SAVING GOTHAM A BILLIONAIRE MAYOR ACTIVIST DOCTORS AND THE FIGHT FOR EIGHT MILLION LIVES

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Saving Gotham

Author : Tom Farley
ISBN : 0393071243
Genre :
File Size : 89.89 MB
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The inside story of the most audacious public health campaign of the twenty-first century.
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Saving Gotham A Billionaire Mayor Activist Doctors And The Fight For Eight Million Lives

Author : Tom Farley
ISBN : 9780393248807
Genre : Medical
File Size : 52.2 MB
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The inside story of the most audacious public health campaign of the twenty-first century. In 2002, a dynamic doctor named Thomas Frieden became health commissioner of New York City. With support from the new mayor, billionaire Michael Bloomberg, Frieden and his health department team prohibited smoking in bars, outlawed trans fats in restaurants, and attempted to cap the size of sodas, among other groundbreaking actions. The initiatives drew heated criticism, but they worked: by 2011, 450,000 people had quit smoking, childhood obesity rates were falling, and life expectancy was growing. Saving Gotham is the behind-the-scenes story of the most controversial—and successful—public health initiative of our time. Thomas A. Farley, MD, who succeeded Frieden as health commissioner, introduces a team of doctors who accepted the challenge of public health: to care for each of New York City’s eight million inhabitants as their own patients. The biggest threats they faced were not cholera or chemical toxins or lack of medical care but instead habits like smoking and unhealthy eating. As these doctors pressed to solve these problems, they found themselves battling those who encouraged those habits, and they reshaped their own agency for a different sort of fight. Farley shows what happens when science-driven doctors are given the political cover to make society-wide changes to protect people from today’s health risks—and how industries exploit legislatures, the courts, the media, and public opinion to undermine them. With Washington caught in partisan paralysis and New York City’s ideas spreading around the world, Saving Gotham demonstrates how government—local government—can protect its citizens and transform health for everyone.
Category: Medical

Epidemic City

Author : James Colgrove
ISBN : 9781610447089
Genre : Medical
File Size : 51.27 MB
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An insightful chronicle of the changing public health demands in New York City. The first permanent Board of Health in the United States was created in response to a cholera outbreak in New York City in 1866. By the mid-twentieth century, thanks to landmark achievements in vaccinations, medical data collection, and community health, the NYC Department of Health had become the nation’s gold standard for public health. However, as the city’s population grew in number and diversity, the department struggled to balance its efforts between the treatment of diseases—such as AIDS, tuberculosis, and West Nile Virus—and the prevention of illness-causing factors like lead paint, heroin addiction, homelessness, smoking, and unhealthy foods. In Epidemic City, historian of public health James Colgrove chronicles the challenges faced by the health department since New York City’s mid-twentieth-century “peak” in public health provision. This insightful volume draws on archival research and oral histories to examine how the provision of public health has adapted to the competing demands of diverse public needs, public perceptions, and political pressure. Epidemic City analyzes the perspectives and efforts of the people responsible for the city’s public health from the 1960s to the present—a time that brought new challenges, such as budget and staffing shortages, and new threats like bioterrorism. Faced with controversies such as needle exchange programs and AIDS reporting, the health department struggled to maintain a delicate balance between its primary focus on illness prevention and the need to ensure public and political support for its activities. In the past decade, after the 9/11 attacks and bioterrorism scares partially diverted public health efforts from illness prevention to threat response, Mayor Michael Bloomberg and Health Commissioner Thomas Frieden were still able to pass New York’s Clean Indoor Air Act restricting smoking and significant regulations on trans-fats used by restaurants. This legislation—preventative in nature much like the department’s original sanitary code—reflects a return to the nineteenth century roots of public health, when public health measures were often overtly paternalistic. The assertive laws conceived by Frieden and executed by Bloomberg demonstrate how far the mandate of public health can extend when backed by committed government officials. Epidemic City provides a compelling historical analysis of the individuals and groups tasked with negotiating the fine line between public health and political considerations. By examining the department’s successes and failures during the ambitious social programs of the 1960s, the fiscal crisis of the 1970s, the struggles with poverty and homelessness in the 1980s and 1990s, and in the post-9/11 era, Epidemic City shows how the NYC Department of Health has defined the role and scope of public health services for the entire nation.
Category: Medical

