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This work traces the history of health and disease and the evidence for care and treatment through time in Britain using primary and secondary evidence. Chapters cover Palaeolithic times to the 20th century.
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).
The Government recognises that many lifestyle-driven health problems are at alarming levels: obesity; high rates of sexually transmitted infections; a relatively large population of drug users; rising levels of harm from alcohol; 80,000 deaths a year from smoking; poor mental health; health inequalities between rich and poor. This white paper outlines the Government's proposals to protect the population from serious health threats; help people live longer, healthier and more fulfilling lives; and improve the health of the poorest. It aims to empower individuals to make healthy choices and give communities and local government the freedom, responsibility and funding to innovate and develop ways of improving public health in their area. The paper responds to Sir Michael Marmot's strategic review of health inequalities in England post 2010 - "Fair society, healthy lives" (available at http://www.marmotreview.org/AssetLibrary/pdfs/Reports/FairSocietyHealthyLives.pdf) and adopts its life course framework for tackling the wider social determinants of health. A new dedicated public health service - Public Health England - will be created to ensure excellence, expertise and responsiveness, particularly on health protection where a national response is vital. The paper gives a timetable showing how the proposals will be implemented and an annex sets out a vision of the role of the Director of Public Health. The Department is also publishing a fuller story on the health of England in "Our health and wellbeing today" (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122238.pdf), detailing the challenges and opportunities, and in 2011 will issue documents on major public health issues.
Spreading Germs discusses how modern ideas on the bacterial causes of communicable diseases were constructed and spread within the British medical profession in the last third of the nineteenth century. Michael Worboys surveys many existing interpretations of this pivotal moment in modern medicine. He shows that there were many germ theories of disease, and that these were developed and used in different ways across veterinary medicine, surgery, public health and general medicine. The growth of bacteriology is considered in relation to the evolution of medical practice rather than as a separate science of germs.
Suman Seth reveals how histories of medicine, empire, race and slavery intertwined in the eighteenth-century British Empire.
This is the third edition of this publication which contains the latest information on vaccines and vaccination procedures for all the vaccine preventable infectious diseases that may occur in the UK or in travellers going outside of the UK, particularly those immunisations that comprise the routine immunisation programme for all children from birth to adolescence. It is divided into two sections: the first section covers principles, practices and procedures, including issues of consent, contraindications, storage, distribution and disposal of vaccines, surveillance and monitoring, and the Vaccine Damage Payment Scheme; the second section covers the range of different diseases and vaccines.
In his short but authoritative study, Roy Porter examines the impact of disease upon the English and their responses to it before the widespread availability and public provision of medical care. Professor Porter incorporates into the revised second edition new perspectives offered by recent research into provincial medical history, the history of childbirth, and women's studies in the social history of medicine. He begins by sketching a picture of the threats posed by disease to population levels and social continuity from Tudor times to the Industrial Revolution, going on to consider the nature and development of the medical profession, attitudes to doctors and disease, and the growing commitment of the state to public health. Drawing together a wide range of often fragmentary material, and providing a detailed annotated bibliography, this book is an important guide to the history of medicine and to English social history.
This publication explores some of the key issues, ranging from interpreting the evidence base to assessing the policy context for, and approaches to, chronic disease management across Europe. Drawing on 12 detailed country reports (available in a second, online volume), the study provides insights into the range of care models and the people involved in delivering these; payment mechanisms and service user access; and challenges faced by countries in the implementation and evaluation of these novel approaches.
In this historical tour de force, Roy Porter takes a critical look at representations of the body in health, disease, and death in Britain from the mid-seventeenth to the twentieth century. Porter argues that great symbolic weight was attached to contrasting conceptions of the healthy and diseased body and that such ideas were mapped onto antithetical notions of the good and the bad, the beautiful and the ugly. With these images in mind, he explores aspects of being ill alongside the practice of medicine, paying special attention to self-presentations by physicians, surgeons, and quacks, and to changes in practitioners’ public identities over time. Porter also examines the wider symbolic meanings of disease and doctoring and the “body politic.” Porter’s book is packed with outrageous and amusing anecdotes portraying diseased bodies and medical practitioners alike.