34 CFR 104.52 - Health, welfare, and other social services.

Science.gov (United States)

2010-07-01

... 34 Education 1 2010-07-01 2010-07-01 false Health, welfare, and other social services. 104.52... FEDERAL FINANCIAL ASSISTANCE Health, Welfare, and Social Services § 104.52 Health, welfare, and other social services. (a) General. In providing health, welfare, or other social services or benefits, a...

Public health and peace.

Science.gov (United States)

Laaser, Ulrich; Donev, Donco; Bjegović, Vesna; Sarolli, Ylli

2002-04-01

The modern concept of public health, the New Public Health, carries a great potential for healthy and therefore less aggressive societies. Its core disciplines are health promotion, environmental health, and health care management based on advanced epidemiological methodologies. The main principles of living together in healthy societies can be summarized as four ethical concepts of the New Public Health essential to violence reduction equity, participation, subsidiarity, and sustainability. The following issues are discussed as violence determinants: the process of urbanization; type of neighborhood and accommodation, and consequent stigmatization; level of education; employment status; socialization of the family; women's status; alcohol and drug consumption; availability of the firearms; religious, ethnic, and racial prejudices; and poverty. Development of the health systems has to contribute to peace, since aggression, violence, and warfare are among the greatest risks for health and the economic welfare. This contribution can be described as follows: 1) full and indiscriminate access to all necessary services, 2) monitoring of their quality, 3) providing special support to vulnerable groups, and 4) constant scientific and public accountability of the evaluation of the epidemiological outcome. Violence can also destroy solidarity and social cohesion of groups, such as family, team, neighborhood, or any other social organization. Durkheim coined the term anomie for a state in which social disruption of the community results in health risks for individuals. Health professionals can make a threefold contribution to peace by 1) analyzing the causal interrelationships of violence phenomena, 2) curbing the determinants of violence according to the professional standards, and 3) training professionals for this increasingly important task. Because tolerance is an essential part of an amended definition of health, monitoring of the early signs of public intolerance is

The relationships between income inequality, welfare regimes and aggregate health: a systematic review.

Science.gov (United States)

Kim, Ki-Tae

2017-06-01

: When analysing the relationships between income inequality, welfare regimes and aggregate health at the cross-national level, previous primary articles and systematic reviews reach inconsistent conclusions. Contrary to theoretical expectations, equal societies or the Social Democratic welfare regime do not always have the best aggregate health when compared with those of other relatively unequal societies or other welfare regimes. This article will shed light on the controversial subjects with a new decomposition systematic review method. The decomposition systematic review method breaks down an individual empirical article, if necessary, into multiple findings based on an article's use of the following four components: independent variable, dependent variable, method and dataset. This decomposition method extracts 107 findings from the selected 48 articles, demonstrating the dynamics between the four components. 'The age threshold effect' is recognized over which the hypothesized relations between income inequality, welfare regimes and aggregate health reverse. The hypothesis is supported mainly for younger infant and child health indicators, but not for adult health or general health indicators such as life expectancy. Further three threshold effects (income, gender and period) have also been put forward. The negative relationship between income inequality and aggregate health, often termed as the Wilkinson Hypothesis, was not generally observed in all health indicators except for infant and child mortality. The Scandinavian welfare regime reveals worse-than-expected outcomes in all health indicators except infant and child mortality. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

The Potential to Forgo Social Welfare Gains through Over reliance on Cost Effectiveness/Cost Utility Analyses in the Evidence Base for Public Health

International Nuclear Information System (INIS)

Cohen, D.R.; Patel, N.

2010-01-01

Economic evaluations of clinical treatments most commonly take the form of cost effectiveness or cost utility analyses. This is appropriate since the main sometimes the only benefit of such interventions is increased health. The majority of economic evaluations in public health, however, have also been assessed using these techniques when arguably cost benefit analyses would in many cases have been more appropriate, given its ability to take account of non health benefits as well. An examination of the non health benefits from a sample of studies featured in a recent review of economic evaluations in public health illustrates how over focusing on cost effectiveness/cost utility analyses may lead to forgoing potential social welfare gains from programmes in public health. Prior to evaluation, programmes should be considered in terms of the potential importance of non health benefits and where these are considerable would be better evaluated by more inclusive economic evaluation techniques.

Energy price disparity and public welfare

International Nuclear Information System (INIS)

Templet, P.H.

2001-01-01

The differences in the price of energy to economic sectors are linked to a number of system parameters and to public welfare. There are large disparities in energy prices within states when comparing residential and industrial prices although neoclassical economics predicts one price in markets. The large disparities between the two sectors across states negatively affects the efficiency of resource allocation, creates subsidies for those getting the cheap energy and results in unequal access to energy. These in turn lead to inefficient partitioning of energy between products and waste, higher pollution, leakage of wealth and poorer energy use efficiency, i.e. high energy intensity. States with large energy price disparities between sectors have statistically higher poverty, lower incomes, more pollution and use more energy but with less efficiency. Higher energy price disparities also result in higher throughput per unit of output thus reducing the chances for sustainability and lower public welfare. 31 refs

Welfare Professions in Transition

Directory of Open Access Journals (Sweden)

Annette Kamp

2016-03-01

Full Text Available Welfare professions constitute one of the backbones in the development of the Nordic welfare states. Working in the public sector was for decades associated with high status; public sector employees were trusted employees. Through their work, they had important responsibilities for the welfare state and its citizens. To provide job security—through employment as officials—was a part of ensuring the stability of the state (Åkerstrøm, 2001, and we saw the establishment of what could be called a public ethos, a special morality aimed at serving the needs of the citizens and the state (Hoggett, 2005. The term welfare professions is widely used, referring to public sector employees in the field of, for example, health, education, care, and social work. So this term covers professionals who work directly in contact with patients, citizens, clients, students, etc. (Brante, 1990; Järvinen & Mik-Meyer, 2012. Along with the development and modernization of the welfare state, a number of new welfare professions, such as pedagogues, social works, physiotherapists, social care assistants, and auxiliary nurses have joined the existing ones like nurses, teachers, psychologists, and physicians. At the same time, however, the public sector has undergone dramatic changes as part of a neoliberal transformation of the welfare state. With the New Public Management (NPM wave from 1980s and onwards efforts to restructure public institutions and introduce market-like relationships between them, to outsource and privatize public services and to transform citizens to customers in a market have prevailed (Busch, 2005; Christensen & Lægreid, 2007; Greve, 2008. Within this reform strategy, welfare professionals are perceived as part of the problem that NPM is created to solve, namely an uncontrollable and wildly growing bureaucracy (Clarke & Newman, 1997 (...

42 CFR 86.33 - Human subjects; animal welfare.

Science.gov (United States)

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false Human subjects; animal welfare. 86.33 Section 86.33... Occupational Safety and Health Direct Traineeships § 86.33 Human subjects; animal welfare. Where the...) Chapter 1-43 of the Department Grants Administration Manual 2 068 concerning animal welfare. 2 See...

Bioterrorism, public health, and the law.

Science.gov (United States)

Bayer, Ronald; Colgrove, James

2002-01-01

The controversy over the Model State Emergency Health Powers Act has underscored the enduring tension in public health between guarding the common welfare and respecting individual liberty. The current version of the act, crafted in response to extensive public commentary, attempts to strike a balance between these values but has failed to allay the concerns of many civil libertarians and privacy advocates. Although the debates over the model act have been triggered by the threat of bioterrorism, they illustrate broader philosophical differences, with profound implications for all realms of public health policy.

Final Rule for Finding That Greenhouse Gas Emissions From Aircraft Cause or Contribute to Air Pollution That May Reasonably Be Anticipated To Endanger Public Health and Welfare

Science.gov (United States)

The EPA finalized findings that greenhouse gas (GHG) emissions from certain classes of engines used in aircraft contribute to the air pollution that causes climate change endangering public health and welfare under section 231(a) of the Clean Air Act.

42 CFR 86.19 - Human subjects; animal welfare.

Science.gov (United States)

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false Human subjects; animal welfare. 86.19 Section 86.19... Occupational Safety and Health Training Grants § 86.19 Human subjects; animal welfare. No grant award may be... concerning animal welfare. 2 The Department Grants Administration Manual is available for inspection at the...

22 CFR 142.62 - Health, welfare, social, and other services.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Health, welfare, social, and other services..., Social, and Other Services § 142.62 Health, welfare, social, and other services. (a) General. In providing health, welfare, social and other services or benefits, a recipient may not, on the basis of...

Animal Health and Welfare Planning in Organic Dairy Cattle Farms

DEFF Research Database (Denmark)

Vaarst, Mette; Winckler, Christoph; Roderick, Stephen

2011-01-01

Continuous development is needed within the farm to reach the goal of good animal health and welfare in organic livestock farming. The very different conditions between countries call for models that are relevant for different farming types and can be integrated into local practice and be relevant...... for each type of farming context. This article reviews frameworks, principles and practices for animal health and welfare planning which are relevant for organic livestock farming. This review is based on preliminary analyses carried out within a European project (acronym ANIPLAN) with participants from...... as well as animal health and welfare professionals (veterinarians and advisors) is paramount. This paper provides an overview of some current animal health and welfare planning initiatives and explains the principles of animal health and welfare planning which are being implemented in ANIPLAN partner...

Animal health and welfare: equivalent or complementary?

Science.gov (United States)

Nicks, B; Vandenheede, M

2014-04-01

The concepts of 'health' and 'welfare', whether applied to humans or animals, are increasingly becoming linked. But are they really indissociable, or even synonymous? Although human health is generally defined as a complete state of physical, mental and social well-being, animal health is still considered as simply the absence of disease. However, recent advances in scientific knowledge are forcing us to revise our ideas about the mental complexity of animals and to recognise their ability to feel emotions and to have needs and a degree of consciousness. The precise objective of animal welfare science is to study their mental states and their ability to adapt to domestication. Pending a global application of this concept of health, including mental health, to animals as well as to humans, the idea of welfare remains an important element in addition to traditional health concerns. More generally, this linkage fuels the ethical debate about the ways in which people use animals, prompting society to change its stance on some aspects of the issue.

Teaching Note-CASA Volunteerism: Preparing MSW Students for Public Child Welfare Practice

Science.gov (United States)

Berrick, Jill Duerr; Durst, Wendy

2014-01-01

In an effort to reform public child welfare systems across the nation, Title IV-E child welfare training programs were established over 2 decades ago. Participating students typically engage in a customized educational experience as part of their MSW program that prepares them to work in the field of child welfare upon graduation. This article…

Animal health and welfare planning improves udder health and cleanliness but not leg health in Austrian dairy herds.

Science.gov (United States)

Tremetsberger, Lukas; Leeb, Christine; Winckler, Christoph

2015-10-01

Animal health and welfare planning is considered an important tool for herd management; however, its effectiveness is less well known. The aim of this study was to conduct animal health and welfare planning on 34 Austrian dairy farms and to evaluate changes in health and welfare after 1 yr. After an initial assessment using the Welfare Quality protocol (Welfare Quality Consortium, Lelystad, the Netherlands), results were reported back to the farmers. Health and welfare area(s) in which both the farmer and the researcher regarded improvement as important were discussed. Management practices and husbandry measures were chosen according to the respective farm situation. One year after interventions had been initiated, farms were reassessed, and the degree of implementation of improvement measures was recorded. The average implementation rate was 57% and thus relatively high when compared with other studies. High degrees of implementation were achieved related to cleanliness and udder health, at 77 and 63%, respectively. Intervention measures addressing udder health were mostly easy to incorporate in the daily routine and led to a reduced somatic cell score, whereas this score increased in herds without implementation of measures. The decrease in cows with dirty teats was more pronounced when measures were implemented compared with control farms. The implementation rate regarding leg health (46%) was comparably low in the present study, and leg health did not improve even when measures were implemented. Lying comfort, social behavior, and human-animal relationship did not require interventions and were therefore seldom chosen by farmers as part of health and welfare plans. In conclusion, the structured, participatory process of animal health and welfare planning appears to be a promising way to improve at least some animal health and welfare issues. Copyright © 2015 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Proteomics and the search for welfare and stress biomarkers in animal production in the one-health context.

