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A Systems Approach to Public Health Emergency Preparedness

A Systems Approach to Public Health Emergency Preparedness . August, 2006. Problem-based Learning. Problem-based Repeating in cycles Learner-Centered Small Group Facilitated. Advising the President.

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A Systems Approach to Public Health Emergency Preparedness

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  1. A Systems Approach to Public Health Emergency Preparedness August, 2006

  2. Problem-based Learning • Problem-based • Repeating in cycles • Learner-Centered • Small Group • Facilitated

  3. Advising the President The FDA, when headed by David Kessler during the Clinton administration, developed a long-term strategy to reduce the number one behavioral cause of premature mortality. Implementing this plan requires a long political struggle, which is far from over even today.

  4. President Bush too wants to leave a legacy of improving the Health of the Nation, and has charged the Surgeon General to develop a long-term strategy to cope with what many consider to be the number two behavioral cause of premature mortality. (End of Case page 1)

  5. In December 2001, the Secretary of Health and Human Services, Tommy Thompson and the Surgeon General, David Satcher, announced that they were jointly developing an action plan to address this major health problem. After some internal struggles, they called together a blue ribbon committee to provide information and make recommendations concerning the action plan. The report of this committee will be used to create a strategic plan.

  6. Dr. Satcher urged the committee to use the existing plan to reduce tobacco utilization to inform the development of this new initiative. The recommendations will be used to develop the future focus of research, economic and public health policy. Dr. Satcher placed the resources of his office at the committee’s disposal. More importantly, Mr. Thompson has issued a memo to the Heads of each agency within the Department of Health and Human services to provide your committee all the help it needs.

  7. The individual invited to be Chairwoman of the committee, a noted investigator in the field agrees to serve after receiving assurance that the committee would be given autonomy and be free of political interventions in making inquiries and recommendations. (End case page 2)

  8. Though the committee works diligently on the task, it hits a number of difficult snags. First, a major fight breaks out between epidemiologists and clinicans on the definition and methods of assessment of the problem. Because of this unresolved issue, it is hard to agree on the prevalence or predict future trends. However, all agree the problem is rapidly getting more severe, and that some sort of intervention is needed.

  9. A second major rift in the group occurs between the pharmacologists and physicians on one side and the public health professionals, nurses, and educators on the other. The first group states that effective treatments are just around the corner. This infuriates the second group, who believe that this major health threat requires prevention, citing the long-term ineffectiveness of surgical, pharmacological and even the may heavily marketed commercially available treatment programs.

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