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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
From the authors of the bestselling The Big Shift, a provocative argument that the global population will soon begin to decline, dramatically reshaping the social, political, and economic landscape. For half a century, statisticians, pundits, and politicians have warned that a burgeoning planetary population will soon overwhelm the earth's resources. But a growing number of experts are sounding a different kind of alarm. Rather than growing exponentially, they argue, the global population is headed for a steep decline. Throughout history, depopulation was the product of catastrophe: ice ages, plagues, the collapse of civilizations. This time, however, we're thinning ourselves deliberately, by choosing to have fewer babies than we need to replace ourselves. In much of the developed and developing world, that decline is already underway, as urbanization, women's empowerment, and waning religiosity lead to smaller and smaller families. In Empty Planet, Ibbitson and Bricker travel from South Florida to Sao Paulo, Seoul to Nairobi, Brussels to Delhi to Beijing, drawing on a wealth of research and firsthand reporting to illustrate the dramatic consequences of this population decline--and to show us why the rest of the developing world will soon join in. They find that a smaller global population will bring with it a number of benefits: fewer workers will command higher wages; good jobs will prompt innovation; the environment will improve; the risk of famine will wane; and falling birthrates in the developing world will bring greater affluence and autonomy for women. But enormous disruption lies ahead, too. We can already see the effects in Europe and parts of Asia, as aging populations and worker shortages weaken the economy and impose crippling demands on healthcare and social security. The United States is well-positioned to successfully navigate these coming demographic shifts--that is, unless growing isolationism and anti-immigrant backlash lead us to close ourselves off just as openness becomes more critical to our survival than ever before. Rigorously researched and deeply compelling, Empty Planet offers a vision of a future that we can no longer prevent--but one that we can shape, if we choose.
In How Population Will Transform Our World , Sarah Harper looks at fertility rates and age structures of populations in different regions of the world against the backdrop of urbanization and climate change, drawing out the profound implications and challenges for societies, economies, and the environment in the decades to come.
Examines the factors which limit human economic and population growth and outlines the steps necessary for achieving a balance between population and production. Bibliogs
The world population surpassed the seven billion mark in 2011, yet many women and couples still lack access to reproductive health services. These facts have profound implications for maternal and child health, environmental quality, and food security. Global Population and Reproductive Health provides an introduction to an important and timely public health topic. The text is unique in that it explores the inextricable link between population and reproductive health – a connection that is often overlooked – as well as their impact on global and local environmental issues. Students will come away with a clear understanding of the relationships among all these issues, and the vital need for integrated policies and international cooperation. Contents Include: 1. Overview 2. Measures and Theories 3. Health 4. Related Issues 5. Policies
The 20th century was the century of explosive population growth, resulting in unprecedented impacts; in contrast, the 21st century is likely to see the end of world population growth and become the century of population aging. We are currently at the crossroads of these demographic regimes. This book presents fresh evidence about our demographic future and provides a new framework for understanding the underlying unity in this diversity. It is an invaluable resource for those concerned with the implications of population change in the 21st century. The End of World Population Growth in the 21st Century is the first volume in a new series on Population and Sustainable Development. The series provides fresh ways of thinking about population trends and impacts.
Is rapid world population growth actually coming to an end? As population growth and its consequences have become front-page issues, projections of slowing growth from such institutions as the United Nations and the World Bank have been called into question. Beyond Six Billion asks what such projections really say, why they say it, whether they can be trusted, and whether they can be improved. The book includes analysis of how well past U.N. and World Bank projections have panned out, what errors have occurred, and why they have happened. Focusing on fertility as one key to accurate projections, the committee examines the transition from high, constant fertility to low fertility levels and discusses whether developing countries will eventually attain the very low levels of births now observed in the industrialized world. Other keys to accurate projections, predictions of lengthening life span and of the impact of international migration on specific countries, are also explored in detail. How good are our methods of population forecasting? How can we cope with the inevitable uncertainty? What population trends can we anticipate? Beyond Six Billion illuminates not only the forces that shape population growth but also the accuracy of the methods we use to quantify these forces and the uncertainty surrounding projections. The Committee on Population was established by the National Academy of Sciences (NAS) in 1983 to bring the knowledge and methods of the population sciences to bear on major issues of science and public policy. The committee's work includes both basic studies of fertility, health and mortality, and migration; and applied studies aimed at improving programs for the public health and welfare in the United States and in developing countries. The committee also fosters communication among researchers in different disciplines and countries and policy makers in government, international agencies, and private organizations. The work of the committee is made possible by funding from several government agencies and private foundations.
This book examines potential economic opportunities that countries can experience when fertility rates fall and the average life expectancy of the working age population increases. It presents detailed demographic and economic analysis of middle-income countries throughout the world in order to show how these countries can take advantage of this demographic bonus. The book first traces the common link between policies that contribute to fertility transition as well as create the right kind of environment for reaping the benefit of demographic dividend. Next, it explores different countries and regions who are at different levels of development. It assesses the long term impact of gender equality on economic growth and development in Latin America; describes the life-cycle saving patterns of Mexican households; and examines demographic determinants of economic growth in BRICS. The book also offers demographic and economic analysis of the Mediterranean area, Sub-Saharan Africa, and New Zealand. The comparison between the different territorial contexts allow for the identification of three typologies of demographic dividend: the first dividend, when the working population grows faster than total population, the second dividend, as active generations get older and invest their savings in the production system of their country, and the third dividend, based on the coexistence of two populations age structure strongly contrasting. Overall, this book argues for the need to capitalize on the opportunities that come from the demographic dividend by investing heavily in education programs, training programs for the population working age, health programs, the creation of health insurance systems as well as programs to reduce or increase fertility levels.
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.