This thesis presents a comprehensive analysis of the global health impacts of polycyclic aromatic hydrocarbons (PAHs) in ambient air, conducted on the basis of a high-resolution emission inventory, global chemical transport modeling, and probabilistic risk assessment. One of the main strengths of the thesis is the concentration downscaling process, which provides a linkage between emissions and exposure concentrations at a comparatively high resolution. Moreover, by focusing on individual susceptibility, the thesis proposes an instrumental revision of current risk assessment methodology and argues that, if individual susceptibility were not taken into consideration, the overall risk would be underestimated by 55% and the proportion of highly vulnerable populations would be underestimated by more than 90%.

This book provides a critical understanding of contemporary issues within global society and how these relate to six case study examples (UK, USA, China, India, South Africa, Bangladesh, and Japan). The authors draw on their diverse experience to explore four major themes of contemporary relevance: overall aging of societies; governance and institutions; emergency services and public health provisions; and community activism and involvement. The key issues within the book--sociability, social capital, and community development--are examined in the context of an ever increasing aging world. The authors' sense of optimism is linked to growing evidence that community activism is on the rise and can effectively plug the gap between public need and provision of service.

Global Handbook on Noncommunicable Diseases and Health Promotion David V. McQueen, editor A scan of health challenges around the globe readily brings to mind a range of infectious illnesses, from HIV to influenza. Yet chronic non-contagious conditions--heart disease, asthma, diabetes, cancer--are more prevalent, and their rates soaring, across the developed and developing worlds. The Global Handbook on Noncommunicable Diseases and Health Promotion is an important resource for understanding and approaching chronic illnesses and their prevention. This timely text balances theory and strategies to provide an integrative context for health-affecting behaviors regarding tobacco use, food choices, and physical activity. Coverage expands on current medical/clinical public health perspectives, arguing that closer attention to social context is crucial to better use of health resources and more relevant preventive efforts. Possible roles for hospitals, the workplace, government agencies, NGOs, and other institutions are analyzed, as is the potential for addressing larger underlying health factors (e.g., inequities and poverty) at the societal level. Topics covered include: The nature of causality: beyond traditional evidence Learning from the social sciences in chronic disease health promotion Contextual factors in health and illness Understanding and applying a social determinants of health framework for addressing NCDs Public health, NCDs, health promotion and business partnering NCDs and civil society: a history and a roadmap As the authors of the Global Handbook on Noncommunicable Diseases and Health Promotion make abundantly clear, opportunities are as numerous as the issues, and researchers and graduate students in global public health, health promotion, and chronic disease epidemiology will find these chapters positive and realistic.p>

This comprehensive volume analyzes dual markets for regulated substances and services, and aims to provide a framework for their effective regulation. A "dual market" refers to the existence of both a legal and an illegal market for a regulated product or service (for example, prescription drugs). These regulations exist in various countries for a mix of public health, historical, political and cultural reasons. Allowing the legal market to thrive, while trying to eliminate the illegal market, provides a unique challenge for governments and law enforcement. Broken down into nine main sections, the book studies comparative international policies for regulating these "dual markets" from a historical, legal, and cultural perspective. It includes an analysis of the markets for psychoactive substances that are illegal in most countries (such as marijuana, cocaine, opiods and amphetimines), psychoactive substances which are legal in most countries and where consumption is widespread (such as alcohol and tobacco), and services that are generally regulated or illegal (such as sports betting, the sex trade, and gambling). For each of these nine types of markets, contributions focus on the relationship between regulation, the emerging illegal market, and the resulting overall access to these services. This work aims to provide a comprehensive framework from a historical, cultural, and comparative international perspective. It will be of interest to researchers in criminology and criminal justice, particularly with an interest in organized crime, as well as related fields such as sociology, public policy, international relations, and public health.

