Deaths from preventable disease have decreased life expectancy in the United States for the first time in a century. This book argues that we must deal with the crisis by embracing prevention as our nation's top health sector priority. In Prevention First, Dr. Anand K. Parekh, chief medical advisor of the Bipartisan Policy Center, argues that disease prevention must be our nation's top health policy priority. Building a personal culture of prevention, he writes, is not enough; elected officials and policymakers must play a greater role in reducing preventable deaths. Drawing on his experiences as a clinician, public servant, and policy advisor, Dr. Parekh provides examples of prevention in action from across the country, giving readers a view into why prevention-first policies are important and how they can be accomplished. Throughout the book, he demonstrates that, in order to optimize health in America, we must leverage health insurance programs to promote disease prevention, expand primary care, attend to the social determinants of health, support making the healthier choice the easy choice for individuals, and increase public health investments. Describing the areas of common ground to be found in public health and prevention, even between the entrenched sides in the healthcare policy debate, Dr. Parekh establishes a foundation on which healthcare policy makers and advocates can build. Providing concrete steps that federal policymakers should take to promote prevention both within and outside our healthcare sector, Prevention First not only sounds the alarm about the terrible consequences of preventable disease but serves as a rallying cry that we can and must do better in this country to reduce preventable deaths.

In 'Columbia: Final Voyage' aerospace writer Philip Chien, who has over 20 years' experience covering the US space program, provides a unique insight into the crew members who lost their lives in the Columbia disaster. Chien interviewed all seven crew members several times and got to know them as individuals. He reviews in detail their training, their scientific work and other activities during their successful 16-day flight, the background of the accident itself and a detailed first-hand account of what happened that fateful day in February 2003. The author provides a comprehensive and personal look at both the Columbia astronauts and the STS-107 mission, together with a behind-the-scenes account of other people involved in the mission and their personal reactions to the accident.

Forward by Jonathan B. Clark, widower of Columbia astronaut Laurel Clark

Introduction by Apollo 11 astronaut Buzz Aldrin

Here is the first comprehensive cross-disciplinary work to examine the current health situation of our immigrants, successfully integrating the vast literature of diverse fields -- epidemiology, health services research, anthropology, law, medicine, social work, health promotion, and bioethics -- to explore the richness and diversity of the immigrant population from a culturally-sensitive perspective. This unequalled resource examines methodological issues, issues in clinical care and research, health and disease in specific immigrant populations, patterns of specific diseases in immigrant groups in the US, and conclusive insight towards the future. Complete with 73 illustrations, this singular book is the blueprint for where we must go in the future.

Medical healing implies knowledge of the assumptions that underlie our understanding of "health," and, concomitantly, how we define well being and its opposites, illness and disease. Today, health, health care (business, wellness, recreation), and medicine (especially research-driven scientific medicine) have become separate entities with different institutions, budgets, marketing philosophies and "corporate cultures." Furthermore, healing is individual and subjective, yet at the same time also culturally determined. The present volume brings together papers on these topics in an unique interdisciplinary approach. The book provides an ethical framework for healthcare from a political perspective. It discusses definitions of the terminology of healing and health and their ethical and medical implications including their historical contexts. A separate section expands the theme of the cultural constructedness of healing by the concepts of traditional Chinese medicine and homeopathy. Modern medicine has a strong focus on acute care, which urgently needs to place greater emphasis on preventive medicine including the crucial importance of social factors on health and on the emergence of "public health." The point of view of Business Concepts, their potential and limitations are by no means neglected and the legal ramifications of genetic research and innovative medical strategies with regard to some of our most foundational notions are discussed.

This book provides a fresh analysis of the demography, health and well-being of a major African city. It brings a range of disciplinary approaches to bear on the pressing topics of urban poverty, urban health inequalities and urban growth. The approach is primarily spatial and includes the integration of environmental information from satellites and other geospatial sources with social science and health survey data. The authors Ghanaians and outsiders, have worked to understand the urban dynamics in this burgeoning West African metropolis, with an emphasis on urban disparities in health and living standards. Few cities in the global South have been examined from so many different perspectives. Our analysis employs a wide range of GIScience methods, including analysis of remotely sensed imagery and spatial statistical analysis, applied to a wide range of data, including census, survey and health clinic data, all of which are supplemented by field work, including systematic social observation, focus groups, and key informant interviews. This book aims to explain and highlight the mix of methods, and the important findings that have been emerging from this research, with the goal of providing guidance and inspiration for others doing similar work in cities of other developing nations.

