This historical study looks at how reformers have used urban planning and architecture to improve the health of urban residents of the United States. It begins in the nineteenth century, when problems in rapidly urbanizing cities threatened to overwhelm cities, and then traces the development and impact of reform movements up through the First World War, including discussions of model tenements, the 'city beautiful' movement, tenement laws, and zoning and building codes. Midcentury design movements, such as new efforts to plan suburbs and Modernism, along with outlines of the impacts of public housing, highway building, and urban renewal, are the focus of the middle chapters of the book. The final third examines the revival of cities and the reconnection of public health with urban planning that occurred as the twentieth century ended.

This user-friendly, comprehensive guide places evaluation in the context of HIV to give all health care professionals the necessary tools for developing and implementing successful HIV interventions. Every aspect of evaluation is discussed, including: the social and political context of evaluation coding and inter-rater reliability procedures barriers to evaluation and solution the dissemination of results the application of theory to HIV interventions. Case studies and examples from both the US and abroad to illustrate practical issues, and numerous tables and figures complement the text.

"AIDS is kind of like life, just speeded up. " JavonP., heroinaddictwithAIDS, Bronx, NewYork, 1988 "Now I'm not so much scared of dying as scared of living. " Mike D., heroin addict with AIDS, New Haven, Connecticut, 1998 Within little more than a decade, AIDS has been tranformed from an untreatable, rapidly fatal illness, into a manageable, chronic disease. Most of this tranformation has occurred in the past five years, accelerated by the advent of protease inhibitors and the proven benefits of combination antiretroviral therapy and prophylaxis against opportunistic infections. For people living with HIV/AIDS, these developments have offered unprecedented hope, and also new challenges. As reflected in the quotes above, some of the anxieties and anticipation of premature dying have been replaced by the uncertainties involved in living with a long-term, unpredictable illness. The role of caregivers for people with HIV/AIDS has also changed radically over this time. Earlier in the epidemic, we learned to accompany patients through illness, to bear witness, to advocate, to address issues of death, dying, and - reavement. The arrival of more effective therapy has brought with it new capabi- ties, but also new complexities, raising difficult problems concerning access to care, adherence, and toxicity.

Global warming and globalization are the buzzwords of our time. They have nearly reached a religious status and those who deny their existence are considered modern heretics. Nevertheless, the earth has become an overcrowded village, traversable within a single day. Thus it is hardly surprising that besides persons and goods also agents of disease are easily transported daily from one end of the world to the other, threatening the health and lives of billions of humans and their animals. Agents of diseases (prions, viruses, bacteria, fungi and parasites) are not only transmitted by body contact or direct exchange of bodily fluids, but also by means of vectors which belong to the groups of licking or blood-sucking arthropods (mites, ticks, insects) that live close to humans and their houses.

Without a doubt the recently accelerating globalization supports the import of agents of disease into countries where they never had been or where they had long since been eradicated, leading to a false sense of living on a safe island. These newly imported or reintroduced diseases called emerging diseases may lead to severe outbreaks in cases where the countries are not prepared to combat them, or in cases where viruses are introduced that cannot be controlled by medications or vaccines.

Arthropods are well known vectors for the spread of diseases. Thus their invasion from foreign countries and their spreading close to human dwellings must be blocked everywhere (in donor and receptor countries) using safe and effective measures.

This book presents reviews on examples of such arthropod-borne emerging diseases that lurk on the fringes of our crowded megacities. The following topics show that there is an ongoing invasion of potential vectors and that control measures must be used now in order to avoid disastrous outbreaks of mass diseases.

Vaccinology and Methods in Vaccine Research is a combination of cutting-edge methodologies, experimental approaches and literature reviews. The book covers all aspects of vaccine development, including basic immunology (focusing on the stimulation of adaptive immunity, which is required for vaccine efficacy), approaches to vaccine design and target validation, vaccine biomanufacturer and clinical development. Existing vaccinology resources are theoretical reference books, whereas this book provides a practical handbook for use in the research lab and classroom by those working in vaccinology and training others in the field. It is authored and edited by scientists actively engaged in vaccine research and development for day-to-day teaching/methodological advice.