Offering a coherent, developed critique of neoliberal health policies that have become the common denominator of "health reforms" on a global level, this work questions whether these major "reforms" are driven by the health needs of the wider population or, in fact, by nonhealth considerations such as financial and political concerns of governments and global institutions. It presents the key issues facing health professionals today and explores the barrage of policies that threaten to deny them the right to deliver quality health care. The book's use of a common analytical framework produces a consistent critical analysis of different situations in various countries, making its approach wholly unlike previous studies of the topic of modern healthcare. Providing an alternative to the prevailing orthodoxy that has captured the global health agenda since 1978, it offers hope and support campaigners, students, academics, medics, and administrators.

This is a collection of Ruth Macklin's previously published articles that appeared in scholarly journals or as chapters in books. Dr. Macklin's pioneering work in ethics and global health spans more than two decades. The articles in this volume range from a chapter in a book published in 1989 to a journal article currently in press. The essays fall into two broad categories: policy and practice, and multinational research. Topics in the first category include cultural beliefs and attitudes regarding family planning, long-acting contraception, abortion, and more broadly, policies and practices affecting women's health. Two essays dealing with justice focus on HIV/AIDS: how developing country governments might distribute medications fairly to all who are in need; and what obligations do industrialized countries and world leaders have to provide affordable medications to developing countries. A theme that runs throughout the essays is a defense of the universality of ethical principles, despite cultural differences that exist around the globe. The section on multinational research includes articles on international ethics guidance documents, such as the Declaration of Helsinki; discussion of the obligations of researchers and sponsors when they conduct research in developing countries; what constitutes exploitation when research is conducted in resource-poor countries; and, as in the first section of the book, the application of universal ethical principles to the global research enterprise. The author criticizes the view that double standards in research are acceptable: one standard for rich countries, and a lower standard for developing countries. Several essays deal with sensitive and controversial ethical aspects of research on reproductive health and HIV/AIDS.

Intravenous drug users account for nearly one-third of the current AIDS cases in the United States--second only to gay males--and are responsible for 72 percent of female and 59 percent of pediatric cases of AIDS. Thus the National Institute of Drug Abuse launched a major effort in 1987 to locate hidden users and to see how they function and to evaluate strategies and community-based programs in 50 cities and 60 nearby communities around the country in order to lower risks to IV users and to reduce the dangers that they pose to others in the population. Brown and Beschner present the very latest findings and come to well-tested conclusions about how to change behaviors positively. This handbook is written for use in college, university, and professional libraries and for students, teachers, policymakers, and practitioners in public health service and in public policy at all governmental levels to study carefully. Brown and Beschner open with an introduction showing how injection drug users and their sexual partners are at risk for aids. Part I describes the spread of AIDS in the United States and Puerto Rico. Part II depicts patterns of injection drug and crack use and their effect on sex partners. Part III deals with gender issues. Part IV goes into demographic and background factors. Part V discusses key issues in the use of drug abuse treatment. Part VI analyzes outreach and behavior change strategies. And Part VI looks into how risk can be reduced as a result of outreach and specific intervention strategies. The final chapter comes to some conclusions about the effectiveness of various interventions by the National AIDS Demonstration Research Project. Background readings also add to the importance of this major reference.

Most public health students, academics, and practitioners recognise the association between racial/ethnic minority status and the disproportionate burden of preventable disease in the USA. Much less attention has been directed, however, towards the health disparities that affect gay and bisexual men. These disparities affect the lives of an estimated 5.3-7.4 million American men, and are an important concern for public health. Until very recently, the relative invisibility of this group and a paucity of empirical data have hampered attempts to identify health disparities experienced by gay and bisexual men. This book proposes to review and synthesize evidence of health disparities among gay and bisexual men, identify individual and community factors that contribute to these disparities, and articulate strategies for public health efforts to eliminate disparities. To date, these disparities have largely been discussed in isolation in the research literature in a manner that does not permit a comprehensive examination of these problems, their underlying causes, and potential solutions. Thus, a primary emphasis of the book will be to document health disparities among gay and bisexual men while also describing public health solutions to these challenges.