Science.gov (United States)

Marco-Ramell, A; de Almeida, A M; Cristobal, S; Rodrigues, P; Roncada, P; Bassols, A

2016-06-21

Stress and welfare are important factors in animal production in the context of growing production optimization and scrutiny by the general public. In a context in which animal and human health are intertwined aspects of the one-health concept it is of utmost importance to define the markers of stress and welfare. These are important tools for producers, retailers, regulatory agents and ultimately consumers to effectively monitor and assess the welfare state of production animals. Proteomics is the science that studies the proteins existing in a given tissue or fluid. In this review we address this topic by showing clear examples where proteomics has been used to study stress-induced changes at various levels. We adopt a multi-species (cattle, swine, small ruminants, poultry, fish and shellfish) approach under the effect of various stress inducers (handling, transport, management, nutritional, thermal and exposure to pollutants) clearly demonstrating how proteomics and systems biology are key elements to the study of stress and welfare in farm animals and powerful tools for animal welfare, health and productivity.

The Korean economic crisis and coping strategies in the health sector: pro-welfarism or neoliberalism?

Science.gov (United States)

Kim, Chang-Yup

2005-01-01

In South Korea, there have been debates on the welfare policies of the Kim Dae-jung government after the economic crisis beginning in late 1997, but it is unquestionable that health and health care policies have followed the trend of neoliberal economic and social polices. Public health measures and overall performance of the public sector have weakened, and the private health sector has further strengthened its dominance. These changes have adversely affected the population's health status and access to health care. However, the anti-neoliberal coalition is preventing the government's drive from achieving a full success.

The Danish Welfare Commission

DEFF Research Database (Denmark)

Gjerding, Allan Næs

2006-01-01

on public services, and install economic incentives for the behaviour of private households. The paper then digs into the proposals of the commission that are broadly grouped into five policy target areas con-cerning (1) the ageing of the population, (2) the incentives for labour market participation, (3......The paper deals with the main report of the Danish Welfare Commission and the one-hundred-and-nine proposals on the structure of the future Danish welfare state that the com-mission has put forward. Following upon a brief review of the discussion on the work of the Danish Welfare Commission......) competitiveness in the global economy, (4) behavioural regulation of the use of public bene-fits and services, and (5) management within tight budgets of an increasing demand on health and care. Finally, the concluding section sums up the discussion and elaborates on the debate on the Welfare Commission’s work...

WOMEN IN THE PATRIARCHAL WELFARE STATE

Directory of Open Access Journals (Sweden)

Darshi Thoradeniya

2015-10-01

Full Text Available This essay analyses the implications of the state performing a welfare function for an extended period of time in relation to the social contract between women citizens and the state. It argues that a prolonged status of ‘welfare provider’ ascribes certain patriarchal attributes to the state, which in turn reduces the position of the citizens, especially women, to a mere ‘beneficiary’ level. With the use of two specific policy documents relating to public health – Well Woman Clinic (WWC programme launched in 1996, and the Population and Reproductive Health (PRH policy designed in 1998 – it shows that in the absence of a rights based approach to public health, women have become mere beneficiaries, as opposed to active citizens, of the prolonged welfare State of Sri Lanka. This relationship has deterred women citizens from exercising the right to demand their needs from the State.

A balancing act? Work-life balance, health and well-being in European welfare states.

Science.gov (United States)

Lunau, Thorsten; Bambra, Clare; Eikemo, Terje A; van der Wel, Kjetil A; Dragano, Nico

2014-06-01

Recent analyses have shown that adverse psychosocial working conditions, such as job strain and effort-reward imbalance, vary by country and welfare state regimes. Another work-related factor with potential impact on health is a poor work-life balance. The aims of this study are to determine the association between a poor work-life balance and poor health across a variety of European countries and to explore the variation of work-life balance between European countries. Data from the 2010 European Working Conditions Survey were used with 24,096 employees in 27 European countries. Work-life balance is measured with a question on the fit between working hours and family or social commitments. The WHO-5 well-being index and self-rated general health are used as health indicators. Logistic multilevel models were calculated to assess the association between work-life balance and health indicators and to explore the between-country variation of a poor work-life balance. Employees reporting a poor work-life balance reported more health problems (Poor well-being: OR = 2.06, 95% CI = 1.83-2.31; Poor self-rated health: OR = 2.00, 95% CI = 1.84-2.17). The associations were very similar for men and women. A considerable part of the between-country variation of work-life balance is explained by working hours, working time regulations and welfare state regimes. The best overall work-life balance is reported by Scandinavian men and women. This study provides some evidence on the public health impact of a poor work-life balance and that working time regulations and welfare state characteristics can influence the work-life balance of employees. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Politics, welfare regimes, and population health: controversies and evidence.

Science.gov (United States)

Muntaner, Carles; Borrell, Carme; Ng, Edwin; Chung, Haejoo; Espelt, Albert; Rodriguez-Sanz, Maica; Benach, Joan; O'Campo, Patricia

2011-09-01

In recent years, a research area has emerged within social determinants of health that examines the role of politics, expressed as political traditions/parties and welfare state characteristics, on population health. To better understand and synthesise this growing body of evidence, the present literature review, informed by a political economy of health and welfare regimes framework, located 73 empirical and comparative studies on politics and health, meeting our inclusion criteria in three databases: PubMed (1948-), Sociological Abstracts (1953-), and ISI Web of Science (1900-). We identified two major research programmes, welfare regimes and democracy, and two emerging programmes, political tradition and globalisation. Primary findings include: (1) left and egalitarian political traditions on population health are the most salutary, consistent, and substantial; (2) the health impacts of advanced and liberal democracies are also positive and large; (3) welfare regime studies, primarily conducted among wealthy countries, find that social democratic regimes tend to fare best with absolute health outcomes yet consistently in terms of relative health inequalities; and (4) globalisation defined as dependency indicators such as trade, foreign investment, and national debt is negatively associated with population health. We end by discussing epistemological, theoretical, and methodological issues for consideration for future research. © 2011 The Authors. Sociology of Health & Illness © 2011 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.

Land use, worker heterogeneity and welfare benefits of public goods

NARCIS (Netherlands)

Teulings, Coen N.; Ossokina, Ioulia V.; de Groot, Henri L.F.

2018-01-01

We show that investments in public goods change the optimal land use in their vicinity, leading to additional welfare benefits. This occurs through two sorting mechanisms. First, availability of public goods leads to higher population densities. Second, population groups sort according to their

Welfare Reform and Health

Science.gov (United States)

Bitler, Marianne P.; Gelback, Jonah B.; Hoynes, Hilary W.

2005-01-01

A study of the effect of state and federal welfare reforms over the period 1990-2000 on health insurance coverage and healthcare utilization by single women aged between 20-45 is presented. It is observed that Personal Responsibility and Work Opportunity Act of 1996 which replaced the Aid to Families with Dependent Children program of 1990s with…

45 CFR 400.112 - Child welfare services for refugee children.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 2 2010-10-01 2010-10-01 false Child welfare services for refugee children. 400... RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES REFUGEE RESETTLEMENT PROGRAM Child Welfare Services § 400.112 Child welfare services for refugee children. (a) In...

Health and Welfare in Organic Poultry Production

Directory of Open Access Journals (Sweden)

Berg C

2002-03-01

Full Text Available This review paper deals with the major health and welfare aspects of organic poultry production. The differences between organic and conventional egg and poultry meat production are discussed, with the main emphasis on housing and management requirements, feed composition and the use of veterinary prophylactic and therapeutic drugs. The effects of the legislation and statutes for organic farming on the health and welfare of the birds are also discussed, especially in relation to the biosecurity problems associated with free-range systems, the occurrence of behavioural disturbances in loose housed flocks and the use of veterinary drugs and vaccinations in general. The results from a questionnaire sent out to all Swedish organic egg producers, where questions about the farmer's perception of the birds' health status were included, are presented at the end of the paper. It is concluded that most of the health and welfare problems seen in conventional poultry systems for loose housed or free ranging birds can also been found on organic poultry farms. It is also concluded that there is a need for information about biosecurity, disease detection and disease prevention on organic poultry farms.

Parents' mental health and psychiatric expertise in child welfare family rehabilitation.

Science.gov (United States)

Riihimäki, Kirsi

2015-02-01

Parents' mental health disorders are not well known within child welfare services. First, to assess the mental health disorders and treatment needs of parents participating in the child welfare-centred family rehabilitation; Second, to evaluate the work of psychiatric nurses and the effectiveness of consultations by psychiatrists in such cases. During 2010, a total of 141 parents participated in child welfare-centred family rehabilitation. The primary psychiatric disorders of parents not currently receiving psychiatric care were assessed, as was the appropriate treatment for them. The majority of parents in child welfare-centred family rehabilitation suffered from severe mental health disorders, often unrecognized and untreated. As much as 93% of parents were referred to mental health or substance abuse treatment, almost half of them to secondary care. The work of psychiatric nurses and consultations by psychiatrists were found to be useful. Most parents suffered from severe unrecognized and untreated mental health disorders. There is a high demand for adult-psychiatric expertise in child welfare.

Intercultural Health Care and Welfare

DEFF Research Database (Denmark)

Nielsen, Ben

2014-01-01

Artiklen har fokus på undervisning, planlægning, udvikling og evaluering af et internationalt tværfagligt valgfag Intercultural Health Care and Welfare, der udbydes på Det Sundhedsfaglige og Teknologiske Fakultet på Professionshøjskolen Metropol. Ifølge den tysk-amerikanske professor Iris Varner og...

29 CFR 4.175 - Meeting requirements for health, welfare, and/or pension benefits.

Science.gov (United States)

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Meeting requirements for health, welfare, and/or pension... health, welfare, and/or pension benefits. (a) Determining the required amount of benefits. (1) Most fringe benefit determinations containing health and welfare and/or pension requirements specify a fixed...

Neoliberalism, welfare policy and health: a qualitative meta-synthesis of single parents' experience of the transition from welfare to work.

Science.gov (United States)

Cook, Kay

2012-09-01

Following the United States' lead, the emergence of neoliberal welfare policy across the western world has resulted in employment programmes for single parents, who are predominantly single mothers. While some governments claim that employment will improve single parents' incomes and well-being, researchers dispute that single parents can unproblematically move into the workforce, with net positive effects. While researchers have quantified the socio-economic effect of these programmes, in particular on participant health, no study has yet synthesized participants' experiences of welfare-to-work. Here, I present a meta-synthesis of eight qualitative health-related studies of single parents' (and exclusively single mothers') welfare-to-work transition. I report that single mothers faced a combination of health and economic issues which made their transition from welfare to work difficult, including degrees of poor physical and mental health. For participants in the United States, these health issues were often compounded by a loss of health benefits on moving into low-wage employment. In countries where a return to employment was required before children reached school age, a lack of affordable and appropriate child care, especially for children with health problems, exacerbated these difficulties. As a result of scarce resources, single mothers in receipt of welfare benefits often relied on food banks or went without food. A return to the workforce did not alleviate this problem as additional child care and reduced government subsidies depleted the funds available for food. I conclude that welfare-to-work policies are underpinned by the neoliberal assumption that the market more efficiently distributes resources than the State. However, for the women in the studies examined here, labour market participation often depleted access to essential resources. Interventions to address the 'problem' of welfare dependency must recognize the complex interplay between work

The Nordic welfare model and welfare services - Can we maintain acceptable standards?

