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structural racism
a system in which public policies, institutional practices, cultural representations, etc. perpetuate racial group identity
health inequities
health differences that are closely linked with social, economical, and/or environmental disadvantage
social determinants of health
conditions in the places where people are born, live, learn, work, and play that affect a wide range of health and quality of life risks and outcomes
social gradient in health
the correlation between socioeconomic status and health; at each level of socioeconomic status there is a difference in health
public health
the science of protecting and improving the health of communities through education, promotion of healthy lifestyles, and research for disease and injury prevention
epidemiology
the study of disease frequency, determinants of disease and other conditions, and the pattern and distribution of disease and other conditions in a population
natural selection
the differential survival and reproduction of different phenotype in a population
evolution
a change in the genetic composition of a population over time
3 of the sustainable development goals
zero hunger; good health and well-being; clean water and sanitation
2 great public health achievements
vaccination; motor-vehicle safety
What is the current approximate population of the US?
341 million
What percentage of the US population lived below the poverty line?
11%
How many people in the US lived below the poverty line?
37 million
What was the poverty threshold for a family of 4?
$30900
What is the current approximate world population?
8.2 billion
What is the definition of extreme poverty?
living on less than $2.15 per day
How many people in the world were living in extreme poverty?
838 million
What percent of the global population was living in extreme poverty?
10.5%
What were the top 3 global causes of DALYs?
covid-19; ischemic heart disease; neonatal disorders
What were the top 3 causes of DALYs in low SDI countries?
covid-19; neonatal disorders; other covid outcomes
describe how natural selection can lead to the evolution of drug-resistant strains of
mutations that occur during replication of HIV create genetic (heritable) variation among the population of viruses within an infected individual. These mutations create heritable variation in phenotype among the population of HIV particles in an infected person. For example, some of the viruses in this person will be resistant to antiretroviral drugs
the presence of an antiretroviral drug in the bloodstream provides selection pressure and gives selective advantage to drugR viruses. The drugR viruses have a greater ability to survive and reproduce in the presence of the drug compared to other variants. (i.e. differential survival and reproduction)
DrugR viruses therefore produce more new viruses than drugS viruses do (differential survival and reproduction). Over time, drugR viruses will make up a larger proportion of the viral population in the infected person (i.e. DrugR viruses become more common in the next and subsequent generations). As a result, the viral population evolves to become predominantly drugR.