Unit 1-Word
Unit 1-Word
SYLLABUS
I. PUBLIC HEALTH
Definition and Concept of Public Health, Historical aspects of Public Health, Changing
Concepts of Public Health, Public Health versus Medical Care, Unique Features of
Public Health, Determinants of Health (Social, Economic, Cultural, Environmental,
Education, Genetics, Food and Nutrition).Indicators of health, Burden of disease, Role
of different disciplines in Public Health.
II. CLINICAL DISEASES
III. VACCINOLOGY
Radiotherapy, Nuclear medicine, surgical units, OT Medical units, G & Obs. units
Pediatric, neonatal units, Critical care units, Physical medicine & Rehabilitation,
Neurology, Gastroenterology, Endoscopy, Pulmonology, Cardiology
BIOTECHNOLOGY:
• Public health is the science and art of preventing disease, prolonging life and
promoting physical health and efficiency through organized community efforts for
the sanitation of the environment.
• The control of community infections, the education of the individual in principles
of personal hygiene, the organization of medical and nursing service for the early
diagnosis and preventive treatment of disease will ensure to every individual in the
community a standard of living adequate for the maintenance of health’.
(Winslow, 1920)
• Sir Donald Acheson in 1988 defined it as: ‘the science and art of preventing
disease, prolonging life and promoting, protecting and improving health through
the organized efforts of society’
• The public health pays special attention to the social context of disease and health
and focuses on improving health through society-wide measures like vaccinations,
the fluoridation of drinking water or through policies such as seatbelt and
non-smoking laws.
Physical Health
• Physical health- is concerned with anatomical integrity and physiological
functioning of the body.
• It means the ability to perform routine tasks without any physical restriction.
• E.g. Physical fitness is needed to walk from place to place.
Mental Health
• Mental Health is the ability to learn and think clearly and coherently.
• E.g., a person who is not mentally fit (retarded) could not learn something new at a
pace in which an ordinary normal person learns.
Social Health
• Social health is the ability to make and maintain acceptable interaction with other
people.
• E.g. to celebrate during festivals; to mourn when a close family member dies; to
create and maintain friendship etc.
Emotional Health
• Emotional health is the ability of expressing emotions in the appropriate way, for
example to fear, to be happy, and to be angry.
• The response of the body should be congruent with that of the stimuli. Emotional
health is related to mental health and includes feelings.
• It also means maintaining one’s own integrity in the presence of stressful situation
such as tension, depression and anxiety.
Spiritual Health
• Spiritual Health Some people relate health with religion; for others it has to do
with personal values, beliefs, principles and ways of achieving mental satisfaction,
in which all are related to their spiritual wellbeing.
3. HISTORICAL ASPECTS OF PUBLIC HEALTH
4 evolving concepts:
The biomedical concept: views health as absence of disease
The ecological concept: sees health as a dynamic equilibrium between humans
and their environment.
The psychosocial concept: recognizes health as a combination of social,
psychological and cultural influences.
The holistic concept: recognizes health as a combination of physical, mental,
emotional, social, and spiritual components.
Changing phases in public health
1. Disease control phase (1880 - 1920)
2. Health promotional phase (1920 - 1960)
3. Social engineering phase (1960 - 1980)
4. Health for All phase (1981 - 2000)
1. Disease control phase (1880 - 1920)
● Public health during the 19th century was largely amatter of Sanitary legislation
and Sanitary reformsaimed at the control of man's Physical environment,e.g.,
water supply, sewage disposal, etc.
● Clearly these measures were not aimed at the controlof any specific disease
● However, these measures vastly improved the healthof the people due to disease
and death control.
2. Health promotional phase (1920 - 1960)
At the beginning of the 20th century, a newconcept, the concept of "Health
Promotion"began to take shape.
✔ Mother and child health services
✔ Industrial health services
✔ Mental health and
✔ Rehabilitation services.
a) Provision of Basic Health Services
● PHC's (Primary Health Centre) and Sub centers for rural and urban areas
b) Community development programme, 1952
● It is an attempt to bring about asocial and economictransformation of village
lifethrough theefforts of the peoplethemselves
● Promote village development
● Active participation of the whole community
3. Social engineering phase (1960 - 1980)
● With the advances in preventive medicineand practice of public health, the
patternof disease began to change in thedeveloped world.
● Many of the acute illness problems havebeen brought under control.
● Chronic diseases eg: cancer, diabetes, CVD, alcoholism, and drug addiction.
● A new concept, the concept of "risk factors" asdeterminants of these diseases came
into
existence.
● The consequences of these diseases, unlike the swift death brought by acute
infectious diseases, was to place a chronic burden on thesociety that created them.
These problems broughtnew challenges to public health which neededreorientation
more towards social objectives.
4. Health for All (1981 - 2000)
● Most people in the developed countries, and the elite ofthe developing countries,
enjoy all the determinants ofgood health - adequate income, nutrition,
education,sanitation, safe drinking water and comprehensivehealth care.
● In contrast, only 10 to 20% of the population indeveloping countries enjoy ready
access to health services of any kind.
5. PUBLIC HEALTH VERSUS MEDICAL CARE
Public health stresses the prevention of disease, while medical care deals with the
prevention, diagnosis and treatment of individuals.
Medical care Public health
Primary focus on individual Primary focus on population
Personal service ethic, conditioned by Public service ethic, tempered by concerns
awareness of social responsibilities for the individual
Emphasis on diagnosis and treatment, care Emphasis on prevention, health promotion
for the whole patient for the whole community
Medical paradigm places predominant Public health paradigm employs a
emphasis on medical care spectrum of interventions aimed at the
environment, human behavior and
lifestyle, and medical care
Engineering and physical sciences Engineering relevant, especially systems
relevant, especially materials science, analysis, operations management, sanitary
electronics, imaging, and information engineering, and information technology
technology
Social sciences tend to be an elective part Social sciences an integral part of public
of medical education health education
Rooted mainly in the private sector Rooted mainly in the public sector
Uniform system for certifying specialists Variable certification of specialists beyond
beyond professional medical degree professional public health degree
Educational Determinants:
• Education Level: Higher levels of education are associated with better health
outcomes due to increased health literacy, better employment opportunities and
healthier lifestyle choices.
• Health Education: Access to and quality of health education can influence
knowledge about health risks, preventive measures and healthy behaviors.
Genetics:
• Genetic Predisposition: Genetic factors can influence susceptibility to certain
diseases and health conditions. While genetics play a role, they interact with other
determinants of health.
• Inherited Conditions: Some individuals may be at higher risk for hereditary
conditions, which can impact overall health and require specific management
strategies.
8. INDICATORS OF HEALTH
9. BURDEN OF DISEASE