Module 2 Revised v2 For Students

Public Health and Education Data Analytics Online Course
Part 1: Introduction to Public Health in Schools
Module 2: Public Health In Schools
Module 2: Public Health in Schools
Objectives:
1. The learner should provide a definition of public health and health systems with the
latter’s components/building blocks.
2. The learner should define school health and its relationship to the larger public health
system.
3. The learner should be able to pinpoint components of school health and public health
that will be mobilized during this reopening.
4. The learner should be able to analyze how the roles of different school health
personnel are applicable in Philippine schools during reopening.
1.1 What Is Public Health?

Public health is “the science and art of preventing disease, prolonging life,
and promoting health through the organized efforts and informed choices
of society, organizations, public and private communities, and individuals.”
— C.E.A. Winslowi
Public health as a field or practice of medicine deals with communities, populations,
and the prevention of diseases. While clinicians treat diseases and injuries one
patient at a time, public health practitioners come up with solutions to benefit the
community at large and to address the root causes of disease and disability.ii Public
health practitioners must also adopt multi-sectoral approaches and collaborate with
other sectors to create and implement policies, programs, and other interventions.
Public health policies include laws, administrative orders, and directives that guide how
public health interventions will be conducted by offices such as the Department of
Health, or the Department of Education with regard to school health. Local
government units also have their respective counterparts for public health in the form
of provincial, city, and municipal health offices. Examples of public health policies and
programs in the Philippines include:
 Republic Act (RA) 11223: Universal Health Care (UHC) Act
 REPUBLIC ACT NO. 11223 | Department of Health website (doh.gov.ph)
 Resbakuna COVID-19 vaccination
Department of Health website (doh.gov.ph)
 National Safe Motherhood Program
National Safe Motherhood Program | Department of Health website
(doh.gov.ph)
 First 1000 Days Program
REPUBLIC ACT NO. 11148 | Department of Health website (doh.gov.ph)
 Masustansyang Pagkain Para sa Batang Pilipino
Republic Act 11037 | Children’s Legal Bureau
 RA NO. 11358 National Vision Screening Act
National Vision Screening Act | Official Gazette
 RA NO. 9211 Tobacco Control
Tobacco Regulation Act | Republic Act No. 9211
Module 2: Public Health in 1

This content is part of the Training Program “Public Health Data Analytics to Support Post-COVID Decision-Making Regarding School
developed by Philippine Association for Public Health Physicians, produced with support from the US Agency for International Development
through All Children Reading-Asia under Contract No. AID-OAA-TO-16-0001
 RA NO. 10354 Reproductive Health Law

Reproductive Health Law | Philippine Commission on Women
 RA NO. 9165 Comprehensive Dangerous Drugs Act 2002
Republic Act 9165 | Philippine Drug Enforcement Agency
 RA 11036 Mental Health Act Mental
Health Act | Official Gazette
These policies seek to address present and emergent health issues that have an
impact at the population level.
Check-in Question: Which statement is true of public health as a practice?

a. Public health deals with whole communities and populations
b. A multi-sectoral approach is key to public health as a practice
c. Public health addresses the root causes of illness/disability in a
community
d. All of the above
1.2 What Is School Health?

“School health is the comprehensive efforts of developing, implementing, and
evaluating services,bothwithin the school and the community, that provide each and
every student with the resources needed to thrive within a healthful environment.”
– American School Health Associationiii
School health is a health system that is designed to promote health and wellness for
students. School health considers the clinical management of health concerns within
the school as well as the prevention of causes of illness, injury, and disability among
students both within school and outside the school premises. A distinct feature of
school health is its close linkages of health providers with students’ families to address
present and emergent health issues in this age group.
In the Philippines, school health encompasses the provision of medical, nursing, and
dental services to students, as well as other services for disease prevention and
control, nutrition, and prevention of substance abuse. Examples of these other services
and programs include:
 Education programs such as the Drug Education Program
 Nutrition programs such as School-Based Feeding Program
 The Tuberculosis Prevention and Control Program for teachers and non-
teaching staffiv
 Oplan Kalusugan annual programv
What Are Components of Public Health and School Health Systems?

