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108-406: It is responsible for guaranteeing the public health , the safety of the food chain and a safe environment . The FPS Health is currently organised into three Directorates-General and an Administration: The former Directorate-General for Medicinal Products has become the autonomous Federal Agency for Medicines and Health Products in 2007. The Directorate-General for Health Care is the result of

216-399: A 'typology of nationalizing, developmental, and neoliberal migration management regimes' across developing countries. Following independence and decolonization in the 20th century, most developing countries had dire need of new infrastructure , industry and economic stimulation. Many relied on foreign investment. This funding focused on improving infrastructure and industry, but led to

324-460: A basic level of medical care and disease prevention. A major public health concern in developing countries is poor maternal and child health , exacerbated by malnutrition and poverty coupled with governments' reluctance in implementing public health policies. Developed nations are at greater risk of certain public health crises, including childhood obesity, although overweight populations in low- and middle-income countries are catching up. From

432-620: A basic level of medical care and disease prevention. As a result, a large majority of disease and mortality in developing countries results from and contributes to extreme poverty . For example, many African governments spend less than $ 100 USD per person per year on health care, while, in the United States, the federal government spent approximately $ 10,600 USD per capita in 2019. However, expenditures on health care should not be confused with spending on public health. Public health measures may not generally be considered "health care" in

540-498: A clear definition, sustainability expert Mathis Wackernagel and founder of Global Footprint Network , emphasizes that the binary labeling of countries is "neither descriptive nor explanatory". Wackernagel identifies these binary terms of "developing" vs. "developed" countries, or "North" vs. "South", as "a thoughtless and destructive endorsement of GDP fetish." Wackernagel and Rosling both argue that in reality, there are not two types of countries, but over 200 countries, all faced with

648-410: A component of preventive medicine and public health. It is implemented as part of primary care rather than a specialty in its own right. Valles argues that the term social medicine has a narrower and more biomedical focus than the term population health. The purpose of a public health intervention is to prevent and mitigate diseases, injuries , and other health conditions. The overall goal

756-441: A country's overall health care system. Many interventions of public health interest are delivered outside of health facilities , such as food safety surveillance, distribution of condoms and needle-exchange programs for the prevention of transmissible diseases. Public health requires Geographic Information Systems (GIS) because risk, vulnerability and exposure involve geographic aspects. A dilemma in public health ethics

864-668: A form of "health fascism" by a number of scholars, objectifying the individual with no considerations of emotional or social factors. When public health initiatives began to emerge in England in modern times (18th century onwards) there were three core strands of public health which were all related to statecraft: Supply of clean water and sanitation (for example London sewerage system ); control of infectious diseases (including vaccination and quarantine ); an evolving infrastructure of various sciences, e.g. statistics, microbiology, epidemiology, sciences of engineering. Great Britain

972-499: A handful of people or as large as a village or an entire city. The concept of health takes into account physical, psychological , and social well-being . As such, according to the World Health Organization , "health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity". Public health is related to global health which is the health of populations in

1080-462: A high climate vulnerability or low climate resilience . Developing countries often have lower median ages than developed countries. Population aging is a global phenomenon, but population age has risen more slowly in developing countries. Development aid or development cooperation is financial aid given by foreign governments and other agencies to support developing countries' economic, environmental, social, and political development . If

1188-524: A large informal economy , high crime rates ( extortion , robbery , burglary , murder , homicide , arms trafficking , sex trafficking , drug trafficking , kidnapping , rape ), low education levels, economic inequality , school desertion , inadequate access to family planning services, teenage pregnancy , many informal settlements and slums , corruption at all government levels, and political instability. Unlike developed countries, developing countries lack rule of law . Access to healthcare

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1296-486: A medium to low standard of living . There is an association between low income and high population growth. The development of a country is measured with statistical indices such as income per capita (per person), gross domestic product per capita, life expectancy , the rate of literacy, freedom index and others. The UN has developed the Human Development Index (HDI), a compound indicator of some of

1404-943: A method of grouping countries based on their defining characteristics with regard to socioeconomics and politics . According to UN Trade and Development (UNCTAD), the Global South broadly comprises Africa, Latin America and the Caribbean , Asia (excluding Israel , Japan , and South Korea ), and Oceania (excluding Australia and New Zealand ). Most of the Global South's countries are commonly identified as lacking in their standard of living , which includes having lower incomes , high levels of poverty , high population growth rates , inadequate housing, limited educational opportunities, and deficient health systems , among other issues. Additionally, these countries' cities are characterized by their poor infrastructure . Opposite to

1512-463: A million avoidable child deaths each year. Intermittent preventive therapy aimed at treating and preventing malaria episodes among pregnant women and young children is one public health measure in endemic countries. Since the 1980s, the growing field of population health has broadened the focus of public health from individual behaviors and risk factors to population-level issues such as inequality , poverty, and education. Modern public health

