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.

This book focuses on the risks that climate change poses for the health sector. It discusses the current vulnerabilities to climate-sensitive diseases, the resultant mortality and morbidity in human populations, the projected risks in connection with increasing global warming, and the options for tackling the adverse impacts of climate change. Adapting to climate change so as to effectively address the risks for and adverse impacts on the health sector requires an in-depth understanding of current deficits in health sector preparedness for climate-sensitive illnesses, as well as future plans and programs for increasing adaptive capacity and building resilience. The book situates climate and health adaptation concerns in the broader context of developing countries, providing insights that can be useful for other countries as well, helping them further their health adaptation efforts. In India, poverty and inadequate access to basic water, health and sanitation services combine with climate-related events to adversely impact health outcomes. Three case studies on the occurrence of heat stress, flooding, and extreme cyclonic events in India are presented along with a critical assessment of the level of preparedness and capacity of healthcare facilities to respond to the threats posed by climate change. The book presents the key challenges faced in reducing the risks posed to the health sector by climatic factors, and highlights the most important opportunities for promoting resilience and adaptation to achieve sustainable development. Dr. Dasgupta's excellent book reviews the health risks of climate change, outlines an operational framework for health adaptation, and describes the socioeconomic context for adaptation in India. - Kristie L. EbiProfessor, Departments of Global Health, and Environmental and Occupational Health Sciences, University of Washington, USA This pioneering work contributes to an the understanding of the preparedness in India to manage health risks from such (climate) change on the basis of detailed data analysis, both from large national surveys and contextualized field based surveys.- Kanchan ChopraFormer Director and Professor, Institute of Economic Growth, New Delhi, India

This comprehensive review provides a systematic, unbiased analysis, critique and summary of the available literature and generates novel clinical decision-making algorithms which can aid clinicians and scientists in practice management and research development. Potential mechanisms for the identified drug interactions are deduced from available preclinical and in vitro data which are interpreted in the context of the in vivo findings. Current limitations and gaps in the literature are summarized, and potential future research directions / experimentations are also suggested. In addition to the main objective to review the available clinical pharmacokinetic and pharmacodynamic drug interactions associated with WHO-recommended antimalarial drugs on the market today (i.e. chloroquine, amodiaquine, sulfadoxine, pyrimethamine, mefloquine, artemisinin, artemether, artesunate, dihydroartemisinin, artemotil, lumefantrine, primaquine, atovaquone, proguanil, piperaquine and quinine), this book also provides succinct chapter summaries on the epidemiology of malaria infection, diagnosis and therapeutics, in vivo pharmacology and chemistry, preclinical pharmacology, in vitro pharmacodynamics, in vitro reaction phenotyping, and in vitro drug-drug interaction data associated with the identified antimalarial drugs.

People-centred public health examines how members of the public can be involved in delivering health improvement, primarily as volunteers or lay health workers. With a foreword by Professor Sir Michael Marmot and Dr Mike Grady, this timely book draws on a major study of lay engagement in public health, using case studies and real life examples to provide a comprehensive and accessible overview of policy, practice and research in this area. In an economic and political climate where there is renewed interest in the role of the citizen, the authors challenge old orthodoxies in public health and build a coherent argument for radical change in the way public agencies support lay action. The book is aimed at readers with an academic or professional interest in public health and/or community involvement, including practitioners and managers within public services and the voluntary sector, and post-graduate and undergraduate students studying public health, health promotion, public sector management, social policy and community work.

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.

A detailed guide to the design and evaluation of effective disaster learning programs Disaster Education, Communication and Engagement provides a much-needed evidence-based guide for designing effective disaster learning plans and programs that are tailored to local communities and their particular hazard risks. Drawing on the most recent research from disaster psychology, disaster sociology, and education psychology, as well as evaluations of disaster learning programs, the book contains practical guidance for putting in place a proven design framework. The book outlines the steps to take in order to tailor a disaster education, communication and engagement program and highlights illustrative examples of effective programs and activities from around the world. The author includes information on how to identify potential community learners and presents a methodology for understanding the at-risk community, its hazard risks, disaster risk reduction, and emergency management arrangements. Disaster Education, Communication and Engagement describes both country-wide campaigns and local disaster programs that involve community participation. This important resource: Presents a detailed framework to guide the design and evaluation of tailored disaster learning programs Includes information that links disaster resilience with sustainability and climate change learning Describes the 'disaster cycle' and reviews learning content and methods related to the cycle Explains effective ways to combine disaster education, disaster communications, and disaster-related engagement Contains material on using new technologies such as gamification, virtual reality, and social media Written for emergency managers, students of emergency management, and humanitarian courses, Disaster Education, Communication and Engagement is a hands-on guide filled with ideas and templates for designing and evaluating targeted disaster learning programs.