DEFF Research Database (Denmark)

Andersen, Torben M.

used only by those who cannot afford better solutions. Can the Nordic welfare model meet this objective in the future? Increasing productivity and wealth challenge this. Services tend to have lower productivity growth and thus to become more expensive (Baumol’s cost disease), but also to have a high......A key feature of the Nordic welfare model is provision of welfare services like care, education and health. They are individual entitlements, and collectively financed. It is a prerequisite that contemporary standards of services are provided; thus the public solution is not a second rate solution...... income elasticity, and thus demands rise alongside improved material living standards (Wagner effects). The same implies to leisure, implying that tax bases may be eroded. In short, expenditures are on an upward drift and revenues on a downward trend, challenging the financial viability of the welfare...

From Warfare to Welfare. Postwar Homelessness, Dislocation, and the Birth of the Welfare State in Europe: The Case of Berlin 1945–1949

Directory of Open Access Journals (Sweden)

Clara M. Oberle

2010-11-01

Full Text Available This article examines the origins of what for years has been characterized as a European welfare consensus. It asks whether, indeed, there was a convergence of ideas, and if so, what led to it. Based on public health records from governmental, municipal, and international agencies in immediate postwar Europe, but also on sources reflecting public opinion, Allied military government discourses and policies, urban planners, medical professionals, and others, it argues that indeed there was a period in European history which generated something of a postwar convergence of ideas regarding public health and welfare. The postwar period witnessed a remarkable consensus about the importance of public planning, spending, and state involvement in the health and welfare sector. By examining the case of Berlin as one immediate postwar city and situating it in the larger European context of the time, one can point to common motivations and even actors involved. The root of this consensus was not any optimistic humanitarian ideology, nor even only a concern about public health or the spread of epidemics, though the latter was prominent. Equally important, it grew out of a shared setting marked by physical destruction and political instability. As a result, concerns about governability, social order, and political legitimacy came to the forefront, even of health and housing debates. In the case of Berlin, the public health debate was driven furthermore by a fear of the return of National Socialism.

Socioeconomic inequalities in oral health in different European welfare state regimes.

Science.gov (United States)

Guarnizo-Herreño, Carol C; Watt, Richard G; Pikhart, Hynek; Sheiham, Aubrey; Tsakos, Georgios

2013-09-01

There is very little information about the relationship between welfare regimes and oral health inequalities. We compared socioeconomic inequalities in adults' oral health in five European welfare-state regimes: Scandinavian, Anglo-Saxon, Bismarckian, Southern and Eastern. Using data from the oral health module of the Eurobarometer 72.3 survey, we assessed inequalities in two self-reported oral health measures: no functional dentition (less than 20 natural teeth) and edentulousness (no natural teeth). Occupational social class, education and subjective social status (SSS) were included as socioeconomic position indicators. We estimated age-standardised prevalence rates, ORs, the Relative Index of Inequality (RII) and the Slope Index of Inequality (SII). The Scandinavian regime showed the lowest prevalence rates of the two oral health measures while the Eastern showed the highest. In all welfare regimes there was a general pattern of social gradients by occupational social class and education. Relative educational inequalities in no functional dentition were largest in the Scandinavian welfare regime (RII=3.81; 95% CI 2.68 to 5.42). The Scandinavian and Southern regimes showed the largest relative inequalities in edentulousness by occupation and education, respectively. There were larger absolute inequalities in no functional dentition in the Eastern regime by occupation (SII=42.16; 95% CI 31.42 to 52.89) and in the Southern by SSS (SII=27.92; 95% CI 17.36 to 38.47). Oral health inequalities in adults exist in all welfare-state regimes, but contrary to what may be expected from theory, they are not smaller in the Scandinavian regime. Future work should examine the potential mechanisms linking welfare provision and oral health inequalities.

A systematic review of the health, social and financial impacts of welfare rights advice delivered in healthcare settings

Directory of Open Access Journals (Sweden)

Howel Denise

2006-03-01

Full Text Available Abstract Background Socio-economic variations in health, including variations in health according to wealth and income, have been widely reported. A potential method of improving the health of the most deprived groups is to increase their income. State funded welfare programmes of financial benefits and benefits in kind are common in developed countries. However, there is evidence of widespread under claiming of welfare benefits by those eligible for them. One method of exploring the health effects of income supplementation is, therefore, to measure the health effects of welfare benefit maximisation programmes. We conducted a systematic review of the health, social and financial impacts of welfare rights advice delivered in healthcare settings. Methods Published and unpublished literature was accessed through searches of electronic databases, websites and an internet search engine; hand searches of journals; suggestions from experts; and reference lists of relevant publications. Data on the intervention delivered, evaluation performed, and outcome data on health, social and economic measures were abstracted and assessed by pairs of independent reviewers. Results are reported in narrative form. Results 55 studies were included in the review. Only seven studies included a comparison or control group. There was evidence that welfare rights advice delivered in healthcare settings results in financial benefits. There was little evidence that the advice resulted in measurable health or social benefits. This is primarily due to lack of good quality evidence, rather than evidence of an absence of effect. Conclusion There are good theoretical reasons why income supplementation should improve health, but currently little evidence of adequate robustness and quality to indicate that the impact goes beyond increasing income.

Migrants and Health in the Nordic welfare states

DEFF Research Database (Denmark)

Greve, Bent

2016-01-01

This article probes into the health of migrants with a focus on the situation in the Nordic universal welfare states. The Nordic welfare states are further compared to each other with a comparison to the EU28 if possible, including investigation of the differences among the four Nordic countries...... socioeconomic factors, such as the impact of economic inequality. Moreover, the healthy migrant paradox cannot be confirmed....

Client Abuse to Public Welfare Workers

DEFF Research Database (Denmark)

Strøbæk, Pernille Solveig; Korczynski, Marek

2016-01-01

We analyse a case study of workers’ experience of client abuse in a Danish public welfare organisation. We make an original contribution by putting forward two different theoretical expectations of the case. One expectation is that the case follows a pattern of customer abuse processes in a social...... patterns of customer abuse associated with a liberal market economy – in which the customer is treated as sovereign against the relatively powerless worker, and in which workers bear heavy emotional costs of abuse. Our findings show a greater match to the social processes of abuse within a social market...... market economy – in which workers are accorded power and resources, in which workers tend to frame the abuse as the outcome of a co-citizen caught in system failure and in which workers demonstrate some resilience to abuse. Another expectation is that New Public Management reforms push the case to follow...

77 FR 38073 - Laboratory Animal Welfare: Clarification of Position Statements on Implementation of the Eighth...

Science.gov (United States)

2012-06-26

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Laboratory Animal Welfare... INFORMATION CONTACT: Office of Laboratory Animal Welfare, Office of Extramural Research, NIH, RKL1, Suite 360... approved Animal Welfare Assurance-- in their implementation of the Guide (76 FR 74803). The public was...

Opinion of the scientific panel on animal health and welfare on a request from the commission related to welfare aspects of the castration of piglets

DEFF Research Database (Denmark)

Gunn, Michael; Allen, Paul; Bonneau, Michel

2004-01-01

Report - Annex to the Opinion of the Scientific Panel on Animal Health and Welfare on a request from the Commission related to welfare aspects of the castration of piglets......Report - Annex to the Opinion of the Scientific Panel on Animal Health and Welfare on a request from the Commission related to welfare aspects of the castration of piglets...

Indicatoren voor dierenwelzijn en diergezondheid = Indicators for animal welfare and animal health

NARCIS (Netherlands)

Leenstra, F.R.; Neijenhuis, F.

2009-01-01

The Dutch Ministry of Agriculture, Nature and Food Quality requires a monitor for animal welfare and animal health to evaluate progress in this field. This report describes which indicators for animal welfare and health can be used for the monitor

76 FR 10379 - Laboratory Animal Welfare: Proposed Adoption and Implementation of the Eighth Edition of the...

Science.gov (United States)

2011-02-24

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Laboratory Animal Welfare... making comments publicly available. FOR FURTHER INFORMATION CONTACT: Office of Laboratory Animal Welfare... of the Guide and comply, as applicable, with the Animal Welfare Act and other Federal statutes and...

The impact of public employment on health and health inequalities: evidence from China.

Science.gov (United States)

Zhang, Wei

2011-01-01

Because the public and private sectors often operate with different goals, individuals employed by the two sectors may receive different levels of welfare. This can potentially lead to different health status. As such, employment sector offers an important perspective for understanding labor market outcomes. Using micro-level data from a recent Chinese household survey, this study empirically evaluated the impact of employment sector on health and within-sector health inequalities. It found that public sector employment generated better health outcomes than private sector employment, controlling for individual characteristics. The provision of more job security explained an important part of the association between public sector employment and better health. The study also found less health inequality by social class within the public sector. These findings suggest that policymakers should think critically about the "conventional wisdom" that private ownership is almost always superior, and should adjust their labor market policies accordingly.

12 CFR 24.6 - Examples of qualifying public welfare investments.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Examples of qualifying public welfare investments. 24.6 Section 24.6 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY... finance small businesses or small farms, including minority- and women-owned small businesses or small...

The welfare gain from replacing the health insurance tax exclusion with lump-sum tax credits.

Science.gov (United States)

Liu, Liqun; Rettenmaier, Andrew J; Saving, Thomas R

2011-06-01

This paper analyzes the welfare gain from replacing the tax exclusion of employer-provided health insurance with a lump-sum tax credit. It differs from earlier studies in that we look at the welfare cost of health insurance tax exclusion as coming directly from excessive health insurance rather than from overconsumption of medical care and that we account for the labor market effect of the tax exclusion on welfare. Both differences work to produce a smaller tax reform welfare gain. For a set of mid-range parameter values, the welfare gain is about 21% of current health insurance tax expenditures. In addition, government tax expenditures would fall by 38%, and health insurance spending would fall by 77% after the reform.

Portrayals of canine obesity in English-language newspapers and in leading veterinary journals, 2000-2009: implications for animal welfare organizations and veterinarians as public educators.

Science.gov (United States)

Degeling, Chris; Rock, Melanie; Toews, Lorraine; Teows, Lorraine

2011-01-01

In industrialized societies, more than 1 in 3 dogs and people currently qualify as overweight or obese. Experts in public health expect both these figures to rise. Although clinical treatment remains important, so are public perceptions and social norms. This article presents a thematic analysis of English-language mass media coverage on canine obesity from 2000 through 2009 and compares these results with a thematic analysis of articles on canine obesity in leading veterinary journals during the same time period. Drawing on Giddens's theory of structuration, this study identified articles that emphasized individual agency, environmental structure, or both as contributors to canine obesity. Comparisons with weight-related health problems in human populations were virtually absent from the veterinary sample. Although such comparisons were almost always present in the media sample, quotations from veterinarians and other spokespeople for the welfare of nonhuman animals emphasized the agency of individual caregivers (owners) over structural influences. Now that weight gain and obesity have been established as a pressing animal welfare problem, these results suggest a need for research and for interventions, such as media advocacy, that emphasize intersections between animal-owner agency, socioenvironmental determinants, and connections between animal welfare and human health.

Mandates for Collaboration: Health Care and Child Welfare Policy and Practice Reforms Create the Platform for Improved Health for Children in Foster Care.

Science.gov (United States)

Zlotnik, Sarah; Wilson, Leigh; Scribano, Philip; Wood, Joanne N; Noonan, Kathleen

2015-10-01

Improving the health of children in foster care requires close collaboration between pediatrics and the child welfare system. Propelled by recent health care and child welfare policy reforms, there is a strong foundation for more accountable, collaborative models of care. Over the last 2 decades health care reforms have driven greater accountability in outcomes, access to care, and integrated services for children in foster care. Concurrently, changes in child welfare legislation have expanded the responsibility of child welfare agencies in ensuring child health. Bolstered by federal legislation, numerous jurisdictions are developing innovative cross-system workforce and payment strategies to improve health care delivery and health care outcomes for children in foster care, including: (1) hiring child welfare medical directors, (2) embedding nurses in child welfare agencies, (3) establishing specialized health care clinics, and (4) developing tailored child welfare managed care organizations. As pediatricians engage in cross-system efforts, they should keep in mind the following common elements to enhance their impact: embed staff with health expertise within child welfare settings, identify long-term sustainable funding mechanisms, and implement models for effective information sharing. Now is an opportune time for pediatricians to help strengthen health care provision for children involved with child welfare. Copyright © 2015. Published by Elsevier Inc.

