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Introduction to Public Health: Table of Contents Prologue: Public Health in the News Part I. What Is Public Health? Chapter 1. Public Health: Science, Politics, and Prevention Chapter 2. Why Is Public Health Controversial? Chapter 3. Powers and Responsibilities of Government Part II. Analytical Methods of Public Health Chapter 4. Epidemiology: The Basic Science of Public Health Chapter 5. Epidemiologic Principles and Methods Chapter 6. Problems and Limits of Epidemiology Chapter 7. Statistics: Making Sense of Uncertainty Chapter 8. The Role of Data in Public Health Part III. Biomedical Basis of Public Health Chapter 9. The “Conquest” of Infectious Diseases Chapter 10. The Resurgence of Infectious Diseases Chapter 11. The Biomedical Basis of Chronic Diseases Chapter 12. Genetic Diseases and Other Inborn Errors Part IV. Social and Behavioral Factors in Health Chapter 13. Do People Choose Their Own Health? Chapter 14. How Psychosocial Factors Affect Health Behavior Chapter 15. Public Health Enemy Number One: Tobacco Chapter 16. Public Health Enemy Number Two and Growing: Poor Diet and Physical Inactivity Chapter 17. Injuries Are Not Accidents Chapter 18. Maternal and Child Health as a Social Problem Part V. Environmental Issues in Public Health Chapter 19. A Clean Environment: The Basis of Public Health Chapter 20. Clean Air: Is it Safe to Breathe? Chapter 21. Clean Water: A Limited Resource Chapter 22. Solid and Hazardous Wastes: What to Do with the Garbage? Chapter 23. Safe Food and Drugs: An Ongoing Regulatory Battle Chapter 24. Population: The Ultimate Environmental Health Issue Part VI. Medical Care and Public Health Chapter 25. Is the Medical Care System a Public Health Issue? Chapter 26. Why the U.S. Medical System Needs Reform Chapter 27. Health Services Research: Finding What Works Chapter 28. Public Health and the Aging Population Part VII. The Future of Public Health Chapter 29. Emergency Preparedness, Post-9/11 Chapter 30. Public Health in the Twenty-First Century: Achievements and Challenges Glossary Index 1 Introduction to Public Health: Table of Contents Prologue: Public Health in the News Part I. What Is Public Health? Chapter 1. Public Health: Science, Politics, and Prevention What Is Public Health? Public Health versus Medical Care The Sciences of Public Health Prevention and Intervention Public Health and Terrorism Chapter 2. Why Is Public Health Controversial? Economic Impact Individual Liberty Moral and Religious Opposition Political Interference with Science Chapter 3. Powers and Responsibilities of Government Federal versus State Authority How the Law Works How: Public Health Is Organized and Paid for in the United States Local Public Health Agencies State: Health Departments Federal Agencies Involved with Public Health Nongovernmental Role in Public Health Part II. Analytical Methods of Public Health Chapter 4. Epidemiology: The Basic Science of Public Health How Epidemiology Works A Typical Epidemiologic Investigation—Outbreak of Hepatitis Legionnaires’ Disease Eosinophilia-Myalgia Syndrome Epidemiology and the Causes of Chronic Disease Heart Disease Lung Cancer Chapter 5. Epidemiologic Principles and Methods Kinds of Epidemiologic Studies Intervention Studies Cohort Studies Case-Control Studies Chapter 6. Problems and Limits of Epidemiology Problems with Studying Humans Sources of Error Proving Cause and Effect Epidemiologic Studies of Hormone Replacement Therapy—Confusing Results Ethics in Epidemiology Conflicts of Interest in Drug Trials 2 Introduction to Public Health: Table of Contents Chapter 7. Statistics: Making Sense of Uncertainty The Uncertainty of Science Probability The Statistics of Screening Tests Rates and Other Calculated Statistics Risk Assessment and Risk Perception Cost–Benefit Analysis and Other Evaluation Methods Chapter 8. The Role of Data in Public Health Vital Statistics The Census NCHS Surveys and Other Sources of Health Data Is So Much Data Really Necessary? Accuracy and Availability of Data Confidentiality of Data Part III. Biomedical Basis of Public Health Chapter 9. The “Conquest” of Infectious Diseases Infectious Agents Means of Transmission Chain of Infection Rabies Smallpox, Measles, and Polio Fear of Vaccines Chapter 10. The Resurgence of Infectious Diseases The Biomedical Basis of AIDS Other Emerging Viruses Influenza New Bacterial Threats Multidrug-Resistant Tuberculosis (MDR TB) Prions Public Health Response to Emerging Infections Public Health and the Threat of Bioterrorism Chapter 11. The Biomedical Basis of Chronic Diseases Cardiovascular Disease Cancer Diabetes Other Chronic Diseases Chapter 12. Genetic Diseases and Other Inborn Errors Environmental Teratogens Genetic Diseases Genetic and Newborn Screening Programs Genomic Medicine Ethical Issues and Genetic Diseases Part IV. Social and Behavioral