© 2016 McGraw-Hill Education. All rights reserved. Ch 9 Physicians’ Public Duties and Responsibilities

© 2016 McGraw-Hill Education. All rights reserved.. Key Terms administer Amendments to the Older Americans Act autopsy Child Abuse Prevention and Treatment Act Controlled Substances Act coroner dispense Drug Enforcement Administration (DEA) federalism Food and Drug Administration (FDA) forensics medical examiner 9-2

© 2016 McGraw-Hill Education. All rights reserved.. Key Terms (cont.) National Childhood Vaccine Injury Act National Vaccine Injury Compensation Program (VICP) prescribe Smallpox Emergency Personnel Protection Act (SEPPA) Unborn Victims of Violence Act vital statistics 9-3

© 2016 McGraw-Hill Education. All rights reserved. Learning Outcomes 9.1List at least four vital events for which statistics are collected by the government. 9.2 Discuss the procedures for filing birth and death certificates. 9.3 Explain the purpose of public health statutes. 9-4

© 2016 McGraw-Hill Education. All rights reserved. Learning Outcomes 9.4Cite examples of reportable diseases and injuries, and explain how they are reported. 9.5 Discuss federal drug regulations, including the Controlled Substances Act. 9-5

© 2016 McGraw-Hill Education. All rights reserved. Vital Statistics Collected by government officials to assess population trends and needs –Live births –Deaths –Fetal deaths/induced abortions –Changes in individual’s civil status 9-6

© 2016 McGraw-Hill Education. All rights reserved. Use of Vital Statistic Information Educational institutions Governmental agencies Research scientists Private industry Other organizations and individuals 9-7

© 2016 McGraw-Hill Education. All rights reserved. Recording Births and Deaths Guidelines to complete forms: –Type or print all entries –Leave no entries blank –Avoid corrections and erasures –Provide signatures where requested –File only originals with state registrars –Verify spelling of names –Avoid abbreviations –Refer problems to state officials 9-8

© 2016 McGraw-Hill Education. All rights reserved. Death Certificate Information Disease, injury, and/or complication that caused death Date and time of death Place of death Pregnancy in female death If autopsy was performed 9-9

© 2016 McGraw-Hill Education. All rights reserved. Deaths Subject to Autopsy Possibly due to criminal causes Unattended death Due to causes undetermined by the physician Violent or otherwise suspicious death 9-10

© 2016 McGraw-Hill Education. All rights reserved. Division of medicine that incorporates law and medicine and involves medical issues or medical proof at trials having to do with malpractice, crimes, and accidents 9-11 Forensics Medicine

© 2016 McGraw-Hill Education. All rights reserved. Public Health Statutes Inferred from 10th Amendment of U.S. Constitution –Federalism: sharing of power among federal, state, and local governments –Help guarantee the health and well- being of citizens 9-12

© 2016 McGraw-Hill Education. All rights reserved. Provisions of Public Health Statutes Guard against unsanitary conditions in public facilities Inspect establishments where food and drink are processed and sold Exterminate pests and vermin that can spread disease 9-13

© 2016 McGraw-Hill Education. All rights reserved. Provisions of Public Health Statutes (cont.) Check water quality Set up measures of control for certain diseases Require physicians, school nurses, and other health care workers to file certain reports for the protection of citizens 9-14

© 2016 McGraw-Hill Education. All rights reserved. Enforcement Power of the States Require investigations be conducted in infectious disease outbreaks Make childhood vaccinations a condition for school entry Ban the distribution of free cigarette samples around schools or in areas where children congregate 9-15

© 2016 McGraw-Hill Education. All rights reserved. Enforcement Power of the States (cont.) Institute smoking bans or restrictions Involuntarily detain (quarantine) individuals who have certain infectious diseases Seize and/or destroy property to contain the threat of toxic substances 9-16

© 2016 McGraw-Hill Education. All rights reserved. How Laws Affect Public Health Issues 9-17

© 2016 McGraw-Hill Education. All rights reserved. National Childhood Vaccine Injury Act Parents or guardians are informed of risks associated with each vaccine Parents must sign consent forms allowing health care practitioners to administer the vaccine 9-18

© 2016 McGraw-Hill Education. All rights reserved. Reportable Diseases and Injuries Reportable diseases determined by each state Sexually transmitted diseases reported when diagnosed HIV notification to past and present sexual partners or needle sharing partners Communicable disease reporting more stringent for patients who work with the public 9-19

© 2016 McGraw-Hill Education. All rights reserved. Sample Vaccination Consent Form 9-20

© 2016 McGraw-Hill Education. All rights reserved. Vaccine Legal Liability National Childhood Vaccine Injury Act National Vaccine Injury Compensation Program (VICP) Smallpox Emergency Personnel Protection Act (SEPPA) 9-21

© 2016 McGraw-Hill Education. All rights reserved. Vaccines Covered by the VICP 9-22

© 2016 McGraw-Hill Education. All rights reserved. Vaccination Documentation Date vaccine was administered Vaccine manufacturer Vaccine lot number Name, address, and title of health care provider who administered vaccine 9-23

© 2016 McGraw-Hill Education. All rights reserved. Vaccine Adverse Events Reporting Any event listed in the Vaccine Injury Table Any contraindicating event listed in the manufacturer’s package insert 9-24

© 2016 McGraw-Hill Education. All rights reserved. Reportable Injuries Assault Rape Domestic violence –Child abuse –Spousal abuse –Elder abuse 9-25

© 2016 McGraw-Hill Education. All rights reserved. Signs of Abuse Unexplained fractures Repeated injuries Burns with unusual shapes Friction burns Bite marks Malnutrition or dehydration Possible sexual abuse 9-26

© 2016 McGraw-Hill Education. All rights reserved. Drug Regulations Drug Enforcement Administration (DEA) Controlled Substances Act –Provides five categories (schedules) of drugs based on their potential for abuse 9-27

© 2016 McGraw-Hill Education. All rights reserved. Drug Schedules for Controlled Substances 9-28

© 2016 McGraw-Hill Education. All rights reserved. Ensuring Security of Scheduled Drugs Keep all controlled substances in a locked cabinet or safe Remind the physician to keep his or her “black bag” in a safe place Keep all prescription blanks, especially those used for narcotics, under lock and key 9-29

© 2016 McGraw-Hill Education. All rights reserved. Ensuring Security of Scheduled Drugs (cont.) Order prescription blanks that are serially numbered or otherwise printed to help detect alterations and theft Report to the physician any behavior by patients that would suggest an attempt to secure addictive drugs Check patients’ records to verify all prescriptions that may be questioned by a pharmacist 9-30