6.02: Defines, assesses, and understands the health status of populations, determinants of health and illness, factors contributing to health promotion and disease prevention, and factors influencing the use of health services.
A comprehensive survey of Public/Community Health Nursing developed by the NYS Nurses Association with support from NYSDOH. Includes on-line text and pictures (text is downloadable); off-line exercises; and a post-test. Approved for 9.6 CEU contact hours.
This lecture is one of a series produced by the Allegheny County Health Department (PA), Bethlemem Health Bureau (PA), and the City of Elizabeth Department of Health and Senior Services (NJ). This lecture discusses the 10 Essential Public Health Services and provides examples of public health responsibilities; offers an overview of goals and the organization of public health as well as roles of a local public health department. Examples of the functions of public health are provided.
This UPitt Supercourse developed by Virginia M. Dato, MD, MPH, a public health physician from the Center for Public Health Practice at the University of Pittsburgh Graduate School of Public Health, reinforces the Essential Public Health Services (EPHS) by applying a consistent example (heart disease) throughout the course. This course demonstrates application of the EPHS. *Course will take longer than 25 minutes if user chooses to pursue additional web links that are provided throughout course.
This UPitt Supercourse developed by Dorothea Luke, M.A.S begins with objectives, introduction, definitions and overviews of areas of health promotion. It proceeds on to some theoretical foundations and program planning frameworks, followed by examples of diverse areas of health promotion.
* Will take up to several hours if all additional links are pursued.
Scott Commins and Dr. Raymond Greenberg's UPitt Supercourse offers a compelling review of factors contributing to health disparities. These variables include race, gender and SES. The authors present convincing data, however; there are no activities for the learner to engage in.
This course by Dr. Kristine Gebbie of Columbia University School of Nursing presents a thorough reveiw of basic public health terminology and reviews critical events in the development of public health.
Dennis Raphael of the School of Health Policy and Management, York University Toronto, Canada offers a two part health promotion module. While some of his examples and slides may be difficult to comprehend via the web, he does an excellent job conveying three concepts of health and the various strategies, target populations, approaches and key players involved with each. These concepts of health are: medical (traditional), behavioral (lifestyle), and socio-environmental (structural). A section of part II of this lecture (http://www.pitt.edu/~super1/lecture/lec8461/index.htm) is dedicated to promoting a healthy community process (e.g. soliciting input from communities and other stakeholeders).
Dr. Kristine Gebbie from Columbia University's School of Nursing and Center for Health Policy has developed this user-friendly and well-organized course. The course covers the following topics:
- Essential Public Health Services
- Core Functions
- Role of the Institute of Medicine
- Responsibilities of Public Health
Dr. Gebbie integrates "factlets" into the course which illustrate the development of public health.
Diane B. Wilson, EdD, RD and Mary S. McLellan, MS, RD of the Medical University of South Carolina developed this course introducing concepts such as health promotion and disease prevention. They present when and how prevention became part of health care and explain the determinants of health. The course ends with discussion questions.
This is a continuation of Diane B. Wilson, EdD, RD and Mary S. McLellan's, MS, RD Health Determinants and Health Promotion module. The current module focuses on describing how healthy behavior habits can result in a decreased risk of chronic disease. "Actual causes of death" such as tobacco use, physical inactivity, diet and substance abuse are described in detail.
Learning Objectives
1) Increase understanding of the ways that lay people are rational or irrational in making decisions about preventive health behaviors such as vaccination.
2) Understand the implications of decision making research for health policies that could improve uptake of the flu shot.
Presented by Dr. Gretchen Chapman, Rutgers University
Learning Objectices
1) To discuss the current epidemiology of vertical HIV transmission in NJ
2) Recognize steps that can be taken to decrease the risk of perinatal HIV transmission
3) Describe the role of rapid testing for women who present in labor with unknown HIV status
Presented by Dr. Sindy Paul, New Jersey Department of Health and Senior Services of New Jersey
Speaker:
Margo Wootan, Director, Nutrition Policy, Center for Science in the Public Interest
Program Description:
Healthy eating and physical activity take more than willpower. While lifestyle choices are ultimately a matter of personal responsibility and personal choice, those choices are influenced by the food and physical environment. The speaker will explore how advertising, food industry PR campaigns, restaurant foods, portion sizes, food pricing, school environments, television, and transportation policy often encourage eating too much and discourage moving. The session will outline promising policy and environmental approaches that can help to reshape the environment and make healthier choices easier.
