isolation, quarantine, or treatment
3. can limit how you conduct yourself + limit occupation
isolation vs. quarantine - Answers isolation: infected and contagious, keep you AWAY from
others
quarantine: healthy but exposed, stay away just in case
Mary Mallon and ethical dilemma - Answers - she was an unknown carrier for Typhoid fever and
was unintentionally spreading it as a cook