Public Concern with Farm-Animal Welfare: Religion, Politics, and Human Disadvantage in the Food Sector

Science.gov (United States)

Deemer, Danielle R.; Lobao, Linda M.

2011-01-01

The welfare of farm animals has become a continuing source of controversy as states seek greater regulation over the livestock industry. However, empirical studies addressing the determinants of public concern for farm-animal welfare are limited. Religion and politics, two institutional bases of attitudes, are rarely explored. Nor have…

Promoting the health, safety and welfare of adults with learning disabilities in acute care settings: a structured literature review.

Science.gov (United States)

Bradbury-Jones, Caroline; Rattray, Janice; Jones, Martyn; Macgillivray, Stephen

2013-06-01

To present the findings of a structured literature review that aimed to identify the influences on the health, safety and welfare of adults with learning disabilities in acute hospitals. There is increasing evidence regarding the inadequacy of care for people with learning disabilities in acute care settings. However, few studies have specifically addressed their health, safety and welfare in such contexts. Four key electronic databases (Medline; PsycINFO; British Nursing Index and archive; Cumulative Index to Nursing and Allied Health Literature) were searched for relevant literature published between 2000 and 2011. Publications assessed as meeting the inclusion criteria were retrieved in full. Data were extracted regarding methods used; primary aims of the study being reported; and key findings. Of the 3505 papers identified in the initial search, eight met the inclusion criteria. Analysis revealed six areas of influence on the health, safety and welfare of adults with learning disabilities in acute hospitals: care provision (meeting health and personal needs); communication; staff attitudes; staff knowledge; supporters; and carers (valuing their role); physical environment. We represent these six areas diagrammatically, as concentric rings. These influence on health, safety and welfare form an inner (direct) layer and an outer (indirect) layer consisting of liaison services and education/training. This new conceptualisation of influences as being multi-layered assists in the identification of similarly multi-layered improvement strategies. Adults with learning disabilities can exert their own influence on health, safety and welfare and should be supported to make decisions about their own care. More broadly they should be involved with policy development, nurse education and research. This can be achieved through inclusive approaches, for example, inviting people with learning disabilities to input into nursing curricula or to engage in research as

Productivity in public welfare services is changing: the standpoint of strategic competence-based management.

Science.gov (United States)

Ollila, Seija

2013-01-01

In Finland the municipal restructuring project was launched in 2005. Its goal is to create a system that ensures high-quality municipal welfare services for everyone, continuing into the future. The main focus of this research is to examine the tension between strategic competence-based management and productivity in public welfare services. The theoretical basis covers theories regarding strategic competence-based management and productivity. To guarantee services and quality it is important to strengthen the supply of employees, competence, development, leverage, and benefits in public organizations. Leadership has a significant role in strategic competence-based management.

The globalisation of farm animal welfare.

Science.gov (United States)

Fraser, D

2014-04-01

Animal welfare has achieved significant global prominence for perhaps three reasons. First, several centuries of scientific research, especially in anatomy, evolutionary biology and animal behaviour, have led to a gradual narrowing of the gap that people perceive between humans and other species; this altered perception has prompted grass-roots attention to animals and their welfare, initially in Western countries but now more globally asthe influence of science has expanded. Second, scientific research on animal welfare has provided insights and methods for improving the handling, housing and management of animals; this 'animal welfare science' is increasingly seen as relevant to improving animal husbandry worldwide. Third, the development and use of explicit animal welfare standards has helped to integrate animal welfare as a component of national and international public policy, commerce and trade. To date, social debate about animal welfare has been dominated bythe industrialised nations. However, as the issue becomes increasingly global, it will be important for the non-industrialised countries to develop locally appropriate approaches to improving animal welfare, for example, by facilitating the provision of shelter, food, water and health care, and by improving basic handling, transportation and slaughter.

Red and processed meat consumption and purchasing behaviours and attitudes: impacts for human health, animal welfare and environmental sustainability.

Science.gov (United States)

Clonan, Angie; Wilson, Paul; Swift, Judy A; Leibovici, Didier G; Holdsworth, Michelle

2015-09-01

Higher intakes of red and processed meat are associated with poorer health outcomes and negative environmental impacts. Drawing upon a population survey the present paper investigates meat consumption behaviours, exploring perceived impacts for human health, animal welfare and the environment. Structured self-completion postal survey relating to red and processed meat, capturing data on attitudes, sustainable meat purchasing behaviour, red and processed meat intake, plus sociodemographic characteristics of respondents. Urban and rural districts of Nottinghamshire, East Midlands, UK, drawn from the electoral register. UK adults (n 842) aged 18-91 years, 497 females and 345 males, representing a 35·6 % response rate from 2500 randomly selected residents. Women were significantly more likely (P60 years) were more likely to hold positive attitudes towards animal welfare (Psustainability. Policy makers, nutritionists and health professionals need to increase the public's awareness of the environmental impact of eating red and processed meat. A first step could be to ensure that dietary guidelines integrate the nutritional, animal welfare and environmental components of sustainable diets.

78 FR 47215 - Petition to Amend Animal Welfare Act Regulations To Prohibit Public Contact With Big Cats, Bears...

Science.gov (United States)

2013-08-05

... No. APHIS-2012-0107] Petition to Amend Animal Welfare Act Regulations To Prohibit Public Contact With... Inspection Service has received a petition requesting amendments to the Animal Welfare Act regulations and...: Background The Animal Welfare Act (AWA, 7 U.S.C. 2131 et seq.) authorizes the Secretary of Agriculture to...

Ramsey waits: allocating public health service resources when there is rationing by waiting.

Science.gov (United States)

Gravelle, Hugh; Siciliani, Luigi

2008-09-01

The optimal allocation of a public health care budget across treatments must take account of the way in which care is rationed within treatments since this will affect their marginal value. We investigate the optimal allocation rules for public health care systems where user charges are fixed and care is rationed by waiting. The optimal waiting time is higher for treatments with demands more elastic to waiting time, higher costs, lower charges, smaller marginal welfare loss from waiting by treated patients, and smaller marginal welfare losses from under-consumption of care. The results hold for a wide range of welfarist and non-welfarist objective functions and for systems in which there is also a private health care sector. They imply that allocation rules based purely on cost effectiveness ratios are suboptimal because they assume that there is no rationing within treatments.

Welfare reform and women's health: review of the literature and implications for state policy.

Science.gov (United States)

O'Campo, P; Rojas-Smith, L

1998-01-01

In August 1996, the Personal Responsibility Work Opportunity Reconciliation Act (P.L. 104-193) was signed into law, ending a 60-year federal entitlement guaranteeing families some basic level of assistance during periods of economic hardship. Several components of this new legislation have the potential to impact upon the health and well-being of women and children. We summarize studies examining the relationship between welfare participation and physical and mental well-being of women and what is known about the effects of poverty on health; the patterns of employment among welfare participants and the health consequences of low-wage work on women; domestic violence among welfare recipients; the potential health consequences of the provisions of the new Temporary Assistance to Needy Families (TANF) program for women's and adolescent health; and the consequences of the new TANF provisions for the health and well-being of immigrant women. We discuss the implications for policy makers in monitoring and minimizing the negative impact of welfare reforms on women's health and well-being.

Finnish NGOs promoting health equity in the context of welfare economy.

Science.gov (United States)

Rouvinen-Wilenius, Päivi; Ahokas, Jussi; Kiukas, Vertti; Aalto-Kallio, Mervi

2018-04-05

Health inequality is a national challenge in Finland. The WHO global strategy of Health for All implies that all people should have an equal opportunity to develop and maintain their health through fair and just access to health resources. This article examines the role of Finnish Non-Governmental Organizations (NGO) in strengthening the health equity. The article presents the strategy and specific criteria constructed by the NGOs to promote health equity in society. The health equity criteria and welfare economy strategy are combined to a framework which NGOs can utilize in their work to promote health equity. The welfare economy strategy describes the important issues that NGOs have to address when working towards a specific societal goal, in this case equity. The health equity criteria in turn are an instrument for the practical implementation of the preconditions of equity.

Sustainability of recurrent expenditure on public social welfare programmes: expenditure analysis of the free maternal care programme of the Ghana National Health Insurance Scheme.

Science.gov (United States)

Ankrah Odame, Emmanuel; Akweongo, Patricia; Yankah, Ben; Asenso-Boadi, Francis; Agyepong, Irene

2014-05-01

Sustainability of public social welfare programmes has long been of concern in development circles. An important aspect of sustainability is the ability to sustain the recurrent financial costs of programmes. A free maternal care programme (FMCP) was launched under the Ghana National Health Insurance Scheme (NHIS) in 2008 with a start-up grant from the British Government. This article examines claims expenditure under the programme and the implications for the financial sustainability of the programme, and the lessons for donor and public financing of social welfare programmes. Records of reimbursement claims for services and medicines by women benefitting from the policy in participating facilities in one sub-metropolis in Ghana were analysed to gain an understanding of the expenditure on this programme at facility level. National level financial inflow and outflow (expenditure) data of the NHIS, related to implementation of this policy for 2008 and 2009, were reviewed to put the facility-based data in the national perspective. A total of US$936 450.94 was spent in 2009 by the scheme on FMCP in the sub-metropolis. The NHIS expenditure on the programme for the entire country in 2009 was US$49.25 million, exceeding the British grant of US$10.00 million given for that year. Subsequently, the programme has been entirely financed by the National Health Insurance Fund. The rapidly increasing, recurrent demands on this fund from the maternal delivery exemption programme-without a commensurate growth on the amounts generated annually-is an increasing threat to the sustainability of the fund. Provision of donor start-up funding for programmes with high recurrent expenditures, under the expectation that government will take over and sustain the programme, must be accompanied by clear long-term analysis and planning as to how government will sustain the programme.

The genesis of public health ethics.

Science.gov (United States)

Bayer, Ronald; Fairchild, Amy L

2004-11-01

As bioethics emerged in the 1960s and 1970s and began to have enormous impacts on the practice of medicine and research--fuelled, by broad socio-political changes that gave rise to the struggles of women, African Americans, gay men and lesbians, and the antiauthoritarianism impulse that characterised the New Left in democratic capitalist societies--little attention was given to the question of the ethics of public health. This was all the more striking since the core values and practices of public health, often entailing the subordination of the individual for the common good, seemed opposed to the ideological impulses of bioethics. Of what relevance is autonomy-focused bioethics for public health, with its mix of justifications including those that are either implicitly or explicitly paternalistic or that seek to impose strictures on individuals and communities in the name of collective welfare? To examine the deep divide between the central commitments of bioethics and the values that animate the practice of public health, we focus on a series of controversies implicating the concepts of privacy, liberty, and paternalism. Recognising the role of moral values in decision-making was a signal contribution of bioethics in its formative period. Over the past three decades a broad array of perspectives emerged under the rubric of bioethics but individualism remains central. As we commence the process of shaping an ethics of public health, it is clear that bioethics is the wrong place to start when thinking about the balances required in defence of the public's health.

Infant and maternal health services in Ceylon, 1900-1948: imperialism or welfare?

Science.gov (United States)

Jones, Margaret

2002-08-01

This article contests a dominant contemporary view that colonial medicine was oppressive and detrimental to welfare; in particular, that infant and maternal welfare services were culturally hegemonic in their imposition of western practices and values on indigenous women. It does so by studying the development of these services in just one British colony--the 'model colony' of Ceylon from 1900 until independence. It shows how, at both a practical and a theoretical level, there was a direct policy transfer from the metropolitan centre to the colony. Moreover, the main justifications for the development of health and welfare services for women and children ran parallel to those used earlier in Britain. By 1948, these services were extensive in Ceylon and contributed to the fall in infant and maternal mortality rates at the end of the colonial period. It concludes by arguing that, just as in the West, these services were contradictory: they could both help maintain the exploitative State and enhance welfare. However, it is ultimately on their ability to improve health and welfare that they should be judged.