1620-691: A non-partner (not including sexual harassment ) at some point in their lives. Evidence shows women who have had experienced physical or sexual intimate partner violence report higher rates of depression, having an abortion and acquiring HIV , compared to women who have not had experienced any physical or sexual violence. Data from the Middle East and North Africa shows that men who witnessed their fathers against their mothers, and men who experienced some form of violence as children, more likely have reported perpetrating intimate partner violence in their adult relationships. The status of healthcare that

1728-564: A preferential treatment at the WTO , countries such as Brunei , Hong Kong , Kuwait , Macao , Qatar , Singapore , and the United Arab Emirates have been cited and criticized for this self-declared status. Development can be measured by economic or human factors. Developing countries are, in general, countries that have not achieved a significant degree of industrialization relative to their populations, and have, in most cases,

1836-407: A review of research on what local authorities can do to tackle obesity. The review covers interventions in the food environment (what people buy and eat), the built and natural environments , schools, and the community, as well as those focussing on active travel , leisure services and public sports, weight management programmes , and system-wide approaches . Health inequalities, driven by

1944-509: A series of publications on this topic in the late 1980s and early 1990s criticizing the UK's the Health of The Nation campaign. These publications exposed abuse of epidemiology and statistics by the public health movement to support lifestyle interventions and screening programs. A combination of inculcating a fear of ill-health and a strong notion of individual responsibility has been criticized as

2052-496: A significant increase after World War II as concerns over the spread of disease as a result of globalization increased and the HIV/AIDS epidemic in sub-Saharan Africa surfaced. From 1990 to 2010, total health aid from developed countries increased from 5.5 billion to 26.87 billion with wealthy countries continuously donating billions of dollars every year with the goal of improving population health. Some efforts, however, receive

2160-475: A significantly larger proportion of funds such as HIV which received an increase in funds of over $ 6 billion between 2000 and 2010 which was more than twice the increase seen in any other sector during those years. Health aid has seen an expansion through multiple channels including private philanthropy, non-governmental organizations , private foundations such as the Rockefeller Foundation or

2268-818: A system of systemic exploitation. They exported raw materials, such as rubber , for a bargain. Companies based in the Western world have often used the cheaper labor in developing countries for production. The West benefited significantly from this system, but left developing countries undeveloped. This arrangement is sometimes called neocolonialism , meaning a system in which less-developed countries are taken advantage of by developed countries. It does not necessarily mean that former colonies are still controlled by their former colonizer; it refers to colonial-like exploitation. Developing countries are often helping further develop rich countries, rather than being developed themselves. Several institutions have been established with

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2376-427: Is "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". Analyzing the determinants of health of a population and the threats it faces is the basis for public health. The public can be as small as a handful of people or as large as a village or an entire city; in

2484-531: Is a fundamental part of population health. Scholars such as Coggon and Pielke express concerns about bringing general issues of wealth distribution into population health. Pielke worries about "stealth issue advocacy" in population health. Jung, Boris and Lushniak consider population health to be a concept that is the goal of an activity called public health practiced through the specialty preventive medicine. Lifestyle medicine uses individual lifestyle modification to prevent or revert disease and can be considered

2592-625: Is another form of violence against women which is still occurring in many developing countries. It is found mostly in Africa, and to a lesser extent in the Middle East and some other parts of Asia. Developing countries with the highest rate of women who have been cut are Somalia (with 98% of women affected), Guinea (96%), Djibouti (93%), Egypt (91%), Eritrea (89%), Mali (89%), Sierra Leone (88%), Sudan (88%), Gambia (76%), Burkina Faso (76%), and Ethiopia (74%). Due to globalization and immigration, FGM

2700-436: Is criticism for using the term "developing country". The term could imply inferiority of this kind of country compared with a developed country . It could assume a desire to develop along the traditional Western model of economic development which a few countries, such as Cuba and Bhutan , choose not to follow. Alternative measurements such as gross national happiness have been suggested as important indicators. One of

2808-409: Is dealing with the conflict between individual rights and maximizing right to health . Public health is justified by consequentialist utilitarian ideas, but is constrained and critiqued by liberal , deontological , principlist and libertarian philosophies Stephen Holland argues that it can be easy to find a particular framework to justify any viewpoint on public health issues, but that

2916-452: Is defined by sociologist Patrick Heller as: "closing [the] gap between formal legal rights in the civil and political arena, and the actual capability to meaningfully practice those rights". Beyond citizenship, the study of the politics of cross-border mobility in developing countries has also shed valuable light in migration debates, seen as a corrective to the traditional focus on developed countries. Some political scientists identify

3024-451: Is due to the activation of an evolved reward system for substances such as drugs, tobacco, alcohol , refined salt , fat , and carbohydrates . New technologies such as modern transportation also cause reduced physical activity . Research has found that behavior is more effectively changed by taking evolutionary motivations into consideration instead of only presenting information about health effects. The marketing industry has long known

