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How Public Health is Organized?
Levels of Prevention
Overview of HSC 180: Principles of Public Health
- Date: September 3, 2025
What is a Health System?
- A health system is defined as all the organizations, institutions, and resources whose primary purpose is to improve health.
- Includes:
- Health system personnel
- Funds
- Information
- Supplies
- Resources
- Communications
- Guidance
- Direction
- Health systems must provide responsive, financially fair, and equitable services.
The Public Health System
Definition
- The public health system: It is a multiscale complex system.
- In the United States, it encompasses all public, private, and voluntary entities that contribute to public health activities at local, state, and federal levels.
- All organizations involved work towards improving public health and delivering essential public health services.
Reference
- Goldsteen, R., Goldsteen, K., Dwelle, T. (2015). Introduction to Public Health: Promises and Practices (2nd Edition). New York: Springer Publishing Co.
Components of the Public Health System
- The public health system includes:
- Public health agencies at state and local levels
- Healthcare providers
- Public safety agencies
- Human service and faith-based organizations
- Education and youth development organizations
- Recreation and arts-related organizations
- Economic and philanthropic organizations
- Environmental agencies and organizations
Additional Components and Examples
Public Health System Source
- Source: Public Health Practice Program Office, Centers for Disease Control and Prevention, National Public Health Performance Standards Program, User Guide (1st edition, 2002).
- Current version available at CDC
Organizations Involved:
- Schools
- Community Centers
- Employers
- Transit Authorities
- Elected Officials
- Doctors
- Emergency Medical Services (EMS)
- Law Enforcement
- Nursing Homes
- Fire Services
- Corrections
- Mental Health Services
- Faith Institutions
- Civic Groups
- Nonprofit Organizations
- Neighborhood Organizations
- Laboratories
- Home Health Services
- Community Health Centers (CHCs)
- Hospitals
- Tribal Health Services
- Drug Treatment Programs
- Public Health Agencies
Levels of Prevention
Primary Prevention
- Definition: Primary prevention aims to prevent the onset of specific diseases by reducing risks.
- Strategies include:
- Changing behaviors or exposures that might lead to diseases
- Enhancing resistance to disease effects.
- Examples:
- Smoking cessation programs
- Vaccinations
- Goal: Reduce disease incidence by addressing risk factors and promoting healthy behaviors, improving host resistance, and fostering safe environments that minimize disease risks.
Secondary Prevention
- Definition: Secondary prevention involves procedures to detect and identify pre-clinical pathological changes, ultimately aiming to control the progression of diseases.
- Examples of methods:
- Screening procedures like mammography to identify early-stage breast cancer.
- Routine blood sugar testing for individuals over 40 to detect early diabetes.
- Screening can be conducted:
- During individual doctor-patient visits
- Via public health screening programs (e.g., community mammography screening).
Tertiary Prevention
- Definition: Tertiary prevention is focused on alleviating the impact of the disease after it is clinically diagnosed, aiming to enhance the quality of life.
- Examples:
- Behavioral modifications for a cardiac patient, such as encouraging weight loss.
- Environmental modifications for asthmatic patients to reduce allergen exposure.
- For irreversible conditions, it focuses on rehabilitation and assisting patients to cope with disabilities.
- The critical goal is to optimize the quality of life for affected individuals.
Prevention Levels Summary
- Primary Prevention:
- Measures: Vaccinations, altering risky behaviors, banning harmful substances.
- Secondary Prevention:
- Measures: Early disease screening, such as mammography and blood pressure testing.
- Tertiary Prevention:
- Measures: Managing disease post-diagnosis, like chemotherapy and rehabilitation programs.
Real-World Application Examples
Case Study: Colorectal Cancer
- Examples of Prevention Types:
- Dietary counseling for individuals at risk falls under Secondary prevention.
- Prearranged colonoscopy screening programs represent Secondary prevention as they identify potential issues before symptoms arise.
Health Education as a Tool for Prevention
Application Across Prevention Levels
- Health education can significantly enhance preventive care across all levels:
- Primary Level: Educate on healthy practices, e.g., balanced diet to avoid diseases.
- Secondary Level: Encourage community screenings at health centers.
- Tertiary Level: Advise on appropriate medication adherence and rehabilitation processes.
Assignments and Responsibilities
Module To-Do List
- Quiz 3 available at 4:00 PM today.
- Due on Friday, September 5, 2025, by 11:59 PM.
- 60 minutes allotted for answering quiz questions.
- Two attempts allowed; one new attempt for previously incorrect answers only.
Infographic Assignment
Instructions
- Select a health condition (e.g., a cancer type or chronic disease).
- Create an infographic illustrating examples at each prevention level (primary, secondary, tertiary) associated with the chosen condition.
- Include at least one or two reference citations in APA format.
- Completion results in 20 points for timely submission.
- Review the rubric for grading criteria.
Submission Details
- Assignment available in Canvas on September 5 at 12:00 AM.
- Due by Monday, September 8, 2025, at 11:59 PM.
Visual Representation of Prevention Levels
- Primary Prevention: Before disease onset
- Secondary Prevention: During the development of disease
- Tertiary Prevention: After disease has developed