EPP 101, Spring 2003

PERSPECTIVES IN COMMUNITY HEALTH

General Course Information

Instructor: The Instructor of Record is Professor Moon Chen. Dr. Chen's office is located at the Cancer Center at UCDMC in Sacramento, and he can be reached by e-mail and telephone at moon.chen@ucdmc.ucdavis.edu and 916-734-1191. His mailing address is: UC Davis Cancer Center, 4501 X Street, Suite 3010, Sacramento, CA 95817.

Grading for Course: The course grade will be based on the following elements:

• Presentation of current topic in public health, 10%. Beginning with the third class (April 7^th), the Instructor will be asking a few students to share a news item (e.g., current event) relevant to public health that was reported since the last class. Students who are called upon will be given up to 3 minutes to share that item and indicate the significance of the item to public health. Students will receive full credit for a satisfactory presentation and no credit if they are called and are absent unless the student has given the Instructor written notice authenticating an excused absence.
  
  In light of the large class size, the following alternative will be conducted by the Instructor of Record or the lecturer: in addition to the current policy regarding current events and reaction to lecture, we may also ask students to write their current event and reaction to lecture in a particular class period. Those students who satisfactorily complete that request will be given full credit. There is no makeup if the student is absent.
  
  
• Reaction to lecture, 10%. Beginning with the third class (April 7^th), the Instructor or Course Lecturer for the day will be calling upon selected students to "react to the lecture". Students are expected to demonstrate that they have read the assigned readings (if relevant) and thoughtfully comment on the topic for that class session. Students will receive full credit for a satisfactory presentation and no credit if they are called and are absent unless the student has given the Instructor written notice authenticating an excused absence.
  
  
• Midterm 40% and Final: 40%. All material in the readings and content covered in class will be potentially covered in the exams. Exams will be a combination of multiple-choice items and short answer questions. The final will primarily cover material since the midterm, though not exclusively. To assure objectivity in grading, students will be given a numbered examination paper. The Instructor or his grading assistant will grade the exams without knowing the names of the students taking the exam. After the exams are graded, the students' number and their names will be matched for the recording of the grade. There will be no make-up Midterm. If students are absent for the Midterm, the Final will count for 80% of the course grade.

Schedule of Lectures

Mar 31		M. Chen, Course Overview/Historical Context for Public Health
April 2		M. Chen, Historical Context for Public Health
April 7		R. Holly, Exercise
April 9		D. Backman, Nutrition
April 14		R. Trent, Injury Prevention
April 16		D. Bal, Tobacco
April 21		M. Chen, Chronic Diseases & Communicable Diseases
April 23		D. Lyman, Public Health Today
April 28		S. Cohen, Infections (HIV, tuberculosis)
April 30		L. Lianov, Cardiovascular Health
May 5		MIDTERM
May 7		M. Chen, Exercise in Social Marketing
May 12		E. Stein, Maternal and Child Health
May 14		D. Oto-Kent, Community Health Programs & How Change is Affected
May 19		M. Chen, Racial/Ethnic Health issues
May 21		D. Cassady, International Health
May 26		HOLIDAY
May 28		S. McCurdy, Environmental & Occupational Health
June 2		H. Bauer, Stress and Mental Health
June 4		M. Chen, Course Summary
June 7		FINAL EXAMINATION - Saturday 1:30-3:30pm

COURSE OVERVIEW/HISTORICAL CONTEXT FOR PUBLIC HEALTH

Ten Great Public Health Achievements---United States, 1900-1999. MMWR 1999 Apr 2; 48(12):241-8.

Kindig D, Stoddart G. What is population health? AJPH 2003;93(3): 380-2.

Szreter S. The population health approach in historical perspective. AJPH 2003;93(3): 421-31.

Green LW, Ottoson JM. Chapter 1, "Through the Centuries", Community and Population Health, 8^th edition. Boston: WCB McGraw-Hill, 1999.

Smith GD and Ebrahim S. Epidemiology---is it time to call it a day? Intl J Epidemiol 2001;30:1-11.

Walsh JME, McPhee SJ. Prevention in the year 2002: some news, some issues. Primary Care Clin Office Pract 29 (2002): 1-23.

Fries JF. Aging, natural Death, and the Compression of Morbidity. The New England journal of Medicine. July 1980, 130-135.