Animal health and welfare in production systems for organic fattening pigs

DEFF Research Database (Denmark)

Lindgren, Kristina; Bochicchio, Davide; Hegelund, Lene

2014-01-01

and conventional production. Conventional Danish herds consumed three times as much antibiotics (anthelmintics not included) as the organic herds, whilst there was no difference in mortality rate nor more pigs in need of treatment in the organic herds. Slaughter data indicated that organic pigs had fewer...... and aggression. Minimizing negative environmental impact may conflict with animal welfare, i.e. raising the pigs indoors may not only reduce plant nutrient losses but also reduce the pigs’ activity options. With an increasing number of specialized organic units, implementation of age-segregated production......With the aim to identify European health and welfare strategies in organic pig production, we summarized information about health and welfare status and potential hazards for organic fattening pigs. The results were primarily based on studies of organic production or comparisons between organic...

Family welfare and health practices increase after exposure to population education.

Science.gov (United States)

1994-01-01

Since 1987, the State Resource Center of Jamia Millia Islamia of New Delhi has been implementing a program which integrates population education contents into its literacy education classes for adult learners. Using the core messages on family size, spacing of children, responsible parenthood, right age of marriage, population-related beliefs and customs and population and development, the Center undertook many activities such as: i) integrating population contents in literacy primers, readers and supplementary reading books; ii) development of teaching aids and instructor's resource materials; iii) organization of training for instructors and iv) holding outreach activities such as street corner plays, fairs, etc. To evaluate the impact of the program, the Center undertook an impact survey to measure the level of knowledge, attitude and practices of randomly selected beneficiaries of the project, i.e. 934 learners from 85 literacy learning centers, 5 years after the introduction of the population education program. The study used pre-test and post-test method for collecting data and to compare results. In terms of practice, the study has shown that the respondents having knowledge about family planning methods increased from 67 to 87%, after being exposed to the project's activities. There was also an increase of 61% in cases adopting family planning methods over the pre-measurement level. More importantly, there was not only an increase in awareness of public health and family welfare services but a 137% increase was registered in the use of public health and family welfare facilities for family planning counseling and services. With regard to knowledge and attitude on the various population education messages promoted by the project, the study has shown a 40% increase in "high" knowledge category and 25% increase in favorable attitude after the exposure to the project. full text

Predicting re-involvement for children adopted out of a public child welfare system.

Science.gov (United States)

Orsi, Rebecca

2015-01-01

Some of the approximately 400,000 children currently placed out-of-home in a public child welfare system will not reunify with their family of origin. They may instead be adopted into a new family. Adoption placements can be characterized by poor adjustment for children; some such placements even result in disruption or dissolution. We conducted a stratified Cox regression of 4,016 children from the Colorado public child welfare system. All of the children had a finalized adoption during the years 2002 through 2006. The two outcomes analyzed were new child protection and youth-in-conflict referrals and assessments for these previously adopted children. New child welfare referrals and assessments may be early indicators of poor adjustment for adopted children within the adoptive family. Study results indicate that older children and Hispanic children had higher rates of referral and assessment. Children with a pre-adoption history including longer time out-of-home or a larger number of out-of-home placements also experienced higher referral and assessment rates. Additional factors which predicted subsequent system re-involvement included presence of paid adoption assistance, adoption by a non-relative foster parent and younger adoptive parent age. Several study results were moderated by the presence or absence of an ethnic match between the child and the adoptive parents. We provide an overview of the statistical model used for analysis and we discuss implications of the study results for child welfare practice. Copyright © 2014 Elsevier Ltd. All rights reserved.

Foreword—welfare aspects of the long distance transportation of animals

Directory of Open Access Journals (Sweden)

Gardner Murray

2008-03-01

Full Text Available The long distance transport of animals within countries, between countries, across regions and across continents is increasing significantly and is also changing in nature. Statistics from the International Trade Centre of the United Nations Conference on Trade and Development and the World Trade Organization show that the value of world trade in live animals soared from US$8.7 billion in 2000 to US$12.1 billion in 2005. This enormous figure would be even greater if zoo animals, wildlife and illicit traffic were included.The history of animal transportation goes back thousands of years. It remains a legitimate practice to this day provided proper measures are taken to protect animal well-being and health. What has made circumstances different in the 21st century is the nature of transport (land, sea and air, the volume of traffic and a public awareness of welfare issues with demands that animals be treated humanely and in accordance with best contemporary practices. This increased volume of transport creates an unprecedented risk for disseminating infectious diseases, including those that may affect people.Key public concerns about animal welfare relate to factors such as a lack of infrastructure and investment in training, research and standards development, as well as indifference and neglect. The live animal transportation industries are threatened when these deficiencies are not corrected.Fortunately, a number of countries foresaw these problems and introduced a series of activities to support good animal welfare practices. Many recognised the clear connection between animal welfare, health and husbandry practice, and established policy settings to include these activities under a veterinary public and animal health umbrella. Recognising its critical importance, the World Organisation for Animal Health (Office International des Epizooties: OIE in its IVth Strategic plan (points a to b, identified animal welfare as a key issue and launched a

45 CFR 261.80 - How do existing welfare reform waivers affect a State's penalty liability under this part?

Science.gov (United States)

2010-10-01

... FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES ENSURING THAT RECIPIENTS WORK How Do Welfare Reform Waivers Affect State Penalties? § 261.80 How do existing welfare reform waivers affect a State's penalty... 45 Public Welfare 2 2010-10-01 2010-10-01 false How do existing welfare reform waivers affect a...

Welfarism and extra-welfarism: a critical overview

Directory of Open Access Journals (Sweden)

Brayan Viegas Seixas

2017-08-01

Full Text Available Abstract: Rules and principles for guiding decision-making in the health care sector have been debated for decades. Here, we present a critical appraisal of the two most important paradigms in this respect: welfarism and extra-welfarism. While the former deals with the maximization of the overall sum of individual utilities as its primary outcome, the latter has been focusing on the maximization of the overall health status. We argue that welfarism has three main problems: (1 its central idea of overall sum of individual utilities does not capture societal values decisively relevant in the context of health; (2 the use of the Potential Pareto Improvement brings an unresolvable separation between efficiency and equity; and (3 individual utility may not be a good measure in the health sector, given that individuals might value things that diminish their overall health. In turn, the extra-welfarist approach is criticized regarding four main limitations: (1 the advocated expansion of the evaluative space, moving from utility to health, may have represented in reality a narrowing of it; (2 it operates using non-explicit considerations of equity; (3 it still holds the issue of “inability to desire” of unprivileged people being considered the best judges of weighing the criteria used to building the health measures; and (4 there is controversial empirical evidence about society members’ values that support its assumptions. Overall, both paradigms show significant weaknesses, but the debate has still been within the realm of welfare economics, and even the new approaches to resource allocation in health care systems appear to be unable to escape from these boundaries.

System impact research - increasing public health and health care system performance.

Science.gov (United States)

Malmivaara, Antti

2016-01-01

Interventions directed to system features of public health and health care should increase health and welfare of patients and population. To build a new framework for studies aiming to assess the impact of public health or health care system, and to consider the role of Randomized Controlled Trials (RCTs) and of Benchmarking Controlled Trials (BCTs). The new concept is partly based on the author's previous paper on the Benchmarking Controlled Trial. The validity and generalizability considerations were based on previous methodological studies on RCTs and BCTs. The new concept System Impact Research (SIR) covers all the studies which aim to assess the impact of the public health system or of the health care system on patients or on population. There are two kinds of studies in System Impact Research: Benchmarking Controlled Trials (observational) and Randomized Controlled Trials (experimental). The term impact covers in particular accessibility, quality, effectiveness, safety, efficiency, and equality. System Impact Research - creating the scientific basis for policy decision making - should be given a high priority in medical, public health and health economic research, and should also be used for improving performance. Leaders at all levels of health and social care can use the evidence from System Impact Research for the benefit of patients and population. Key messages The new concept of SIR is defined as a research field aiming at assessing the impacts on patients and on populations of features of public health and health and social care systems or of interventions trying to change these features. SIR covers all features of public health and health and social care system, and actions upon these features. The term impact refers to all effects caused by the public health and health and social care system or parts of it, with particular emphasis on accessibility, quality, effectiveness, adverse effects, efficiency, and equality of services. SIR creates the

45 CFR 261.36 - Do welfare reform waivers affect the calculation of a State's participation rates?

Science.gov (United States)

2010-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES ENSURING THAT RECIPIENTS WORK What Are the Work Activities and How Do They Count? § 261.36 Do welfare reform waivers affect the calculation of a State's participation rates... 45 Public Welfare 2 2010-10-01 2010-10-01 false Do welfare reform waivers affect the calculation...

Dairy cattle management, health and welfare in smallholder farms: An organic farming perspective

DEFF Research Database (Denmark)

Odhong, Charles; Wahome, Raphael; Vaarst, Mette

2015-01-01

livestock production practices as specified by the International Federation of Organic Agriculture Movements and the East Africa Organic Product Standard. A longitudinal study of 24 farms was conducted to document and assess management practices and their potential effect on animal health and welfare......Organic production principles aim at achieving good animal health and welfare of livestock. The objective of the present study was to investigate animal management, health and welfare in smallholder dairy farms in Kenya, Africa, and to be able to give recommendations which can guide organic...... type, aspects of the housing system, farm characteristics, and management routines. The average herd size was 3.15 in Kiambu and 3.91 in Kajiado, with all the cows’ zero-grazed. Seventy five percent of the cubicles were small (less than 2.50m2). Many of the farmers sprayed their animals weekly (47...

WHITE-NONWHITE DIFFERENTIALS IN HEALTH, EDUCATION, AND WELFARE.

Science.gov (United States)

Department of Health, Education, and Welfare, Washington, DC.

THIS COLLECTION CONTAINS SEVEN PAPERS OF ANALYSES OF WHITE-NONWHITE DIFFERENTIALS IN HEALTH, EDUCATION, AND WELFARE. NONWHITES MAKE UP ALMOST 12 PERCENT OF THE POPULATION, 92 PERCENT OF WHOM ARE NEGROES. THE FERTILITY OF NONWHITES IS HIGHER, ESPECIALLY AMONG THE RURAL, LESS EDUCATED GROUP, BUT THE BIRTH RATE SEEMS TO BE FALLING FASTER, MOST…

State Welfarism and Social Welfare in Asia

Directory of Open Access Journals (Sweden)

Dr Indra P TIWARI

2013-06-01

Full Text Available This paper has analyzed and discussed the social welfare policies of the Asian countries—the responsibilities of international activist institutions and the State towards individuals in terms of state welfarism and social and economic protection, and the conventional family system, which was and still is the core responsible institution for the well-being of its members. The paper has presented economic and poverty indicators (19, demographic, social and economic indicators associated social welfarism (16, satisfaction related indicators (7, and funding related indicators that have association with social welfarism (9. This has also analyzed and discussed the gap between the international propaganda on social welfare, social policies of the Government and its actual delivery and the situation of vacuum being created due to the moribund family system of slothful state welfarism, in the new living context created by the notion of right-prone individualism. The study has identified along with their history of starting social security provisions the present state major workfare and welfare and welfare protection in the Asian countries, thereby explored countries falling into five levels of social welfare system by taking a combined state of poverty, vulnerable employment, and government expenditure on education, health and social protection, namely (i early stage of welfare system; (ii transition to take-off stage of welfare system; (iii take-off stage of welfare system; (iv transition to drive to maturity stage of welfare system; and (v the drive to maturity stage of welfare system. Finally, the paper has presented the critical areas for dialogue where the synergy of the propagandist international activism, state slothfulness, moribund family dynamics, and right-prone individualism interface for a reliable and sustainable social welfare with affection, protection, nurturance, and protection thereby live in peace and harmony with dignity.

