A Public Health Successes From Any Country

Tuberculosis has long been a disease that the human culture has been dealing with which entails significant morbidity and mortality worldwide. With dealing with such a horrific disease over the years, discoveries and evolution on the appropriate ways to contain, diagnose, and challengingly treat the disease has changed. One of the most concerning complications of this worldwide public health issue is the ability for it to quickly spread in high populated areas while becoming ever more resistant to forms of treatment not available in all locations around the world. This is a serious public

For second part of reading response, I choose to report on Promoting public understanding of public health article by our professor Stephen Bezruchka. I really enjoyed reading the article he wrote about how people in the America are being less healthy than those people in other rich nations. Promoting public awareness about this topic should be high priority for all Public Health majors. Health is the most important part of human life and it surprising to me that people in America are not really doing anything to change it. Solving this problem need individual supports and public supports.

M1: Compare the 19th, 20th and 21st century in relation to the main public health strategies used.

Tuberculosis is a disease of an infectious nature caused by a bacterium known as mycobacterium tuberculosis. The disease spreads through the air. People with the disease can spread it to susceptible people through coughing, sneezing, talking or spitting. It mainly affects the lungs and other parts such as the lymph nodes and kidneys can also be affected. The symptoms for TB are fatigue, coughing, night sweats, weight loss and fever. One third of the population of the world is affected with mycobacterium tuberculosis. The rate of infection is estimated to be one person per second. About 14 million people in the world are infected with active tuberculosis. Drug resistant TB has been recorded to be a serious public health hazard in many countries. Resistant strains have developed making it difficult to treat the disease. TB has caused millions of death mainly in people living with HIV/AIDS ADDIN EN.CITE Ginsberg19981447(Ginsberg, 1998)1447144717Ginsberg, Ann M.The Tuberculosis Epidemic: Scientific Challenges and OpportunitiesPublic Health Reports (1974-)Public Health Reports (1974-)128-13611321998Association of Schools of Public Health00333549http://www.jstor.org/stable/4598234( HYPERLINK l "_ENREF_3" o "Ginsberg, 1998 #1447" Ginsberg, 1998). The World Health Organization came up with the DOTS (Directly Observed, Therapy, Short course) strategy. The approach involves diagnosing cases and treating patients with drugs for about 6-8

Human immunodeficiency virus (HIV)/AIDS is a pandemic problem affecting global health. At the end of 2015, 36.7 million people were living with HIV/AIDS globally. The rate of incidence is more prevalent in Sub-Saharan Africa with almost 1 in every 24 adults living with HIV/AIDS. In the united states, HIV/AIDS is a diversified health problem affecting all sexes, ages and races and involving the transmission of multiple risk behavior. However, with the introduction of various prevention programs and antiretroviral drugs, the incidence of HIV/AIDS has reduced.

Public Health interventions and strategies changed greatly over time. During 19th and 20th century lead to concentrate on public health more closely due to epidemic battles of diseases and population growth. Epidemic outbreaks of typhoid, small pox, polio, influenza, cholera and other diseases caused city and public to awaken and educate on health information. (Chicago history case study, November 30, 2006, https://www.uic.edu/sph/prepare/courses/PHLearning/resources/chicagohistory.htm.). Sanitation, pasteurization, vaccinations were introduced along with board of public health department being introduced in government. (Rauner, Bruce. Public Health in Illinois. http://www.idph.state.il.us/timeline/history2000.htm). Mortality rate that

1) How is public health financed in your state, province, or country? How does the current budget crisis impact Public Health and Community services in your area?

