Rigor of research design, method Vs. Inherent ( easily seen) bias in research question , theoretical frameworks and methods
When would be possible to say pursuit of science is value free and objective?
If health care and public health were not embeded in the society and if health care and public health professionals were not trained and did not work within these institutions
since this is not the case, science is free of bias and not so much objective
Why should individuals be held responsible for health behaviors and outcomes ?
It is our cultural preference ( ethic of individuality)
Maverick (someone who thinks dependently and does not conform to norm)
Picking up by your bootstraps ( start from nothing)
Personal habits are disease culprits ( behavioral pathogens)
individuals can play role in modifying risk
What are behavioral pathogens?
motor vehicle injuries
illicit use of drugs
What is the limitation to the individual right argument?
Danger of overemphasizing individual responsibility
-a tale of 3 tails ( focus on high risk groups, tail end of causality, tail chasing its tail/ risk factor tail)
Poverty causes diminished opportunity for control
Takes the GVPT of the hook
What is a more balanced approach in dealing with public health problem?
Educating : informing individuals about risks
What are the assumptions with educationg people?
Information is understandable
Health and well being are shared priorities
Information alone ( healthy behavior)
** provision of info will empower individuals
What is another balanced approach in dealing with public health problems?
Regulation: take decision making out individulas hands
What is the assumption that is made with regulation?
Consensus exist on the need for extent
Available scientific info to guide regulation
Decision making is objective
** regulation will guid behavior and discourage reckless behavior
What are the consensus on regulation to protect against:
Direct harm to other person/property
Harm to the environment
What is the principle agency for protecting health of all americans?
Department of health and human services
What are the public health service component of health and human services?
Agency for toxic substances and disease registry
Center for disease control
Indian health services
Agency for health care research and quality
Health resources and service administration
Office of global health affairs
Substance abuse and Mental health services
Office of assistant sercretary for preperedness
What office is the focal point for medical and behavioral research?
What are NIH goals?
Foster research medical and scientific knwledge and their applications
Develop, maintain, renew scientific resources
Reflect and promote the highest level of scientific integrity, public accountibility and social responsibility
What Ail FDA?
atmosphere stifles debate
atmosphere that discourage discussion within FDA
What is needed not to AIL FDA?
culture that encourages scientific exchange
culture that respect alternative view point
culture that value transparency
better surveillance of approved drugs
strong and independent leadership
What are FDA's key principles?
health is key outcome
agency must look to prevent problems
consider both benefit and risk approvals
collaborate with other public health agancies
communicate risk clearly
integrity and transparancy
What is the mission of NIH?
science in pursuit of fundamental knowledge about nature and behavior of living system
To collaborate to create the expertise information and tools that people and communities need to protect their health through health promotion, prevention of disease, injury and disability and preparedness of new health threats
State level Public health office
Maryland department of health and mental hygiene
What is the organization of public health professionals?
American public health association
What are 2010 public health priorities for APHA?
strengthen the nation's health system
increase funding for vital public health agencies
adress public health implications
give FDA authority to regulate Tabacco products
adress public health impacts of climate change
What does term Anti-minotaur mean?
Facts and values can not be separated in scientific research.
What is the power of FDA on regulation of Tabacco products?
Removing hazard ingrediants
Focusing on limiting the impact of advertising on youth