This book offers the first comprehensive introduction to Results Mapping, an in novative approach for assessing the worth of hard-to-evaluate social, health, and education programs. Results Mapping represents a true milestone in program evaluation-a milestone both as methodology for program accountability and as a technique for program improvement. It is relevant across a wide spectrum of pub lic health, social service, and systems-building initiatives. It introduces "new sci ence" into the field of program evaluation. It merges common sense with structured logic. It retains the richness of real world success stories without sacri ficing a hard-nosed focus on quantitative data and measurable outcomes. The contents of this book are directly pertinent for program leadership and staff, for sponsors and funders in the public and private sectors, and for those charged with assessing, documenting and analyzing the effects of program activ ity. Success Stories as Hard Data is designed to be readable, practical, and clear. Its author does not ignore previous scholarly work, but chooses to emphasize real world applications. For this Dr. Kibei is to be applauded."

Richard Titmuss was one of the twentieth century's foremost social policy theorists. This accessible Reader is the first compendium of his work on public health, health promotion and health inequalities. Most of Titmuss's work has been out of print for many years. This volume, like its predecessor, Welfare and wellbeing (The Policy Press, 2001), is important in bringing the work of this highly influential thinker to the attention of a new generation of social policy students and policy makers. It also enhances current debates about how complex societies can best provide for the health of all their citizens. The themes with which the book deals are of huge contemporary relevance and include: the differences between private and public health care systems; relationships between health care provision and the values underlying social policy; debates between health care 'experts' and consumers; health and social inequalities; personal and social meanings of health. Commentaries by leading experts in the field draw out these themes and make explicit links between Titmuss's work and key issues of concern in health policy today. Private complaints and public health is essential reading for students of social policy and health, policy makers and planners in the health service, analysts of health care and social policy, and for historians with a particular interest in the origins of the NHS.

This edited collection is the first to apply the theoretical lens of post-Foucauldian governmentality to an analysis of health problems, practices, and policy in Ireland. Drawing on empirical examples related to childhood, obesity, mental health, smoking, ageing and others, the collection explores how specific health issues have been constructed as problematic and in need of intervention in the Irish State, and considers the strategies, discourses and technologies involved in the art of governing health in advanced liberal democracies. Bringing together academics from social policy, sociology, political science and public health, the text seeks to develop a dialogue about both the nature of health and health policy in the Ireland, but also how governmentality, as a theoretical approach, can contribute to the development of critical health policy analysis. -- .

Cognitive science is a multidisciplinary science concerned with understanding and utilizing models of cognition. It has spawned a great dealof research on applications such as expert systems and intelligent tutoring systems, and has interacted closely with psychological research. However, it is generally accepted that it is difficult to apply cognitive-scientific models to medical training and practice. This book is based on a NATO Advanced Research Workshop held in Italy in 1991, the purpose of which was to examine the impact ofmodels of cognition on medical training and practice and to outline future research programmes relating cognition and education, and in particular to consider the potential impact of cognitive science on medical training and practice. A major discovery presented in the book is that the research areas related to artificial intelligence, cognitive psychology, and medical decision making are considerably closer, both conceptually and theoretically, than many of the workshop participants originally thought.

A professor of nursing, expert in multicultural health care and social services, describes the basic attitudes and beliefs of 15 important ethnic and religious groups in America and shows how these traits can affect behavior during illness or during social work interventions. Sensitive to problems of stereotyping, each chapter on an immigrant group provides some information about its homeland and population in the United States and then discusses the culture's modes of communication, its socioeconomic status, chief complaints, traditional family system, religious beliefs, views toward the elderly, child-rearing practices, culturally based health beliefs and practices, dietary patterns, characteristics relating to morbidity and mortality, beliefs about death and dying, physical assessment, and sources for further reading. The introduction points to a few key sources for continuing information about the care of multicultural patients and clients.

Physician assistant students write about some of their first clinical encounters with real patients. But there's a twist--these stories are written from the perspective of the patients!

An elderly farmer, a single teen who is pregnant, a motherless child, a World War II veteran, a newborn baby--these are just a few of the many people who touch and teach physician assistant students early in their clinical experience. Read the stories of sorrow, joy, surprise, patience, uncertainty and hope in the lives of patients and caregivers alike.