HIV and AIDS have affected millions of people throughout the world. Since 1981, there have been 25 million deaths due to AIDS involving men, women, and children. Presently there are 40 million people living with HIV and AIDS around the world and two million die each year from AIDS related illnesses. The Center for Disease Control estimates that one-third of the one million Americans living with HIV are not aware that they have it. The earliest known case of HIV was in 1959. It was discovered in a blood sample from a man in Kinshasa, Democratic Republic of the Congo. Looking further into the genetics of this blood sample researchers suggested that it had originated from a virus going back to the late 1940’s or early 1950’s. In 1999,

Progression through these eras resulted in the improvement of health strategies and interventions, allowing for the United States to be proactive in their preparation efforts of disease, rather than reactive to the imminent threat to human health and safety. The 20th century was the single most advancing era of public health in history, changing not only the world of medicine as we know it, but changing public perception of the world they live in .

Tuberculosis is an infectious disease which causes millions of death in humans. In India approximately 500,000 deaths occurs now and then. TB is an air borne disease which is caused by Mycobacterium tuberculosis. Apart from M. tuberculosis, there are many strains of Mycobacterial species like M. bovis , M .africanum , M. microti, M. caprae , M. pinnipedi i, M. canetti and M. mungi. Together these species are known to be M. tuberculosis complex. The main target of tuberculosis is the lungs (i.e. pulmonary tuberculosis) as well as other parts of the body (i.e. systemic tuberculosis). Most tuberculosis does not cause infection which is known as latent tuberculosis (i.e. they remain in inactive form). The spread of infection is

In recent years, India has seen some improvement in certain regions in terms of prevalence. As a whole, India has placed itself on the same trajectory as Africa. But this problem cannot be attributed to just one cause. India’s unique culture, environmental/economical conditions, and standard of living have all had significant implication on this problem. (HIV/AIDS)

Another major health policy that India just passed and adopted from the World Health Organization (WHO) is the "Test and Treat Policy for HIV". India has the third largest HIV epidemic in the world and with WHO, India wants to reduce the number people infected with HIV. Currently, 2.1 million are living in HIV in India and 86000 new cases are reported yearly. “The epidemic is concentrated among key affected populations such as sex workers. The vulnerabilities that drive the epidemic are different in different parts of the country.4 the five states with the highest HIV prevalence (Manipur, Mizoram, Nagaland, Andhra Pradesh and Karnataka) are in the south or east of the country.” ("HIV and AIDS in India", 2017) The new policy allows people to get tested and get the necessary treatment. This policy applies to everyone from all men, women, adolescents and children. This policy will greatly increase the longevity and provide a better quality of life for those ill and hopefully prevent other diseases like Tuberculosis, which

The economic burden of TB in India is enormous. In Tamilnadu state’s Tiruvallur district,a study was done between June 2005 to December 2010. About 455 patients were registered under RNTCP.Out of them,343 patients completed treatment,69 defaulted,9 failed and 26 died. So the treatment cost analysis was done for those patients who completed treatment on the basis of standard living of index.

NACP began in 1987, as an Indian health ministry initiated surveillance taskforce, after the first Indian HIV case was reported. Since then, it has extended its role to provide HIV services (IAVI, 2005; Singh et al., 2005). In 1992, the Indian Health Ministry set up the National AIDS Control Organisation (NACO) as a separate wing to implement and closely monitor various components of the programme (Singh et al., 2005; NACO, 2015b). Services provided under this programme trickle down to states and districts through their respective AIDS Control Societies supported by non-governmental organisations (NGO). NACP was also responsible for targeted interventions aimed at facilitating behavioural change in HRG communities

India, the second most populous country with over 1.31 billion people, has the highest burden of tuberculosis (TB) in the world, accounting for 20% of the global incidence of TB, and an even higher share of global incidence of multi–drug resistant (MDR) TB. With an estimated 2 million new cases of TB and 5, 00,000 TB-related deaths in India annually, those who got diagnosed with different forms of DR-TB were 35,385 cases but only 20,753 people started on multidrug-resistant TB (MDR-TB) treatment in 2013. The National Tuberculosis Program was launched in 1962, but suffered heavily continuing TB led mortality. Acknowledging this reality, a Revised National Tuberculosis Control Programme (RNTCP) was launched by the Government of India in 1997, however even today it does not comply with World Health Organization (WHO) recommendations.