EXERCISE

The Importance of Physical Activity
http://www.cdc.gov/nccdphp/dnpa/physical/importance/index.htm

Holly RG., Amsterdam EA. Physical Activity and Fitness in the Primary Prevention of Coronary Heart Disease. Spring (1998)

Booth FW., Gordon SE., Carlson CJ., Hamilton M. Waging war on modern chronic diseases: primary prevention through exercise biology. American physiological Society 88: 774-787, 2000.

NUTRITION

Defining overweight and obesity.
http://www.cdc.gov/nccdphp/dnpa/obesity/index.htm

Foerster SB., Gregson J., Beall DL., Hudes M., Magnuson H., Livingston S., Davis MA., Joy AB., Garbolino T. The California Children's 5 a Day-Power play! Campaign: Evaluation of a Large-Scale Social Marketing initiative. Aspen Publishers, Inc. 1998; 21(1): 46-64

Public health Institute. A Special Report on policy implications from the 1999 California Children's healthy Eating and Exercise practice Survey.

Oppen M., Sugerman S., Foerster SB. Fruit and Vegetable Consumption in California Adults Ten-Year highlights from the California Dietary Practices Surveys 1989-1999.

Rothschild ML. Carrots, Sticks, and Promises: A Conceptual Framework for the management of Public Health and Social Issue Behaviors. Journal of Marketing. Vol. 63 (October 1999), 24-37.

INJURY PREVENTION

Community-based interventions to reduce motor vehicle-related injuries.
http://www.cdc.gov/ncipc/duip/mvsafety.htm

TOBACCO

Sugarman SD. A balanced tobacco control policy. AJPH 2003;93(3): 416-8.

Preventing tobacco use.
http://www.cdc.gov/nccdphp/major_accomplishments.htm

California Tobacco Control Update- November 2002
http://www.dhs.ca.gov/ps/cdic/ccb/TCS/html/publications.htm

CHRONIC DISEASES & COMMUNICABLE DISEASES

Green LW, Ottoson JM. Chapter 11, "Communicable Disease Control", Community and Population Health, 8^th edition. Boston: WCB McGraw-Hill, 1999.

American Cancer Society, California Division and Public Health Institute, California Cancer Registry. Cancer Facts & Figures, 2003. Oakland, CA: American Cancer Society, California Division, September 2002.

Anthrax Bioterrorism: Lessons Learned and Future Directions.
http://www.cdc.gov/ncidod/EID/vol8no10/02-0466.htm

Frequently asked questions about ricin.
http://www.bt.cdc.gov/agent/ricin/faq/index.asp

Smallpox Overview.
http://www.bt.cdc.gov/agent/smallpox/overview/disease-facts.asp

Facts about Botulism
http://www.bt.cdc.gov/documentsapp/FactSheet/Botulism/about.asp

PUBLIC HEALTH TODAY

Changes in the Public Health System. MMWR 1999 48(50): 1141-6.

INFECTIONS

CARDIOVASCULAR HEALTH

MIDTERM

STRESS & MENTAL HEALTH

MATERNAL & CHILD HEALTH

COMMUNITY HEALTH PROGRAMS & HOW CHANGE IS AFFECTED

Visit http://healthedcouncil.org

RACIAL/ETHNIC HEALTH ISSUES

Freeman HP, Commentary on the Meaning of Race in Science and Society, Cancer Epidemiology, Biomarkers & Prevention 2003, 12:232s-236s. (Copies of this article will be handed out to everyone in the previous class).

http://www.npa1.org/aid/Kaplanpaper.pdf

http://www.ajph.org/cgi/reprint/93/2/277.pdf

http://www.ajph.org/cgi/reprint/93/2/248.pdf

http://www.ewjm.com/cgi/reprint/172/5/335.pdf

http://www.ewjm.com/cgi/reprint/176/1/62.pdf

http://www.ewjm.com/cgi/reprint/174/6/374.pdf

Recommended reading: The Spirit Catches You and You Fall Down by Anne Fadiman, 1998. For more information go to http://www.spiritcatchesyou.com/

INTERNATIONAL HEALTH

Bhan MK. Current and future management of childhood diarrhea. International journal of Antimicrobial Agents 14 (2000) 71-73.

ENVIRONMENTAL & OCCUPATIONAL HEALTH

PUBLIC HEALTH ADVOCACY