-Rick Thomas brings his 30 years experience in the field to the text making it very applied and accessible.

-Lots of boxed material.

-"Recommended" purchase for all librarians as reviewed in the June 2004 issue of CHOICE.

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.

There is growing awareness of the crucial relationship between health and development. But while the importance of this relationship may be obvious, scholars are still debating about the nature of it, and different assumptions on this crucial relationship have an impact on the developmental agenda of international organizations and their modus operandi at country level. Is good health a consequence or a pre-requisite of country development? How does the long term impact of different diseases affect economic development?" Health and Developmen"t will address these and other questions, bringing the reader to a closer understanding of the role of international organizations in the health arena.

Cogent, concise, and up-to-date, this comprehensive and multidisciplinary one-volume encyclopedia written by experts from many fields covers all the major aspects of home health care for the elderly in America today. Patients, health care providers, and concerned family members, as well as students, teachers, practitioners, and policymakers in the fields of medicine, nursing, health care, social work, psychology and psychiatry, therapy and rehabilitation, sociology, public policy, and public administration will find this information important to their work in caring for the elderly. The clearly written articles discuss common problems, home care measures, trends, key issues, groups, and agencies. The entries point to sources for further reading. An appendix linking related topics, descriptions of 37 key organizations with addresses, a lengthy bibliography, and a full index make this basic reference easily accessible for broad audiences of readers.

Oxidative Stress: Its Impact on Human Health and Disease Onset examines all factors known to elevate oxidative stress (OS) and the mechanism of OS disease causation. Sections cover the causes and prevention of oxidative stress, the types of chemical exposures and environmental factors that precipitate disease, disease hallmarks and biomarkers, disease clusters, disease co-morbidities, free radical attacks at the cellular level, and the Oxidative Stress Index tool, its premise, and how it can be used to identify the primary causes of specific diseases and predict the likelihood of disease onset. With comprehensive coverage of not only the impact of OS due to chemical exposure but also the consequences of environmental factors, this book is a valuable resource for researchers and scientists in toxicology and environmental science, health practitioners, public health professionals, and others who wish to broaden their knowledge on this topic.

In the early 1980s the transtheoretical model of change was still in its infancy. Seminal publications were just appearing, but the model already seemed to hold such promise that we made it the organizing theme for the Third International Conference on Treatment of Addictive Behaviors (ICTAB-3), which convened in Scotland in 1984. That meeting gave rise to the first edition of this volume (Miller & Heather, 1986), which focused on processes involved in moving people from one stage to the next. With the volume still in print more than a decade later, we were approached by Plenum Press with the idea of preparing this second edition. We were, obvi ously, persuaded that there was merit to the idea. Since 1986 the work of Pro chaska and DiClemente has grown exponentially in popularity and influence. In Britain and the Americas, it is now unusual to find an addiction professional who has not at least heard about the stages of change, and more sophisticated applica tions of the transtheoretical model are spreading through health care systems and well beyond. The model has influenced professional training, health care delivery, and the design of many studies including a number of large clinical trials."

Future Risks and Risk Management provides a broad perspective on risk, including basic philosophical issues concerned with values, psychological issues, such as the perception of risk, the factors that generate risks in current and future technological and social systems, including both technical and organizational factors. No other volume adopts this broad perspective. Future Risks and Risk Management will be useful in a variety of contexts, both for teaching and as a source book for the risk professional needing to be informed of the broader issues in the field.

To have a clear picture of developments in public financial management, a multidimensional perspective of the field is needed, since governments--unlike for-profit organizations-- serve multiple and often conflicting interests. This book provides this dynamic approach by integrating insights from economics, business, and political science. Written by some of the leading scholars in the field, this collection presents eleven chapters that run the gamut of public financial management issues. Topics include: Transaction costs in contractual relationships; Uncertain conditions and probability assessment in the bond market; Rational choice and the institutional framework in public investment decision; E-Government financial management models; Budget balance as the building block of public financial strategy. Together the contributors present a robust framework for understanding and analyzing financial decision making in the public sector.

