1
Q
What are the 10 greatest public health achievements of the 20th century?
A
1 vaccines 2 Recognition of tobacco use as a health hazard 3 motor-vehicle safety 4 Safer workplaces 5 Control of infectious disease 6 Decline in deaths from coronary heart disease and stroke 7 Safer and healthier foods 8 Healthier mothers and babies 9 Family planning and contraception 10 Fluoridation of drinking water
2
Q
What are the key facts to tobacco control?
A
- decline of smoking prevalence correlates with the level of tobacco control activities occurring at the time
- Supported by experimental and other effectiveness of various specific intervention strategies used
3
Q
What what WHOs convention on Tobacco control ?
A
MPOWER:
- monitor use and prevention policies
- protect people from tobacco smoke
- offer help to quit tobacco use
- warn about the dangers
- enforce bans on tobacco advertising promotion and sponsorship
- raise taxes on tobacco
4
Q
What was the approach on cervical cancer?
A
- pap tests available 1960s
- ‘opportunistic’ screening in Aus before 1990 - enthusiasm, increased awareness, few gyno trained overseas, no national policy
- ‘organised’ screening from 1991 - surveillance system arranged
- Australian National Cervical Screening Program
- School based HPV vaccination
5
Q
What groups are at higher risk of developing cervical cancer?
A
- Indigenous women
- Women in remote areas
- Some overseas born women
- Unscreened women
6
Q
What are the features of a successful organised cervical screening program?
A
- Government agreed policy
- Systems to implement policy eg Victorian Cervical Cytology Register
7
Q
What contributed to containment and prevention of HIV in 1987?
A
- Aggressive & confrontational education campaign based on fear and community threat
- Gay activism and advocacy
- Surveillance and Research
- Political will
- Availability of anti-retro-viral drugs at minimal costs to users
8
Q
What are the likely contributors to the increase in the rate of HIV since 1999?
A
- complacency, message failure
- generational change
- new arrivals from other countries
- availability of treatment -perceived reduction in threat
9
Q
What has been the response to the rise in HIV since 1999?
A
- new strategies & science (low viral load & post exposure prophylaxis (PEP))
- current prevention message in Aus
- new strategies
- sexually explicit social marketing campaigns eg Being Breno
