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Population health approach
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Big picture perspective that takes into account the full range of factors that affect health and considers their interactions
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James Lind
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British naval commander who demonstrated that citrus could prevent and treat scruvy
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Edward Jenner
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Developed the smallpox vaccine from cowpox
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John Snow
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Shut down water pump to control cholera epidemic in the 1850s
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Semmelweis
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Helped to control puerperal fever through handwashing in 1850s
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Chadwick
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Argued that specific pathological conditions or disease should be the basis for cause of death
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Farr
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Argued that underlying factors should be seen as causes of death
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Health protection (antiquity --1830s)
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Authority based control of individual and community behaviors
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Health protection (antiquity --1830s)
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Religions and cultural practices and prohibited behaviors
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Health protection (antiquity --1830s)
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Quarantine for epidemics; sexual prohibitions to reduce disease transmission; dietary restrictions to reduce food-borne disease
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Hygiene movement (1840s-1870s)
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Sanitary conditions as basis for improved health
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Hygiene movement (1840s--1870s)
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Environmental action on a community wide basis distinct from health care
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Hygiene movement (1840s--1870s)
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Snow on cholera; semmelweis on puerperal ever; collection of vital statistics as empirical foundation for public health and epidemiology
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Contagion Control (1880s--1940s)
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Germ theory: demonstration of infectious origins of disease
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Contagion control (1880s--1940s)
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Communicable disease control through environmental control, vaccination, sanatoriums, and outbreak investigation in general population
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