Factors in Health Chapter 13. Do People Choose Their Own Health? Education Regulation Does Prohibition Work? 3 Introduction to Public Health: Table of Contents Chapter 14. How Psychosocial Factors Affect Health Behavior Health of Minority Populations Stress and Social Support Psychological Models of Health Behavior Ecological Model of Health Behavior Health Promotion Programs Changing the Environment Chapter 15. Public Health Enemy Number One: Tobacco Biomedical Basis of Smoking’s Harmful Effects Historical Trends in Smoking and Health Regulatory Restrictions on Smoking—New Focus on Environmental Tobacco Smoke Advertising—Emphasis on Youth Taxes as a Public Health Measure California’s Tobacco Control Program The Master Settlement Agreement (MSA) FDA Regulation Chapter 16. Public Health Enemy Number Two and Growing: Poor Diet and Physical Inactivity Epidemiology of Obesity Diet and Nutrition Promoting Healthy Eating Physical Activity and Health How Much Exercise Is Enough, and How Much Do People Get? Promoting Physical Activity Confronting the Obesity Epidemic Chapter 17. Injuries Are Not Accidents Epidemiology of Injuries Analyzing Injuries Motor Vehicle Injuries Pedestrians, Motorcyclists, and Bicyclists Poisoning Firearms Injuries Occupational Injuries Nonfatal Traumatic Brain Injuries Tertiary Prevention Chapter 18. Maternal and Child Health as a Social Problem Maternal and Infant Mortality Infant Mortality—Health Problem or Social Problem? Preventing Infant Mortality Congenital Malformations Preterm Birth Sudden Infant Death Syndrome Family Planning and Prevention of Adolescent Pregnancy Nutrition of Women and Children Children’s Health and Safety 4 Introduction to Public Health: Table of Contents Part V. Environmental Issues in Public Health Chapter 19. A Clean Environment: The Basis of Public Health Role of Government in Environmental Health Identification of Hazards Pesticides and Industrial Chemicals Occupational Exposures—Workers as Guinea Pigs New Source of Pollution—Factory Farms Setting Standards—How Safe Is Safe? Risk–Benefit Analysis Chapter 20. Clean Air: Is it Safe to Breathe? Criteria Air Pollutants Strategies for Meeting Standards Indoor Air Quality Global Effects of Air Pollution Chapter 21. Clean Water: A Limited Resource Clean Water Act Safe Drinking Water Dilemmas in Compliance Is the Water Supply Running Out? Chapter 22. Solid and Hazardous Wastes: What to Do with the Garbage? Sanitary Landfills Alternatives to Landfills Hazardous Wastes Coal Ash Chapter 23. Safe Food and Drugs: An Ongoing Regulatory Battle Causes of Foodborne Illness Government Action to Prevent Foodborne Disease Additives and Contaminants Drugs and Cosmetics Food and Drug Labeling and Advertising Politics of the FDA Chapter 24. Population: The Ultimate Environmental Health Issue Public Health and Population Growth Global Impact of Population Growth—Depletion of Resources Global Impact of Population Growth—Climate Change Dire Predictions and Fragile Hope Part VI. Medical Care and Public Health Chapter 25. Is the Medical Care System a Public Health Issue? When Medical Care Is a Public Health Responsibility The Conflict Between Public Health and the Medical Profession Licensing and Regulation Ethical and Legal Issues in Medical Care Ethical Issues in Medical Resource Allocation 5 Introduction to Public Health: Table of Contents Chapter 26. Why the U.S. Medical System Needs Reform Problems with Access Why Do Costs Keep Rising? Approaches to Controlling Medical Costs Managed Care and Beyond Rationing Chapter 27. Health Services Research: Finding What Works Reasons for Practice Variations The Field of Dreams Effect Outcomes Research Quality Medical Care Report Cards Inequities in Medical Care The Relative Importance of Medical Care for Public Health Chapter 28. Public Health and the Aging Population The Aging of the Population—Trends Health Status of the Older Population General Approaches to Maximizing Health in Old Age Preventing Disease and Disability in Old Age Medications Osteoporosis Falls Impairment of Vision and Hearing Oral Health Alzheimer’s and Other Dementias Medical Costs of the Elderly Proposals for Rationing Part VII. The Future of Public Health Chapter 29. Emergency Preparedness, Post-9/11 Types of Disasters and Public Health Responses New York’s Response to the World Trade Center Attacks Response to Hurricane Katrina Principles of Emergency Planning and Preparedness Bioterrorism Preparedness Pandemic Flu Chapter 30. Public Health in the Twenty-First Century: Achievements and Challenges Challenges for the Twenty-First Century Strategic Planning for Public Health Dashed Hopes for the Integration of Public Health and Medical Practice Information Technology The Challenge of Biotechnology The Ultimate Challenge to Public Health in the Twenty-First Century Glossary Index Each Chapter ends with: Conclusion 6