ozren polašek. interventions in social medicine biologic – vaccines behavioral – individual,...
TRANSCRIPT
Ozren Polašek
Interventions in social medicine
Biologic – vaccines Behavioral – individual, community Political – lobbying and advocating Structural – laws and regulations, norms
Biological strategies Immunizations Prophylaxis Improved nutrition Mother and child health programs Microbicides Improved sanitation Improved water quality
Behavioural strategies Promote lifestyle change Focus people where they are available –
schools and workplaces Promote immunization programs and other
interventions TV, radio and media public health messages Promote safe sexual behavior
Political strategies Promote healthy, safe communities Promote and enforce appropriate health
laws and regulations Promote universal access to health care,
especially preventive care Improve standard of living (e.g., housing)
and reduce poverty
Basic intervention tools - Glossary
Needs assessment Prevention Harm reduction Immunization and vaccination Social anxiety
Needs assessment
Where we are and where do we want to be
Prevention
What if you hated the rain?
Needle exchange
Immunization. Vaccination Immunization – a process of improving an
individual’s immune system Can be passive or active (vaccination) Passive immunization – introduction of
ready antibodies Vaccination - admistration of antigenic
material to stimulate an individual's immune system to develop adaptive immunity to a pathogen
Vaccination Prevent infection (HPV) Prevent disease (Influenza) Prevent transmission and protect
community
Technical requirements Must be safe* Should be easy to administer (e.g., nasal
spray, oral) Must elicit a protective immune response Must stimulate both humoral and cellular
immunity Must protect against all variants of the agent Must provide long-lasting immunity Must be practical to produce, transport and
administer
Social anxiety as a tool Useful, but…
Too little No actionJust as much ActionToo many Panic and no action
Community intervention Getting the community to recognize the
problem Getting the community to accept
responsibility and implement change Changing community norms (e.g., smoking,
condoms)
10,001 Dalmatians The Croatian Biobank Research resource, but also a health
intervention People are invited and are free to accept
the invite or reject it Those who approach the site are offered a
number of examinations (blood, urine, ECG, DEXA, spirometry, …)
Increasing participation Postal invites Radio appearance Phone calls Local newspapers Direct contact - it’s free, oh great :-/ Offered additional specialist exams
(surgeon, ophtalmologist)
First fiasco
Sending out the laboratory results
… more ideas … Retired people home Invited NGOs Approached informal groups Leaflets, flyers Asked friends and relatives for support
Response
Go out there and intervene…