HEALTH BEHAVIOR AS BASIC RESEARCH Health behavior is not a traditional discipline, but a newly emerging interdisciplinary field. It is still in the process of establishing its identity. Few institutional or organizational structures, i. e., departments and programs, reflect it, and few books and journals are directed at it. The primary objective of this book is thus to identify and establish health behavior as an important area of basic research, worthy of being studied in its own right. As a basic research area, health behavior transcends commitment to a particular behavior, a specific illness or health problem, or a single set of determinants. One way of achieving this objective is to look at health behavior as an outcome of a range of personal and social determinants, rather than as a set of risk factors or as targets for intervention strategies directed at behavioral change. The book is thus organized pri marily in terms of the size of the determinants of concern, rather than in terms of specific health behaviors, or specific health problems or conditions. With the first part of the book establishing working defmitions of health behavior and health behavior research as basic frameworks, the second part moves from smaller to larger systems, informing the reader about basic research that demonstrates how health behavior is determined by personal, family, social, institutional, and cultural factors. These distinctions reflect some arbitrar iness: the family, organizations, and institutions, for example, are social units."

This book is intended as a relatively nontechnica1 introduction to eurrent demographie methods. It has been several years in preparation, beginning from occasional class handouts I wrote to elaborate on essential points of demographie methodology. Its growth from scattered notes to an integrated text was a natural process, if a gradual one. The eontent of the book addresses three objectives. first, I have tried to avoid demographie methods that are now dated. In some ehapters, that has meant eoncentrating on formulas most demographers recognize. In the ehap ters on life tables, it meant testing competing formulas on a variety of real and synthetie data se.ts, and dropping or relegating to footnotes those that were least accurate. Second, I have attempted to give readers a sense of the limits of different formulas and methods. I am a terse writer, however, and for the reader that means most sentences carry weight. Chapters should be read attentively, with careful regard to commentary as weIl as to formulas and examples. Finally, I have tried to make the principal methodologies of the book accessible, by offering explanations for formulas that are not obvious, by keeping examples to the forefront, and by placing relatively specialized topics in ehapter appendices."

Contamination of food with extremely low levels of certain compounds can cause an unpleasant taste. This can result in the destruction of vast stocks of product, and very substantial financial losses to food companies. The concentration of the alien compound in the food can be so low that very sophisticated equipment is needed to identify the components and to determine its source. It is vital that every company involved in the production, distribution and sale of foodstuffs are fully aware of the ways in which contamination can accrue, how it can be avoided, and what steps need to be taken in the event that a problem does arise. This book provides the background information needed to recognize how food can become tainted, to draw up guidelines to prevent this contamination, and to plan the steps that should be taken in the event of an outbreak. The new edition has been extensively revised and updated and includes substantial new material on the formation of off flavors due to microbiological and enzymic action, and on sensory evaluation of taints and off flavors A new chapter on off flavors in alcoholic beverages has been added. Written primarily for industrial food technologists, this volume is also an essential reference source for workers in research and government institutions.

Is a State free to adopt measures to protect the public health of its citizens? If so, what are the limits, if any, to such regulatory powers? This book addresses these questions by focusing on the clash between the regulatory autonomy of the state and international investment governance. As a wide variety of state regulations allegedly aimed at protecting public health may interfere with foreign investments, a tension exists between the public health policies of the host state and investment treaty provisions. Under most investment treaties, States have waived their sovereign immunity, and have agreed to give arbitrators a comprehensive jurisdiction over what are essentially regulatory disputes. Some scholars and practitioners have expressed concern regarding the magnitude of decision-making power allocated to investment treaty tribunals. This book contributes to the current understanding of international investment law and arbitration, addressing the fundamental question of whether public health has and/or should have any relevance in contemporary international investment law and policy. With a focus on the 'clash of cultures' between international investment law and public health, the author critically analyses the emerging case law of investment treaty arbitration and considers the theoretical interplay between public health and investor rights in international investment law. The book also explores the interplay between investment law and public health in practice, focusing on specific sectors such as pharmaceutical patents, tobacco regulation and environmental health. It then goes on to analyze the available means for promoting consideration of public health in international investment law and suggests new methods and approaches to better reconcile public health and investor rights.