This book examines wayfinding from a broad public health perspective and articulates what needs to be done to create better wayfinding for all people regardless of age, ability, or mode of transportation. Addressing both science and the human experience, the book brings together a group of international experts to examine community wayfinding from a variety of viewpoints. It first presents a critical foundation for understanding wayfinding from an individual perspective. Next, it describes relevant design principles and practices by drawing upon architecture, environmental graphic design, universal design (UD), and urban planning. The book then goes on to examine wayfinding tools and innovative technologies ranging from maps to apps to complex systems. In addition, coverage includes case studies, lessons from wayfinding improvement initiatives, and recommendations for future research, practice, and policy. Overall, the book focuses on the economic and commercial benefits of good wayfinding, its potential impact on the health of individuals and communities, as well as strategies for the journey ahead. It will appeal to numerous professionals across many disciplines from architecture and cartography to public health and urban planning. Additionally, the book can help advance a dialogue among those interested in enhancing the livability of their communities.

This book explains how animals shape our lives and our health, providing evidence that a "One Health" approach is the only logical methodology for advancing human health in the future. Modern research shows us that disease and health of animals and people are intrinsically connected. The condition of the environment we share with animals is now understood to be a primary factor in establishing the health of both humans and animals. This concept is the basis of the One Health movement, which strives to expand interdisciplinary collaborations and communications in all aspects of health care for humans and animals worldwide. Animals, Diseases, and Human Health: Shaping Our Lives Now and in the Future is written by leading experts in their fields and is centered around topics that are most relevant to the overlap and connection of animal and human health. Topics covered include human health concerns derived from animals such as allergies and dog bites, global concerns of emerging diseases and pandemics, wildlife smuggling, animal abuse, and common diseases that can stem from popular household pets. Social issues-such as the connection between animal abuse and human violence-are also examined. Contains illustrations and photographs to accompany the text Includes a bibliography with most chapters Features a sidebar in each chapter that presents interesting facts not found elsewhere in the chapter Serves as a ready reference for pet owners as well as a text for high school and college students focused on animal science and health, public health, veterinary medicine, biology, microbiology, and virology

While it is well established that the worldwide pandemic of overweight and obesity has profound effects on promoting cancer, it is now recognized that an alternative aspect of energy balance, namely physical activity and exercise have significant beneficial effects on all aspects of cancer across the spectrum from prevention through treatment and extending through survivorship. Moreover, salutary effects of physical activity and exercise extend across the age span from youth to old age and occur at all stages of cancer extending into palliative care. While the effect of physical activity and exercise on cancer may be partially mediated through obesity control, it is clear that considerable research is required and is ongoing at both the molecular and clinical levels to better understand the associated mechanisms and to develop optimal exercise strategies. This volume will contain chapters on the effect of exercise on biological pathways in tumor growth, state art exercise strategies and cutting edge research focused on different cancers and patient groups. It will provide an important volume in this series on energy balance and cancer and a basis for ongoing research, experimental approaches and application of evidence based practices to clinical care for patients with cancer. "

With the development of advanced screening procedures and techniques, certain limitations of the existing screening processes for disease methodologies and paradigms have been noted. More accurate and less invasive screening methods are needed to diagnose and treat health disorders and diseases before symptoms appear. Pre-Screening Systems for Early Disease Prediction, Detection, and Prevention is a pivotal reference source that utilizes advanced ICT techniques to solve problems in health data collection, analysis, and interpretation, as well as improve existing health systems for the advanced screening of diseases. Using non-invasive biomedical sensor devices and internet of things technology, this book examines safer methods to accelerate disease detection and effectively treat patients while challenging previously used pre-screening processes. While highlighting topics such as the applications of machine learning, patient safety, diagnostics models, and condition management, this publication is ideally designed for healthcare specialists, researchers in health informatics, industry practitioners, and academics.

This authoritative guide is quite unique in how it covers sources dealing with injury prevention for the elderly in a comprehensive manner. This survey of 621 references covers injury prevention in general and all types of accidents and problems by topic--from alcohol use and problems, burns and scalds, elder abuse, hypothermia and hyperthermia, malnutrition, medication effects, motor accidents, and suicide.