A history of animal welfare science.

Science.gov (United States)

Broom, Donald M

2011-06-01

Human attitudes to animals have changed as non-humans have become more widely incorporated in the category of moral agents who deserve some respect. Parallels between the functioning of humans and non-humans have been made for thousands of years but the idea that the animals that we keep can suffer has spread recently. An improved understanding of motivation, cognition and the complexity of social behaviour in animals has led in the last 30 years to the rapid development of animal welfare science. Early attempts to define welfare referred to individuals being in harmony with nature but the first usable definition incorporated feelings and health as part of attempts to cope with the environment. Others considered that welfare is only about feelings but it is argued that as feelings are mechanisms that have evolved they are a part of welfare rather than all of it. Most reviews of welfare now start with listing the needs of the animal, including needs to show certain behaviours. This approach has used sophisticated studies of what is important to animals and has replaced the earlier general guidelines described as freedoms. Many measures of welfare are now used and indicate how good or how poor the welfare is. Naturalness is not a part of the definition of welfare but explains why some needs exist. In recent years, welfare has become established as one of various criteria used to decide on whether a system is sustainable because members of the public will not accept systems that cause poor welfare. The study of welfare has become part of the scientific basis upon which important political decisions are made.

Globalization of public health law and ethics.

Science.gov (United States)

Sohn, Myongsei

2012-09-01

The Constitution of the World Health Organization (1946) states that the "enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social position." The international legal framework for this right was laid by the Universal Declaration of Human Rights (1948) and reaffirmed in the International Covenant on Economic, Social, and Cultural Rights (1966) and the Declaration of Alma-Ata (1978). In recent years, the framework has been developed on 10 key elements: national and international human rights, laws, norms, and standards; resource constraints and progressive realization; obligations of immediate effect; freedoms and entitlements; available, accessible, acceptable, and good quality; respect, protect, and fulfill; non-discrimination, equality, and vulnerability; active and informed participation; international assistance and cooperation; and monitoring and accountability. Whereas public health law plays an essential role in the protection and promotion of the right to health, the emergence of SARS (2003) highlighted the urgent need to reform national public health laws and international obligations relating to public health in order to meet the new realities of a globalized world, leading to the WHO Framework Convention on Tobacco Control (2003) and the revision of the WHO International Health Regulations (2005). The Asian Institute for Bioethics and Health Law, in conjunction with the Republic of Korea's Ministry of Health and Welfare and the WHO International Digest of Health Legislation, conducted a comparative legal analysis of national public health laws in various countries through a project entitled Domestic Profiles of Public/Population Health Legislation (2006), which underscored the importance of recognizing the political and social contexts of distinct legal cultures, including Western, Asian, Islamic, and African.

The right to health, health systems development and public health policy challenges in Chad.

Science.gov (United States)

Azétsop, Jacquineau; Ochieng, Michael

2015-02-15

in an integrated vision of society as a place for multi-level interactions, where government plays its role by equitably providing institutions and services that ensure people's welfare. Inter-sectoral collaboration, which calls for a conceptual shift in health and public policy, can be instrumental in improving health systems through concerted efforts of various governmental institutions and civil society.

12 CFR 24.5 - Public welfare investment after-the-fact notice and prior approval procedures.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Public welfare investment after-the-fact notice and prior approval procedures. 24.5 Section 24.5 Banks and Banking COMPTROLLER OF THE CURRENCY... capital and surplus represented by the proposed investment and by the bank's aggregate outstanding public...

Veterinarians’ and agricultural advisors’ perception of calf health and welfare in organic dairy production in Norway

DEFF Research Database (Denmark)

Ellingsen, Kristian; Mejdell, C. M.; Hansen, B.

2012-01-01

and opinions on calf health and welfare in organic dairy farming. The response rate was 52 % for veterinarians and 54 % for advisors. In direct comparison, both groups thought that the calves’ overall health status and well-being did not differ in organic and conventional dairy farming systems. However...... of respondents considered the routine of keeping calves with their mothers and the good care of the calves by stockpersons as important welfare advantages. Among all factors related to health, welfare, morbidity and mortality, low calf mortality and adequate treatment of disease and injury received the best...... scores. Body condition and growth, as well as the use of calf health recording cards, received the worst scores. The two professions differed in their views on the most important welfare challenges for calves in an organic environment: while both groups agreed on poor feed quality, veterinarians...

Public Health Achievements and Challenges: Symposium of the University of Mostar Faculty of Health Studies.

Science.gov (United States)

Ravlija, Jelena; Vasilj, Ivan; Babic, Dragan; Marijanovic, Inga

2017-05-01

Public health is an important area of health care that reflects the readiness of the state and society to provide the welfare of all citizens through the promotion of health and the preservation of a healthy environment - factors that directly affect the health of the population. The field of public health is very broad and its concept is changing over time, being defined in a narrower and wider sense. In short, public health is a science and practice that aims at ensuring the conditions in which people can preserve and improve their health and prevent health damage. The third millennium brings its specifics, needs and priorities according to challenges public health is faced by in the twenty-first century: the economic crisis, rising inequality, population aging, rising rates of chronic diseases, migration, urbanization, ecosystem change, climate change, etc. The role of public health is to protect, improve health, prevent diseases and injuries. Such a public health approach implies a multisectoral work focusing on "wider health determinants", and within this activity experts from various medical and non-medical profiles, whose field of public health is concerned, can be found. The development of inter-departmental co-operation skills contributes to a better understanding of health professionals and professionals of other profiles, and facilitates common, synergistic actions in addressing public health problems in the community. Symposium on Public Health Achievements and Challenges organized by the University of Mostar Faculty of Health Studies is just another indication of the obligation, the need and the desire for professional and scientific contribution to the fight for better health. Our faculty has so far organized other numerous symposia, and the aim of this symposium is to present public health achievements and challenges in our surrounding in order to protect, improve health, prevent diseases and injuries in a modern way.

The Paradigmatic Struggle for Legitimacy of the Danish Welfare State regarding the Provision of Welfare Services

DEFF Research Database (Denmark)

Pedersen, John Storm; Nielsen, Anna Lyneborg; Rendtorff, Jacob Dahl

2014-01-01

The Danish welfare state constitutes a paradigmatic case of the welfare struggle of modern welfare states. Taking care of vulnerable children and youths is used as a case study here, to illustrate the efforts of the welfare state to acquire legitimacy as a body of public administration. That is, ...

Pain and Laboratory Animals: Publication Practices for Better Data Reproducibility and Better Animal Welfare.

Directory of Open Access Journals (Sweden)

Larry Carbone

Full Text Available Scientists who perform major survival surgery on laboratory animals face a dual welfare and methodological challenge: how to choose surgical anesthetics and post-operative analgesics that will best control animal suffering, knowing that both pain and the drugs that manage pain can all affect research outcomes. Scientists who publish full descriptions of animal procedures allow critical and systematic reviews of data, demonstrate their adherence to animal welfare norms, and guide other scientists on how to conduct their own studies in the field. We investigated what information on animal pain management a reasonably diligent scientist might find in planning for a successful experiment. To explore how scientists in a range of fields describe their management of this ethical and methodological concern, we scored 400 scientific articles that included major animal survival surgeries as part of their experimental methods, for the completeness of information on anesthesia and analgesia. The 400 articles (250 accepted for publication pre-2011, and 150 in 2014-15, along with 174 articles they reference included thoracotomies, craniotomies, gonadectomies, organ transplants, peripheral nerve injuries, spinal laminectomies and orthopedic procedures in dogs, primates, swine, mice, rats and other rodents. We scored articles for Publication Completeness (PC, which was any mention of use of anesthetics or analgesics; Analgesia Use (AU which was any use of post-surgical analgesics, and Analgesia Completeness (a composite score comprising intra-operative analgesia, extended post-surgical analgesia, and use of multimodal analgesia. 338 of 400 articles were PC. 98 of these 338 were AU, with some mention of analgesia, while 240 of 338 mentioned anesthesia only but not post-surgical analgesia. Journals' caliber, as measured by their 2013 Impact Factor, had no effect on PC or AU. We found no effect of whether a journal instructs authors to consult the ARRIVE

Pain and Laboratory Animals: Publication Practices for Better Data Reproducibility and Better Animal Welfare.

Science.gov (United States)

Carbone, Larry; Austin, Jamie

2016-01-01

Scientists who perform major survival surgery on laboratory animals face a dual welfare and methodological challenge: how to choose surgical anesthetics and post-operative analgesics that will best control animal suffering, knowing that both pain and the drugs that manage pain can all affect research outcomes. Scientists who publish full descriptions of animal procedures allow critical and systematic reviews of data, demonstrate their adherence to animal welfare norms, and guide other scientists on how to conduct their own studies in the field. We investigated what information on animal pain management a reasonably diligent scientist might find in planning for a successful experiment. To explore how scientists in a range of fields describe their management of this ethical and methodological concern, we scored 400 scientific articles that included major animal survival surgeries as part of their experimental methods, for the completeness of information on anesthesia and analgesia. The 400 articles (250 accepted for publication pre-2011, and 150 in 2014-15, along with 174 articles they reference) included thoracotomies, craniotomies, gonadectomies, organ transplants, peripheral nerve injuries, spinal laminectomies and orthopedic procedures in dogs, primates, swine, mice, rats and other rodents. We scored articles for Publication Completeness (PC), which was any mention of use of anesthetics or analgesics; Analgesia Use (AU) which was any use of post-surgical analgesics, and Analgesia Completeness (a composite score comprising intra-operative analgesia, extended post-surgical analgesia, and use of multimodal analgesia). 338 of 400 articles were PC. 98 of these 338 were AU, with some mention of analgesia, while 240 of 338 mentioned anesthesia only but not post-surgical analgesia. Journals' caliber, as measured by their 2013 Impact Factor, had no effect on PC or AU. We found no effect of whether a journal instructs authors to consult the ARRIVE publishing guidelines

Veterinary education for global animal and public health, D.A. Walsh : book review

Directory of Open Access Journals (Sweden)

C.M.E. McCrindle

2010-05-01

Full Text Available This 28th annual volume published by the World Organisation for Animal Health (OIE, addresses the need for a global shift in the way veterinary students are taught veterinary public health (VPH. As well as taking the lead in prevention and control of animal diseases, the OIE develops health and welfare standards to promote food security and equitable international trade in animals and animal products.

Challenges to the Development and Implementation of Public Policies to Achieve Animal Welfare Outcomes.

Science.gov (United States)

Rose, Margaret

2010-12-31

Although there is a long-established tradition of concern for the welfare of animals, it was not until the mid 1800's that governments sought to enact legislation to protect animals from cruelty. In the 1950's, questions concerning animal welfare re-emerged and in the ensuing years have been an on-going focus of government activities. These developments occurred against a backdrop of significant social change but there are important differences in what now underpins and informs these considerations. In the formulation and implementation of public policies, governments look for a course of action that represents and protects the interests of the community; the process may be challenging with competing interests but the final determination seeks a middle ground that best meets the needs and interests of the community as a whole. When policy development concerns our relationship with other animals, the complexity of this relationship presents particular challenges not only to the formulation of policies but also to the evaluation of outcomes. Notably, the depth of feelings and diversity of views in our community reflect the complex social, cultural and personal dimensions of this relationship. The use of animals for scientific purposes remains one of the most contentious animal welfare issues primarily because when animals are used for these purposes, accepted animal welfare benchmarks cannot always be met. Based on the Australian experience, this paper will discuss the influences in and on-going challenges to the development and implementation of public policy when animals are used for these purposes.