House On Fire

Author : William H. Foege
ISBN : 9780520268364
Genre : Biography & Autobiography
File Size : 65.81 MB
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“Bill Foege takes us inside the world's greatest public health triumph: the eradication of smallpox. It's a story of true determination, passion and courage. The story of smallpox should encourage all of us to continue the critical work of worldwide disease eradication.”--Bill Gates, Co-Chair of the Bill & Melinda Gates Foundation “Bill Foege is one of the public health giants of our times. He was responsible for the design of the campaign that eradicated smallpox—the most important global health achievement in history and possibly the greatest feat in any field of international cooperation. His insights into the nature of this major event will undoubtedly help to meet the global health challenges of the 21st century.”—Julio Frenk, M.D, PhD, Dean, Harvard School of Public Health “The eradication of a disease has long been the holy grail of global health and Bill Foege found it: more than any other person, he was responsible for the eradication of smallpox from the face of the earth. This is a story told by a remarkably humble man, about the extraordinary coalition that he helped to build, and the most impressive global health accomplishment the world has ever seen.”—Mark Rosenberg, author of Real Collaboration: What It Takes for Global Health to Succeed “I am thrilled that Bill Foege, one of the great heroes of the smallpox eradication campaign, has written this important book. It tells a beautiful human story of an incredible public health triumph, and is full of lessons that could be applied to many of the global challenges we face today.”—Helene D. Gayle MD, President and CEO, CARE USA “Bill Foege’s House on Fire is the first-hand account of how a revised strategy to eradicate smallpox was tested, validated, and applied. Without the global adoption of this new surveillance strategy, the final deathblow to this longtime global menace might never have been dealt.”—Adetokunbo O. Lucas, MD, DSc, author of It Was The Best of Times: From Local to Global Health “Smallpox is the most devastating disease the world has known, as it destroyed lives and shaped history over the centuries. House on Fire provides a day-to-day account by my friend Dr. Bill Foege of the battle required to defeat this wily and diabolic virus."--President Jimmy Carter
Category: Biography & Autobiography

Soda Politics

Author : Dr. Marion Nestle
ISBN : 9780190263454
Genre : Social Science
File Size : 33.30 MB
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Sodas are astonishing products. Little more than flavored sugar-water, these drinks cost practically nothing to produce or buy, yet have turned their makers--principally Coca-Cola and PepsiCo--into a multibillion-dollar industry with global recognition, distribution, and political power. Billed as "refreshing," "tasty," "crisp," and "the real thing," sodas also happen to be so well established to contribute to poor dental hygiene, higher calorie intake, obesity, and type-2 diabetes that the first line of defense against any of these conditions is to simply stop drinking them. Habitually drinking large volumes of soda not only harms individual health, but also burdens societies with runaway healthcare costs. So how did products containing absurdly inexpensive ingredients become multibillion dollar industries and international brand icons, while also having a devastating impact on public health? In Soda Politics, the 2016 James Beard Award for Writing & Literature Winner, Dr. Marion Nestle answers this question by detailing all of the ways that the soft drink industry works overtime to make drinking soda as common and accepted as drinking water, for adults and children. Dr. Nestle, a renowned food and nutrition policy expert and public health advocate, shows how sodas are principally miracles of advertising; Coca-Cola and PepsiCo spend billions of dollars each year to promote their sale to children, minorities, and low-income populations, in developing as well as industrialized nations. And once they have stimulated that demand, they leave no stone unturned to protect profits. That includes lobbying to prevent any measures that would discourage soda sales, strategically donating money to health organizations and researchers who can make the science about sodas appear confusing, and engaging in Corporate Social Responsibility (CSR) activities to create goodwill and silence critics. Soda Politics follows the money trail wherever it leads, revealing how hard Big Soda works to sell as much of their products as possible to an increasingly obese world. But Soda Politics does more than just diagnose a problem--it encourages readers to help find solutions. From Berkeley to Mexico City and beyond, advocates are successfully countering the relentless marketing, promotion, and political protection of sugary drinks. And their actions are having an impact - for all of the hardball and softball tactics the soft drink industry employs to maintain the status quo, soda consumption has been flat or falling for years. Health advocacy campaigns are now the single greatest threat to soda companies' profits. Soda Politics provides readers with the tools they need to keep up pressure on Big Soda in order to build healthier and more sustainable food systems.
Category: Social Science

Prescription For A Healthy Nation

Author : Tom Farley, M.D.
ISBN : 9780807097243
Genre : Medical
File Size : 25.18 MB
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America spends more than twice as much for health care as any other nation. So why are Americans among the sickest people in the industrialized world? Public health experts Tom Farley and Deborah A. Cohen show that the answer does not lie in our medical care system but rather in the world around us. As they explain, the leading killers of our time fall almost entirely into two categories: injuries and chronic diseases such as heart disease, lung and breast cancer, diabetes, and stroke. For all its inspiring, high-tech cures, modern medicine is just not very effective at combating these illnesses. Our health, as Farley and Cohen explain, depends much less on medicine than on how we lead our lives. And as their surprising and illuminating examples show, our behavior and our health are in fact shaped by our everyday world-from the design of our cities to the rules that govern our organizations. Obesity, for example, has emerged as a major health threat because our environment makes it difficult to be physically active and because prepared high-calorie foods-from chips and candy bars to fast food and "food on the go"-saturate our surroundings. Though we'd like to believe that we could stay slim through individual self-discipline, our everyday world overwhelms our resolve. In similar ways, the world around us influences whether we live our lives in ways that increase or decrease our chances of dying from killers as wide-ranging as cancer and car crashes. In the last part of the book, Farley and Cohen remind us of once-controversial changes to our physical environment that have saved tens of thousands of lives and outline many other ways in which we can change our daily environment so we can all live longer and healthier. Prescription for a Healthy Nation is at once an exposé of how various industries influence our health for the worse, a paradigm-shifting argument about health and disease, and a positive blueprint for how to create a healthier society. From the Hardcover edition.
Category: Medical