The motivation and inspiration for this book come directly from expe- ences with clients during the years that I practiced HIV-related law at the Legal Aid Society of San Diego, Inc. The issues discussed in this work reflect issues that arose on a recurring basis with clients participating in HIV research studies, with investigators calling for guidance on the legal implications of particular aspects of their proposed studies, and with research institutions and health care facilities struggling to make sense of legal maneuvers aimed at obtaining the records of their HIV-infected patients. It is impossible to thank each of these persons individually for their provocative questions and their insights. The discussion of ethical and legal issues relating to the design of clinical trials reflects questions raised during discussions with Donald J. Slymen, Ph.D. Don was one of the first researchers, in my realm of experience, to pay close attention to ethical concerns, and I am greatly appreciative of his contribution to both my professional growth and the development of various scenarios discussed in this text. The portions of this text dealing with confidentiality are the result of many hours of thoughtful discussion and analysis with Penn Lerblance, J.D., now deceased and still missed. Penn and I often participated together as presenters of in-service training programs for health prof- sionals. Penn addressed discrimination, and I focused on confidentiality.

If resources for HIV prevention efforts were truly unlimited, then this book would be en tirely unnecessary. In a world with limitless support for HIV prevention activities, one would simply implement all effective (or potentially effective) programs without regard to expense. We would do everything useful to prevent the further spread of the virus that has already claimed hundreds of thousands of lives in the United States and millions of lives worldwide. Unfortunately, funding for HIV prevention programs is limited. Even though the amount of available funding may seem quite large (especially in the United States), it is still fixed and not sufficient to meet all needs for such programs. This was very well illustrated in the summer of 1997 when over 500 community-based organizations applied for a combined total of $18 million of HIV prevention funding from the U.S. Centers for Disease Control and Prevention (CDC). Less than one-fifth ofthese organizations received support via this funding mechanism. Hence, although $18 million may seem like a large amount of money at first blush, it is not enough to meet all of the prevention needs that could be addressed by these community-based organizations."

Sickle cell and thalassaemia are among the world's most common genetic conditions. They are especially common in Africa, Brazil, the Caribbean, the Middle East and Asia. They affect all ethnic groups but they particularly impact on minority ethnic groups in North America, Europe and Australasia. Much research has focused on clinical, laboratory and genetic studies of these conditions. Through a wide-ranging selection of readings based on social scientific research into sickle cell and thalassaemia, this book seeks to redress this imbalance. This is important as, through an examination of the different social, economic and cultural contexts of the lives of people living with sickle cell or thalassaemia, the contributors demonstrate that people are more than the sum of their genes and that their life experiences are rarely derived solely from the clinical severity of their condition but depend on the social context of their lives. Genetics and Global Public Health presents a new concluding chapter which highlights the critical nature of social science research for sickle cell and thalassaemia communities, providing key insights into the social contexts of human behaviour and analysing how societal arrangements could change to assist people living with either condition. It will be of great interest to postgraduate and research students as well as professionals working in the field of public health. This book was originally published as a special issue of the journal Ethnicity and Health.

This book explores in depth the relation between physical activity and cancer control, including primary prevention, coping with treatments, recovery after treatments, long-term survivorship, secondary prevention, and survival. The first part of the book presents the most recent research on the impact of physical activity in preventing a range of cancers. In the second part, the association between physical activity and cancer survivorship is addressed. The effects of physical activity on supportive care endpoints (e.g., quality of life, fatigue, physical functioning) and disease endpoints (e.g., biomarkers, recurrence, survival) are carefully analyzed. In addition, the determinants of physical activity in cancer survivors (e.g., medical, social cognitive, environmental) are discussed, and behavior change strategies for increasing physical activity in cancer survivors (e.g., counseling, print materials) are appraised. The final part of the book is devoted to further special topics, including the relation of physical activity to pediatric cancer survivorship and to palliative cancer care.

Busy clinicians and health practitioners recognize the importance of speedy detection of pathogens to impede the further spread of infection, and to ensure their patients' rapid and complete recovery. This reader-friendly reference is a unique collection of the newest and most effective diagnostic techniques currently in use in clinical and research laboratories. Instructive commentary regarding the application of these often complex methods is provided. This essential text aids readers in selecting the most efficient method, finding the necessary resources, and avoiding the most common pitfalls in implementation.