Challenges to the Development and Implementation of Public Policies to Achieve Animal Welfare Outcomes

Directory of Open Access Journals (Sweden)

Margaret Rose

2010-12-01

Full Text Available Although there is a long-established tradition of concern for the welfare of animals, it was not until the mid 1800’s that governments sought to enact legislation to protect animals from cruelty. In the 1950’s, questions concerning animal welfare re-emerged and in the ensuing years have been an on-going focus of government activities. These developments occurred against a backdrop of significant social change but there are important differences in what now underpins and informs these considerations. In the formulation and implementation of public policies, governments look for a course of action that represents and protects the interests of the community; the process may be challenging with competing interests but the final determination seeks a middle ground that best meets the needs and interests of the community as a whole. When policy development concerns our relationship with other animals, the complexity of this relationship presents particular challenges not only to the formulation of policies but also to the evaluation of outcomes. Notably, the depth of feelings and diversity of views in our community reflect the complex social, cultural and personal dimensions of this relationship. The use of animals for scientific purposes remains one of the most contentious animal welfare issues primarily because when animals are used for these purposes, accepted animal welfare benchmarks cannot always be met. Based on the Australian experience, this paper will discuss the influences in and on-going challenges to the development and implementation of public policy when animals are used for these purposes.

Implementing Transfer of Learning in Training and Professional Development in a US Public Child Welfare Agency: What Works?

Science.gov (United States)

Strand, Virginia; Bosco-Ruggiero, Stephanie

2011-01-01

In-service training in public child welfare agencies in the United States has long been viewed as an important vehicle for the improvement of job satisfaction and organizational commitment, and therefore as important to retention in child welfare. This article examines the critical role of transfer of learning strategies in such training and…

Annual report of the Public Health Authority of the Slovak Republic in 2012

International Nuclear Information System (INIS)

2013-01-01

A brief account of activities carried out by the Public Health Authority of the Slovak Republic (UVZ SR) in 2012 is presented. These activities are reported under the headings: (1) General part; (2) Department of Legislation and Law; (3) Department inspection, supervision and complaints; (4) Department of International Relations; (5) Department of Environmental Health; (6) Department of Preventive Occupational Medicine; (7) Department of food hygiene, food safety and cosmetic products; (8) Department of Hygiene of Children and Youth; (9) Department of objectification factors welfare; (10) Department of Medical Microbiology; (11) Department of Epidemiology; (12) Department of Health Promotion; (13) Department of health protection against radiation; (14) Publications and Lectures.

48 CFR 31.205-13 - Employee morale, health, welfare, food service, and dormitory costs and credits.

Science.gov (United States)

2010-10-01

... AND PROCEDURES Contracts With Commercial Organizations 31.205-13 Employee morale, health, welfare... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Employee morale, health, welfare, food service, and dormitory costs and credits. 31.205-13 Section 31.205-13 Federal Acquisition...

Women, men and public health-how the choice of normative theory affects resource allocation.

Science.gov (United States)

Månsdotter, Anna; Lindholm, Lars; Ohman, Ann

2004-09-01

Women live longer than men in almost all countries, but men are more privileged in terms of power, influence, resources and probably morbidity. This investigation aims at illustrating how the choice of normative framework affects judgements about the fairness in these sex differences, and about desired societal change. The selected theories are welfare economics, health sector extra-welfarism, justice as fairness and feminist justice. By means of five Swedish proposals aiming at improving the population's health or "sex equity", facts and values are applied to resource allocation. Although we do not claim a specific ethical foundation, it seems to us that the feminist criterion has great potential in public health policy. The overall conclusion is that the normative framework must be explicitly discussed and stated in issues of women's and men's health.

Philosophy, policy and procedures of the World Organisation for Animal Health for the development of standards in animal welfare.

Science.gov (United States)

Petrini, A; Wilson, D

2005-08-01

Animal welfare was identified as a priority for the World Organisation for Animal Health (OIE) in the 2001-2005 OIE Strategic Plan. Member Countries recognised that, as animal protection is a complex, multi-faceted public policy issue which includes important scientific, ethical, economic and political dimensions, the OIE needed to develop a detailed vision and strategy incorporating and balancing these dimensions. A permanent working group on animal welfare was established in order to provide guidance to the OIE in its work on the development of science-based standards and guidelines. The Working Group decided to give priority to the welfare of animals used in agriculture and aquaculture, and that, within those groups, the topics of transportation, slaughter for human consumption and killing for disease control purposes would be addressed first. Some guiding principles were approved by the International Committee of OIE Member Countries during the 72nd General Session in May 2004, and these have been followed by four specific guidelines on the priority topics listed above.

Flows of Air Pollution, Ill Health and Welfare

International Nuclear Information System (INIS)

Huhtala, A.; Samakovlis, E.

2007-01-01

We provide a theoretical framework for measuring welfare when pollution influences economic growth by impairing health and driving up defensive medical expenditures. We demonstrate the usefulness of our framework in practice by applying it to data from Swedish valuation studies designed according to the accounting principles suggested here. We estimate that the negative health effects of nitrogen dioxide emissions amount to 0.6% of GDP in Sweden. We also show that a corrective Pigouvian tax should internalize the direct disutility, reduced labor productivity, and increased healthcare expenditures caused by pollution. According to our calculations, harmful health impacts alone (excluding ecosystem effects) justify 65% of the current Swedish tax on nitrogen dioxide

Health insurance theory: the case of the missing welfare gain.

Science.gov (United States)

Nyman, John A

2008-11-01

An important source of value is missing from the conventional welfare analysis of moral hazard, namely, the effect of income transfers (from those who purchase insurance and remain healthy to those who become ill) on purchases of medical care. Income transfers are contained within the price reduction that is associated with standard health insurance. However, in contrast to the income effects contained within an exogenous price decrease, these income transfers act to shift out the demand for medical care. As a result, the consumer's willingness to pay for medical care increases and the resulting additional consumption is welfare increasing.

Health and Welfare IT Product Design

DEFF Research Database (Denmark)

Merritt, Timothy; Grønbæk, Kaj

2012-01-01

In this paper we describe the outcomes from a university design class focused on the design of systems intended to solve problems faced by health care professionals, patients and systems that support welfare or extended independence for older people. The students worked in groups for 10 weeks...... finding a suitable problem to solve, iterating and refining their designs, evaluating prototypes with users, and finally presenting their work as a potential product with a detailed plan for how the product would be sold in the market. The primary contribution of this paper is to share innovative design...

Contribution of the Nordic School of Public Health to the public mental health research field: a selection of research initiatives, 2007-2014.

Science.gov (United States)

Forsman, Anna K; Fredén, Lars; Lindqvist, Rafael; Wahlbeck, Kristian

2015-08-01

The field of public mental health has been defined by an expert group convened by the Nordic School of Public Health (NHV) as encompassing the experience, occurrence, distribution and trajectories of positive mental health and mental health problems and their determinants; mental health promotion and prevention of mental disorders; as well as mental health system policies, governance and organization. The mental health priorities of the Nordic Council of Ministers in 2010 signalled a mutual Nordic exchange of knowledge in the following thematic areas: child and adolescent mental health; working life and mental health; mental health in older people; strengthening the role of primary care in mental health service provision; stronger involvement of users and carers; and reduction of use of coercion in psychiatric care. Efforts to realize these priorities included commissioning the Nordic Research Academy for Mental Health, an NHV-based network of research institutions with a common interest in mental health research across the Nordic countries, to develop, organize and follow-up projects on public mental health. The research initiatives included mental health policy analysis, register-based research and research focused on the users' perspective in a Nordic context, as well as EU-level research policy analysis. The public mental health research conducted at the NHV highlighted the complexity of mental health and emphasized that the broad determinants of mental health need to be increasingly addressed in both public health research and practice. For example, health promotion actions, improved access to health care, a healthy alcohol policy and prevention of suicides and violence are all needed to reduce the life expectancy gap - a red flag indicator of public health inequalities. By exchanging knowledge and best practice, the collaboration between the Nordic countries contributes to the welfare of the region. The expertise and traditions developed at the NHV are of

45 CFR 99.3 - Records to be public.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Records to be public. 99.3 Section 99.3 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROCEDURE FOR HEARINGS FOR THE CHILD CARE AND DEVELOPMENT FUND General § 99.3 Records to be public. All pleadings, correspondence...

Annual report of the Public Health Authority of the Slovak Republic in 2005

International Nuclear Information System (INIS)

2006-01-01

A brief account of activities carried out by the Public Health Authority of the Slovak Republic (UVZ SR) in 2005 is presented. These activities are reported under the headings: (1) Structural organization of the UVZ SR; (2) Section Hygiene Living and Working Conditions; (3) Division of Health Protection Against Radiation; (4) Epidemiology Section; (5) Division of Medical Microbiology; (6) Section Protection, Promotion and Development of Health; (7) Department of objectification factors welfare.

Does social policy moderate the impact of unemployment on health? A multilevel analysis of 23 welfare states.

Science.gov (United States)

Vahid Shahidi, Faraz; Siddiqi, Arjumand; Muntaner, Carles

2016-12-01

The magnitude of observable health inequalities between the unemployed and their employed counterparts differs considerably across countries. Few attempts have been made to test theoretical explanations for this cross-national variation. Moreover, existing studies suffer from important theoretical and methodological limitations. This study addresses these limitations and investigates whether differences in the generosity of social protection policies and in public attitudes towards those policies explain why unemployment-related health inequalities are steeper in some societies than in others. Multilevel logistic modelling was used to link contextual-level variables on social protection policies and public attitudes in 23 European countries to individual-level data on self-rated health from the 2012 wave of the European Social Survey. The magnitude of inequalities in self-rated health between the unemployed and their employed counterparts varies significantly across countries as a function of cross-national differences in the level of social protection awarded to the unemployed and the level of public support for the welfare state. The results provide empirical support for the claim that governments can play a more active role in mitigating unemployment-related health inequalities by expanding the generosity and scope of social protection policies. Whether such an expansion of social protection will take place in the current climate of fiscal austerity is a political question whose implications merit the attention of population health scholars. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Cost-effectiveness analysis: adding value to assessment of animal health welfare and production.

Science.gov (United States)

Babo Martins, S; Rushton, J

2014-12-01

Cost-effectiveness analysis (CEA) has been extensively used in economic assessments in fields related to animal health, namely in human health where it provides a decision-making framework for choices about the allocation of healthcare resources. Conversely, in animal health, cost-benefit analysis has been the preferred tool for economic analysis. In this paper, the use of CEA in related areas and the role of this technique in assessments of animal health, welfare and production are reviewed. Cost-effectiveness analysis can add further value to these assessments, particularly in programmes targeting animal welfare or animal diseases with an impact on human health, where outcomes are best valued in natural effects rather than in monetary units. Importantly, CEA can be performed during programme implementation stages to assess alternative courses of action in real time.

We Develop Welfare Together - Locally

DEFF Research Database (Denmark)

Flindt, Helle; Carlsbæk, Poul Hornshøj

information: Poul Carlsbæk:  Master of Science (MSc) in Political Science  Senior lecturer at Department of Management and Administration and head responsible for the interprofessional course We Develop Welfare Together – Locally.  Has taught adults at the Diploma programme in Public Administration for 26...... years  Former Information Manager in municipalities and Senior Executive Consultant in a Danish consultant firm and in a IT-firm's innovative department  Volunteer in e.g. DJØF (association for layers and economists) and DN (society for nature conservation) Helle Flindt:  Occupational Therapist.......  Master in Medical Anthropology  Senior lecturer at Department of physiotherapy and Occupational Therapy  Lecturer at the the interprofessional course We Develop Welfare Together – Locally. 'Equality in Health' depend on both interprofessional collaboration regarding the individual citizen...