OF 'SOLIDARITY' IN UK SOCIAL WELFARE Here then, perhaps, is a British version of solidarity in social welfare, but early there are strong tensions between the powerfully liberal individualistic strands of the British understanding of the functions of the state and the socialistic or communitarian tendency of a commitment to universal welfare provision. In the search for the roots of this understanding of welfare we shall survey, fitst, the historical background to these tensions in some early British political philosophers, starting with Hobbes and ending with Mill. We then consider the philosophical and social influences on the Beveridge Report itself, and we will trace the emergence of the philosophy of the welfare state in the era following the Second World War. Finally we consider the contemporary debate, as it relates to the 'Third Way' thinking of New Labour. 2. A mSTORICAL SKETCH In the previous section we observed that the philosophy underlying the Beveridge Report could be described as 'liberal collectivism'. What are the historical antecedents of this strange amalgam of individualism and collectivism? Within the short scope of this chapter, any account of the philosophical history must be little more than a sketch, but we can perhaps understand most debates in British socio-political thought as a continuing dialogue with the well known claim of Thomas Hobbes in Leviathan that all political institutions are founded on egoistic motives.

Streptococci are Gram-positive bacteria that cause a wide spectrum of diseases, such as pharyngitis, necrotizing fasciitis and streptococcal toxic shock syndrome, as well as rheumatic fever and rheumatic heart disease as sequelae. Antibiotics alone have not been able to control the disease and in spite of many efforts an effective vaccine is not yet available. A prerequisite for novel and successful strategies for combating these bacteria is a complete understanding of the highly complex pathogenic mechanisms involved, which are analyzed in this volume. In ten chapters, prominent authors cover various aspects including streptococcal diseases and global burden, epidemiology, adaptation and transmission, and molecular mechanisms of different diseases, as well as sequelae, vaccine development and clinical management. This book will serve as a valuable reference work for scientists, students, clinicians and public health workers and provide new approaches to meeting the challenge of streptococcal diseases.

Circumcision affects 15.3 million children and young adults annually. In terms of gender, 13.3 million boys and 2 million girls are subjected to the involuntary removal of part or all of their external sexual organs every year. The problem of female circumcision has been addressed on an international level, but male circumcision remains a controversial subject that many academics have been reluctant to examine. Circumcision is tolerated today because it has been practiced for millennia by a small but vocal minority of religious and ethnic groups, however, when the practice is examined through the lens of modern legal, ethical, and human rights advancements, no place remains in civilized society for this body-altering ritual. In Genital Autonomy: Protecting Personal Choice, international experts address various types of genital modifications, the impact of these harmful traditional practices on the child, on human rights, and on the development of the concept of bodily integrity. The papers presented in this volume address these topics from a variety of angles. They question and dissects the true motivations of the doctors, witch doctors, and "holy men" who promote and profit from circumcision.

Over five centuries, a global archipelago of quarantine stations came to connect the world's oceans from the Mediterranean to the South Pacific, from Atlantic coasts to the Red Sea. In the process, great new carceral structures materialised, many surviving into the present as magnificent ruins or as 5 star hotels with a dark tourism edge. This book offers new histories and geographies of quarantine islands and isolation hospitals across the world, bringing their local and global pasts and present into view. An international cast of leading experts examine the enduring historical problems of migration and mobility, segregation, prevention and protection by states with different interests in freedoms, health and commerce. With case studies from as far afield as the Red Sea, Hong Kong and New Zealand, and from the early modern period forward, this book provides an invaluable insight into the history of quarantine.

This book collects the main scientific contributions presented at a NATO Advanced Research Workshop entitled "Ventilation and Indoor Air Quality Requirements in Hospitals" that was held in Milan, Italy, from September 13-16, 1995. The workshop was made possible through the funding support of the NATO Scientific and Environmental Affairs Division and was sponsored and supported in part by the International Centre for Pesticide Safety, the Institute of Occupational Health ofthe University ofMilano, the Politecnico of Milano, and the United States Environmental Protection Agency. The workshop was held in the frame ofthe program ofthe NATO/CCMS Pilot Study on Indoor Air Quality and in conjunction with the international conference Healthy Buildings'95, whichwas attended by more than 500 delegates. The contents ofthe book are arranged in sixmainsections. The first section deals with the major issues related to indoor air quality in hospitals, that are reviewed from the North-American, Scandinavian, Italian and Russian perspective. The second section discusses the ventilation requirements in hospitals, with particular focus on design and maintenanceofthe ventilation systemsand provisionofclean air to critical areas, such as infectious disease wards, surgicaltheatres, etc. The third section is directed to chemical and biological air pollution in hospitals and collects papers from surveys carried out invarious countries. Airborne allergens in hospitals is the subject of section 4. New problems have arisen for the health care personnel from exposure to allergens and they are illustrated with studies performed in North America and England."