The building blocks of public health systems are very much applicable in the school
health system. All of these must come together to serve the population or community

at large. The following diagram is based on the World Health Organization’s building
blocks for health systems, which must be viewed as a network instead of in a list or
hierarchical model.
Figure 1: Components of Health Systems
Health
Governance
Health
Service
Information Systems
Delivery
Population
Medicines
Health
and Technologies
Financing
Human
Resources for Health
Source: Diagram/illustration created by PSPHP module writers
These building blocks are easily translated into the school health system and can be
adapted or readily mobilized for special situations such as pandemic response and
recovery. A major difference is the scope of school health, which primarily deals with
a set population consisting of learners, educators, and non-teaching staff essential to
the learning community. This system is only one of several that are part of the larger
public health systems of barangays, local government units, and even the whole
country or international communities.

Figure 2: Components of Health Systems Translated into School Health
Health
Governance
-Leadership of
administrators,
health providers and
decision makers
Health Information
Service Delivery
-Programs for school
Systems In terms of pandemic
health -Data of students and
programs, collection, response and recovery,
-School health facilities management, and
the aforementioned
School components can also be
mobilized to meet the
Community needs of the school
Health Medicines and community.
Financing Technologies
-Budget allocation -Commonly used
for school health medications and
primary care
- UHC financing Source: Diagram/illustration
Human originally created by PSPHP
Resources for
Health module writers
- School health
providers
- Educators
Figure 3: School Health Components Translated into Pandemic Response
Health
Governance
-Intersectoral
leadership between
school and larger
community
Service Delivery Health Information

-Infection and disease Systems
control
-Local and national data
-Screening and triage on cases
-Treatment and -Health screening
reintegration information of students
and personnel
School
Community
Medicines and
Health Financing Technologies
-Budget allocation for - Personal protective
pandemic response equipment (masks),
-Financial risk hygiene supplies and
protection for learners equipment (hygiene kits
and community and dispensers),
Human Resources sanitation facilities
(handwashing facilities
for Health and supplies), thermal
-School health scanners
personnel
-Local epidemiology and
public health
practitioners & Private
providers
Source: Diagram/illustration originally created by PSPHP module writers

As pandemics evolve and a return to a “new normal” is imminent, these components

of public health and school health systems will continually change and adapt to suit
the needs of the community. It is important to pay attention to the relationships
between all six of these areas to promote the safety and good health of individual
members as well as the larger school community.
Check-in Question: Choose the most complete and accurate list of
components of a health system
a. Health governance, health information systems, health
advocacy, human resources for health, health financing, service
delivery
b. Human resources for health, health financing, service delivery,
health governance, health information systems, medicines,
and technologies
c. Health information systems, health governance, service delivery,
health financing, medicines, and technologies
d. Medicines and technologies, human resources for health,
health financing, service delivery, health information systems,
health teachings
1.3 What Are the Roles of Different People in the

School Health System?
The Department of Education does not limit school health systems only to health care
providers or to point persons for programs such as nutrition; water, sanitation, and
hygiene (WASH); and health promotion. Part of the school health system are the
teaching staff who directly interface with students, as well as administrators who help
decide school policies and serve as a link between individual schools with the
districts and the regional/nationwide programs.
In special situations such as school reopening or during a pandemic response, the roles
of each personin the school health system become more diverse and require more
cooperation to ensure the health and safety of the school community as a whole.
Table 1: Roles of Different People/Partners in the Schools System, School

Health and in Pandemic Responsevi
Person in School
Community Role in School Health Role in Pandemic Response
Students/Learners Viewed as recipients of To take an active role in
programs/interventions self-reporting symptoms and
adjusting to reopening
Teachers/Educators Point of contact for First responder in triage,
interventions, to take an active role reporting, and continuity of
in health promotion/education learning of affected learners. Key
in implementing expansion
program

