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Determinants of Health
• Scientifically established factors that relate directly to the level of the health problem.
Question…
• What actions has government taken to ensure that people are safer and healthier today than people were 100 years ago?
Six disciplines…
• Epidemiology
• Statistics
• Biomedical sciences
• Environmental sciences
• Social/behavioral sciences
• Health policy and management
Activity…
• Identify a health problem in our community. What are some of the risk factors associated with the problem? Suggest a possible intervention.
• Describe the health problem in terms of a chain of causation. What “links” could be interrupted to help prevent the problem?
Activity…
• Give an example of a measure that would improve public health but might be expensive to implement.
• Who would benefit?
• Who would pay the cost?
Local
• Where the “rubber meets the road”
• Carry out laws and ordinances
• Usually organized at county level
• Some of what they do…
State Public Health
• Usually limited to federal grants– Revenue sharing– Block grants– Categorical grants
• Core functions of state health department