BPH 206 final Exam Latest Update components of public health system - Answer (1) federal agencie s (2) government agencies(other then public health), STLTs (state, tribal, loca l, and territorial health departments), clinical care delivery systems (3) media, community-b ased orgs, private non-profit associations, educational institutions, private ind ustry Goals of Governmental PH Agencies - Answer - prevent epidemics and spread of disease - protect against environmental hazards - prevent injuries - promote and encourage healthy behaviors - respond to disasters and assist community recovery - assure the quality and accessibility of health services three core functions of Public Health - Answer 1. assessment (monitor health, diagnose & investigate) 2. policy development (inform, educate, empower, mobilize communit y partnerships, develop policy) 3. assurance (enforce laws, link to/provide care, assure competent workforce, evaluate) Emergency - Answer a sudden event with serious adverse consequence s that require an immediate response, but lies within the capabilities of those af fected (car accident, house fire) Disaster - Answer any destructive event that disrupts the normal fu nctioning of a community... that cannot be effectively managed using routine procedures or resources and that require outside assistance- needs are greater than reso urces (hurricanes, massive forest fire, nuclear fall out, 9/11, floods) Types of Disasters - Answer - natural - pandemics - technological - terrorism different types of disasters bring about different health ris ks, illnesses, and injuries Disaster Epidemiology - Answer The study of pattern and distrib ution of health risks, illnesses, and injuries related to disaster Natural Disaster - Answer - Hurricanes (primary health hazard due t o landfall of storm (drowning), secondary hazard from debris and wind) - Tornados (primary risk is injury from flying debris (head and chest trauma) - Floods (primary health hazard is drowning, longer health conc erns such as lack of hygiene and contaminated water) - Earthquakes (primary health issue is injuries from structural colla pse) - Volcanos (rare but catastrophic, respiratory illnesses from ash , danger from lava) - Technological disasters (trains, plane crash) - Bioterrorism (anthrax laced letter) Victims of Disasters - Answer - Direct victims (people experiencing e vent; dead and survivors- displaced persons: forced to leave to escape disaster, re fugees: people forced to leave homeland due to war and persecution) - Indirect victims (relatives or friends of direct victims) Affect of Health Due to Disaster - Answer - injuries from event - environmental exposure after the event - malnutrition after event - excess mortality - mental health Causes of communicable disease outbreak due to disaster - Answer - changes affecting vector population - flooded sewer systems - destruction of the health care infrastructure - interruption of normal health services Agencies and Orgs for disaster Management - Answer - FEMA - WHOs emergency relief operations - Pan american health org - Red cross/red crescent societies - Doctors without borders - International medical corps - Operation blessing - Military Phases of Disaster - Answer 1. Preparedness (activities undertaken to handle a disaster when it strikes) 2. Response (search and rescue, clearing debris, and feeding a nd sheltering victims and responders if neccessary) 3. Recovery (getting a community back to its pre-disaster status) 4. Mitigation (lessen the impact of a disaster before it strikes) Preparedness - Answer activities that are taken to build capacit y and identify resources that may be used - know evacuation shelters - emergency communication plan - preventative measures to prevent spread of disease - public education Disaster preparedness planning - Answer more successful when appli ed from systems perspective- entails an understanding of - goals of the emergency response - resources of the community as a system - functional interactions of the different units within the syste m Risk communication - Answer our words and messages against the communities perceived risk Risk: probability of loss, threat to that which we value such as he alth, safety, job security, self esteem Goals of Risk communication - Answer - Enhance knowledge & understa nding - Build trust & credibility - Encourage appropriate behaviors and levels of concern - prepare or know how to respond to the risk - provides cues to action
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