This program will seek to increase awareness of efforts to operationally define local public health agencies and the intended outcomes of this process.
Series consists of 8 modules:
1) Introduction to Environmental Health and Nursing
2) Air Supply and Pollution
3) Food Safety
4) Housing
5) Land
6) Pest Control
7) Water Supply and Waste Water
8) Workplace
ABCs of Folic Acid Counseling is an online tutorial with steps on folic acid counseling for health professionals who provide care for women of childbearing age. The goal of the ABCs of Folic Acid Counseling is to increase folic acid counseling among nursing professionals and health educators who have contact with women of childbearing age. After taking this online tutorial, the learner will be able to use the steps in folic acid counseling during an interaction with a woman. This course expires on 10/1/09.
With the passage of the 2004 Childhood Nutrition and WIC Reauthorization Act, school districts across the United States have been focused on developing and approving Local Wellness Policies for each local education agency (LEA.) Both the New York State Education Department and the Department of Health have resources aimed at assisting schools in both the development and implementation of local wellness policies. The aim is to create healthy school environments and increase the availability of healthy choices while combating obesity. Amy Koren-Roth and Sandy Sheedy will discuss the federal requirements and what approach NY recommends to schools. Survey results from schools that have worked with New York State’s Action for Healthy Kids’ SPIN (Schools and Professionals in Nutrition) program will be highlighted.
As public health officials, how can we best address the needs of a growing population in an ever changing environment? Public health leaders are already involved in a wide array of health promotion, prevention and disease management programs from AIDS to zoonoses, anti-smoking and immunization campaigns, safe food and water inspections, plus bioterrorism preparedness. But now, as we learn more about the social determinants of health: education, income, housing and transportation - we need to examine an even broader framework for public health action in our communities, large and small. In this program we'll discuss these new challenges for public health professionals.
With a high concentration of people with conditions and diseases of public health concern, correctional facilities represent an opportunity to address public health issues. In this program viewers will learn about public health efforts within the prison system as well as the interface between state and local public health and correctional agencies. As leaders in this field, Dr. Lester Wright and Dr. Gus Birkhead will discuss how collaborations between public health and correctional health services benefit the inmates and correctional staff, as well as the larger community.
Considering the magnitude of violence in many of the cities of America, difficult challenges confront law enforcement agencies, public school districts and community residents. Col. Harry Corbitt, a veteran of the NYS Police, will describe the breadth of approaches used in Albany, NY to prevent school violence. However, school violence goes beyond the extreme physical assaults and also includes the day to day bullying and disrespect that can lead to violent outbursts or suicide. Ira Baumgarten, and NCBI facilitator, will explain how their program, Building a Caring School Environment, helps to recreate a safer school for students and teachers alike.
Given the current media hype about African-American men living on the down low (men who secretly have sex with men while also having sex with women), Dr. Malebranche and Dr. Wheeler will discuss the relevance of this topic - its myths, misconceptions, and implications for interventions and the HIV epidemic in the Black Community.
An increase in women's employment has resulted in a parallel increase in pregnant workers. In this presentation, Dr. John D. Meyers describes the theories of psychosocial stressors in the workplace and the application of these theories to outcomes of pregnancies. He also discusses the uncertainties involved in this area of research.
Today there are significant inadequacies in geriatric mental health practice and policy and a lack of linkage to public health and physical healthcare. This is amplified by the growth in our aging population. This presentation will provide an overview of geriatric mental health in New York State, the impending mental health challenges brought on by the massive growth of older adults that will take place over the next quarter century, and opportunities to improve on these issues.
This course is an interactive, problem-based teaching module based on a fictional outbreak of Hepatitis A. After completion of this course, viewers will be able to: describe how to determine whether an epidemic exists; list the steps in the investigation of an outbreak; discover the source of an outbreak; describe appropriate control measures; define terms including: population, cluster, outbreak, epidemic; draw a traditional epidemic curve; define, distinguish and calculate ratios, proportions, and rates; and explain the importance of collaboration between state and local health agencies in controlling and preventing communicable diseases.
This broadcast will present advances in the prevention, detection and treatment of breast, skin, cervical and colorectal cancer. Also, Mr. Hutton will describe the results of recent clinical trials that may help clinicians provide individualized treatments that are more effective and have fewer side effects. In addition, Dr. Lichtveld will discuss cancer core competencies aimed at creating surge capacity in the general health professions workforce.
