1. Personal and Public Health HSERV 100
Sara Mackenzie, MD, MPH
Clinical Instructor Health Services
Director Undergraduate Public Health Major
Clinician – Hall Health

2. Teaching Assistants:
Sophia Teshome
Albert Farias
Web site:

3. Course objectives:
Recognize and describe key components of health and wellness
Explain relationships between lifestyle behaviors and health
Analyze personal behaviors and describe potential ways to improve personal health
Identify and describe relationships between individual behavior change and public health/social determinants of health
Identify key health challenges in the United States
Recognize ways to incorporate health into future careers
Critique media messages and identify sources of health information

4. Your goals? Take out a piece of paper Turn to your neighbor
Write down neighbors name (first and last)
Discuss why you registered for course and what you hope to get out of it
Jot down key points

5. Class design Lectures: Office hours: 10:30-11:20 Monday Wednesday
Friday
Office hours:
Monday 9:30-10:20 (Sara – F167)
Wednesday 9:30-10:20 (Albert)
Friday 11:30-12:20 (Sophia)

6. Course design Lectures and readings Personal Health Portfolio:
Do readings prior to day of lecture
Class participation – questions and answers during lecture
Personal Health Portfolio:
Multiple short self-assessments or assignments
Grade show links to class and reading
Connect (on-line system)
40 percent of grade

7. Exams
3 exams
Cover book readings, lecture material, and other assigned readings
No make ups – must notify in advance if unable to take at scheduled time

8. Exams Exam 1 and 2: 15 % grade Exam 3 (final): 20% grade
On-line; open book; 1 hour; only log in ONCE;
TAs will hold a review during class time that day - optional
Exam 3 (final): 20% grade
Finals week; cummulative, bring scantron; closed book

9. Today’s lecture: Introduction to course
Overview of health and wellness
Define health, personal health and public health

10. What is health?
state of complete physical, mental, and social well-being
“not just the absence of disease and infirmity”
World Health Organization 

11. Absence of disease?
World health organization

12. Not a new concept:
“A wise man should consider that health is the greatest of human blessings, and learn how by his own thought to derive benefit from his illnesses.”
Hippocrates 460 BC-377BC

13. What is wellness?
Process of adopting patterns of behavior that can lead to improved health and heightened life satisfaction
Generally determined by decisions you make about how to live your life
Influenced by social determinants

14. GENEROSITY is compassion, empathy, and altruism, the truest form of caring for others.
BELONGING encompasses our relationships and human interdependence.
MASTERY is success, achievement, and motivation.
INDEPENDENCE is the power to make decisions, to problem solve, to be responsible and to grow.
George Blue Bird: Circle of courage

16. Consider the following:
I am healthier this year because ….
I am less healthy this year because….

17. Personal health
“personal” – concerning or affecting a particular person
Health related beliefs, practices or behaviors
Prevention or promotion
Treatment for illness or injury

18. How do you achieve good health and strive toward wellness?
Personal beliefs, practices and behaviors
Ecological model of health and wellness
Interrelationship between you and your environment
Encompasses social determinants of health

19. Health related beliefs or practices
Family of origin
Country of origin
Where you live now, in past, (in future??)
Education
Money
Health insurance plan and health care
Medical conditions
Friends/peers/colleague
Media…

20. Social determinants of health

21. What is public health?
“Public” – people in general, a body of people sharing a common interest
“The study and practice of health promotion and disease prevention at the population level”
Many definitions, could start with…

22. Disease prevention Cholera epidemic in London- 1854
John Snow noted 500 deaths in 10 days in area of Cambridge and Broad street

23. Linked to a water pump
Intervention?
Remove the handle from
The pump

24. Disease prevention
Actions designed to ward off or protect against specific disease
Vaccination
Food regulations (USDA, FDA)
Seat belts
Work site regulations (OSHA)

25. Health promotion
Actions designed to maintain a current health state or advance to a more desirable state

26. How to measure? Personal Public Height Weight Blood pressure
Blood tests
Diagnostic tests
Fitness level
Self assessments
Public
Life expectancy
Morbidity
Mortality
Incidence
Prevalence
Disability adjusted life years
Group assessments

27. Define the measurement?
Prevalence= number of cases
population at risk
Incidence = number of incident cases
number of persons x time
(typically number/100,000 per year
Morbidity rate – incidence of particular disease
Mortality rate – incidence of death

28. Life expectancy in the U.S.…
Males 47.8 years
Females 50.7 years
2009 life expectancy
Males 75.6 years
Females 80.7 years

29. What accounts for nearly 30 year improvement in life expectancy?
25 years attributed to public health achievements
5 years attributed to other
Ten Great Public Health Achievements -- United States, MMWR weekly April 2, 1999;

30. Ten great public health improvements 1900-1999
Vaccination
Motor-vehicle safety
Safer workplaces
Control of infectious diseases
Decline from coronary deaths
Safer and healthier foods
Healthier mothers and babies
Family planning
Fluoridation of drinking water
Recognition of tobacco as health hazard
10 great public health achievements U.S ; MMWR April 2, (12)

33. How does this relate to us?
Explore areas of health by looking at individual behaviors and factors
Consider social determinants that influence you – as an individual
Perhaps influence your individual behaviors
AND help you extrapolate the concepts to broader public health populations

34. Video: Unnatural causes
PBS 4 hour series
overview clip
UNNATURAL CAUSES | About the series . Video clips |  CALIFORNIA NEWSREEL

35. For Wednesday: Read Chapter 1
Complete Chapter 1 Personal Health Portfolio