3132-465: Is limited. Public health programs providing vaccinations have made major progress in promoting health, including substantially reducing the occurrence of cholera and polio and eradicating smallpox , diseases that have plagued humanity for thousands of years. The World Health Organization (WHO) identifies core functions of public health programs including: In particular, public health surveillance programs can: The "Truth" campaign, launched by

3240-605: Is not universally agreed upon. There is also no clear agreement on which countries fit this category. The terms low and middle-income country ( LMIC ) and newly emerging economy ( NEE ) are often used interchangeably but refers only to the economy of the countries. The World Bank classifies the world's economies into four groups, based on gross national income per capita: high, upper-middle, lower-middle, and low income countries. Least developed countries , landlocked developing countries and small island developing states are all sub-groupings of developing countries. Countries on

3348-434: Is often concerned with addressing determinants of health across a population. There is a recognition that health is affected by many factors including class, race, income, educational status, region of residence, and social relationships ; these are known as " social determinants of health ". The upstream drivers such as environment, education, employment, income, food security, housing, social inclusion and many others effect

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3456-474: Is often low. People in developing countries usually have lower life expectancies than people in developed countries, reflecting both lower income levels and poorer public health. The burden of infectious diseases, maternal mortality , child mortality and infant mortality are typically substantially higher in those countries. The effects of climate change are expected to impact developing countries more than high-income countries, as most of them have

3564-848: Is often used interchangeably with "developing country" but refers only to the economy of the countries. Least developed countries , landlocked developing countries and small island developing states are all sub-groupings of developing countries. Countries on the other end of the spectrum are usually referred to as high-income countries or developed countries . The term " Global South " began to be used more widely since about 2004. It can also include poorer "southern" regions of wealthy "northern" countries. The Global South refers to these countries' "interconnected histories of colonialism , neo-imperialism , and differential economic and social change through which large inequalities in living standards, life expectancy, and access to resources are maintained". Global North and Global South are terms that denote

3672-584: Is one of Europe's most labor-intensive industries. In late 2020, it accounted for more than 21 million employment in the European Union when combined with social work. According to the WHO , several countries began the COVID-19 pandemic with insufficient health and care professionals, inappropriate skill mixtures, and unequal geographical distributions. These issues were worsened by the pandemic, reiterating

3780-408: Is one with GNI per capita between 1,046 and 4,095 in current US$ ; an upper middle-income country is one with GNI per capita between 4,096 and 12,695 in current US$ , and a high income country is one with GNI per capita of more than 12,696 in current US$ . Historical thresholds are documented. The use of the term "market" instead of "country" usually indicates a specific focus on the characteristics of

3888-530: Is part of a country's overall healthcare system. Public health is implemented through the surveillance of cases and health indicators , and through the promotion of healthy behaviors . Common public health initiatives include promotion of hand-washing and breastfeeding , delivery of vaccinations , promoting ventilation and improved air quality both indoors and outdoors , suicide prevention , smoking cessation , obesity education , increasing healthcare accessibility and distribution of condoms to control

3996-487: Is poor maternal and child health, exacerbated by malnutrition and poverty. The WHO reports that a lack of exclusive breastfeeding during the first six months of life contributes to over a million avoidable child deaths each year. Public health surveillance has led to the identification and prioritization of many public health issues facing the world today, including HIV/AIDS , diabetes , waterborne diseases , zoonotic diseases , and antibiotic resistance leading to

4104-522: Is related to public health. The American Board of Preventive Medicine separates three categories of preventive medicine: aerospace health, occupational health , and public health and general preventative medicine. Jung, Boris and Lushniak argue that preventive medicine should be considered the medical specialty for public health but note that the American College of Preventive Medicine and American Board of Preventive Medicine do not prominently use

4212-542: Is spreading beyond the borders of Africa, Asia and the Middle East, and to countries such as Australia, Belgium, Canada, France, New Zealand, the U.S., and UK. The Istanbul Convention prohibits female genital mutilation (Article 38). As of 2016, FGM has been legally banned in many African countries. According to UN Women facts and figures on ending violence against women , it is estimated that 35 percent of women worldwide have experienced either physical and sexual violence by intimate partners or sexual violence by

4320-406: Is the cause for more than 200 million children under five years of age in developing countries not reaching their developmental potential. About 165 million children were estimated to have stunted growth from malnutrition in 2013. In some developing countries, overnutrition in the form of obesity is beginning to present within the same communities as undernutrition. The following list shows

4428-540: Is the control of tobacco smoking . Many nations have implemented major initiatives to cut smoking, such as increased taxation and bans on smoking in some or all public places. Supporters argue by presenting evidence that smoking is one of the major killers, and that therefore governments have a duty to reduce the death rate, both through limiting passive (second-hand) smoking and by providing fewer opportunities for people to smoke. Opponents say that this undermines individual freedom and personal responsibility, and worry that

