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Physicians in most developed countries are at a great disadvantage when confronted with geographic and tropical diseases. They may be faced with prevention for patients who are outward bound or with diagnosis and treatment on their return. The practitioners' difficulties relate to inade quate teaching in medical schools and to the infrequency with which they are confronted with these exotic diseases. It is quite surprising to realize the extent of travel by Americans to areas where the tropical diseases abound: in 1979 there were 3 million trips by U. S. residents to Central and South America and almost 1 million to Africa and Asia. I Further, the influx from the tropics to the United States in 1978 involved 4. 5 million visitors and more than half a million immigrants. I The single most danger ous ofthese infections is malaria, which is now averaging about 500 cases yearly in the United States; it is important to realize that infection with one species of this organism (Plasmodium falciparum) can be lethal within a few days of the onset of fever. Highly contagious infections such as the newly discovered and extremely lethal Lassa and Ebola fevers may be imported to our shores, plus cholera, antibiotic-resistant bacillary dys entery, and amebic dysentery and liver abscess. Chronic worm infections such as schistosomiasis, although rarely lethal, may have severe conse 2 quences such as paraplegia or hematemesis.
"The many diseases that are endemic in most of the developing nations of the world (and that may also affect travelers to these regions) are, at world levels, the most important sources of morbidity that affect the entire human race. The change in morbidity patterns in the more developed nations should not be permitted to blind the more affluent countries to the implications of this simple statement. Thus, direct and useful guides are needed to assure efficient and economical diagnosis and treatment of those infections that are endemic to the less affluent two-thirds of the earth. "The algorithms in this book have been developed by Drs. Warren and Mahmoud, as the result of a systematic effort to produce such guides. The book is presented as another in the series "Studies in Infectious Disease Research" and is a most welcome addition, certain to supply a major and hitherto inadequately fulfilled need."--from the Foreword, by Edward H. Kass, M. D., Ph.D
The therapeutic landscape concept, first introduced early in the 1990s, has been widely employed in health/medical geography and gaining momentum in various health-related disciplines. This is the first book published in several years, and provides an introduction to the concept and its applications. Written by health/medical geographers and anthropologists, it addresses contemporary applications in the natural and built environments; for special populations, such as substance abusers; and in health care sites, a new and evolving area - and provides an array of critiques or contestations of the concept and its various applications. The conclusion of the work provides a critical evaluation of the development and progress of the concept to date, signposting the likely avenues for future investigation.
The leading text in the field, this comprehensive book reviews geographic approaches to studying disease and public health issues across the globe. It presents cutting-edge techniques of spatial and social analysis and explores their relevance for understanding cultural and political ecology, disease systems, and health promotion. Essential topics include how new diseases emerge and epidemics develop in particular places; the intersecting influences on health of biological processes, culture, environment, and behavior; and the changing landscape of health care planning and service delivery. The text is richly illustrated with tables, figures, and maps, including 16 color plates.
The Agency for Healthcare Research Quality commissioned the Institute of Medicine establish a committee to provide guidance on the National Healthcare Disparities Report is of access to health care, utilization of services, and the services received. The committee was asked to con population characteristics as race and ethnicity, society status, and geographic location. It was also asked to examine factors that included possible data sources and types of measures for the report.
Medical geography is a fascinating area of rapidly evolving study that aims to analyse and improve worldwide health issues based on the geographical factors which have an impact on them. Perspectives in Medical Geography will appeal to both novice and seasoned researchers looking to be informed on the latest theories and applications in the field. Chapters represent a wide range of industries, ranging from private/public universities to private companies to non-profit foundations. Contributors describe ways in which map and geography librarians can engage in public health research – creating data standards, archiving map collections and providing mapping/GIS services. In addition to compiling current theories and practices related to medical geography, this volume also features commentaries from two pre-eminent geography librarians, sharing their perspectives on this emerging field and how map and geographic information librarians can engage in health-related research through their profession. This book was originally published as two special issues of the Journal of Map & Geography Libraries.
Intro -- FrontMatter -- Reviewers -- Foreword -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 Background on the Pipeline to the Physician Workforce -- 3 GME Financing -- 4 Governance -- 5 Recommendations for the Reform of GME Financing and Governance -- Appendix A: Abbreviations and Acronyms -- Appendix B: U.S. Senate Letters -- Appendix C: Public Workshop Agendas -- Appendix D: Committee Member Biographies -- Appendix E: Data and Methods to Analyze Medicare GME Payments -- Appendix F: Illustrations of the Phase-In of the Committee's Recommendations.
Why are rainfall, carcinogens, and primary care physicians distributed unevenly over space? The fourth edition of the leading text in the field has been updated and reorganized to cover the latest developments in disease ecology and health promotion across the globe. The book accessibly introduces the core questions and perspectives of health and medical geography and presents cutting-edge techniques of mapping and spatial analysis. It explores the intersecting genetic, ecological, behavioral, cultural, and socioeconomic processes that underlie patterns of health and disease in particular places, including how new diseases and epidemics emerge. Geographic dimensions of health care access and service provision are addressed. More than 100 figures include 16 color plates; most are available as PowerPoint slides at the companion website. New to This Edition: *Chapters on the political ecology of health; emerging infectious diseases and landscape genetics; food, diet, and nutrition; and urban health. *Coverage of Middle East respiratory syndrome, Ebola, and Zika; impacts on health of global climate change; contaminated water crises in economically developed countries, including in Flint, Michigan; China's rapid industrial growth; and other timely topics. *Updated throughout with current data and concepts plus advances in GIS. Pedagogical Features: *End-of-chapter review questions and suggestions for further reading. *Section Introductions that describe each chapter. *"Quick Reviews"--within-chapter recaps of key concepts. *Bold-faced key terms and an end-of-book glossary.