| Public health is the study and practice
of addressing threats to the health of a community. The field pays
special attention to the social context of disease and misery,
and focuses on improving health through society-wide measures like
vaccinations or the fluoridation of drinking water.
The
goal of public health is to improve lives through the prevention
or treatment of disease. The United Nations' World
Health Organization
defines health as "a state of complete physical, mental
and social well-being and not merely the absence of disease or
infirmity." In 1920, C.E.A. Winslow defined public health
as "the science and art of preventing disease, prolonging
life and promoting health through the organized efforts and
informed choices of society, organizations, public and private,
communities
and individuals." The public-health approach can be applied to a population of
just a handful of people or to the whole human population. Public
health is typically divided into epidemiology, biostatistics
and health services. Environmental, social, behavioral, and occupational
health are also important subfields.
The focus of a public health intervention is to prevent rather
than treat a disease through surveillance of cases and the
promotion of healthy behaviors. In addition to these activities,
in many
cases treating a disease can be vital to preventing it in others,
such as during an outbreak of an infectious disease. Vaccination
programs and distribution of condoms are examples of public
health measures.
Most countries have their own government public health agencies,
sometimes known as ministries of health, to respond to domestic
health issues. In the United States, the frontline of public
health initiatives are state and local health departments. The
United States Public Health Service (PHS), led by the Surgeon
General of the United States, and the Centers for Disease Control
and Prevention, headquartered in Atlanta and a part of the PHS,
are involved with several international health activities, in
addition to their national duties.
There is a vast discrepancy in access to healthcare and public
health intiatives between developed nations and developing nations.
In the developing world, public health infrastructures are still
forming. There may not be enough trained health workers or monetary
resources to provide even a basic level of medical care and disease
prevention. As a result, a large majority of disease and mortality
in the developing world results from and contributes to extreme
poverty. For example, many African governments spend less than
USD$10 per person per year on healthcare, while, in the United
States, the federal government spent approximately USD$4,500
per capita in 2000.
Many diseases are preventable through simple, non-medical methods.
Public health plays a very important role in prevention efforts
in both the developing world and in developed countries, either
through local health systems or through international non-governmental
organizations.
The two major postgraduate professional degrees related to this
field are the Master of Public Health (MPH) or the (much rarer)
Doctor of Public Health (DrPH). Many public health researchers
hold PhDs in their fields of speciality, while some public health
programs confer the equivalent Doctor of Science degree instead.
The United States medical residency specialty is General Preventive
Medicine and Public Health.
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