Study Guide to Preventive Medical Care in Psychiatry: A Case Approach is an indispensable companion to Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians. Like the primary text, the study guide was written by experts in the field-many with dual training in psychiatry and medicine-and it reflects the text's focus on clinical care for psychiatrists and other mental health care providers who work in outpatient mental health and integrated clinics. It is critical that mental health providers and trainees learn how to prevent and detect common medical conditions in their patients, who typically have higher rates of adverse health risk behaviors and may lack a primary care physician. Through the deft use of clinical cases, the study guide helps providers and trainees acquire the knowledge and skills necessary to view the patient holistically and improve outcomes. The study guide's authors employ effective organizational strategies and pedagogic features to achieve these objectives: * The study guide's structure mirrors that of the primary text, with eight, multi-chapter sections authored by a team of leading experts in the respective areas. Chapter content is embodied in a series of clinical cases, each of which is followed by several multiple-choice questions, allowing readers to test their knowledge of the material. * In the answer guide, the correct answer to each question is presented, along with an explanation and the corresponding page numbers from the primary text where more complete coverage can be found. This cross-referencing allows readers to contextualize the question and answer and provides them with the opportunity to consolidate their learning of important information.* The original cases are well written and compelling, offering readers a level of detail and complexity that is both realistic and illustrative of key concepts in prevention, assessment, and treatment.* In all, the study guide offers 93 cases and 290 multiple-choice questions covering every chapter in the text. In addition, more than 50 tables and figures are included to summarize vital information and illustrate important ideas. Mental health clinicians in practice or training will find Study Guide to Preventive Medical Care in Psychiatry: A Case Approach an essential, evidence-based tool for learning and translating a holistic, integrated model of care into the clinical arena.

It is estimated that there are 60,000 excess Black American deaths annually compared with White Americans. Not only do Black babies die earlier than White babies, but, in recent years, there are reports that while life expectancy for Whites has improved, for Blacks there has been a leveling off, if not a reduction. These are among the issues detailed in this important guide to the major causes of Black illness and death. Divided into 27 chapters, this handbook provides a mosaic of the conditions, issues, and policies related to Black American health. The more than 40 contributing authors, drawn from institutions across the country, are the premier scholars in their respective fields. The scope and multidisciplinary nature of the handbook makes it invaluable for those concerned with contemporary Black society, clinical medicine, epidemiology, health care administration, medical sociology, nursing, nutrition, public health, social work, and public policy.

As medical science progressed through the nineteenth century, the United States was at the forefront of public health initiatives across the Americas. Dreadful sanitary conditions were relieved, lives were saved, and health care developed into a formidable institution throughout Latin America as doctors and bureaucrats from the United States flexed their scientific muscle. This wasn't a purely altruistic enterprise, however, as Jose Amador reveals in "Medicine and Nation Building in the Americas, 1890-1940." Rather, these efforts almost served as a precursor to modern American interventionism. For places like Cuba, Puerto Rico, and Brazil, these initiatives were especially invasive.

Drawing on sources in Cuba, Puerto Rico, Brazil, and the United States, Amador shows that initiatives launched in colonial settings laid the foundation for the rise of public health programs in the hemisphere and transformed debates about the formation of national culture. Writers rethought theories of environmental and racial danger, while Cuban reformers invoked the yellow fever campaign to exclude nonwhite immigrants. Puerto Rican peasants flooded hookworm treatment stations, and Brazilian sanitarians embraced regionalist and imperialist ideologies. Together, these groups illustrated that public health campaigns developed in the shadow of empire propelled new conflicts and conversations about achieving modernity and progress in the tropics.

"This book is a recipient of the annual Norman L. and Roselea J. Goldberg Prize for the best project in the area of medicine."

Non-governmental organizations (NGOs) are increasingly recognised as playing a significant role in the health sector in developing countries. This book examines the background to the growth both in the sector and interest in it, the strengths and weaknesses of NGOs and the arguments for and against their use for different aspects of the health sector. It focuses particularly on the relationship between the State and non-governmental organizations and the issues critical to the development of policies towards the sector.