David Shaffer, MD, a world-renowned child psychiatrist and expert on adolescent suicide, will present a comprehensive overview of what we know about the underlying causes of youth suicide and the early identification on an evidence-based mental health and suicide risk screening program, developed as a direct outgrowth of his research on adolescent suicide.
From the deaths of a few young gay white men in 1981, to epidemic and pandemic proportions today, HIV/AIDS is a devastating public health challenge that today disproportionately impacts communities of color in this country and throughout the global community. In the USA, an estimated one million people are living with the virus. Globally, 40 million people are infected including, 17.5 million women and 2.3 million children under the age of 15. Frank Oldham, Executive Director of the National Association of People with AIDS and Doug Fish, M.D., Medical Director, AIDS Treatment Program, Albany Medical Center will discuss the epidemiology of the disease, contemporary clinical and prevention interventions and advocacy. Their talk will address where we are, 25 years into this global public health problem.
The goal of the New York State Department of Health's regulations for swimming pools, bathing beaches and water parks is to assure that patrons are protected against drowning, other injuries and illness while participating in water-related recreational activities. Mr. Sackett will review incidents that have occurred in the state and discuss contributing factors and ways in which these injuries and illnesses can be prevented.
This program will address public health issues affecting older citizens, particularly vascular disease and hip injuries. Dr. Mehta will discuss the signs and symptoms of vascular disease, its associated risk factors and treatment options. Dr. Young will focus on hip injuries, discussing the association between successful aging, disability trends and long-term care needs. The program will offer tips on maintaining health and improving the environment that may contribute to more successful aging.
Many states issue advisories about eating sport fish from their waters. Obtaining and interpreting data for the advisories is usually a collaborative effort between the state health and environmental agencies. States differ when they issue an advisory and how the advisories are presenented and distributed to the public. Dr. Kim will discuss the background and considerations that New York State uses when developing and issuing advisories for contaminants in fish.
This presentation is part of the New York/New Jersey Education and Research Center 28th Annual Scientific Meeting on occupational health disparities and occupational health issues in the changing workforce. In this panel discussion, the speakers address topics related to workplace safety; organizing and advocacy; immigration; and 9/11.
View the recorded plenary sessions to learn about the reciprocal influences of health and human rights, including the impact public health programs and policies have on human rights and health disparities; the consequences human rights violations have on health; the importance of health in realizing human rights; and the ways in which health educators can ensure that human rights are integrated into public health strategies to eliminate health disparities. Main subject areas include: population-based health systems; government speak versus people speak; environmental literacy; community-based participatory research; Massachusetts health care reform; and civil rights.
Over 330,000 New York residents have Alzheimer’s disease or related disorders. With the elderly population increasing significantly the issues associated with Alzheimer’s disease may be overwhelming. Currently in NYS, 70 percent of the persons with Alzheimer’s disease reside in the community and 75 percent of their care is provided by family caregivers. In this session, Earl Zimmerman, MD will provide an overview of Alzheimer’s disease, describing the role and importance of primary care in early detection and treatment, and discuss emerging research. Mary Mittelman, DrPH will discuss the results of several of her studies, illustrating the positive effects of delaying admission to nursing homes by providing care to patients with Alzheimer’s disease in the community and support to caregivers.
People tend to be concerned about the possibility of health effects from exposure to hazardous chemicals in the environment. As public health professionals it's important for us to be able to understand and clearly convey concepts about exposure to the public, especially as it relates to contaminated sites such as hazardous landfills. This presentation provides an overview of exposure, the terms and concepts used in exposure assessment and a brief introduction to quantifying exposure.
Soil vapor intrusion, the process by which volatile chemicals move from a subsurface source into the indoor air of overlying buildings, has recently emerged as a public health concern at many hazardous waste sites throughout New York State and across the Country. This program will provide an overview of soil vapor intrusion as well as insight into how public health and environmental officials are evaluating and addressing exposures related to soil vapor intrusion.
Objectives:
Upon completion of this broadcast, the audience should be able to:
(1) Provide a basic overview of what soil vapor intrusion is and why it is an issue.
(2)Describe New York State's general approach to evaluating and addressing soil vapor intrusion.
(3)Identify key differences between New York State's approach and those of other State and Federal agencies.
(4) Describe materials that have been developed by New York State related to this issue and where these materials can be obtained.
