Professional Documents
Culture Documents
BACHELOR OF LAWS
MENYA ASHRAF
ACHIENGE KELLY
The Essential Public Health Services provide a framework for public health to protect and
promote the health of all people in all communities. To achieve equity, the Essential Public
Health Services actively promote policies, systems, and overall community conditions that
enable optimal health for all and seek to remove systemic and structural barriers that have
resulted in health inequities. Such barriers include poverty, racism, gender discrimination,
ableism, and other forms of oppression. Everyone should have a fair and just opportunity to
achieve optimal health and well-being.
Public health services may go unnoticed within a community because they are often (but not
always) preventive versus reactive. For example, which community service are you more likely
to notice - an environmental health specialist inspecting the safety of a local university’s food
service establishments, or a fire truck speeding down the street with its lights and sirens on?
2. Diagnose and investigate health problems and health hazards in the community
Once alarms have been raised, public health officials then work to figure out who is most
impacted and why. A whole scientific field is actually dedicated to investigating these health
trends. It's called epidemiology. Epidemiologists collect and analyze data to figure out how
diseases or health conditions are distributed in a given population, what key factors those cases
have in common, and most importantly how that information could be applied to prevent future
cases. When there's a salmonella outbreak, epidemiologists are the ones talking to those who got
sick, collecting information on what they ate, and pinpointing what food is the likely culprit so
that it can be pulled from the shelves.
Once public health professionals know what's going on, who it's impacting, and if possible how
to prevent it, they then spread the word to the population at large. One of the most successful
examples of this essential service in action was the Back to Sleep campaign. When
epidemiologists around the world started to identify sleep position as a risk factor for sudden
infant death syndrome, the American Academy of Pediatrics and other health officials in the
United States launched an educational campaign urging parents to place their babies down to
sleep on their backs, rather than on their stomachs or sides. Pediatricians talked about it with
their patients' families, pamphlets were passed out, and experts went on television to spread the
word.
5. Develop policies and plans that support individual and community health efforts
Some of the greatest public health achievements of the past century were not actually due to one-
on-one education or small, local efforts. They were a result of policy changes. Workplace safety
guidelines, seat belt laws, and minimum quality standards for drinking water, for example, all led
to significant improvements to our health and safety.
School immunization requirements, for example, made big strides in increasing vaccination rates
and, in turn, combatting vaccine-preventable diseases like measles and chickenpox. Not only did
requirements work to protect individual children, but the resulting high immunization rates made
it harder for diseases to circulate a process known as herd immunity thus helping to protect an
even greater number of people in the community.
6. Enforce laws and regulations that protect health and ensure safety
Health codes help prevent food-borne illness by requiring restaurants to adhere to certain
standards, but would they be as effective if health officials never came out to inspect the
kitchens? The same can be said for pharmaceuticals. Inspections of manufacturing facilities by
the Food and Drug Administration help minimize the risk that medical products become
contaminated. Policies can lead to population-level health improvements, but only if they are
enforced.
7. Link people to needed personal health services and assure the provision of health care
when otherwise unavailable
Health care in the United States is a fragmented and highly complicated system. Whether or not
you are able to see a doctor when you need to can vary based on a wide range of factors,
including your age, location, financial situation, health condition, and employment status. Public
health agencies help ensure some of the most vulnerable populations in a community are able to
access health care and access doesn't just mean getting in to see a doctor. It can also mean having
transportation to and from medical services, affordability of the care provided, and culturally
appropriate translation of materials.
One of the biggest ways public health departments help link people to services is through public
health centers. While often these centers provide direct medical care for low-income and
uninsured individuals, they also often provide things like health education, counseling, and
referral services. For example, the Special Supplemental Nutrition Program for Women, Infants,
and Children commonly called WIC is often run by local health departments in an effort to
ensure that all kids regardless of income have access to good nutrition in the first few years of
life.
8. Assure a competent public and personal healthcare workforce
Medicine is always changing to adapt to the latest research and available technologies. That's
why medical professionals in the United States are required to take classes to stay up-to-date.
Public health agencies like the Centers for Disease Control and Prevention, as well as local
health departments, collaborate with medical associations to offer continuing education classes
on a wide range of topics, including on things like bioterrorism and emergency preparedness yes,
even responding to natural disasters falls under public health, too.
As effective as public health efforts have been to save lives and improve the health of
communities, there is always more that could be done. Health initiatives are under near-constant
monitoring and evaluation to verify they actually work, and programs that require funding are
also assessed to ensure that resources are being used efficiently and effectively.
To do this, agencies look at a wide range of factors and involve a host of different specialties.
Health economists, for example, can help estimate the cost-effectiveness of a given policy
change. Epidemiologists look at disease trends among participants of a particular health initiative
to see if they've improved. Biostatisticians analyze data from surveys and medical records to
determine whether certain health indicators in a given population have changed. Not only do the
results from these evaluations help to improve programs, but insight gathered can also often be
used for the first essential service list above.
10. Research for new insights and innovative solutions to health problems
One of the most important ways public health works to protect the health and safety of a
community is through asking questions, gathering data, and finding new and better ways to solve
problems. Public health research done on vehicular crashes brought us safer cars and seat belts.
Persistent investigations of a dental anomaly led to the inclusion of fluoride in drinking water. A
better understanding of our immune system resulted in developing vaccines that have
saved millions of lives and billions of dollars.