Public Health and Healthcare Ethics Overview
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Questions and Answers

What defines the concept of health according to the World Health Organization?

  • Health includes only social well-being.
  • Health is merely the absence of disease.
  • Health focuses exclusively on physical capabilities.
  • Health is a state of complete physical, mental, and social well-being. (correct)
  • In what year did the WHO further clarify the definition of health as a resource for everyday life?

  • 1976
  • 1986 (correct)
  • 1946
  • 1996
  • Which term refers to the collective actions by society to ensure conditions for health?

  • Social Medicine
  • Health Policy
  • Community Welfare
  • Public Health (correct)
  • Which of the following describes a significant factor that shapes the definition of public health?

    <p>Interplay with government and societal forces (B)</p> Signup and view all the answers

    Which misconception is associated with the definition of health?

    <p>Health encompasses only physical attributes. (A)</p> Signup and view all the answers

    What is a common challenge regarding the definition of public health?

    <p>It is contested and varies by field and context. (C)</p> Signup and view all the answers

    What aspect of health did the WHO emphasize in its 1986 definition?

    <p>Health as a positive concept emphasizing resources. (B)</p> Signup and view all the answers

    What does the term 'Drapetomania' illustrate in the context of health?

    <p>A historical misunderstanding of mental health. (C)</p> Signup and view all the answers

    Which of the following diseases is classified under infectious diseases?

    <p>COVID-19 (B)</p> Signup and view all the answers

    Which global health challenge is associated with environmental factors?

    <p>Natural disasters (B)</p> Signup and view all the answers

    What public health concern is directly influenced by dietary choices?

    <p>Chronic diseases (A)</p> Signup and view all the answers

    Which of the following is NOT considered a component of health improvement?

    <p>Cardiovascular disease (A)</p> Signup and view all the answers

    What is a significant global health issue resulting from climate change?

    <p>Migration (C)</p> Signup and view all the answers

    Which of these options best represents a focus of health services?

    <p>Health care financing (D)</p> Signup and view all the answers

    Which of the following statements reflects a philosophical question in public health?

    <p>Why do you care about public health? (D)</p> Signup and view all the answers

    Which method is primarily used in health research to analyze data?

    <p>Epidemiology (A)</p> Signup and view all the answers

    Which of the following best describes public health according to Charles Edward Amory Winslow's 1920 definition?

    <p>A structured approach that prevents disease and promotes health through community organization. (D)</p> Signup and view all the answers

    According to Sir Donald Acheson's 1988 definition, public health primarily involves what aspect?

    <p>The collaboration of society, organizations, and informed choices to prevent disease. (A)</p> Signup and view all the answers

    What key element does the 2004 definition by Derek Wanless add to the understanding of public health?

    <p>The role of informed choices by society and individuals. (A)</p> Signup and view all the answers

    Which definition specifically addresses the concept of societal collective action to ensure health?

    <p>Institute of Medicine's (IOM) landmark definition from 1988. (D)</p> Signup and view all the answers

    What aspect of public health does the definition by the Institute of Medicine emphasize?

    <p>Collective societal actions to create healthy conditions. (C)</p> Signup and view all the answers

    In the context of public health, which focus is NOT emphasized by the definitions provided?

    <p>Providing individual medical care as the sole strategy. (D)</p> Signup and view all the answers

    How do the definitions of public health highlight its evolution over time?

    <p>By showing different focuses based on political and social contexts. (C)</p> Signup and view all the answers

    What does Derek Wanless's definition suggest about public and private organizations?

    <p>They play a collaborative role in promoting health. (A)</p> Signup and view all the answers

    What is the primary focus of public health since the mid-20th century?

    <p>Lifestyle factors contributing to health (D)</p> Signup and view all the answers

    Which ancient civilization is noted for developing the practice of inoculation around 1000 BC?

    <p>India (C)</p> Signup and view all the answers

    Which theory, developed by Louis Pasteur, significantly impacted public health in the mid-19th century?

    <p>Germ Theory (A)</p> Signup and view all the answers

    What does the proverb from the Yellow Emperor’s Inner Classic emphasize as a primary approach to health?

    <p>Preventing illness (A)</p> Signup and view all the answers

    What primary focus does the field of Epidemiology have within Public Health?

    <p>Analysis of health-related events in populations (D)</p> Signup and view all the answers

    Which of the following best describes the role of Biostatistics in Public Health?

    <p>Applying statistical methods to health-related problems (A)</p> Signup and view all the answers

    What societal responsibility is highlighted in maximizing health in society?