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4536-432: Is the sectoral changes that have occurred since the stage of development of the country. On an average, countries with a 50% contribution from the secondary sector ( manufacturing ) have grown substantially. Similarly, countries with a tertiary sector stronghold also see a greater rate of economic development . The term "developing countries" has many research theories associated with it (in chronological order): There

4644-1515: Is to improve the health of individuals and populations, and to increase life expectancy . Public health is a complex term, composed of many elements and different practices. It is a multi-faceted, interdisciplinary field. For example, epidemiology , biostatistics , social sciences and management of health services are all relevant. Other important sub-fields include environmental health , community health , behavioral health , health economics , public policy , mental health , health education , health politics , occupational safety , disability , gender issues in health, and sexual and reproductive health . Modern public health practice requires multidisciplinary teams of public health workers and professionals. Teams might include epidemiologists , biostatisticians , physician assistants , public health nurses , midwives , medical microbiologists , pharmacists , economists , sociologists , geneticists , data managers , environmental health officers ( public health inspectors ), bioethicists , gender experts, sexual and reproductive health specialists, physicians , and veterinarians . The elements and priorities of public health have evolved over time, and are continuing to evolve. Common public health initiatives include promotion of hand-washing and breastfeeding , delivery of vaccinations , suicide prevention , smoking cessation , obesity education , increasing healthcare accessibility and distribution of condoms to control

4752-853: Is used by some as an alternative term to developing countries. Developing countries tend to have some characteristics in common often due to their histories or geographies. For example, they commonly have: lower levels of access to safe drinking water , sanitation and hygiene , energy poverty , higher levels of pollution (e.g. air pollution , littering , water pollution , open defecation ), higher proportions of people with tropical and infectious diseases ( neglected tropical diseases ), more road traffic accidents , and generally poorer quality infrastructure . In addition, there are also often high unemployment rates, widespread poverty , widespread hunger , extreme poverty , child labour , malnutrition , homelessness , substance abuse , prostitution , overpopulation , civil disorder , human capital flight ,

4860-514: The Bill & Melinda Gates Foundation , bilateral donors, and multilateral donors such as the World Bank or UNICEF . The result has been a sharp rise in uncoordinated and fragmented funding of an ever-increasing number of initiatives and projects. To promote better strategic cooperation and coordination between partners, particularly among bilateral development agencies and funding organizations,

4968-530: The Institute for Health Metrics and Evaluation and the World Health Organization has shown a link between international health aid in developing countries and a reduction in adult mortality rates. However, a 2014–2016 study suggests that a potential confounding variable for this outcome is the possibility that aid was directed at countries once they were already on track for improvement. That same study, however, also suggests that 1 billion dollars in health aid

5076-571: The Sustainable Development Goals which were set up by the United Nations for the year 2030 are achieved, they would overcome many of these problems. There are several terms used to classify countries into rough levels of development. Classification of any given country differs across sources, and sometimes, these classifications or the specific terminology used is considered disparaging. The World Bank classifies

5184-710: The Swedish International Development Cooperation Agency (Sida) spearheaded the establishment of ESSENCE, an initiative to facilitate dialogue between donors/funders, allowing them to identify synergies. ESSENCE brings together a wide range of funding agencies to coordinate funding efforts. In 2009 health aid from the OECD amounted to $ 12.47 billion which amounted to 11.4% of its total bilateral aid. In 2009, Multilateral donors were found to spend 15.3% of their total aid on bettering public healthcare. Debates exist questioning

5292-576: The United Nations hosting its first General Assembly Special Summit on the issue of non-communicable diseases in September 2011. There is a significant disparity in access to health care and public health initiatives between developed countries and developing countries , as well as within developing countries. In developing countries, public health infrastructures are still forming. There may not be enough trained health workers , monetary resources or, in some cases, sufficient knowledge to provide even

5400-599: The American Legacy Foundation in 2000. This campaign aimed to educate and discourage young people from smoking by exposing the tobacco industry's deceptive practices. Through a combination of powerful visuals, persuasive storytelling, and relatable messaging, the "Truth" campaign successfully reduced smoking rates among teenagers and young adults. Many health problems are due to maladaptive personal behaviors. From an evolutionary psychology perspective, over consumption of novel substances that are harmful

5508-693: The Global South is the Global North, which the UNCTAD describes as broadly comprising Northern America and Europe, Israel, Japan, South Korea, Australia, and New Zealand. As such, the two terms do not refer to the Northern Hemisphere or the Southern Hemisphere , as many of the Global South's countries are geographically located in the former and, similarly, a number of the Global North's countries are geographically located in

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5616-566: The UN institutions); the former Soviet Union (USSR) countries in Central Asia ( Kazakhstan , Uzbekistan , Kyrgyzstan , Tajikistan and Turkmenistan ); and Mongolia . By 2009, the IMF's World Economic Outlook classified countries as advanced, emerging, or developing, depending on "(1) per capita income level, (2) export diversification—so oil exporters that have high per capita GDP would not make