Person in School
Community Role in School Health Role in Pandemic Response
Administrators Decision-making for Closely interface with local
school/division/region, coordination entities as well as national
with other localbodies bodies (DepEd) regarding school
reopening, expansion of face to
face classes, and pandemic
response
School health physician Directs school health programs Works with administration for
for division/area, provider ofprimary decision-making; case
care services management of affected
learners/school community
members
School nurse Point person for many primary Point person for
care services, links more directly consults, primary care, case
with local community management of affected learners
and school community members
School dentist Point person for oral health May help with implementing
programs for community school reopening programs and
subsequent expansion
Nutritionist/Dietitian Point person for nutrition Provision of nutrition
programs, oversees school feeding interventions, innovations on
school feeding
Non-teaching staff: Implementation of WinS (Water Risk communication, WinS
auxiliary,administrative Sanitation and Hygiene implementation, sanitation, and
staff [WASH] in schools) and other infection control
initiatives
Parents Primary caregivers, coordination Integral to decision to return to
with school health F2F classes, closer coordination
personnel,seen as outside the needed for ill learners and
system reintegration
Barangay, local Seen as outside the system, Decision-making for the larger
government unit (LGU), coordinate with on local initiatives community; must coordinate
municipal health office targeted to learners(deworming, with school administrators and
(MHO), community etc.) community regarding safety of
health office (CHO) resumption of face-to-face
activities
It is important to remain flexible, open to communication, and ready to respond to

emergent concerns during a prolonged health crisis or during its recovery stages.
These roles of the school community within the school health system may change over
time as the pandemic evolves or resolves.
Assessment Questions:
1. What role/s can a teacher/educator play during school reopening?
a. First responder in triage of students
b. Helping affected students with continuity of learning
c. Both a and b

d. Deciding which students get to return to face to face classes
2. What intervention is considered under HEALTH FINANCING during

a pandemic?
a. Financial risk protection for learners and the community
b. Giving relief goods or ayuda to the families
c. Increasing the salary of school personnel working during the pandemic
d. Buying new gadgets for all the students
3. Which of these persons can be considered as working in the public health

field?
a. A cardiologist writing a case report on a single patient
b. A midwife delivering babies in a hospital
c. A team conducting health education on proper feeding practices in
a community with many children with malnutrition
d. None of the above
SUPPLEMENTAL CONTENT: MORTALITY AND

MORBIDITY FOR FILIPINO CHILDREN
Mortality refers to death, while morbidity refers to illness and disability of all kinds,
regardless of the source. These can be calculated for the entire population of a given
area, or just for specific demographic groups such as children.
Data from the Philippines in 2010 showed that pneumonia was a leading cause of
death for all children below the age of 14 in the Philippines. Other leading causes of
death included accidents of all causes, diarrhea, and gastrointestinal diseases, as well as
dengue and dengue hemorrhagic fever.vii
Table 2: Leading Causes of Mortality for Filipino Children 1–14 Years Old (2010)
1–4 years old 5–9 years old 10–14 years old
Cause Rate Cause Rate Cause Rate
Pneumonia 22.3 Pneumonia 5.9 Pneumonia 4.4
Diarrhea and 9.3 Dengue fever 5.2 Accidental drowning 3.6
gastroenteritis of and dengue and submersion
presumed infectious hemorrhagic fever
origin
Congenital anomalies 9.1 Accidental 4.4 Other diseases of the 2.7
drowning nervous system
and submersion
Septicemia 5.5 Other diseases 3.2 Transport accidents 2.5
of the nervous
system
Other diseases of the 5.2 Transport 2.9 Congenital anomalies 2.5
nervous system accidents

Accidental drowning 5.2 Congenital 2.7 Dengue fever and 2.2

and submersion anomalies dengue hemorrhagic
fever
Dengue fever and 4.7 Leukemia 2.4 Chronic rheumatic 2.0
dengue hemorrhagic heart disease
fever
Chronic lower 4.7 Meningitis 2.0 Leukemia 1.8
respiratory diseases
Meningitis 3.8 Septicemia 1.6 Septicemia 1.7
Leukemia 2.7 Diarrhea and 1.6 Nephritis, nephrotic 1.7

gastroenteritis syndrome, and
of presumed nephrosis
infectious origin
By 2019 however, cancers had become the leading cause of death for children aged 5-
14 years old, followed by lower respiratory infections such as pneumonia. Drowning
also remained a leading cause of death in this age groupviii.
Figure 1: Leading Causes of Mortality Children Aged 5-14 in the Philippines (Retrieved from
[https://ourworldindata.org/grapher/causes-of-death-in-5-14-year-olds?time=latest&country=~PHL])
Leading causes of morbidity for children are difficult to disaggregate on a national

level. However, leading causes of morbidity for all ages in the year 2018 show that
communicable diseases such as acute upper and lower respiratory tract infections,
urinary tract infections, and acute watery diarrhea are leading causes of morbidity.
Hypertension is also among the top causes of morbidity nationwide.ix