    <p>Collective responsibility for the population's health (C)</p> Signup and view all the answers

    Which event in the 1980s reintroduced environmental risks back into the public health agenda?

    <p>Emergence of HIV/AIDS (D)</p> Signup and view all the answers

    How does Public Health utilize legislative action according to the provided content?

    <p>To improve public health through policy implementations (A)</p> Signup and view all the answers

    What is a significant component of the field of Health Administration?

    <p>Managing human and fiscal resources (A)</p> Signup and view all the answers

    What significant advancement in public health occurred due to the understanding of germ theory?

    <p>Implementation of sanitation measures (B)</p> Signup and view all the answers

    Which sciences are integrated into the framework of Public Health as mentioned?

    <p>Behavioral, Environmental, and Health Economics (C)</p> Signup and view all the answers

    How did the early Romans contribute to public health practices?

    <p>Understood the importance of waste management (D)</p> Signup and view all the answers

    What aspect of health is specifically examined under Public Health?

    <p>Occurrence and distribution of health-related states (D)</p> Signup and view all the answers

    Which of the following best describes the interdisciplinary nature of Public Health?

    <p>It combines fields of politics, business, and science (C)</p> Signup and view all the answers

    What is the primary goal of applying knowledge about health determinants in Public Health?

    <p>To control health problems in populations (B)</p> Signup and view all the answers

    Which aspect of Roman public health practices primarily contributed to personal hygiene?

    <p>Development of Roman public baths (B)</p> Signup and view all the answers

    What was one of the significant engineering accomplishments of the Romans that improved public health?

    <p>The creation of aqueducts (C)</p> Signup and view all the answers

    Which cultures' health knowledge did the Romans build upon and later translate into different languages?

    <p>Greek and Roman (A)</p> Signup and view all the answers

    What role did public hospitals play in Roman society?

    <p>They were part of a comprehensive public health system. (B)</p> Signup and view all the answers

    Which of the following was not a focus of Roman public health according to the content?

    <p>Promotion of surgical techniques (D)</p> Signup and view all the answers

    Flashcards

    Health definition (WHO)

    A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.

    Public Health (IOM)

    Collective actions taken by society to create healthy conditions.

    Health (resource)

    A resource for everyday life, not an objective; includes social & personal resources and capacities

    Public Health definition (contested)

    Different understandings of public health exist across sectors and change over time, influencing by government and societal shifts.

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    Public health - Latin root

    From popular, meaning 'the people'.

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    Drapetomania

    Historical, but false, condition claiming that slaves had a psychological condition to flee.

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    Oscar Pistorius

    Example of adaptation and resilience in health, and challenges faced as individuals.

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    Distributive health

    Fair and just distribution of health-related resources to all in society.

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    Infectious Diseases

    Diseases caused by pathogens, like bacteria or viruses, that can spread from person to person or through the environment.

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    Chronic Diseases

    Long-term health conditions, often requiring ongoing management, like heart disease, diabetes, or cancer.

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    Environmental Health

    The study of how the environment affects human health, focusing on factors like air and water quality, sanitation, and pollution.

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    Food Safety

    Practices that ensure food is safe to eat and prevent foodborne illnesses, including proper handling, storage, and preparation.

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    Occupational Health

    The field that focuses on protecting and promoting the health of workers, addressing workplace hazards and improving safety.

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    Health Improvement

    Actions taken to promote better health, including education, programs, and initiatives focusing on areas like nutrition, exercise, and disease prevention.

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    Global Health Challenges

    Major health issues affecting populations worldwide, such as natural disasters, climate change, and migration, often demanding international collaboration.

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    Health Services (Healthcare Financing)

    How healthcare is funded and accessed, examining different systems like public, private, or universal healthcare.

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    Public Health (Classic)

    The science and art of preventing disease, prolonging life, and promoting health through organized community efforts.

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    Public Health Evolution

    Definitions of Public Health change over time, reflecting the changing needs and priorities of society.

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    Public Health (Sir Donald Acheson)

    The science and art of preventing disease, prolonging life, and promoting health through organized efforts of society.

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    Public Health Broadened (Wanless)

    The science and art of preventing disease, prolonging life, and promoting health through organized efforts of society, organizations, public and private, communities and individuals.

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    Public Health as Collective Action

    What we as a society do collectively to assure the conditions in which people can be healthy.

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    Public Health Timeline 1920

    Charles Edward Amory Winslow's definition emphasized organized community efforts and sanitation of the environment.

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    Public Health Timeline 1988

    Sir Donald Acheson's definition highlighted societal efforts and their role in promoting health.