5724-680: The above statistics, to gauge the level of human development for countries where data is available. The UN had set Millennium Development Goals from a blueprint developed by all of the world's countries and leading development institutions, in order to evaluate growth. These goals ended in 2015, to be superseded by the Sustainable Development Goals . The concept of the developing nation is found, under one term or another, in numerous theoretical systems having diverse orientations – for example, theories of decolonization , liberation theology , Marxism , anti-imperialism , modernization , social change and political economy . Another important indicator

5832-504: The advanced classification because around 70% of its exports are oil, and (3) degree of integration into the global financial system". Developing countries can also be categorized by geography: In general, the WTO accepts any country's claim of itself being "developing." Certain countries that have become "developed" in the last 20 years by almost all economic metrics, still insist to be classified as "developing country," as it entitles them to

5940-452: The age of five were overweight in 2014. Once considered a problem in high-income countries, it is now on the rise in low-income countries, especially in urban settings. Many public health programs are increasingly dedicating attention and resources to the issue of obesity, with objectives to address the underlying causes including healthy diet and physical exercise . The National Institute for Health and Care Research (NIHR) has published

6048-405: The authors opined that "The fact that type 2 diabetes, a largely preventable disorder, has reached epidemic proportion is a public health humiliation." The risk of type 2 diabetes is closely linked with the growing problem of obesity . The WHO's latest estimates as of June 2016 highlighted that globally approximately 1.9 billion adults were overweight in 2014, and 41 million children under

6156-422: The beginnings of human civilization , communities promoted health and fought disease at the population level. In complex , pre-industrialized societies , interventions designed to reduce health risks could be the initiative of different stakeholders, such as army generals, the clergy or rulers. Great Britain became a leader in the development of public health initiatives, beginning in the 19th century, due to

6264-431: The burden of disease and inequality faced by developing countries and lead to a healthier future. The links between the various sustainable development goals and public health are numerous and well established. Developing country A developing country is a sovereign state with a less developed industrial base and a lower Human Development Index (HDI) relative to other countries. However, this definition

6372-740: The case of a pandemic it may encompass several continents. The concept of health takes into account physical, psychological , and social well-being , among other factors. Public health is an interdisciplinary field. For example, epidemiology , biostatistics , social sciences and management of health services are all relevant. Other important sub-fields include environmental health , community health , behavioral health , health economics , public policy , mental health , health education , health politics , occupational safety , disability , oral health , gender issues in health, and sexual and reproductive health . Public health, together with primary care , secondary care, and tertiary care ,

6480-458: The correct approach is to find a framework that best describes a situation and see what it implies about public health policy. The definition of health is vague and there are many conceptualizations. Public health practitioners definition of health can different markedly from members of the public or clinicians . This can mean that members of the public view the values behind public health interventions as alien which can cause resentment amongst

6588-549: The countries' capital markets as opposed to the overall economy. Under other criteria, some countries are at an intermediate stage of development, or, as the International Monetary Fund (IMF) put it, following the fall of the Soviet Union , "countries in transition": all those of Central and Eastern Europe (including Central European countries that still belonged to the "Eastern Europe Group" in

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6696-468: The creation of slums. In some cities, especially in countries in Southern Asia and Sub-Saharan Africa, slums are not just marginalized neighborhoods holding a small population; slums are widespread, and are home to a large part of urban population. These are sometimes called "slum cities". Several forms of violence against women are more prevalent in developing countries than in other parts of

6804-410: The current divide between the developed and developing world is largely a phenomenon of the 20th century. The late global health expert Hans Rosling has argued against the terms, calling the concept "outdated" since the terms are used under the prerequisite that the world is divided in rich and poor countries, while the fact is that the vast majority of countries are middle-income. Given the lack of

6912-419: The distribution of health between and within populations and are often shaped by policy. A social gradient in health runs through society. The poorest generally have the worst health, but even the middle classes will generally have worse health outcomes than those of a higher social level. The new public health advocates for population-based policies that improve health in an equitable manner. The health sector

7020-411: The early criticisms that questioned the use of the terms "developing" and "underdeveloped" countries was voiced in 1973 by prominent historian and academic Walter Rodney who compared the economic, social, and political parameters between the United States and countries in Africa and Asia. There is "no established convention" for defining "developing country". According to economist Jeffrey Sachs ,

7128-404: The effects of chronic diseases as life expectancy increases, the poorer communities being heavily affected by both chronic and infectious diseases. Another major public health concern in the developing world is poor maternal and child health, exacerbated by malnutrition and poverty. The WHO reports that a lack of exclusive breastfeeding during the first six months of life contributes to over