Lead has no biological function but has harmful effects on multiple organ systems. The most serious effect of low concentrations of lead is on the brain where lead causes and irreversible reduction of IQ and behavioral changes. Dr. Carpenter will explain why there is no concentration of lead that is safe.
Ensuring that all children and adolescents have access to comprehensive affordable health insurance coverage is at the top of Governor Spitzer's health agenda. This session will look at who New York's uninsured are, describe the State's campaign to provide access to health insurance for all children and eligible adults and highlight initiatives underway that will make it easier for families to apply for and renew their coverage. It will also describe a collaborative partnership in the City of Rochester, NY to increase insurance coverage for school students and their families.
Objectives
At the conclusion of the presentation, the participants will be able to:
(1) Describe trends in health insurance coverage in New York State.
(2) Apply available tools to facilitate enrollment in state health insurance programs.
(3) Describe ways that health organizations can collaborate with schools to assist families enroll in health insurance programs
Depression is two times more common in people who have diabetes than in people who do not have the disease. Recent studies have shown a significant correlation between the symptoms of depression and the number and severity of diabetes complications. In addition, total health care expenditures for people with diabetes and depression are 4.5 times higher than for those without depression. This broadcast will provide important information for health professionals about the link between diabetes and depression.
David Troxel, M.P.H. is nationally and internationally known for his writing and teaching in the field of Alzheimer’s disease and long-term care. He has co-authored four books and written numerous articles related to Alzheimer’s care. He has served as Executive Director of the Santa Barbara Alzheimer’s Assoc., a past Executive member of the American Public Health Association, and is a past member of the Ethics Advisory Panel for the US National Alzheimer’s Association. David is also a 1986 alumnus of the UMDNJ-School of Public Health.
A seminar that highlights the work of Dr. Wenger in his effort, through Project Vaccinate, to help improve the health of inner city toddlers. Project Vaccinate is recognized by the Centers for Disease Control and Prevention (CDC) for its work in raising the rate of Newark families who successfully have their pre-school children immunized to help prevent serious and often life-threatening illnesses. This seminar will introduce concepts to the participants that will begin to develop their ability to assess conditions of the population and its ability to address their own health priorities, will show, through the Newark project, how to set procedures in place to lessen a public health crisis. This will foster in them belief in a principle that leads to protecting each person in the community from disease.
Philip McCabe is a Public Health Educator, Staff Trainer, and Consultant in the areas of Emergency Preparedness, and Disaster Response. He also provides services in the area of alcohol, tobacco, illegal drugs, and compulsive gambling addictions; Policy and Program Development, Survivor of Abuse/Trauma and Domestic Violence, Co-Occurring Disorders, LGBT/ Lesbian, Gay, Bisexual, Transgender and Orientation Questioning Clients, Psycho-Social Issues for people infected/affected with AIDS/HIV, Clinical Case Management, Crisis Intervention, Addiction Treatment, Individual, Group and Family Therapy.
Philip is a New Jersey Certified Social Worker and Addiction Specialist and holds numerous other certifications that range from Disaster Response Counselor, American Compulsive Gambling Counselor, and National Forensic Counselor. He is also an instructor at the Rutgers School of Alcohol and Drug Studies.
Speaker:
Kelly Larson, MPH
Director, Public Health Detailing Program, New York City Department of Health and Mental Hygiene.
Local health departments can promote public health interventions through a program of planned visits to health care providers' offices. This program will provide practical tools from the NYC Department of Health and Mental Hygiene's Public Health Detailing Program, which is modeled on the pharmaceutical sales approach. Program Director Kelly Larson will describe the visit process, the action kits left with providers, evaluation data, and lessons learned, focusing on the program's Contraception and Nurse-Family Partnership campaigns.
Speakers:Mark Fenton, MS, Host of America’s Walking; Diane Kenneally, BS,
Director, Local Programs Bureau
New York State Department of Transportation. Introductions by: Ursula Bauer, PhD,
Director, Division of Chronic Disease Prevention and Adult Health New York State Department of Health.
What one activity can decrease the risk of many chronic diseases, decrease pollution, save fuel, and increase neighborhood safety? Active transportation to school -- walking and bicycling! This presentation will provide an overview of the national Safe Routes to School program, the health benefits of walking and cycling to school, public health’s role in promoting walking and cycling, and efforts underway in New York State to increase walking and cycling to school.