Table 3: Leading Causes of Morbidity in the Philippines, 2018

Cause of Morbidity Number in 1000s
Acute upper respiratory infection 1, 198.86
Hypertension 637.08
Acute lower respiratory tract infection and pneumonia 506.91
Urinary tract infection 294.14
Acute watery diarrhea 136.47
Bronchitis 135.2
Influenza 103.25
Diseases of the heart 68.9
Dengue fever 64.75
Acute febrile illness 50.2
It is important to consider that the Philippines still suffers from the “double burden”
of disease, with both communicable and non-communicable illness causing mortality
and morbidity in the population. The primary causes of both death and illness are
respiratory in nature, followed by cardiac and vascular diseases such as hypertension.
It is important for public health programs and policies to address risk factors for
communicable illness such as poor water and sanitation, as well as for non-
communicable illness such as poor nutrition and sedentary lifestyles. In particular,
pneumonia and diarrheal diseases, two of the most important causes of mortality in
children, are preventable through vaccination, sanitation, and other public health
measures. Accidents and injuries are also important causes of mortality for young
children and adolescents; thus, these must also be addressed through programs for
safer schools, streets, and communities.
GLOSSARY OF TERMS
Acute A condition with short duration, usually
of only a few hours or days
Bronchitis An infection or inflammation of the
tissues in the bronchial tubes leading to
the lungs
Communicable illness Illness that is infectious or transmissible
Congenital anomalies Malformations or disruptions in growth
and development found in a child,
which
have occurred during pregnancy
Chronic rheumatic heart disease A condition arising from inflammation of
the heart valves, resulting in long-term
damage and impairmentx
Dengue Fever Illness characterized with fever,
headache, and joint pains. This is
caused by viruses carried by mosquitoes
of
several species such as Aedes aegypti or

Aedes albopictusxi.
Dengue Hemorrhagic Fever A severe form of dengue fever that
is characterized by bleeding after the
patient’s fever begins to subsidexii.
Disease An abnormal condition that disrupts the
structure or function of the human
body or a part of it and does not
directly arise
from an injury.
Disability Any condition that limits a person’s
capacity to do certain activities or
interact with their surroundingsxiii
First 1000 Days The period covering a child’s growth
and development, beginning from
conception lasting up to the child’s 24th
month or second birthdayxiv
Health Financing The ability of a health system to
mobilize, accumulate, and allocate
funds for the health needs of individuals
and
populationsxv
Health Governance Leadership in a health system that plans
and implements health policy
frameworks and utilizes strategies such
as coalition-building, regulation, and
accountabilityxvi
Health Information Systems The process of collecting, managing,
analyzing, disseminating, and using data
on individuals and populations in a
health systemxvii
Human Resources for Health Also known as health workforce, this
includes individuals in the private and
public sectors who work to enhance
health for individuals or the
populationxviii
Hypertension Elevated blood pressure measured
above 130/80 mmHg. This may be
caused by heart disease or
other conditions related to
lifestylexix
Leukemia Cancer of the body’s blood forming
tissues, most commonly involves the
white blood cells.
Meningitis Inflammation of the protective
membranes (meninges) surrounding the
brain and spinal cord. Meningitis may
be caused by bacteria, viruses, injuries,
or
other infectious agentsxx
Morbidity All instances of non-fatal illness or injury
in a given population or group

