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state level
- 11 regions
- service in areas that local health dept cant provide
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core PBH functions
- assessment
- policy development
- assurance
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assessment
- assess needs
- investigate hazards
- analyze factors
- Obtain data!!! Define nature like health surveys!!!
***death certificates>>help if to be quarantine, prima facie, adminstrative and public health
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policy development
- advocate needs
- prioritize
- plan
- recommendations/guide implementation like state tobacco programs, underlying causes, screening, campaigns
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assurance
- manage
- implemnt
- evaluate
- inform
- governmental responsibility like regulation of nursing homes, health center, licensure
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administrative of death certificates
- insurance
- estates
- minors
- remarriage
- birth certificate security
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public health of death certificates
- monitor health and mortality
- goals
- interventional programs
- gather resources
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information death certificates can give
- life expectancy
- death rates death, geographic, socio-demographic
- leading causes
- IMR and maternal mortality rates
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why count deaths in mass event
- monitor/surveillance
- assess
- plan
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methods to find out why falling
- ERs reported
- survey form
- phone
- home visit
-
lessons learned
- hard
- long time
- publication can be noticed
- humility
- influential groups can help
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to intervene
- mulitple
- over time
- proper context
- reinforced
- focus on passive change
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home rule authority
local has more power
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healthcare safety net
- services for those who cannot afford
- providers offered
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UNICEF/UNAIDS
- aka international
- childhood vaccines
- limited agenda/no money
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USAID
- aka bilateral
- specific programs
- domestic, eco, political, military
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WHO
- aka UN organ/7 compenents
- policy dev
- cant be global
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CDC goals
- prevention, data, epi, public health measures
- work with ATSDR for assessment
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