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GHS 202B
This course will cover key chronic disease conditions as major causes of morbidity and mortality in the global population. Subjects will include non-communicable determinants of diseases on a global, regional, and community level. The course will consider policy and public health interventions to control chronic disease. Focus areas will include: environmental and occupational health problems caused by specific exposures and the health consequences of environmental factors such as the built environment and environmental degradation; the essentials of maternal and child health, as well as women’s health; the principles of nutrition, malnutrition and the role of food policy. The burden of illness attributable to chronic diseases will be discussed including cardiovascular diseases, pulmonary diseases and diabetes. One session will cover the increasing incidence of cancer worldwide and mental illness as major causes of morbidity and mortality. The course will conclude with lectures on the public health impact of injury and the importance of oral health in the global context.
In addition to providing a core understanding of key non-communicable diseases, the course will emphasize global control strategies, including role of public health agencies and the challenges posed to the medical care systems. Using case studies and selected interventions, students will learn how different countries cope with chronic illness, scarce resources, and disease control at the national, community and individual levels.
Teaching format: Lectures, seminars, independent study, assigned papers
3 Units Credit over one quarter
- 1.5 hours of lecture per week
- 1.5 hours of seminar plus two hours of independent study per week
At the conclusion of the course the student should be able to:
- Characterize the global scope, burden and trends of non-communicable diseases (NCDs)
- Describe the demographic and epidemiological transitions in the context of a global rise in non-communicable diseases
- Define the major environmental factors that contribute to non-communicable diseases and examine proposals to mitigate environmental degradation as they relate to global health
- Describe the role of governments, international organizations, NGOs and communities in addressing attributable burden of disease
- Demonstrate integration of knowledge of non-communicable diseases into the larger framework of global burden of disease.
- Analyze challenges in the prevention and control of non-communicable diseases from a public health perspective.
- Demonstrate ability to examine complexity in non-communicable disease control from a political, economic and scientific vantage
- Cite examples of environmental causes of chronic disease and their mitigation
- Describe the burden of mental illness on a global scale
- Describe the global burden of cancer and name some common malignancies linked to infectious causes
- Describe the tobacco framework and list successful initiatives in tobacco control
- Enumerate how injuries and trauma be mitigated in resource poor countries
- Demonstrate knowledge of environmental, life style and genetic risk factors for common chronic diseases such as cancer, heart disease, diabetes, pulmonary disease, arthritis, and osteoporosis
- Explain the “epidemiological transition” and describe ways to measure the effect of urbanization and modernization on health
- Describe the growing obesity epidemic and explain its effect on health
- Explain how maternal and child health is measured including definitions such as U5M (under 5 mortality) and cite measures to improve maternal-child health outcomes
- Explain how child mortality can be reduced in resource poor countries
- Describe the roles of food, water, and energy use in chronic disease
- Describe how poverty affects health, and how can the cycle be broken
- Cite an example of how environmental factors contribute to NCDs and give an example of ways to alter environmental degradation as it relates to global health
- Lecture: Women and Child’s Health (Dr. Tache)
Seminar: The Perils of Womanhood: Addressing major causes of reproductive and maternal mortality. Introduction to First Paper
- Lecture: Chronic Diseases- Part 1 Pulmonary and Cardiovascular Diseases (Dr. Seward) Seminar: Tobacco Control
- Lecture: Chronic Diseases – Part 2 Diabetes and Obesity (Dr. Tache)
Seminar: The Obesity Epidemic
- Lecture: Nutrition and Health (Dr. Tache)
Seminar: Starved for Attention: Malnutrition and Ready to use Foods
First Paper Due
- Lecture: Principles of Environmental Health- Part 1 (Dr. Seward)
Seminar: Ground Water in Bangladesh
Introduction to Second Paper
- Lecture: Principles of Environmental Health- Part 2. Health in the Workplace: Occupational Disease (Dr. Seward)
Seminar: Exportation of toxic materials: asbestos, waste, and pesticides
- Lecture: –Cancer Causation by Infectious Diseases (Dr. Ziegler)
Seminar: Global strategies to control liver cancer
- Lecture: Global Mental Health (Dr. Van Dyke)
- Seminar: Alcohol Use in the Former Soviet Union
- Lecture: Oral Health (Dr. Loomer)
- Seminar: Complex Human Emergencies: Darfur
- Lecture Injury prevention (Dr Ragland)
- Seminar Student presentations
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