Wednesday, January 14, 2009

PUBLIC HEALTH AGENCIES

On an international scale, public health is overseen by the World Health Organization (WHO). WHO manages international disease prevention and control efforts, and is involved in training medical personnel, educating world populations about public health issues including widespread diseases, nutrition, population control, and the benefits of environmental sanitation. WHO and all of its programs are funded by United Nations membership dues and contributions, and voluntary donations from public and private sources.
In the United States, the Department of Health and Human Services (HHS) oversees public health and welfare throughout the nation. It is funded by American citizens through taxes. The Public Health Service, which is part of HHS, is the main federal agency concerned with public health. The Public Health Service is divided into several individual agencies that specialize in different aspects of public health. The National Institutes of Health, the medical research arm of the Public Health Service, conducts biomedical research and maintains 25 institutes and centers of health and the National Library of Medicine. The Centers for Disease Control and Prevention (CDC) monitors and prevents outbreaks of diseases, maintains national health statistics, and administers many of the public immunization programs in the United States. The Food and Drug Administration (FDA) assures the safety of food, pharmaceuticals, cosmetics, and medical devices through legislation and licensing programs.
Each state in the United States has its own department of health and most local communities have a city or county health department as well. State and regional public health departments work with national agencies to administer public health programs. Other government agencies, such as environmental protection departments, also may have some responsibilities for public health. Hundreds of private or voluntary health organizations contribute to overall community health by educating the public about good health practices and prevention of heart disease, cancer, and other conditions.
Although most industrialized countries follow this general pattern for administration of public health services, there are individual variations. In the United States, for instance, social welfare programs, such as financial aid to poor families, are separate from public health, while in the United Kingdom, health and welfare services are combined. Differences also exist in public health financing. The United Kingdom, Canada, Switzerland, Japan, and most other industrialized countries have national health systems that provide free individualized medical care as well as public health services. In the United States, most public health services are provided by the government without charge, but individual medical care is primarily paid for by individuals or by health insurance.
Developing countries usually have small, poorly financed public health services. In many of the world's poorest countries, especially in sub-Saharan Africa, there is less distinction between public health and routine individual medical care. A national ministry of health usually provides all health services through a system of regional health centers. Regional medical officers administer medical programs in each region, overseeing populations of about 100,000 people. Health centers, staffed by nonphysicians with medical training, often serve populations of 10,000 to 20,000 people dispersed throughout many villages. Some villages have health outposts called dispensaries, where villagers can go for medicine, vaccinations, and other basic medical services. But many medical services readily available in the industrialized world, such as high-tech diagnostic tests or expensive medicines, are not available in developing countries.
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2 comments:

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