This book presents novel design principles and technologies for dynamic isolation based on experimental studies. These approaches have now become the local standard in Beijing and are currently being promoted for use nationwide. Further, the book provides details of measures and guidelines for the design process. Departing from the traditional understanding that isolation wards should be designed with high negative pressure, airtight doors and fresh air, it establishes the basis for designing biological clean rooms, including isolation wards, using a simple and convenient scientific approach. This book is intended for designers, engineers, researchers, hospital management staff and graduate students in heating ventilation air conditioning (HVAC), air cleaning technologies and related areas.

This book unveils and demystifies a revolution occurring in health care in the United States and beyond and how it will reform the health care system. There is something new in health care. Retail clinics, sometimes partnering with prestigious health-care institutions such as the Cleveland Clinic, offer an affordable, accessible solution for delivering primary-care services to underserved populations. The Retail Revolution in Health Care presents an overview of the retail health trend and its implications for consumers, employers, health care providers, health care companies, insurers, and health policy makers. The authors examine the phenomenon of retail health care from an entrepreneurial perspective, discussing the growth of retail care beyond traditional retail establishments and possible performance indicators to assess health outcomes. They report on the differing perspectives of retail care from a variety of experts, including doctors, nurses, patients, and insurers. Finally, they address business realities in the United States and globally as they affect the clinics. Retail clinics will almost certainly play a key role as either an alternative to national health insurance or a component of health reform. This important book explores their part in furthering the availability of health care for all Americans.

This book examines the structural dynamics of HIV among populations at heightened vulnerability to infection as the result of stigma, discrimination and marginalization. It first examines how the socio-structural context shapes HIV risk and how affected populations and national governments and programs have responded to these structural constraints. Chapters focus on structural determinants of HIV risk among transgender women in Guatemala, migrant workers in Mexico, Nigeria and Vietnam, and people who inject drugs in Tanzania. Next, the book examines resilience and community empowerment and mobilization among key populations such as female sex workers in the Dominican Republic and India, and young women and girls in Botswana, Malawi and Mozambique. A third set of chapters explores how national responses to HIV have addressed the role of structural factors in diverse political, geographic and epidemic settings including: Brazil, South Africa, Ukraine and the USA. Ultimately, effective and sustainable responses to HIV among marginalized groups must be grounded in an in-depth understanding of the factors that create vulnerability and risk and impede access to services. Throughout, this book brings together a rigorous social science research perspective with a strong rights-based approach to inform improvements in HIV programs and policies. It offers new insights into how to better address HIV and the health and human rights of historically excluded communities and groups.

High-risk sexual behavior has been linked to social problems such as substance abuse, domestic violence, homelessness, and deprivation. This volume's unique multidisciplinary biopsychosocial approach combines relevant medical information regarding disease states with the cultural, social, and psychological facets of successful prevention programs. Becker and Rankin outline specific interventions that address the needs of particularly vulnerable populations: women, ethnic minorities, and the gay community. Useful chapter summaries which review the pros and cons of different approaches will aid both the student and the practitioner.

Modern psychological and political theory meet head-on in this powerful re-evaluation of America's contradictory and sometimes dangerous addiction to individualism. Best-selling author Gaylin and co-author Jennings investigate the contentious intersections of interdependence and autonomy, rights and public responsibility. They examine the painful abrasion occurring between America's tradition of personal freedom and privacy, as it rubs against the still valuable if almost vanishing ideals of sacrifice and social order.

Our current culture of autonomy -- championed by both liberals on the left and libertarians on the right -- is based on the idea of rationality as the motivation for human conduct. But, as the authors remind us, people are not simply rational creatures -- appeals to emotions are always far more effective than logical argument in changing our behavior.

