Public Health

Disease prevention : a critical toolkit by John Frank, Ruth Jepson, Andrew J. Williams

By John Frank, Ruth Jepson, Andrew J. Williams

Presents a collection of appraisal instruments to steer these contemplating a preventive motion to ensure that it's powerful (does extra reliable than harm), effective (is a aggressive use of scarce resources), and equitable in its influence throughout society.

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presents a collection of appraisal instruments to lead these contemplating a preventive motion to ensure that it really is powerful (does extra solid than harm), effective (is a aggressive use of scarce resources), Read more...

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However,5 a few years before the major mapping studies of water supply in London were carried out, but after the cholera epidemic had begun, John Snow became famous for an even more prescient act. Using simple maps of cases’ homes, Snow reasoned that a particular water pump, at Broad Street (now in Soho), was contaminated. He convinced local authorities to take the handle off the pump, thereby preventing its use. Within days, new cases stopped occurring, as one would predict if one knew what we know now: that the incubation period of cholera (the time elapsed between ingesting contaminated food or water and the onset of symptoms) is a few days in most cases.

All well-​trained health professionals know that rare side-​effects of new vaccines, drugs, and even procedures can never be detected, in a statistically reliable way, by the pre-​marketing developmental research, a series of controlled trials that is required in order for legal licensing of the product. Such trials are simply too small, in terms of patient numbers enrolled, and of too short a duration, they are intended to simply assess treatment or prevention benefit, not rare or delayed risks.

However, many studies over decades have established that the actual occurrence rate for this disabling condition is not in general differential by social class. Rather, persons who develop the condition typically experience downward social mobility, often into actual poverty, within a few years of the disease’s onset (usually in the late teens or twenties). In fact, often their families experience a downward slide in socio-​economic status as well, due to the disease’s stigma and the costs of supporting adults disabled by schizophrenia.

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