7236-422: The efficacy of international health aid. Supporters of aid claim that health aid from wealthy countries is necessary in order for developing countries to escape the poverty trap . Opponents of health aid claim that international health aid actually disrupts developing countries' course of development, causes dependence on aid, and in many cases the aid fails to reach its recipients. For example, recently, health aid

7344-760: The fact that it was the first modern urban nation worldwide. The public health initiatives that began to emerge initially focused on sanitation (for example, the Liverpool and London sewerage systems ), control of infectious diseases (including vaccination and quarantine ) and an evolving infrastructure of various sciences, e.g. statistics, microbiology, epidemiology, sciences of engineering. Public health has been defined as "the science and art of preventing disease ", prolonging life and improving quality of life through organized efforts and informed choices of society , organizations (public and private), communities and individuals . The public can be as small as

7452-676: The further significant environmentally-related causes or conditions, as well as certain diseases with a strong environmental component: Access to water, sanitation and hygiene ( WASH ) services is at very low levels in many developing countries. In 2015 the World Health Organization (WHO) estimated that "1 in 3 people, or 2.4 billion, are still without sanitation facilities" while 663 million people still lack access to safe and clean drinking water. The estimate in 2017 by JMP states that 4.5 billion people currently do not have safely managed sanitation. The majority of these people live in developing countries. About 892 million people or 12 percent of

7560-551: The general public can access is substantially different between developing countries and developed countries. People in developing countries usually have a lower life expectancy than people in developed countries, reflecting both lower income levels and poorer public health. The burden of infectious diseases, maternal mortality , child mortality and infant mortality are typically substantially higher in those countries. Developing countries also have less access to medical health services generally, and are less likely to have

7668-429: The global population, and is criticized for its imprecision. Historical and empirical evidence, like the varied infant mortality rates across these nations, underscores the flaws in a uniform classification. Alternatives such as regional or income-based categories (low-income to high-income) are advocated for, as they align better with the specific contexts of countries, supporting more effective policy formulation. Since

7776-540: The goal of putting an end to this system. One of these institutions is the New International Economic Order . They have a 'no-strings-attached' policy that promotes developing countries remaining or becoming self-sufficient. More specifically, they advocate sovereignty over natural resources and industrialization. Coalitions of developing nations, like the NIEO, frequently lobby for parity in

7884-448: The harmful and undesirable effects of tobacco smoking on other persons and imposing smoking bans in public places have been particularly effective in reducing tobacco smoking. Public libraries can also be beneficial tools for public health changes. They provide access to healthcare information, link people to healthcare services, and even can provide direct care in certain situations. As well as seeking to improve population health through

7992-796: The highest possible level of health". The WHO's broad mandate includes advocating for universal healthcare, monitoring public health risks, coordinating responses to health emergencies, and promoting human health and well-being. The WHO has played a leading role in several public health achievements, most notably the eradication of smallpox , the near- eradication of polio , and the development of an Ebola vaccine . Its current priorities include communicable diseases , particularly HIV/AIDS , Ebola , COVID-19 , malaria and tuberculosis ; non-communicable diseases such as heart disease and cancer; healthy diet , nutrition, and food security ; occupational health ; and substance abuse . Most countries have their own governmental public health agency, often called

8100-446: The implementation of specific population-level interventions, public health contributes to medical care by identifying and assessing population needs for health care services, including: Some programs and policies associated with public health promotion and prevention can be controversial. One such example is programs focusing on the prevention of HIV transmission through safe sex campaigns and needle-exchange programs . Another

8208-495: The importance of associating products with high status and attractiveness to others. Films are increasingly being recognized as a public health tool, with the Harvard University 's T.H. Chan School of Public Health categorizing such films as "impact filmmaking." In fact, film festivals and competitions have been established to specifically promote films about health. Conversely, it has been argued that emphasizing

8316-441: The importance of public health programs in reducing the incidence of disease, disability, and the effects of aging and other physical and mental health conditions. However, public health generally receives significantly less government funding compared with medicine. Although the collaboration of local health and government agencies is considered best practice to improve public health, the pieces of evidence available to support this

8424-477: The importance of public health. In the United States, a history of underinvestment in public health undermined the public health workforce and support for population health, long before the pandemic added to stress, mental distress, job dissatisfaction, and accelerated departures among public health workers. Health aid to developing countries is an important source of public health funding for many developing countries. Health aid to developing countries has shown

8532-421: The late 1990s, countries identified by the UN as developing countries tended to demonstrate higher growth rates than those in the developed countries category. To moderate the euphemistic aspect of the word "developing", international organizations have started to use the term less economically developed country for the poorest nations – which can, in no sense, be regarded as developing. This highlights that

8640-689: The latter. Many developing countries have only attained full self-determination and democracy after the second half of the 20th century. Many were governed by an imperial European power until decolonization . Political systems in developing countries are diverse, but most states had established some form of democratic governments by the early 21st century, with varying degrees of success and political liberty . The inhabitants of developing countries were introduced to democratic systems later and more abruptly than their Northern counterparts and were sometimes targeted by governmental and non-governmental efforts to encourage participation. 'Effective citizenship '

