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Lecture 14

CPH 201 Lecture Notes - Lecture 14: Healthy People Program, Correlation Does Not Imply Causation

College of Public Health
Course Code
CPH 201

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Chapter 31
● CDC’s Top 10 Public Health Achievements of the 20th Century
○ Routine use of vaccination
○ Improvements in motor vehicle safety
○ Safer workplaces
○ Control of infectious diseases
○ Decline in deaths from heart disease, stroke
○ Safer and healthier foods
○ Healthier mothers and babies
○ Access to family planning and contraceptive services
○ Fluoridation of drinking water
○ Recognition of tobacco use as a health hazard
● Challenges for the 21st Century
○ Renewed threats from infectious diseases
○ Climate change
○ Rising costs of medical care for aging population
○ Understanding and altering human behavior
○ Need to strengthen public health system
○ Persistent disparities in health
● Strategic Planning for Public Health
○ National goals set by broad range of participants in and outside of government
○ Decentralized system requires management by objective
○ State and local communities encouraged to use national objectives as a basis for
developing objectives of their own
○ Need to collect data to measure progress in meeting goals
○ Periodic evaluation of degree of success in meeting goals
○ Health People: The Surgeon General’s Report on Health Promotion and Disease
■ Need quality data realized
○ Health People 2000 (1990) - 22 topic areas
■ 60% improved, 15% wrong direction
○ Healthy People 2010 (2000) - 28 topic areas
■ Increase quality of life/eliminate health disparities
■ 75% moved toward or met goal
○ Health People 2020 (2010)
■ Includes 42 topic areas
● Attain high quality, longer lives free of preventable disease,
disability, injury, and premature death
● Achieve high equity, eliminate disparities and improve the health
of all groups
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