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    Public Health Timeline 2004

    Derek Wanless's definition broadened the scope to include a wider range of actors, including individuals, private organizations, and communities.

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    Science of Public Health

    Studies how health-related events happen in populations, including their spread, causes, and solutions.

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    Epidemiology

    Focuses on the distribution and determinants of diseases in populations, often used to identify risks and develop preventive measures.

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    Biostatistics

    Applies statistical methods to health-related problems, helping in analyzing data and making informed decisions.

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    Health Administration, Policy & Management

    Combines politics, business, and science to manage human and financial resources, aiming to deliver effective public health services.

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    Social & Behavioral Sciences

    Studies human behavior and societal factors influencing health choices and outcomes.

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    International/Global Health

    Addresses health issues across borders, focusing on improving health worldwide.

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    Health Economics

    Applies economic principles to understand and improve the efficiency and fairness of healthcare systems.

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    Public Health's Moral Duty

    A belief that protecting the health of society is a moral obligation, encompassing individual responsibility for their own health and collective action to promote well-being.

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    Collective Responsibility in Public Health

    Acknowledging that public health goes beyond personal choices and necessitates societal action to create healthy living conditions for all.

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    Public Health in Ancient India

    Early practices in India, circa 1000 BC, involved inoculation, demonstrating a focus on preventing disease.

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    Huangdi Neijing (Yellow Emperor's Inner Classic)

    A fundamental text of traditional Chinese medicine, dating back to 400-260 BC, emphasizing the importance of disease prevention.

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    Public Health: Prevention over Cure

    The core principle of public health, as expressed in the Huangdi Neijing, that preventing illness is more effective than treating it.

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    Roman Public Health Practices

    Roman sanitation practices from 27 BC to 476 AD, including waste diversion, demonstrate the understanding of environmental hygiene's role in health.

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    Germ Theory's Impact

    The mid-19th century discovery of the Germ Theory by Louis Pasteur led to advancements in vaccines, therapies, safe food and water, and infant feeding practices.

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    Public Health Reorientation (Mid 20th Century)

    A shift in public health focus in the mid-20th century to lifestyle factors, driven by declining infectious diseases and improved access to resources.

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    Roman Public Health

    The Romans built on Greek knowledge, excelling in engineering and administration. They implemented public baths, hospitals, city physicians, aqueducts, and sewage systems, promoting public and personal hygiene.

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    Impact of Greek and Roman Health Learning

    The health knowledge of the Greeks and Romans was translated into Arabic, Syriac, and Hebrew, demonstrating its lasting influence on medical knowledge.

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    JC School of Public Health and Primary Care

    Part of the Chinese University of Hong Kong, this school focuses on improving public health and primary care services.

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    Prof. Roger Chung

    An Associate Professor at the JC School of Public Health and Primary Care, he is heavily involved in public health research and co-directs the CUHK Centre for Bioethics.

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    CUHK Institute of Health Equity

    This institute aims to promote health equity and ensure fair access to health resources for all.

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    Study Notes

    Course Information

    • Course title: Public Health and Healthcare Ethics
    • Course code: MEDF1021
    • Instructor: Prof. Roger Chung
    • Associate Professor, JC School of Public Health & Primary Care
    • Co-Director, Centre for Bioethics
    • Associate Director, Institute of Health Equity
    • Chinese University of Hong Kong
    • Date: Sept 4, 2024

    Lecture Outline

    • What is health?
    • What is public health?
    • Development of public health

    Why are you here?

    • Pure intellectual curiosity (wanting to learn about public health)
    • Interests in public health topics (e.g., COVID-19, SARS, avian flu, disease prevention, health promotion, environment, health policy)
    • Career plan (looking for a career in public health)
    • Dream (want to make a difference in public health—a motto of the school)
    • Forced to attend (for credits)

    Public Health Careers

    • Medically related:
      • Public Health Doctor
      • Tropical Disease Expert
      • HIV Specialist
      • Medical Doctor
      • Management Policy Advisor
      • Family Health Doctors
      • Reproductive Health Specialist
    • Science/research:
      • Professor
      • Behavioral Scientist
      • Mental Health Researcher
      • Program Outcomes Researcher
      • Vaccine Researcher
      • Bioterrorism Researcher
      • Pharmacoepidemiologist
      • Epidemiologist
      • Infection Preventionist
      • Biostatistician
      • Disease Ecologist
      • Medical Writer
      • Environmental Health Technician
      • Disaster Preparedness Researcher
    • Policy and practice related:
      • Legislative Policy Advisor
      • Environmental Health Emergency Response Expert
      • Health Communications Specialist
      • Public Health Information Officer
      • Public Health Consultant
      • Emergency Preparedness Coordinator
      • Emergency Preparedness Specialist
      • Consumer Safety Officer
      • Behavioral Health Program Coordinator
      • Health and Wellness Managers
      • Public Health Planner
      • Community Health Worker
    • Other health-related careers:
      • NGO
      • Health Promotions Program Coordinator
      • Nutritionist
      • Public Health Veterinarian
      • Public Health Lawyer
      • Public Health Dentist
      • Public Health Engineer
      • Health Center Administrator
      • Industrial Hygienist
      • Environmentalist
      • Medical Investigator
      • Public Health Journalist
    • Education:
      • Nurse educator
      • Academic policy advisor
      • Health teacher

