25 Jun According to, Using Mobile Technology to Support Healthcare
Question
QUESTIONS
QUESTION 1)
This week, (our final week!), we have the opportunity to explore health trends in the global
environment.
Choose from the following list, one trend in global health. (Life expectancy, emerging infections,
disparities in health, allocation of resources, environmental quality, corporate resource involvement
such as drug companies). Compare this trend in one developed country to this trend in one
developing country.
ANSWER:
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QUESTION 2)
According to, Using Mobile Technology to Support Healthcare, "The need to improve and provide
efficient health services has resulted in the increased use of information and communication
technology-based solutions in the healthcare sector.", (Senanu Okuboyejo and Omatseyin Eyesan,
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959917/).
What are some examples of global health interventions that are a result of advanced
technology?
ANSWER:
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QUESTION 3)
This highlights one of the global public health issues where there have been multiple controversies medical volunteerism in the global community.
For example, "In spite of good intentions, international volunteer work that does not follow best
practice principles can be wasteful, unethical, and harmful.", (http://www.uniteforsight.org/pitfalls-indevelopment/pitfalls-in-volunteering-abroad). Some of these trips have been charged with
being self-serving (i.e. to benefit the volunteer, not the community being served).
One of the concerns can be that communities need long term solutions, and short term trips do not
identify the root of the problem. Also, interventions may not include the local health system in their
planning and implementation, and could undermine the local health care infrastructure. Many
volunteers are not educated in the local culture, or trained in the services that are provided. Without
addressing the sustainability of the intervention, more problems can be created (i.e. providing
surgery, without follow up for infections or complications when the mission is over).
What are some of the ways that short term medical volunteer trips can become sustainable?
ANSWER:
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QUESTION 4)
One of the public health issues associated with the increased life expectancy in developed countries
is that it has created an increase in the need for health care services, as population’s age.
According to the World Health Organization (WHO), "The rapidly growing absolute and relative
numbers of older people in both developed and developing countries mean that more and more
people will be entering the age when the risk of developing certain chronic and debilitating diseases
is significantly higher. As such, population aging presents new and serious challenges for national
and international public health." (http://www.who.int/topics/ageing/en/).
If you were a public health nurse in your community, what are some of the public health
interventions that you would initiate based on the aging populations’ vulnerabilities?
ANSWER:
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QUESTION 5)
This highlights the "Japanese smoking paradox".
For example, according to, Explanations for the Smoking Paradox in Japan, "The prevalence of
cigarette smoking among Japanese men has been consistently high compared with Western males
over the past 30 years. However, during the same period, the incidence of and mortality rates for
lung cancer have consistently been lower in Japan than in Western countries." (European Journal of
Epidemiology, 2003;18(5):381-3).
As we have discussed the social determinants of health and the epidemiology triangle, what
could be some of the contributing factors to this phenomenon?
ANSWER:
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QUESTION 6:
As you are preparing your Week Seven Travel Poster assignment, does your local health
department provide travel vaccines?
ANSWER:
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QUESTION 7:
This week, we have the opportunity to review the primary prevention measure – immunizations.
Identify one vaccine program that is emphasized by the public health department within your
community. How is the program marketed, and what are some of the issues associated with
vaccine supply, demand, packaging, or manufacturing?
ANSWER:
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QUESTION 8)
As we look at vaccines in the global community, how has GAVI influenced the global vaccine
rates?
ANSWER:
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QUESTION 9)
The Bill and Melinda Gates Foundation provided the initial seed money (a five year pledge of $750
million) to get GAVI started in 1999.
"As a public-private partnership, GAVI represented the sum of its partners’ individual strengths, from
WHO’s scientific expertise and UNICEF’s procurement system to the financial know-how of the
World Bank, and the market knowledge of the vaccine industry",
(http://www.gavialliance.org/about/partners/bmgf/#sthash.XheeyJ4B.dpuf).
Any other examples of public-private partnerships that influence global health?
ANSWER:
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QUESTION 10)
As we proceed through our final week in Epidemiology: Global and Public Health
, we have the
opportunity to review the wide variety of topics that we explored in the past few weeks.
For discussion (and participation credit), please feel free to choose a topic from the following list:
Emergency response and preparedness
Healthy People objectives
Infectious disease, the epidemiology triangle
Social determinants of health
Surveillance systems
Vulnerable populations
Nursing roles
Public health financing
Public health policy
Global health trends
For discussion and participation, describe one of these content areas where you learned something
that you are able to integrate into your current practice (either from your own research or the class
discussions). Also, please feel free to provide any updates on any of these issues and concepts.
ANSWER;
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QUESTION 11
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