Alcohol and drug abuse is a public health issue. Barbara Waite will discuss the Disease Model of addiction, risk factors for nurses, signs and symptoms of the chemically dependent nurse, and the philosophy and mission of the Statewide Peer Assistance for Nurses (SPAN) program.
New data indicates that 26 million American adults have Chronic Kidney Disease (CKD) and millions of others are at increased risk. Diabetes is the leading cause of kidney failure, and significant increases in diabetes are expected to lead to corresponding increases in CKD and renal failure.
Studies show that early identification and intervention is effective in slowing the progression of co-morbid diseases and complications of CKD in diabetes. Early detection can also help prevent the progression of kidney disease to kidney failure. African Americans, Hispanics, Pacific Islanders, Native Americans and seniors are at increased risk for the disease. This presentation will demonstrate how outcomes can be improved through increased awareness and education on the timely evaluation and management of CKD for health care providers who care for people with diabetes; who is at risk for the disease; methods for early identification of CKD; and management of CKD in people with diabetes.
Body modifications such as piercing, tattoos, and indoor tanning have become very popular in recent years, especially among teenagers and young adults. However these body altering practices are associated with real health risks. During this program, you will be introduced to different types of body modifications and the health risks associated with them. Interviews with local health departments and people who perform these body modifications will provide insight into the different health risks and the steps that can be taken to minimize them.
Disability is a major health concern across the entire age spectrum. Historically, it has been equated with inferior health status, with the health needs of persons with disabilities considered only in relation to their particular limitations. Often the management of the primary disabling condition has been the overriding concern, with less attention paid to the generally recommended standards of health screening and disease prevention.
As a result of former President Clinton's Initiative on Race over a decade ago, which catapulted a verb change from the long held practice of implementing strategies to 'reduce health disparities to eliminate them,' a national infrastructure was created to realize this new vision. Unlike previous policy documents to improve the public's health, Healthy People 2010 enumerated just two goals (1) increase quality and years of healthy life and (2) eliminate health disparities.
Dr. Scrimshaw will describe the socio-cultural, health, health system, and health equity factors which contribute to health disparities. Mr. Norwood will present a model of community health care planning and policy innovation that has informed and catalyzed a community-wide effort to align strategies and interventions to de-mystify and institutionalize efforts to eliminate health disparities.
For infants, particularly newborns, exposure to vaccine-preventable diseases can result in serious and often, life-threatening illness. Unfortunately, all too often, parents or other family members are the source of exposure. Dr. Shetal Shah, a Neonatologist with the Stony Brook University Medical Center, will share his innovative work in addressing this public health problem through the promotion and administration of vaccines to parents in the Neonatal Intensive Care Unit (NICU) setting.
The U.S. Centers for Disease Control and Prevention (CDC) recently published new recommendations for health care providers that are designed to increase routine testing in the United States (US) for chronic hepatitis B, a major cause of liver disease and liver cancer. Chronic hepatitis B affects the lives of more than one million Americans, many of whom do not even know they are infected. These new recommendations are critical to identifying people who are living with the disease. Testing is the first step to identify infected persons so that they can receive lifesaving care and treatment, which can break the cycle of transmission, slow disease progression, and prevent deaths from liver cancer. The new recommendations are intended to serve as a resource for public health officials, organizations, and health care professionals providing prevention and care services for persons at risk for chronic hepatitis B.
Dr. Becket will provide an overview of the epidemiology of hepatitis B including the natural history of the disease, disease transmission and disease burden. He will also provide a summary of the new screening recommendations, including new recommendations for public health evaluation and management for chronically infected persons and their contacts.
This seminar focuses on the issue of mental health and children. The presenter gives a review of the epidemiology of mental health concerns in children in the US and in New Jersey. Detailed studies will demonstrate the enormous impact this issue has on public health, mental health of children, the adults in our society, as well as the effect it has on early brain development.
Speaker: Steven Kairys - Chairman of Pediatrics, Jersey Shore Univ. Medical Center, Robert Wood Johnson Hospital, Clinical Professor of Maternal and Child Health, UMDNJ-School of Public Health
This presentation regarding the HPV vaccine will discuss the epidemiological origins and transmission of genital human papilloma virus infections. It will take a look at the public health impact that HPV is having on the society. The presenter will delve into options that people have from a preventive perspective regarding the avoidance of contracting the disease, and it will discuss options patients have once diagnosed with this disease.
