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What Does Public Health Do? • Statutory Role: Provides services that keep you from getting sick from the actions or illnesses of others • Population-Based Role: Prevents illness in individuals by taking action at the communitywide level • Surveillance Role: Continually monitors for patterns of disease • Social Justice Role: Advocates equity for all and reaches out to vulnerable populations .
Core Competencies • • • • Epidemiology Biostatistics Environmental Health Health Services Administration • Social & Behavioral Science • • • • • Informatics Genomics Communication Cultural Competence Community-based Participatory Research • Policy & Law • Global Health • Ethics Notes Available .
1991 . Socioeconomic status 3. Healthcare services Adapted from Dahlgren and Whitehead.Approach & Rationale A guide to thinking about the determinants of population health Living and Working Conditions includes: Living and Working Conditions includes: 1. The natural and built environments 4. Healthcare services 6. Employment status 3. Public health services 6. Socioeconomic status 4. Psychosocial factors 2. The natural and built environments 5. Public health services 5. Psychosocial factors 1. Employment status 2.
Public Health Is Real Life Flood Public Domain. . Cigarette Warning Creative Commons BY-SA.
Things LHDs Do Activity or Service Adult immunization Childhood immunization Infectious disease surveillance TB screening Food service inspection/licensing Environmental health surveillance Food safety education TB treatment High blood pressure screening Tobacco use prevention NACCHO 2005 Profile of Local Health Departments July 2006 Percentage of Jurisdictions 91% 90% 89% 85% 76% 75% 75% 75% 72% 69% .
Services LHDs Contract Out Activity or Service Laboratory services STD screening Prenatal care Cancer screening Family planning services HIV/AIDS treatment Obstetrical care Adult immunization provision Tobacco use prevention STD treatment NACCHO 2005 Profile of Local Health Departments July 2006 Percentage of Jurisdictions 11% 7% 7% 7% 6% 6% 6% 6% 6% 6% .
Other Local Govt Agency Services Activity or Service Animal control Land use planning HAZMAT response Emergency medical services Housing inspections Hazardous waste disposal School health activities Noise pollution activities Surface water protection Pollution prevention NACCHO 2005 Profile of Local Health Departments July 2006 Percentage of Jurisdictions 63% 59% 58% 48% 39% 33% 30% 29% 28% 28% .
Local Non-Government Services Activity or Service Comprehensive primary care Obstetrical care Home health care Oral health care Behavioral/mental health services Substance abuse services Cardiovascular disease screening HIV/AIDS treatment Prenatal care Mental illness prevention NACCHO 2005 Profile of Local Health Departments July 2006 Percentage of Jurisdictions 73% 66% 59% 55% 52% 51% 48% 46% 44% 40% .