A short introduction in each chapter gives an overview of what is available on each topic. This guide is designed for researchers and teachers in all levels of gerontology, social work, and health care, as well as for those who care for elders in long-term facilities and in the community. The arrangement of materials by topic and full author and subject indexes make this research tool easy to use in many different ways.

This text presents difficult management issues surrounding women with epilepsy in a unique format. The Editors provide several controversial cases in adolescence, pre-conception, pregnancy and menopause with invited experts offering their differing opinions. The Editors compare the clinical approaches and build a consensus based on the best available evidence. Professionals charged with managing this challenging patient group will be given insights on providing the best possible care based on current available data and expert opinion.

This issue covers important topics to any primary care physician such as: Immunology for the primary care physician, Routine pediatric immunization, special cases in pediatrics, Routine adult immunization, special cases in adult vaccination, Foreign born individuals, Travel medicine, Immunoglobulins, Pandemic illness/flu, Future vaccine development, clinical trials, immunization and cancer prevention/treatment, Ethics of vaccination refusal, Vaccine administration: Rules and regulations, and Keeping current with vaccine recommendations

This is a multi-authored book concerning the perceived threat and recorded increase of emerging pests and vector-borne diseases affecting man and animals in Europe. Historically, Europe suffered from numerous pests and vector-borne diseases, including yellow fever, malaria, plague and typhus. Introduction of hygienic measures, drugs and vector control caused the disappearance of many of these diseases from Europe. In the (sub)tropics, however, many of these diseases still thrive, causing serious health problems for humans and animals.Increased trade, leading to animal and human movement and climate change cause reason to assume that several of these diseases might become reestablished or allow 'new' diseases and pests to be introduced in Europe. The recent outbreaks of bluetongue virus in North-western Europe highlights this concern, requiring an effective surveillance systems for the early detection of pests and vector-borne diseases. In 24 chapters this book provides examples of the most likely pests and diseases affecting man and animals in Europe, with emphasis on ecological factors favouring these diseases and methods for prevention and intervention.The authors are recognized experts in specific fields. All chapters are peer reviewed.

The purpose of this book is to provide public health, disability, and rehabilitation professionals and practitioners evidence-based science with respect to health disparities faced by people with disabilities, especially people with mobility limitations; alternative methods of rehabilitation and exercise science for this population; assistive device technology; and, improved access to health care, employment, and social participation. According to the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), approximately 57 million Americans live with a disability. Disability severity and types vary considerably, such that each individual with a disability faces unique physical, social, and environmental barriers in order to enjoy quality of life and full participation in society. A large research literature shows that people with disabilities face substantial employment and health disparities compared to people without disabilities. People with mobility limitations often experience secondary conditions to compound their primary disability. Hollar (2013) and Hollar and Lewis (2015) showed that people with mobility limitations were significantly more likely to experience obesity and lack of access to physical exercise. Other studies have shown that access to proper physical examination facilities and equipment remain a substantial barrier in many clinics and hospitals despite the enactment of the Americans with Disabilities Act 25 years ago. Research on alternative exercise programs and new assistive device technologies offers promise to improve physical functioning and exercise for people with mobility limitations. Furthermore, increased focus on biopsychosocial over traditional medical models for disability will help policymakers and the public to recognize the complex, contextual issues (e.g., personal, social, environmental) that affect the lives of people with disabilities. Readership includes public health practitioners and educators, disability and rehabilitation researchers, clinicians and sports medicine practitioners, and disability advocates. There have been general handbooks on disability, but advances in technology and alternative exercise programs, as well as novel disability health programs, are dispersed in the research literature. This book will help to highlight these programs for health policy experts, especially given the high health and social disparities experienced by this population.

This book examines genealogies of contagion in between contagion as microbe and contagion as affect. It analyzes how and why hygiene became authoritative and succeeded in becoming a part of the broader social and cultural vocabulary within the colonialist, anti-colonial, as well as modernist discourses.