In 1998 the Institute of Medicine (IOM) of the National Academies of Science (NAS) published a review entitled “The futures of Public Health” setting out Core Public Health functions and the ten essential public health services. These Core Functions and Essential Services are presented in your textbook and discussed in lecture.
Serving All Function
In this exercise you will review the current public health response to the Covid-19 outbreak and identify public health actions at the Federal and State/local level. The educational goal is to better understand the type of public health actions taken at both the State and Federal level.
Please complete both tables as described here.
Federal Level Public Health. (see attached Table 1)
State Level Public Health. (see attached Table 2)
Table 1: Federal Level Response: (e.g. CDC, NIH, FDA, White House Task Force)
|Public Health Action Taken||Explain the Core Function and
identify the essential service
|Assessment||CDC||Monitoring cases||CDC top brass closely monitors cases and finds best approaches to protect the public.|
|NIH||Testing||NIH top officials ensure that monitoring of cases continues uninterrupted.|
|FDA||Identify disaster-prone areas||The FDA database demarcates areas that are most prone to the effects of the virus.|
|Policy Development||Whitehouse||Executive order: Closing Public amenities||The president closing schools and sporting activities to minimize the spread of the virus.|
|Whitehouse||Executive order: Defense production Act||The president ordering the industry to start producing ventilators.|
|NIH||Warning against unapproved drug use||The NIH directors firmly warn the public against using unapproved drugs especially antibiotics.|
|Assurance||Whitehouse||Mobilizing funds||The president through the treasury department avails funds for PPEs, mobilizing health workers.|
|CDC||Mobilizing health workers||The CDC ensures that every state is well covered in terms of health workers from different specialties.|
|NIH||Directors workforce mobilization||The NIH director collaborates with leaders from national health bodies to ensure that they communicate uniform messages.|
|Research||NIH||Vaccine development||NIH scientists collaborate with their counterparts around the world to develop a reliable vaccine.|
|CDC||Impact on other diseases||Scientists study the effect of the virus on other diseases, more also possible aggravations.|
|FDA||Plasma Therapy Viability||Scientists study the efficacy of novel therapy such as the plasma therapy to treat patients.|
Table 2: State Level Response: (e.g. Dept of Health, County level manager, State Governor/legislature etc.)
|Core Function||Agency or NGO||Public Health Action Taken||Explain the Core Function and
identify the essential service
|Assessment||Governor||Monitoring resources||The governor providers resources where they are required specially to purchase PPEs.|
|Dept of Health||Testing||Health workers ensuring that testing is taking place as required.|
|legislature||Mobilizing congresspersons||Congresspersons commune to discuss the best approach to tackle the pandemic in their state. Considering input from county level managers.|
|Policy Development||legislature||Developing emergency policy||Congresspersons enact relevant policy such as the conversion of schools into emergency treatment centers.|
|Governor||Enacting policy||The governor assents to emergency policy in a timely manner.|
|County level manager||Addressing gap areas||Ensuring cracks in emergency policy at county level is addressed. Accomplished in conjunction with community leaders who understand the most vulnerable areas.|
|Assurance||Governor||Enforcing curfew||Enforcing strict in-houses policy particularly during night time to contain people movements thus minimize virus transmissions. Enforced with police help.|
|Dept of Health||Mobilizing health specialists||Gather the necessary health specialists and distribute them to all hospitals as necessary.|
|County level manager||Mobilizing community workers||Gathering community workers to educate people on how to protect themselves.|
|Research||Dept of Health||Testing novel treatment methods||Examine new treatment methods such as symptomatic treatment and their effectiveness. The county epidemiologists will carry out this process.|
|County level manager||Health worker performance||Assess community health workers reliability using the compliance officers to learn efficient operations.|
|legislature||Studies on policy response||Audit effectiveness of novel policy by health committee members.|
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