    Government Organization Chart

    • Shows the structure of the Hong Kong government

    What is Health?

    • A state of complete physical, mental, and social well-being; not merely the absence of disease or infirmity (World Health Organization, 1946)
    • A resource for everyday life, not the objective of living. Health emphasizes social and personal resources, as well as physical capacities (WHO, 1986)

    What is Public Health?

    • What society collectively does to create conditions for people to be healthy (IOM)
    • The definition of public health is contested and differs according to sectors and fields (e.g., government officials, research, academics, and the wider community)
    • Definition changes over time, reflecting contemporary political and social views

    Public Health: A Classic Definition

    • The science and art of preventing disease, prolonging life, and promoting physical health and efficiency (health, hygiene, sanitation and organized community efforts).
      • includes individual education, early disease prevention and treatment, provision of medical/nursing services, and the development of social support systems. (Winslow, 1920)

    What is Public Health? (Alternative Definitions)

    • The science and art of preventing disease, prolonging life, and promoting health through organized efforts of society (Acheson, 1988)
    • The science and art of preventing disease, prolonging life, and promoting health through organized efforts and informed choices of society and organizations (Wanless, 2004)
    • What we as a society do collectively to assure the conditions in which people can be healthy (IOM, 1988)

    Public Health vs. Medical Care

    • Public health focuses on communities, while medical care focuses on individuals.
    • Public health addresses disease prevention and health promotion, while medical care treats sick patients.
    • Public health aims to improve population health, while medical care focuses on individual treatment.
    • Distinction made in terms of recognition of achievements and road to treatment

    Disciplines of Public Health

    • Epidemiology: study of disease occurrence and distribution in specified populations (including determinants influencing states) and application of knowledge to control public health problems
    • Biostatistics: application of statistical methods to health problems (used in tandem with epidemiology)
    • Health administration, policy and management: the field combines politics, business, and science to manage human and financial resources for effective public health services

    Control of Infectious Diseases

    • COVID-19
    • SARS
    • Avian flu (H5N1)
    • HIV/AIDS
    • Swine flu (H1N1)

    Control of Chronic Diseases

    • CVD
    • Diabetes
    • Cancers

    Environmental Health

    • Issues related to the environment affecting public health (e.g., air/water quality, food safety, etc.)

    Food Safety

    • Issues related to food production and consumption safety standards

    Occupational Health

    • Occupational health and safety concerns

    Health Improvement

    • Adolescent and school health
    • Nutrition and health
    • Cancer screening

    Public Health over Time

    • Earliest history in India, Greece, Rome and China
    • Modern history: governments dealing with issues related to economic growth, urbanization, and the environment.

    Early History of Public Health

    • Inoculation practices in India (1000 BC)
    • Yellow Emperor's Inner Classic (400-260 BC)
    • Roman understanding of waste disposal (27BC-476AD)
    • Mohenjo-Daro (2,000 BC), examples of early public health practices, including waste diversion and water sanitation

    The Hippocratic Oath

    • Early Greek medical writings
    • Emphasis on preventative medicine and the "whole patient" approach

    Hippocratic Public Health

    • Emphasis on balance of the four humors as the basis for health and disease.
    • Linked environmental factors to health issues.
    • Concepts of endemic and epidemic diseases.

    Roman Public Health

    • Knowledge and understanding from the Greek
    • Success as administrators and engineers
    • Public baths, hospitals, aqueducts and sewer system (promoting hygiene)

    A Philosophical Question

    • Why do we care about public health?
      • Maximize health in society
      • Moral duty
      • Be a good person
      • Collective responsibility (population health is shared responsibility)
      • Protecting freedom to enjoy life

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    Description

    This quiz covers foundational concepts in public health and healthcare ethics as discussed in the course MEDF1021. It includes the definitions of health and public health, the development of public health, and potential career pathways within the field. Engage with the material to deepen your understanding of this vital subject area.

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