This presentation further informs the viewer of the culture of gangs in New Jersey. He reviews what defines a gang, the risk factors that may push children into the culture, and, the roles and responsibilities of inter-agency collaboration as they relate to addressing gang involvement. This seminar also addresses the obligation of identifying problem areas in the community and drawing attention to them for improvement. It will also address the leadership principle of protecting citizens from injury (intentional and unintentional) within the community setting.
This presentation focuses on giving a foundational understanding of the principles of protecting each person in the community from disease, injury, and other health hazards as it relates to the issue of lead poison prevention. The presenter focuses on community relations as it relates to developing constructive partnerships that focus on community public health needs. This in turn strengthens the public health infrastructure and its essential services to direct necessary changes as it pertains to the issue of lead abatement.
This seminar presents a perspective on Methamphetamine (Meth) use as a major public health threat to individuals, families, and communities, in particular in New Jersey. It is a problem that affects many segments of society regardless of gender, age, sexual orientation, socioeconomic status, or race/ethnicity. Children are at high risk for harm when exposed to meth use and manufacturing. The presentation will include recent information from the National Meth Summit held in Washington DC Nov. 2008.
Sexual harassment is a pervasive problem impacting the lives of many low wage immigrant women. Women employed in agricultural work and other low wage jobs, like hotel housekeepers, restaurant employees, and
factory workers, face sexual violence in the workplace at alarming rates. For these women, sexual harassment ranges from inappropriate touching and comments to rape. These women are often unfamiliar with their rights and are
usually non-English speakers, so many never admit to being harassed. Medical providers play a key role in identifying and treating low wage women who suffer from workplace sexual
violence. However, sometimes protocols are not in place to help identify a woman who is suffering from this violence.
Since 2003, Esperanza: The Immigrant Women’s Legal Initiative has worked to build a collaborative initiative with a range of providers, including healthcare providers, to combat the problem of sexual violence against farmworker and other low wage women. The EEOC and Oregon Law Center have worked with Esperanza since 2006 as a part of the
Esperanza National Working Group. Learn more about the problem and what you can do to help reverse an alarming trend.
All reproductive care begins with a sexual history. A sexual history is important for all patients because it provides information that identifies high-risk behaviors that can lead to an unintended pregnancy and/or a sexually transmitted infection, including HIV. Taking a thorough sexual history can also be a gateway for and direct essential risk reduction counseling.
Many clinicians and outreach workers in the health care field are concerned about their ability to take an appropriate and thorough sexual history. Also many patients, and sometimes the clinicians, are embarrassed or feel uncomfortable talking about sexual issues. It is important for the provider to be competent and professionally skilled in talking with the patient(s) in a non-threatening manner, to find out what problems exist, and uncover the appropriate background information and clinical history. The outcome of a successful sexual history consultation will result in an improved clinician-client relationship, and a management plan so that the patient is fully informed and less likely to engage in high-risk behaviors. With the right consultation tools, a sexual history can be performed efficiently when time is a critical factor in the clinic setting.
The following learning objectives can be met by reviewing the entire Opening the Mouth program.
* Describe the connection between oral health and overall health
* Characterize dental caries as an infectious, transmissible, communicable disease
* State the prevalence, acuity and consequence of dental disease
* Differentiate the dental care finance, delivery and workforce issues from analogous medical care issues
* List general action steps that can be taken to decrease oral health disparities
* Describe action steps specific to Title V Maternal and Child Health Federal Block Grant programs that can be taken to decrease oral health disparities
Preconception Health Cafe is a web-based course that provides an overview of the importance of preconception health. Specifically it focuses on the first six of ten "Recommendations to Improve Preconception Health and Healthcare" from the Centers for Disease Control and Prevention (CDC). These recommendations to improve health outcomes are:
1. Individual Responsibility Across the Lifespan
2. Consumer Awareness
3. Preventive Visits
4. Interventions for Identified Risks
5. Interconception Care
6. Pre-pregnancy Checkup
This course has six lessons with updated health information for each CDC recommendation. Each lesson provides interactive tools and/or strategies for skills development to strengthen outreach and improve preconception health within the community. This course also includes sections on Men's Health and cultural perspectives as well as resource directories (i.e. Links Espresso and Sugar & Cream).
