What is the population health model (POHEM)?
What is “a” definition for public health? 3. What are “the” determinants of health (list the determinants and one example of each)? 4. What theories support the equitable distribution of healthcare and public health services (basing discussion on theories identified in the text and PPTs)? 5. What are the major sources of preventable diseases in the US (list the source and provide an disease-result example)? PART 2: Discussion Exercise: since the 1976 identification of Ebola in the Democratic Republic of the Congo, 10 outbreaks have occurred. The 2018 outbreak is likely the most challenging one, because its epicenter lies in violent, war-torn region of the DRC that hampers efforts to control it. Armed groups interrupt access, and the government efforts to control spread by stopping voting during elections last year has led to mistrust among the population. Ongoing violence makes it hazardous for health workers to administer care. And now, many DRC citizens no longer trust the government’s efforts to control Ebola’s spread. The link their government’s efforts to control political parties to their efforts to control the disease’s spread. This means Ebola is spreading, and there is some concern cases are going undetected. Some want the WHO to declare a national health emergency of international concern. Prof. L. Gostin, a leading expert on international public health law believes it is overdue. See Amy Maxmen, Violence propels Ebola outbreak towards 1,000 cases, Nature 11 Mar. 2019 at https://www.nature.com/articles/d41586-019-00805-7. Now, read the Rob Stein NPR piece—New Quarantine Authority Gives CDC More Power To Stop Outbreaks—discussing the CDC’s update the US’s quarantine law. See Rob Stein, ‘New Quarantine Authority Gives CDC More Power To Stop Outbreaks,’ NPR, 2 Feb. 2017 at https://www.npr.org/ 2017/02/02/513104963/new-quarantine-authority-gives-cdc-more-power-to-stop-outbreaks. US quarantine laws confine potential cases. They also infringe on personal civil liberties, especially freedom on movement by citizens. Before its update, the CDC could only confine individuals entering the US or crossing US state borders. Now, the CDC may “apprehend, quarantine, isolate, test and screen individuals”—foreign travelers entering the US and US citizens. The CDC need not seek authority from state or local governments. The interviewees cite other potential infringements. Consider the political control issues in the DRC and the concerns raised in NPR piece, do you see a problem with broad quarantine powers for the CDC, which is an executive agency? Could the quarantine powers meant to address serious disease threats become political control tools? Could they actually exacerbate a US epidemic or global pandemic? As a future hospital administrator, would you assist or resist?