This timely edition includes a new preface; updated examples and illustrations throughout; and new coverage of contemporary social critics and their work since the publication of the first edition. Two essential new chapters, one on the movement to forgo life-sustaining treatment and the other on physician-assisted suicide, particularly clarify the authors' arguments. Drawing on these and numerous other illustrations -- with significant emphasis on the state of American health care -- Gaylin and Jennings demonstrate that society has not just the right but the "duty" to occasionally invoke fear, shame, and guilt in order to motivate humane behavior.

As cases of AIDS are once again on the upswing, as the dangerously mentally ill are allowed to wander free and untreated, as starvation and poverty still hold too many in its grip in the richest nation on the planet, this controversial book, considerably revised and expanded, is needed more than ever. If we are to indeed preserve and nurture a genuinely free -- and liberal -- society, the authors suggest that these "coercions" may be essential for the health and the maturity of a nation where we all too often avert our eyes, not seeing that our neighbor is in pain or trouble and needs our help.

Susan M. De Vos uses comparative and life course perspectives to provide an in-depth demographic study of the household. Based on data gathered by the World Fertility Survey, this illuminating reference explores household composition in six Latin American countries and compares the situation with that in the United States and western Europe as well as with each other. The study examines the complex household; non-family household living; and the living arrangements of children, young adults, middle-aged people, and elderly people.

This volume presents a state of the art coverage of the measurement and evolution of mortality over time. It describes in great detail the changes in the cause patterns of mortality, the changes in mortality patterns at different ages, and specific analyses of mortality in particular countries. Derived from a meeting of the European Working Group on Health, Morbidity and Mortality held at the Vienna Institute of Demography, September 2011, it presents a cross-section of the work and concerns of mortality researchers across Europe, ranging from London and Madrid in the west to Moscow in the east, with a few additions from further afield. Although most of the papers focus on a particular population, the range of the papers is broad; taken together they present an inter-disciplinary cross-section of this multi-faceted field. Coverage includes estimating life expectancy in small areas, with an application to recent changes in US counties; socioeconomic determinants of mortality in Europe using the latest available data and short-term forecasts; predicting mortality from profiles of biological risk and performance measures of functioning; infant mortality measurement and rate of progress on international commitment using evidence from Argentina; avoidable factors contributing to maternal deaths in Turkey; changes in mortality at older ages: the case of Spain (1975- 2006); variable scales of avoidable mortality within the Russian population; long-term mortality decline in East Asia, and much more. Perspectives in Mortality Research will serve as a valuable resource for professionals and students in sociology, demography, public health and personal finance."

From mRNA vaccines to gene therapies, the next frontier of medical innovation is here. In Building Breakthroughs, Raju Prasad tells the story of important advancements in biotechnology and medical innovation from gene therapies to mRNA vaccines, providing historical context and examining cutting-edge research. Based on in-depth interviews with both the scientists who developed these discoveries and the patients who have benefited from them, Building Breakthroughs reveals the key players behind drug development and the inner workings of this essential business. Through stories of patients and their families, and of the researchers creating new treatments, Prasad reveals how cell therapies are advancing to treat childhood leukemia and a form of lymphoma, how a gene therapy was established to treat the rare disease spinal muscular atrophy type I, and potentially curative therapies that are being developed for sickle cell disease. By examining the clinical trial and regulatory paths each therapy took to reach approval, Prasad uncovers the building blocks of biotechnology innovation and the investments that must be made to catalyze the development of future breakthroughs. He also explores issues of scientific communication and misinformation, providing recommendations for improvements in the future. For those seeking to understand the vitally important processes that lead to new medicines and the surrounding ecosystem that is enabling the next generation of innovative medicines with the potential to transform patient outcomes, Building Breakthroughs is essential reading.

Although women were understudied in the early years of the epidemic, research and practice devoted to understanding and ameliorating the effects of the AIDS epidemic have begun in recent years. Women and AIDS is the first comprehensive exploration of the medical and psychosocial concerns and issues surrounding women living with HIV/AIDS. Contributors address the biomedical aspects of the disease, stress and coping factors, reproductive and childcare issues, access to care, needs of special populations such as drug-using women and adolescents, and policy recommendations. Researchers and students in psychology, public health, medicine, nursing, sociology, women's studies, and social work will appreciate this reference.