Males of all ages experience disproportionately higher rates for injury and premature death. Further, they lead more risky lifestyles and generally avoid preventive care. This presents a public health dilemma that affects not only males but also their families, workplaces, and communities. A combination of health psychology, gender studies, and health promotion models provides a critical analysis of these factors. They also offer a means to create more male-affirming and effective health care and to lessen gender health disparities.
After watching this broadcast participants will be able to:
* Describe the nature and scale of men's health concerns.
* Explain the importance of male psychology in male health behaviors
* Discuss more effective health communication skills in working with men.
* Utilize resources and best practices for men's health promotion.
Lead is a toxin that can harm young children as their bodies develop. It can damage the organs in developing children or lead to learning and behavioral problems. This program will look at how recent surveillance data can be used to create a housing-based approach to eliminating lead poisoning. It will also look at how to best assess a child’s blood lead level and subsequent procedures, including further testing and guidance, if the lead level is elevated.
After watching this broadcast participants will be able to:
* Explain why exposure to environmental lead is a health concern for young children.
* Describe the steps taken to determine a child’s blood lead level and what happens if the level is elevated.
* Describe how the lead surveillance data is used to develop a housing based approach for the prevention of childhood lead poisoning.
Last year saw the largest outbreak of measles cases in recent times. This year, the public braces for an onslaught of the H1N1 influenza virus. As a growing number of people opt out of immunizations, some herd immunity is lost. This puts the general population – particularly those who cannot receive immunizations – at higher risk of developing preventable diseases. This program examines the benefits of health care worker and child immunization while addressing myths that may lead an individual to avoid vaccination.
After watching this broadcast participants will be able to:
o Explain the major benefits of immunization and herd immunity.
o Name two vaccine-preventable diseases that have affected children in recent years.
o Explain the argument that rejects thimerosal as an autism-inducing agent.
As more men and woman return to the United States after serving abroad in the military, there is an increased need for awareness, education, and services related to Post-traumatic Stress Disorder (PTSD). This program will provide an overview of services currently offered by the New York State Division of Veterans’ Affairs, particularly as they relate to counseling and other veteran-awarded benefits. This program will also look at the clinical side of Post-traumatic Stress Disorder. It will examine warning signs of PTSD, consider substance abuse related to PTSD, and discuss effective treatment for veteran’s struggling with PTSD.
After watching this broadcast participants will be able to:
* Describe symptoms of PTSD in veterans.
* Describe services available to veterans provided by the Division of Veterans’ Affairs related to PTSD.
* Explain differences between effective and non-effective treatments for veterans struggling with post traumatic stress.
The health of men is an important factor in determining the well being and stability of a community. From a social determinant point of view, fathers/men with unhealthy lifestyles have an adverse impact on families and do little to promote positive youth development. Additionally, men of all races and socio-economic status are less likely to practice good health, visit health care providers, and take care of themselves. If we are to attempt to improve community health, we must direct more focus on men’s health and responsible/positive fathering.
After watching this broadcast participants will be able to:
* Explain the impact of positive male parenting to build strong communities
* Identify challenges and opportunities for men/fathers to contribute to the well-being of communities
* Describe the model and best practices in the responsible fathering community
In June of 2009, a pre-teen boy attending a tradition-observant summer camp in New York State was diagnosed with Mumps. That index case began the largest U.S. Mumps outbreak since 2006, an outbreak which is still on-going. Dr. Elizabeth Rausch-Phung, MD, MPH of the New York State Department of Health, Division of Epidemiology, Bureau of Immunization will discuss the history, scope, unique community factors and public health actions to the Mumps outbreak. The program will also highlight the ongoing public health response activities by both the Orange and Rockland County Health Departments as well as the rationale for providing a 3rd dose of MMR at school-based vaccination clinics in the tradition-observant Jewish community in Orange County.
After watching this broadcast participants will be able to:
* Describe the timeline and epidemiology of the current mumps outbreak
* Identify the community factors favoring a mumps outbreak
* Describe the public health actions taken and lessons learned
For several years, the Surgeon General’s “My Family Health Portrait” tool has been available to the public, and individuals and families have been encouraged to discuss their family health histories at family reunions and Thanksgiving celebrations. The expectation is that knowledge about family health history will inform risk assessment and serve as the basis for offering patients appropriately tailored preventive interventions such as diet, exercise or other lifestyle changes, education about signs and symptoms to facilitate earlier recognition of disease, alternative screening protocols, and, if appropriate, prophylactic pharmaceutical or surgical interventions. In the face of direct-to-consumer marketing of genetic tests, medical and public health professionals must understand why family history is important in the assessment of chronic disease risk, what tools are available to assess family health history information and how to incorporate family health history tools and information into chronic disease prevention initiatives.