Mortality All instances or causes of death in a

given population or group

Nephritis Inflammation of the kidneys, which may

arise from infection or other causes
Nephrosis A general term for kidney disease,
especially that which affects the renal
tubules. Nephrosis can be caused by
injury or inflammation. This can result in
nephrotic syndromexxi.
Nephrotic syndrome A group of symptoms arising from
damage to the kidneys’ ability to filter
water and waste. This results in
protein leakage into the urine, and
swelling of the face, hands, and feet.
Sometimes the cause of this syndrome
is
unknownxxii.
Non-communicable illness An illness that is not transmissible to
other individuals. Examples include
hypertension, diabetes, and asthma.
Pneumonia Acute respiratory infection affecting the
lungs. Pneumonia is commonly caused
by bacteria and viruses such as COVID-
19xxiii
Risk Communication The practice of communication through
the preparedness, response, and
recovery phases of serious public health
events. Risk communication aims to
empower the public towards informed
decision making and positive behavior
change during such upheavalsxxiv
Sedentary A lifestyle characterized by much sitting
in one place and less physical activity or
exercise
Septicemia Also known as sepsis or “blood
poisoning” this is an extreme response
to overwhelming infection. Septicemia
may be fatal if left untreatedxxv
Service Delivery The physical availability of
comprehensive, good quality health
services with sufficient coverage for a
given population in a health systemxxvi
Tuberculosis A disease caused by Mycobacterium
tuberculosis, which commonly affects
the lungs but may also spread to
other
parts of the bodyxxvii
Triage The practice of sorting and categorizing
patients based on their need for
immediate treatment and the benefit
they would receive from such carexxviii
WASH Water Sanitation and Hygiene
WinS Water Sanitation and Hygiene in Schools

REFERENCES
i
Cited in: Centers for Disease Control and Prevention (CDC). Introduction to Public Health. In: Public
Health 101 Series. Atlanta, GA: U.S. Department of Health and Human Services, CDC; 2014. Available at:
https://www.cdc.gov/training/publichealth101/public-health.html.
ii
Johns Hopkins Bloomberg School of Public Health. What Is Public Health? 2021. Available
at: https://www.jhsph.edu/about/what-is-public-health/
iii
American School Health Association. What Is School Health? 2014. Retrieved
from: https://www.ashaweb.org/about/what-is-school-health/
iv Department of Education School and Nutrition Center. School Health And Nutrition Center (Shnc),
Department of Education (DepEd), Republic Of The Philippines - Chan Robles Virtual Law Library.
Retrieved from: https://www.chanrobles.com/legal3decschoolhealthandnutririoncenter.html#.YOe9c-
gzbIX
v
Department of Education. Policy and Guidelines on Oplan Kalusugan Sa Department of Education.
Retrieved from: https://www.teacherph.com/oplan-kalusugan-ok-sa-deped/
vi
Department of Education and Department of Health. REVISED OPERATIOI{AL GT'IDELINES ON
THE PROGRTSSTVE EXPAITSION OF FACE TO FACE LEARNING MODALITY. Retrieved from:
https://www.deped.gov.ph/wp-content/uploads/2022/04/DEPED-DOH-JMC-No.-001-s.-
2022.pdf
vii
Department of Health. Leading Causes of Child Mortality. Retrieved
from: https://doh.gov.ph/Statistics/Leading-Causes-of-Child-Mortality
viii Oxford Martin School. Our World In Data. Retrieved from: https://ourworldindata.org/grapher/causes-
of-death-in-5-14-year-olds?time=latest&country=~PHL
ix Statista Research Department. Leading causes of morbidity in the Philippines in 2018, by disease. Retrieved
from: https://www.statista.com/statistics/1118585/philippines-leading-cause-morbidity-by-disease/
x World Health Organization. Rheumatic Heart Disease. 2020. Retrieved from:
https://www.who.int/news-room/fact-sheets/detail/rheumatic-heart-disease
xi
World Health Organization. Dengue and Severe Dengue. 2022. Retrieved from:
https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue
xii
Centers for Disease Control. Dengue and Dengue Hemorrhagic Fever. Retrieved from:
https://www.cdc.gov/dengue/resources/denguedhf-information-for-health-care-practitioners_2009.pdf
xiii
Centers for Disease Control. Disability and Health Overview. Retrieved from:
https://www.cdc.gov/ncbddd/disabilityandhealth/disability.html
xiv UNICEF. The first 1,000 days of life: The brain’s window of opportunity. 2013. Retrieved from:
https://www.unicef-irc.org/article/958-the-first-1000-days-of-life-the-brains-window-of-opportunity.html
xv
World Health Organization. Monitoring the building blocks of health systems: A handbook of indicators
and their measurement strategies. 2010. WHO Press, Geneva Switzerland
xvi
xvii
xviii World Health Organization. Monitoring the building blocks of health systems: A handbook of
indicators and their measurement strategies. 2010. WHO Press, Geneva Switzerland
xix
American Heart Association. The Facts About High Blood Pressure. 2022. Retrieved from:
https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure
xx
Centers for Disease Control and Prevention. Meningitis. 2022. Retrieved from:
https://www.cdc.gov/meningitis/index.html#:~:text=Meningitis%20is%20an%20inflammation%20(swellin
g,infections%20also%20can%20cause%20meningitis.
xxi
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. ©
2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved. Retrieved from: https://medical-
dictionary.thefreedictionary.com/nephrosis
xxii
Johns Hopkins Medicine. Nephrotic Syndrome. 2022. Retrieved from:
https://www.hopkinsmedicine.org/health/conditions-and-diseases/nephrotic-syndrome
xxiii World Health Organization. Pneumonia. 2022. Retrieved from: https://www.who.int/news-room/fact-
sheets/detail/pneumonia
xxiv World Health Organization. Risk Communications. 2022. Retrieved from:
https://www.who.int/emergencies/risk-communications

