Determinants, Key Players and Possible Interventions

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1 Major in Human Health, Nutrition and Environment, FS 2010 Public Health Concepts Determinants, Key Players and Possible Interventions David Fäh Aims Have an idea about which parameters can influence health relevant behaviors and how to get information about them Know that target population(s) p can be identified Get insights in individual and structural approaches of public health Be able to estimate the potential effect of public health interventions Course No break (?): 13:15-14:45 Brief introduction (5-10 min) Group work (30-40 min) 3-4 groups Discuss in group and prepare presentation Brief presentation and discussion (5-10 min each group) If time left: public health and obesity Selected public health issues Public health nutrition will specifically be addressed by Michael Zimmermann The following public health issues will be discussed d in groups: 1. Hazardous alcohol consumption 2. Smoking 3. Physical inactivity 4. Depression Questions to be addressed Determinants of health Information sources? Potential problems? Target population(s)? Public health measures: Verhaltens- /Verhältnisebene (behaviour / condition, environment) Expected success and sustainability? Advantages, disadvantages? 1

2 Core components of PH Essential services of public health ASSESSMENT of the health of the community POLICY DEVELOPMENT in the public s interest ASSURANCE of the public s health Public health approach Next week: Public Health Model Versus Medical Model Let s start! 2

3 Hazardous alcohol consumption Hazardous alcohol consumption substantially increases the risk of addiction, injuries, cancer and other disease. Data from emergency units in Swiss hospitals suggest that hazardous alcohol consumption may have increased over the past decade. Your job is to define and implement public health measures/interventions in order to reduce morbidity and mortality associated with hazardous alcohol consumption.

4 Smoking Smoking is one of the most important modifiable risk factors for cardiovascular disease, cancer and pulmonary disease. Despite some progress in men, smoking prevalence is still high compared with other countries. In women, smoking prevalence only marginally decreased over the past 15 years. Your job is to define and implement public health measures/interventions in order to reduce morbidity and mortality associated with smoking.

5 Physical inactivity Physical inactivity is a major cause of disease and death in Switzerland. It is expected that the prevalence of physical inactivity is high in Switzerland, particularly among elderly. There is also evidence that people became more and more physically inactive in the past years. Your job is to define and implement public health measures/interventions in order to reduce morbidity and mortality associated with physical inactivity.

6 Depression Depressive symptoms are frequent in Switzerland. Depression is a substantial burden for individuals but also for the entire society. Depression is a frequent cause of substance abuse or suicide. However, most cases could be prevented. Your job is to define and implement public health measures/interventions in order to reduce morbidity and mortality associated with depression.

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