8748-607: The merger of the Directorate-General for Health Care Facilities Organisation and the Directorate-General for Primary Health Care & Crisis Management. The FPS Health is also linked with two scientific institutions : This article about government in Belgium is a stub . You can help Misplaced Pages by expanding it . This article about an environmental agency is a stub . You can help Misplaced Pages by expanding it . Public health Public health

8856-944: The ministry of health, with responsibility for domestic health issues. For example, in the United States , state and local health departments are on the front line of public health initiatives. In addition to their national duties, the United States Public Health Service (PHS), led by the Surgeon General of the United States Public Health Service , and the Centers for Disease Control and Prevention , headquartered in Atlanta , are also involved with international health activities. Most governments recognize

8964-539: The needs of the normative group. Identifying bias within public health research and practice is essential to ensuring public health efforts mitigate and don't aggravate health inequities. The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution, which establishes the agency's governing structure and principles, states its main objective as "the attainment by all peoples of

9072-569: The other end of the spectrum are usually referred to as high-income countries or developed countries . There are controversies over the term's use, as some feel that it perpetuates an outdated concept of "us" and "them" . In 2015, the World Bank declared that the "developing/developed world categorization" had become less relevant and that they will phase out the use of that descriptor. Instead, their reports will present data aggregations for regions and income groups. The term " Global South "

9180-530: The presentation of its data, considering the two-category distinction outdated. Accordingly, World Bank is phasing out use of that descriptor. Instead, the reports by Worldbank (such as the WDI and the Global Monitoring Report ) now include data aggregations for the whole world, for regions, and for income groups – but not for the "developing world". The term low and middle-income country (LMIC)

9288-452: The prevalence of infectious diseases decreased through the 20th century , public health began to put more focus on chronic diseases such as cancer and heart disease . Previous efforts in many developed countries had already led to dramatic reductions in the infant mortality rate using preventive methods. In Britain, the infant mortality rate fell from over 15% in 1870 to 7% by 1930. A major public health concern in developing countries

9396-484: The public towards certain interventions. Such vagueness can be a problem for health promotion . Critics have argued that public health tends to place more focus on individual factors associated with health at the expense of factors operating at the population level. Historically, public health campaigns have been criticized as a form of " healthism ", as moralistic in nature rather than being focused on health. Medical doctors, Petr Shkrabanek and James McCormick wrote

9504-476: The reemergence of infectious diseases such as tuberculosis . Antibiotic resistance , also known as drug resistance, was the theme of World Health Day 2011 . For example, the WHO reports that at least 220 million people worldwide have diabetes. Its incidence is increasing rapidly, and it is projected that the number of diabetes deaths will double by 2030. In a June 2010 editorial in the medical journal The Lancet ,

9612-465: The resources to purchase, produce and administer vaccines , even though vaccine equity worldwide is important to combatting pandemics , such as the COVID-19 pandemic . Undernutrition is more common in developing countries. Certain groups have higher rates of undernutrition, including women – in particular while pregnant or breastfeeding – children under five years of age, and the elderly. Malnutrition in children and stunted growth of children

9720-429: The same laws of nature, yet each with unique features. The term "developing" refers to a current situation and not a changing dynamic or expected direction of development. Additionally, the term "developing world" is increasingly seen as outdated, suggesting a hierarchy and not accurately reflecting the diverse realities of the encompassed countries. This term includes 135 low- or middle-income countries, covering 84% of

9828-409: The simple act of handwashing with soap can prevent the spread of many contagious diseases . In other cases, treating a disease or controlling a pathogen can be vital to preventing its spread to others, either during an outbreak of infectious disease or through contamination of food or water supplies. Public health, together with primary care , secondary care, and tertiary care , is part of

9936-591: The social determinants of health, are also a growing area of concern in public health. A central challenge to securing health equity is that the same social structures that contribute to health inequities also operate and are reproduced by public health organizations. In other words, public health organizations have evolved to better meet the needs of some groups more than others. The result is often that those most in need of preventative interventions are least likely to receive them and interventions can actually aggravate inequities as they are often inadvertently tailored to

10044-409: The spread of sexually transmitted diseases . Public health aims are achieved through surveillance of cases and the promotion of healthy behaviors , communities and environments . Analyzing the determinants of health of a population and the threats it faces is the basis for public health. Many diseases are preventable through simple, nonmedical methods. For example, research has shown that

10152-438: The spread of sexually transmitted diseases . There is a significant disparity in access to health care and public health initiatives between developed countries and developing countries , as well as within developing countries. In developing countries, public health infrastructures are still forming. There may not be enough trained healthcare workers , monetary resources, or, in some cases, sufficient knowledge to provide even