Public Health

Author : Bernard J. Turnock
ISBN : 9781284104370
Genre : Medical
File Size : 62.53 MB
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Using a straightforward systems approach, Public Health: What It Is and How It Works explores the inner workings of the complex, modern U.S. public health system—what it is, what it does, how it works, and why it is important. The book covers the origins and development of the modern public health system; the relationship of public health to the overall health system; how the system is organized at the federal, state, and local levels; its core functions and how well these are currently being addressed; evidence-based practice and an approach to program planning and evaluation for public health interventions; public health activities such as epidemiological investigation, biomedical research, environmental assessment, policy development, and more.
Category: Medical

The Drug Hunters

Author : Donald R. Kirsch
ISBN : 9781628727197
Genre : Science
File Size : 66.81 MB
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The surprising, behind-the-scenes story of how our medicines are discovered, told by a veteran drug hunter. The search to find medicines is as old as disease, which is to say as old as the human race. Through serendipity— by chewing, brewing, and snorting—some Neolithic souls discovered opium, alcohol, snakeroot, juniper, frankincense, and other helpful substances. Ötzi the Iceman, the five-thousand-year-old hunter frozen in the Italian Alps, was found to have whipworms in his intestines and Bronze-age medicine, a worm-killing birch fungus, knotted to his leggings. Nowadays, Big Pharma conglomerates spend billions of dollars on state-of the art laboratories staffed by PhDs to discover blockbuster drugs. Yet, despite our best efforts to engineer cures, luck, trial-and-error, risk, and ingenuity are still fundamental to medical discovery. The Drug Hunters is a colorful, fact-filled narrative history of the search for new medicines from our Neolithic forebears to the professionals of today, and from quinine and aspirin to Viagra, Prozac, and Lipitor. The chapters offer a lively tour of how new drugs are actually found, the discovery strategies, the mistakes, and the rare successes. Dr. Donald R. Kirsch infuses the book with his own expertise and experiences from thirty-five years of drug hunting, whether searching for life-saving molecules in mudflats by Chesapeake Bay or as a chief science officer and research group leader at major pharmaceutical companies.
Category: Science

Living With The Earth Third Edition

Author : Gary S. Moore
ISBN : 9780849379994
Genre : Science
File Size : 49.12 MB
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Includes all the bells and whistles you and your students have come to expect It’s hard to imagine a book more innovative and groundbreaking than Living with the Earth: Concepts in Environmental Health Science, Third Edition. The first edition won the CHOICE award for Outstanding Academic Book and both previous editions became bestsellers in their own right. See what’s new and updated coverage includes: Emergency preparedness for environmental health practitioners including a discussion on their roles and operations Population dynamics, various cultural philosophies regarding overpopulation, and underpopulation in the developed nations Mechanisms of environmental disease with emphasis on genetic disease and developmental disorders Alternative to chemical pest control Genetic basis of cancer The growing problems of asthma and air pollutants as well as newly emerging and re-emerging infectious diseases An exploration of the mechanisms of toxicity, with special reference to the immune system and endocrine disruption Hazardous waste treatment, use, and recycling HACCP and assuring food quality, food safety issues, and Food Quality Protection Act Risk assessment and risk management principles A discussion in the change in directions in regulatory compliance Technical illustrations, charts, graphs, and photographs that improve learning and simplify concepts What’s on the Web: Test bank and study questions Microsoft PowerPoint presentation slides in digital format Study guides with detailed notes, color figures, and tables Printable sample questions and answers for each chapter Search tools for online journals and databases covering useful, up-to-date information Incorporates traditional concepts with new, emerging, and controversial issues Always on the forefront of new ideas and new technology, the book includes up-to-date topics and information enhanced by Web features that make the book easy to use for professor and students alike.
Category: Science

Adolescence

Author : Miller Newton
ISBN : 0393701948
Genre : Family & Relationships
File Size : 74.42 MB
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Designed for therapists in psychology, social work, family therapy, school psychology, substance and alcoholism therapy, and guidance counseling, this book offers a coherent framework for adolescence as a developmental period, surveys current concepts and research, and makes treatment recommendations. Part I on Foundations outlines normal adolescent neurological, physical, and reproductive development. Seeing adolescence as an extended "rite of passage," the author presents stages and tasks that need to be accomplished on the way to adulthood. Part II describes the Developmental Tasks in several areas: personal identity, sexuality, family relationships, social relations with peers, and educational and vocational choice. Therapeutic strategies are suggested for use when the adolescent has taken a developmental detour or is in danger of becoming derailed altogether. Part III focuses on Developmental Traps: drug and alcohol use, suicide, aggression and violence, eating disorders, depression, and chronic diseases. Here proposals for treatment and for changes in social attitudes and policy are specific and strongly worded; they are based on research and on the author's many years of clinical experience.
Category: Family & Relationships