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    What is Public HealthWhat is Public Health

    all about?all about?

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    What does Public Health do?What does Public Health do?

    Provide diseasecontrol and prevention

    Assure air andwater quality

    Promote healthy

    lifestyles

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    Public Health is a wisePublic Health is a wise

    investmentinvestmentIt helps people:

    Save money

    Enjoy good health

    Live longer

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    People are living longer!People are living longer!

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    Drugs and medical careDrugs and medical care

    +5 years

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    Public Health impactPublic Health impact

    +25 years

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    Public HealthPublic Health

    IsIs YourYo

    urHealth Too!Health Too!

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    Public HealthPublic HealthAchievementsAchievements

    in the 20th Centuryin the 20th Century

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    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    ImmunizationsImmunizationshave virtually eliminated:

    Smallpox

    Diphtheria Pertussis

    Tetanus

    Polio

    Measles

    Rubella

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    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    Infectious disease controlInfectious disease control

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    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    Safe and healthier foodsSafe and healthier foodsare now commonplace because of:

    Hand washing

    Sanitation

    Refrigeration

    Pasteurization

    Pest control

    Healthier animal care, feeding,and processing

    Improved food supply safety

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    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    FluoridationFluoridation

    Primary factor in thedecline of tooth decay

    Benefits all, regardlessof age, education, orincome

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    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    Coronary heart diseaseCoronary heart diseaseand strokeand strokeThe leading cause

    of death in the U.S.despite a 60%decrease in death ratessince 1950.

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    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    Recognition of tobaccoRecognition of tobaccoas a health hazardas a health hazardSmoking, once socially

    acceptable, is on thedecline among U.S. adults.

    % of population who smoke

    196542.4% 199724.7%

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    VMT: vehicle miles traveled

    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    Motor vehicle safetyMotor vehicle safety

    192518 deathsper million VMT

    19971.7 deathsper million VMT

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    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    Motor vehicle safetyMotor vehicle safetyPublic Health effortshave influenced:

    Increased seat belt use

    Vehicle safety improvements

    Traffic safety regulationand enforcement

    Improved streets and highways

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    Mother and infantMother and infantmortality ratesmortality rates

    Maternal mortalityrates down 99%

    Infant mortalityrates down 90%

    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

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    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    Mother and infantMother and infantmortality ratesmortality rates

    Improved standardsof living

    Technological advancesin medicine

    Greater access tomaternal and

    well-baby care

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    Public Health achievements in the 20th centuryPublic Health achievements in the 20th century

    Safer, healthierSafer, healthierworkplacesworkplaces

    Mining safety Industrial safety

    Indoor air quality

    Ergonomics

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    Public HealthPublic Health

    IsIs YourYo

    urHealth Too!Health Too!

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    Public HealthPublic Health

    A population-basedapproach to

    healthy living

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    Core functions ofCore functions of

    Public HealthPublic Health

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    Core functions ofCore functions of

    Public HealthPublic Health Assessment

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    Core functions ofCore functions of

    Public HealthPublic Health Assessment Policy Development

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    Core functions ofCore functions of

    Public HealthPublic Health Assessment Policy Development

    Assurance

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    Core functions ofCore functions of

    Public HealthPublic Health

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    A.AssessmentA.Assessment1. Assess community health needs

    2. Investigate health hazards and effects

    3. Analyze health factors

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    B. Policy DevelopmentB. Policy Development4. Advocate for community needs and

    issues

    5. Prioritize health needs6. Plan and develop policies

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    C.AssuranceC.Assurance7. Manage resources

    8. Implement programs

    9. Evaluate programs

    10. Inform the public

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    Some top priority healthSome top priority health

    issues in Nebraskaissues in Nebraska Obesity Cardiovascular

    disease Diabetes Poor nutrition Lack of exercise Environmental

    health

    Tobacco use West Nile Virus

    Other communicablediseases Access to dental

    care

    Bio-terrorism

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    Problem:Problem:

    Obesity EpidemicObesity EpidemicIn Nebraska:

    Three in five people are overweight or

    obese 1989 to 1999 saw a 75% increase in

    obese people

    Major cause of cardiovascular disease

    and diabetes

    Cost Nebraska $741 millionin 2002

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    Obesity Epidemic:Obesity Epidemic:

    What we are doingWhat we are doingEducation focus:

    Risks

    Prevention

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    Problem:Problem:

    Cardiovascular DiseaseCardiovascular Disease Causes 29% of deaths

    in Nebraska

    84% of Nebraskans have at leastone risk factor

    $2.1 billion cost to Nebraska

    in 2003

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    Cardiovascular Disease:Cardiovascular Disease:

    What we are doingWhat we are doingPublic health focuseson prevention through

    education

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    Problem:Problem:

    DiabetesDiabetes 15% increase in deaths in

    Nebraska from 198998

    Diabetes costs Nebraska $610million per year

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    Diabetes:Diabetes:

    What we are doingWhat we are doing Education is key

    to prevention

    Lifestyle changescan reduce diabetesdevelopment by

    4060%

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    Problem:Problem:

    Poor NutritionPoor Nutrition 4 of 5 Nebraskans dont eat

    enough fruits and vegetables

    Only 8 states rank lowerthan Nebraska

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    Poor Nutrition:Poor Nutrition:

    What we are doingWhat we are doingPromoting importanceof balanced diets

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    Problem:Problem:

    Lack of physical activityLack of physical activity 30.4% of Nebraska adults report

    that they do not engage in leisure

    time physical activity 4 in every 5 Nebraska high school

    students do not engage in

    sufficient levels of moderate andvigorous physical activity

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    Lack of physical activity:Lack of physical activity:

    What we are doingWhat we are doing Educating youth and

    adults about the value of

    physical activity Creating environments

    and policies that are

    supportive of physicalactivity

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    Problem:Problem:

    Tobacco useTobacco use 2,400 Nebraskans died in 1999

    from tobacco use

    Over $400 million each year ontobacco-related health care

    45,000 Nebraska youth will die

    prematurely as adults fromsmoking-related illness

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    Tobacco use:Tobacco use:

    What we are doingWhat we are doing Tobacco-Free Nebraska

    program including

    tobacco cessation quitline(ending 5/30/04)

    Grants to local communities

    Youth empowermentactivities

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    Problem:Problem:

    Oral health accessOral health access 18 Counties have no dentist 33 Counties have one or

    two dentists 50% of Nebraska dentists plan to

    retire by 2013

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    Oral health access:Oral health access:

    What we are doingWhat we are doing Recruitment and

    incentives

    Critical access facilities

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    Problem:Problem:

    West Nile VirusWest Nile VirusNebraska in 2003:

    2022 human cases

    26 deaths

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    West Nile Virus:West Nile Virus:

    What we are doingWhat we are doing Prevention Education

    Communication Action

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    Problem:Problem:

    Other communicable diseasesOther communicable diseasesPrompt recognition andidentification are the

    key challenges.

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    Other communicable diseases:Other communicable diseases:

    What we are doingWhat we are doingNebraskas public healthsystems have instituted

    an organized networkof surveillance processes.