10260-478: The standard of living across the entire developing world varies greatly. In 2015, the World Bank declared that the "developing / developed world categorization" had become less relevant, due to worldwide improvements in indices such as child mortality rates, fertility rates and extreme poverty rates. In the 2016 edition of its World Development Indicators (WDI), the World Bank made a decision to no longer distinguish between "developed" and "developing" countries in

10368-418: The state may be encouraged to remove more and more choice in the name of better population health overall. Psychological research confirms this tension between concerns about public health and concerns about personal liberty: (i) the best predictor of complying with public health recommendations such as hand-washing, mask-wearing, and staying at home (except for essential activity) during the COVID-19 pandemic

10476-511: The strictest sense. For example, mandating the use of seat belts in cars can save countless lives and contribute to the health of a population, but typically money spent enforcing this rule would not count as money spent on health care. Large parts of the world remained plagued by largely preventable or treatable infectious diseases. In addition to this however, many developing countries are also experiencing an epidemiological shift and polarization in which populations are now experiencing more of

10584-502: The term "public health". Preventive medicine specialists are trained as clinicians and address complex health needs of a population such as by assessing the need for disease prevention programs, using the best methods to implement them, and assessing their effectiveness. Since the 1990s many scholars in public health have been using the term population health . There are no medical specialties directly related to population health. Valles argues that consideration of health equity

10692-533: The urban population in the developing world in 2012, or about 863 million people, lived in slums . In 2012, the proportion of urban population living in slums was highest in Sub-Saharan Africa (62%), followed by South Asia (35%), Southeast Asia (31%) and East Asia (28%). The UN-Habitat reports that 43% of urban population in developing countries and 78% of those in the least developed countries live in slums. Slums form and grow in different parts of

10800-402: The world for many reasons. Causes include rapid rural-to-urban migration , economic stagnation and depression, high unemployment , poverty, informal economy , forced or manipulated ghettoization , poor planning, politics, natural disasters and social conflicts . For example, as populations expand in poorer countries, rural people move to cities in extensive urban migration that results in

10908-495: The world stage. The rise of China might imply the rise of the BRIC countries . The global issues most often discussed by developing countries include globalisation , global health governance, health, and prevention needs. This is contrasted by issues developed nations tend to address, such as innovations in science and technology. Most developing countries have these criteria in common: According to UN-Habitat , around 33% of

11016-479: The world's economies into four groups, based on gross national income per capita calculated using the Atlas method , re-set each year on 1 July: The three groups that are not "high income" are together referred to as "low and middle income countries" (LMICs). For example, for the 2022 fiscal year, a low income country is defined as one with a GNI per capita less than 1,045 in current US$ ; a lower middle-income country

11124-607: The world. Acid throwing is associated with Southeast Asia, including Cambodia. Honor killing is associated with the Middle East and the Indian Subcontinent. Marriage by abduction is found in Ethiopia, Central Asia and the Caucasus. Abuse related to payment of bride price (such as violence, trafficking and forced marriage) is linked to parts of Sub-Saharan Africa and Oceania. Female genital mutilation (FGM)

11232-462: The worldwide context. It has been defined as "the area of study, research and practice that places a priority on improving health and achieving equity in " Health for all " people worldwide". International health is a field of health care, usually with a public health emphasis, dealing with health across regional or national boundaries. Public health is not the same as public healthcare ( publicly funded health care ). The term preventive medicine

11340-418: Was a leader in the development of public health during that time period out of necessity: Great Britain was the first modern urban nation (by 1851 more than half of the population lived in settlements of more than 2000 people). This led to a certain type of distress which then led to public health initiatives. Later that particular concern faded away. With the onset of the epidemiological transition and as

11448-811: Was associated with 364,000 fewer deaths occurring between ages 0 and 5 in 2011. To address current and future challenges in addressing health issues in the world, the United Nations have developed the Sustainable Development Goals to be completed by 2030. These goals in their entirety encompass the entire spectrum of development across nations, however Goals 1–6 directly address health disparities , primarily in developing countries. These six goals address key issues in global public health , poverty , hunger and food security , health, education, gender equality and women's empowerment , and water and sanitation . Public health officials can use these goals to set their own agenda and plan for smaller scale initiatives for their organizations. These goals are designed to lessen

11556-408: Was funneled towards initiatives such as financing new technologies like antiretroviral medication , insecticide-treated mosquito nets , and new vaccines. The positive impacts of these initiatives can be seen in the eradication of smallpox and polio ; however, critics claim that misuse or misplacement of funds may cause many of these efforts to never come into achievement. Economic modeling based on

11664-420: Was people's perceived duties to prevent harm but (ii) the best predictor of flouting such public health recommendations was valuing liberty more than equality. Simultaneously, while communicable diseases have historically ranged uppermost as a global health priority, non-communicable diseases and the underlying behavior-related risk factors have been at the bottom. This is changing, however, as illustrated by

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