This volume is a call to re-examine assumptions about what care is and how it be practised. Rather than another demand for radical reform, it makes the case for thinking clearly and critically. It urges people living with HIV to become full partners in designing and implementing their own care and for caregivers to accept them in this role.

What is the relationship between social science research and public health policy, particularly in the developing world? This question is at the heart of this collection of essays drawn from Rockefeller Foundation-sponsored conferences at Harvard University. The book examines the theoretical impact of social science research as well as specific case studies of successful applied research.

Beginning with a section on broad issues and the conceptualization of behavioral change, the volume then examines the anti-smoking movement in the United States; measures to prevent and control HIV infection in the United Kingdom, Sweden, and the United States; anti-malaria measures; and the application of dietary management and lot quality assurance sampling to public health issues in Peru. The volume concludes with a section re-examining ways social science research can have an impact on improving public health. Scholars and researchers as well as policy makers involved with health research and international development will find this collection particularly valuable.

Quantified Societal Risk and Policy Making is the result of an international workshop on societal risk organized by the Dutch Ministry for Transport, Public Works and Water Management with additional financial support from the Directorate for Transportation (DG VII) of the European Union. Managing risks, whether there is a strong man-made or natural component, basically means assessing alternative options under uncertainty. The possibility of multiple fatalities is one of the factors that can vary between options. This volume is concerned with one particular type of risk - the risk of death of a number of people in one accident - and with one particular tool - probabilistic risk analysis - as they are developing in various domains of society nowadays. Generally, this risk is labelled societal risk. This book shows how such comparisons are shaped at present in various hazard domains, such as: flood protection location and physical planning of industry transportation of chemicals, and prevention of aircraft accidents. It examines how to represent aggregate risks from major hazards in ways that can be handled by policy-makers. The purpose of the book is to increase the awareness of societal risk, disseminate available knowledge of existing approaches, and exchange information on applications from various domains. Quantified Societal Risk and Policy Making should be of interest to all those professionally concerned with defining the optimal separation between hazardous activities and equally desirable developments nearby.

An engaging history of the role that George Washington, Thomas Jefferson, and Benjamin Franklin played in the origins of public health in America Before the advent of modern antibiotics, one's life could be abruptly shattered by contagion and death, and debility from infectious diseases and epidemics was commonplace for early Americans, regardless of social status. Concerns over health affected the founding fathers and their families as it did slaves, merchants, immigrants, and everyone else in North America. As both victims of illness and national leaders, the Founders occupied a unique position regarding the development of public health in America. Revolutionary Medicine refocuses the study of the lives of George and Martha Washington, Benjamin Franklin, Thomas Jefferson, John and Abigail Adams, and James and Dolley Madison away from the usual lens of politics to the unique perspective of sickness, health, and medicine in their era. For the founders, republican ideals fostered a reciprocal connection between individual health and the "health" of the nation. Studying the encounters of these American founders with illness and disease, as well as their viewpoints about good health, not only provides us with a richer and more nuanced insight into their lives, but also opens a window into the practice of medicine in the eighteenth century, which is at once intimate, personal, and first hand. Perhaps most importantly, today's American public health initiatives have their roots in the work of America's founders, for they recognized early on that government had compelling reasons to shoulder some new responsibilities with respect to ensuring the health and well-being of its citizenry. The state of medicine and public healthcare today is still a work in progress, but these founders played a significant role in beginning the conversation that shaped the contours of its development.

The brief, successful Gulf War resulted in few casualties, but there were still recognizable "pockets of trauma." This study examines the Mental Health Services available in the theater of operations, the preparations made to train the soldiers for the stress of combat, and details of how they coped with the experience of combat. It assesses the Gulf War in terms of mental health. Some attention is also given to the phenomenon named "Gulf War Syndrome." The authors conclude that United States Military Forces were not prepared for the mental health requirements of combat.