After watching this broadcast participants will be able to:
* Describe the role/relevance of family health history in the prevention and control of chronic disease.
* Explain how to use the Surgeon General’s “My Family Health Portrait” instrument.
* Describe the use of family health history in the assessment and management of chronic disease.
Immigrants and migrant workers to the United States face a variety of barriers that may make access to health care difficult. These barriers can be linked to their economic, social, and cultural status. Health interventions for such populations circumvent barriers by being mindful of cultural and economic issues that may preclude families from receiving timely, quality health care. Such health interventions include conducting community outreach programs, providing culturally competent care, and providing education to immigrant and migrant populations. Such efforts connect families to health care and promote healthy living. Ultimately, health interventions for immigrant and migrant groups strive to alleviate health issues that are disproportionately high in such populations relative to the general population. Learning objectives:
* Identify two cultural barriers that make access to health care difficult.
* Name two interventions that may overcome the marginal economic status of some immigrants/migrant workers.
* Explain the benefits of using a multi-disciplinary team in providing health interventions for immigrant and migrant populations.
This joint presentation by Dr.s Susan Sherman, PhD, MPH and Danielle German, PhD, MPH describes the economic motivation behind HIV/STI risk among sex workers, and it outlines two programs that were effective at “cutting the risk at its source” by providing sex workers with alternate sources of income. At the end of this session, the learner will be able to:
Provide a description of the societal structures that impact prevalence of HIV and interventions to address those structures;
Describe how the Jewel Project in Baltimore impacted sex workers’ risk behaviors by training them to make and market beaded jewelry;
Identify some of the lessons learned about why this program was effective; and
Discuss the effects of training sex workers to sew and to produce sellable products on their sexual risk behaviors and economic well being.
In this presentation, Daniel Webster, ScD, MPH, along with staff of the Safe Streets program in Baltimore City, discuss this unique approach to reducing gun violence and it's impact, based on their research. At the end of this session, the learner will be able to:
Identify a variety of public health strategies to reducing gun violence;
Describe how Ceasefire/ Safe Streets addresses gun violence with a multi-faceted intervention to prevent shootings; and
Discuss evaluation findings of the impact of Ceasefire/Safe Streets.
As antibacterial resistance increases, treatment for Gonorrhea has become more difficult. In this presentation, Dr. Anne Rompalo discusses the morbidity trends and treatment recommendations for gonorrhea. At the end of this presentation, the learner will be able to:
Describe the current morbidity trends for gonorrhea in Federal Region III
Identify the current treatment recommendations for gonorrhea
Demonstrate knowledge of the clinical considerations for making a differential diagnosis of gonorrhea.
In this presentation, Stephen Schenkel, MD, MPP, and Barbara DiPietro, PhD discuss frequent use of the Emergency Department by homeless populations. This includes research conducted about frequent Baltimore Emergency Department visitors, a review of the literature, and tested solutions. At the end of this session, the learner will be able to:
Identify what we already know about homeless use of the Emergency Department;
Discuss the findings of the study of frequent Baltimore Emergency Department visitors and homelessness; and
Describe solutions to the problem.
Dr. Bernard Guyer and Dr. Isabelle Horon discuss how new vital statistics data collected via the new U.S. Standard Birth Certificate can be used at the local level for surveillance and policy-making. At the end of this session, the learner will be able to:
Identify the modified and new birth certificate items;
Discuss techniques to assess such data;
Explain the roles of vital statistics: civil registration, public health data and surveillance, national security; and
Discuss the effects of years of underfunding on national data and present a vision for future improvements
Howard Frumkin, MD, DrPH, presents the 17th Granville H. Sewell Distinguished Lecture in Environmental Health Sciences. His lecture covers: the science of climate change, the impacts of climate change, strategies of communicating the impacts of climate change, and the public health response (both conceptual links and practical steps) to climate change
Senior Vice President of Global Health Policy at
PepsiCo Global R&D, Derek Yach, MBChB, MPH, discusses current transformations in the landscape of global health, focusing on the increasing prevalence of chronic disease. His presentation includes a discussion of: epidemiological data on current global health trends; the expanding set of global health players; the importance of public-private partnerships in public health response; and the broadening career options for global public health professionals.