xxv
Johns Hopkins Medicine. Septicemia. 2022. Retrieved from
https://www.hopkinsmedicine.org/health/conditions-and- diseases/septicemia#:~:text=Septicemia%2C
%20or%20sepsis%2C%20is%20the,the%20type%20of%20org anism%20involved.
xxvi
World Health Organization. Monitoring the building blocks of health systems: A handbook of
indicators and their measurement strategies. 2010. WHO Press, Geneva Switzerland
xxvii
World Health Organization. Tuberculosis. 2022. Retrieved from: https://www.who.int/news-
room/fact-sheets/detail/tuberculosis
xxviii Davis Charles Patrick. Triage. 2022. Retrieved from:
https://www.medicinenet.com/triage/definition.htm


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Public Health and Education Data Analytics Online Course

Part 1: Introduction to Public Health in Schools

Module 2: Public Health In Schools

Module 2: Public Health in Schools

1.1 What Is Public Health?

Module 2: Public Health in 1

Module 2: Public Health In Schools

 RA NO. 10354 Reproductive Health Law

Check-in Question: Which statement is true of public health as a practice?

1.2 What Is School Health?

What Are Components of Public Health and School Health Systems?

Module 2: Public Health in 2

Module 2: Public Health In Schools

Figure 1: Components of Health Systems

Source: Diagram/illustration created by PSPHP module writers

Module 2: Public Health in 3

Module 2: Public Health In Schools

Figure 2: Components of Health Systems Translated into School Health

Figure 3: School Health Components Translated into Pandemic Response

Service Delivery Health Information

Source: Diagram/illustration originally created by PSPHP module writers

Module 2: Public Health in 4

Module 2: Public Health In Schools

As pandemics evolve and a return to a “new normal” is imminent, these components

1.3 What Are the Roles of Different People in the

Table 1: Roles of Different People/Partners in the Schools System, School

Module 2: Public Health in 5

Module 2: Public Health In Schools

It is important to remain flexible, open to communication, and ready to respond to

Module 2: Public Health in 6

Module 2: Public Health In Schools

d. Deciding which students get to return to face to face classes

2. What intervention is considered under HEALTH FINANCING during

3. Which of these persons can be considered as working in the public health

SUPPLEMENTAL CONTENT: MORTALITY AND

Module 2: Public Health in 7

Module 2: Public Health In Schools

Accidental drowning 5.2 Congenital 2.7 Dengue fever and 2.2

Meningitis 3.8 Septicemia 1.6 Septicemia 1.7

Leukemia 2.7 Diarrhea and 1.6 Nephritis, nephrotic 1.7

Leading causes of morbidity for children are difficult to disaggregate on a national

Module 2: Public Health in 8

Module 2: Public Health In Schools

Table 3: Leading Causes of Morbidity in the Philippines, 2018

Module 2: Public Health in 9

Module 2: Public Health In Schools

Module 2: Public Health in 1

Module 2: Public Health In Schools

Mortality All instances or causes of death in a

Module 2: Public Health in 1

Module 2: Public Health In Schools

Nephritis Inflammation of the kidneys, which may

Module 2: Public Health in 1

Module 2: Public Health In Schools

Module 2: Public Health in 1

Module 2: Public Health In Schools

Module 2: Public Health in 1

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