System impact research – increasing public health and health care system performance

Science.gov (United States)

Malmivaara, Antti

2016-01-01

Abstract Background Interventions directed to system features of public health and health care should increase health and welfare of patients and population. Aims To build a new framework for studies aiming to assess the impact of public health or health care system, and to consider the role of Randomized Controlled Trials (RCTs) and of Benchmarking Controlled Trials (BCTs). Methods The new concept is partly based on the author's previous paper on the Benchmarking Controlled Trial. The validity and generalizability considerations were based on previous methodological studies on RCTs and BCTs. Results The new concept System Impact Research (SIR) covers all the studies which aim to assess the impact of the public health system or of the health care system on patients or on population. There are two kinds of studies in System Impact Research: Benchmarking Controlled Trials (observational) and Randomized Controlled Trials (experimental). The term impact covers in particular accessibility, quality, effectiveness, safety, efficiency, and equality. Conclusions System Impact Research – creating the scientific basis for policy decision making - should be given a high priority in medical, public health and health economic research, and should also be used for improving performance. Leaders at all levels of health and social care can use the evidence from System Impact Research for the benefit of patients and population.Key messagesThe new concept of SIR is defined as a research field aiming at assessing the impacts on patients and on populations of features of public health and health and social care systems or of interventions trying to change these features.SIR covers all features of public health and health and social care system, and actions upon these features. The term impact refers to all effects caused by the public health and health and social care system or parts of it, with particular emphasis on accessibility, quality, effectiveness, adverse effects, efficiency

Development policy for the Brazilian health industry and qualification of national public laboratories

Directory of Open Access Journals (Sweden)

Ana Luiza d'Ávila Viana

Full Text Available Abstract: Technological innovations play a decisive role in societies' development by contributing to economic growth and the population's welfare. The state has a key role in this process by inducing innovative behavior, strategies, and decisions. This study addresses Brazil's current policy for development of the health industry and its effects on qualification of national public laboratories by contextualizing different cycles of interaction between health policy and the industrial base, discussing the government's development strategy and the transfer and absorption of health technology (through Industrial Development Partnerships, and presenting two current partnerships involving public laboratories in the production of medicines and vaccines.

45 CFR 1355.37 - Opportunity for Public Inspection of Review Reports and Materials.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Opportunity for Public Inspection of Review Reports and Materials. 1355.37 Section 1355.37 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE...

Act No. 1989.003 of 23 March 1989 fixing the general principles of public health in the Central African Republic.

Science.gov (United States)

1989-01-01

This Central African Republic Act provides the following with respect to the right to health care: "1. All citizens have the right to health. 2. All citizens shall be entitled to a free choice of physician. 3. The rights referred to in Sections 1 and 2 shall be conditional on the financial contribution of the citizen in question for the various health benefits made available to him by the public health services as a whole. 4. The Government shall define general policy, determine the organization and functioning of the public and private health services, and improvement of the health of the population, and to improve the lot of the individuals and social groups making up the national community. 5. In order to ensure that establishments in the public sector function properly, their administration shall be carried out either within the normal framework of the financial system of the public sector or in partial independence. 6. The tariffs for all of the services provided in establishments in the public sector shall be fixed within the framework of the Law on finance. 7. In the payment of health costs, the practice of payment by a third party shall be authorized. To this end, contracts to meet the costs of health services for employees in the private or public sectors may be concluded between, on the one hand, the department responsible for public health, and, on the other, private corporations and undertakings, quasi-public corporations, associations and corporations, and mutual social welfare associations. 8. Civil servants and other employees of the State and their families and other social and economic categories shall contribute to health costs in accordance with a proportion which shall be defined by a decree adopted in the Council of Ministers. 9. The State shall meet the health costs of patients recognized as welfare cases. Only patients holding a welfare card may have their expenses met in this way. The card shall be issued by the State or local authorities in

Mental health need and access to mental health services by youths involved with child welfare: a national survey.

Science.gov (United States)

Burns, Barbara J; Phillips, Susan D; Wagner, H Ryan; Barth, Richard P; Kolko, David J; Campbell, Yvonne; Landsverk, John

2004-08-01

This study assessed the relationship between the need for and use of mental health services among a nationally representative sample of children who were investigated by child welfare agencies after reported maltreatment. Data were collected at study entry into the National Survey of Child and Adolescent Well-Being and were weighted to provide population estimates. Nearly half (47.9%) of the youths aged 2 to 14 years (N = 3,803) with completed child welfare investigations had clinically significant emotional or behavioral problems. Youths with mental health need (defined by a clinical range score on the Child Behavior Checklist) were much more likely to receive mental health services than lower scoring youth; still, only one fourth of such youths received any specialty mental health care during the previous 12 months. Clinical need was related to receipt of mental health care across all age groups (odds ratio = 2.7-3.5). In addition, for young children (2-5 years), sexual abuse (versus neglect) increased access to mental health services. For latency-age youths, African-American race and living at home significantly reduced the likelihood of care. Adolescents living at home were also less likely to receive services, whereas having a parent with severe mental illness increased (odds ratio = 2.4) the likelihood of service use. Routine screening for mental health need and increasing access to mental health professionals for further evaluation and treatment should be a priority for children early in their contact with the child welfare system.

Assessing cow-calf welfare. Part 1: Benchmarking beef cow health and behavior, handling; and management, facilities, and producer perspectives.

Science.gov (United States)

Simon, G E; Hoar, B R; Tucker, C B

2016-08-01

Assessment programs are one way beef producers communicate information about animal welfare to retailers and the public. Programs that monitor cattle through the production cycle (e.g., the Global Animal Partnership) or at individual stages (e.g., slaughter; the North American Meat Institute) exist, but to date, there is no assessment program addressing welfare specifically in the cow-calf sector. The objectives of this study were to measure cow-calf health and handling welfare outcomes and gather management, facility, and producer perspective information to 1) describe current practices and 2) inform assessment design. A welfare assessment, designed using features of similar beef and dairy programs, was conducted on 30 California ranches that varied in size (mean 1,051 cows [SD 1,849], range 28 to 10,000 cows) and location within the state. Cattle health and behavior and stockperson handling were measured during a routine procedure (e.g., pregnancy checks) on breeding females ( = 3,065). Management and producer perspectives were evaluated through an interview, and facility features were recorded at the chute and water access points. Cattle health problems were rare and seen only on specific ranches (e.g., prevalence of lame cattle: mean 1.3% [SD 1.5], range 0 to 7.1%). Cattle behavior and stockperson handling varied between ranches (e.g., cattle balking: mean 22.0% [SD 21.9], range 1.6 to 78.3%; electric prod use: mean 23.5 [SD 21.5], range 0 to 73.0%). Although some management and facility characteristics were shared by most (e.g., all ranches castrated bull calves; 86% used alleyways with an anti-back gate), other aspects varied (e.g., weaning age: mean 8.2 mo [SD 1.4], range 6 to 11 mo; 43% used shade cover over chute). Most producers shared similar perspectives toward their herd health management plan, but their responses varied when asked to evaluate an animal's pain experience. In terms of assessment design, there were challenges with feasibility (e

Drivers of animal welfare policy in the Americas.

Science.gov (United States)

Huertas, S M; Gallo, C; Galindo, F

2014-04-01

Owing to its large size and ethnic, social, cultural and economic diversity, the Americas' production volume is set to make the region one of the world's leading providers of animal foodstuffs. Animal husbandry, transport and slaughter conditions vary from country to country in response to their differing climatic and geographic characteristics. This article examines the main drivers of animal welfare in the Americas, including the standards of the World Organisation for Animal Health (OIE), legislation, codes of practice and advances in education, training, research and development. It recognises the important roles played by all the various stakeholders in changing perceptions of animal welfare by raising public awareness and promoting communication and cooperation as drivers of overall change in the Americas. Regional and international organisations, public and private-sector bodies, academia and non-governmental organisations have launched a number of initiatives with encouraging results. In 2009, the OIE established the Chile-Uruguay Collaborating Centre for Animal Welfare Research, which is now the OIE Collaborating Centre for Animal Welfare and Livestock Production Systems and has recently incorporated Mexico. The Collaborating Centre works closely with official OIE Delegates and the Focal Points for Animal Welfare of national Veterinary Services. The OIE Regional Animal Welfare Strategy for the Americas was adopted in 2012, under the coordination of the OIE Regional Representation for the Americas, as a guide for developing future policies based on a regional approach. The way to achieve cultural change for improving animal welfare, operator safety and the sector's profitability is through training and knowledge transfer. The results demonstrate that the joint efforts of all institutions and the active role of the Collaborating Centre have been most effective, as have the continuing education programmes implemented by universities.

Firms’ maneuvering between institutional logics in the public sector for commercializing welfare innovations

DEFF Research Database (Denmark)

Nissen, Helle Aarøe; Clarke, Ann Højbjerg; Evald, Majbritt Rostgaard

The article aims to explore, through a micro level focus, how individual private firm actors maneuver between institutional logics embedded in different individual public actors operating at various levels in the public sector, when making efforts towards commercializing innovative welfare...... in commercializing interact with public actors operating at various levels in the public sector using a top-down, bottom-up or mixed approach. The top-down approach shows that private firms handle institutional logics embedded in political and managerial actors by creating legitimacy and accept from above concerning...... approach demonstrates that private firms handle institutional logics by combining interaction with actors across levels in the public sector, thereby mixing top-down and bottom-up approaches. As such, the three approaches point out that private firms, when handling institutional logics, can do...

Positioning Animal Welfare in the One Health Concept through Evaluation of an Animal Welfare Center in Skopje, Macedonia

Directory of Open Access Journals (Sweden)

Miroslav Radeski

2018-01-01

Full Text Available The Animal Welfare Center (AWC in Macedonia was established in 2009. The objectives of the center are animal welfare (AW education, research, raising public awareness of AW, and increasing cooperation between the stakeholders. One Health (OH was not the major focus of the AWC work initially, but, rather, a focus that evolved recently. The objective of this study was to evaluate the AWC from the OH perspective as an example case for positioning the AW within the overall OH concept. Three types of evaluation were performed: (1 assessment of OH-ness, by quantitative measurement of the operational and infrastructural aspects of the AWC; (2 impact evaluation, by conducting quantitative surveys on stakeholders and students; and (3 transdisciplinary evaluation, using semi-quantitative evaluation of the links of cooperation between the AWC and the stakeholders in society by the custom designed CACA (Cooperation, Activities, Communication, and Agreement scoring system. Results for the OH-ness of the AWC showed relatively high scores for OH thinking, planning and working and middle scores for OH learning and sharing dimensions, i.e., dominance of the operational over infrastructural aspects of the AWC. The impact evaluation of the AWC shows that familiarity with the OH concept among stakeholders was low (44% of the respondents. However, there was a commonality among stakeholder’s interest about AW and OH. According to the stakeholders’ and students’ opinions, the influence of AW on Animal, Environmental, and Human Health is relatively high (in the upper third of the 1–10 scale. The transdisciplinary evaluation of the AWC indicated the presence of transdisciplinarity work by the AWC, with a higher focus on the Universities and Research Institutions and some governmental institutions, and less linked with the Non-Governmental Organizations and Professional Associations (Chambers, e.g., the Veterinary Chamber in Macedonia. The evaluations conducted

Partnership in mental health and child welfare: social work responses to children living with parental mental illness.

Science.gov (United States)

Sheehan, Rosemary

2004-01-01

Mental illness is an issue for a number of families reported to child protection agencies. Parents with mental health problems are more vulnerable, as are their children, to having parenting and child welfare concerns. A recent study undertaken in the Melbourne Children's Court (Victoria, Australia) found that the children of parents with mental health problems comprised just under thirty percent of all new child protection applications brought to the Court and referred to alternative dispute resolution, during the first half of 1998. This paper reports on the study findings, which are drawn from a descriptive survey of 228 Pre-Hearing Conferences. A data collection schedule was completed for each case, gathering information about the child welfare concerns, the parents' problems, including mental health problems, and the contribution by mental health professionals to resolving child welfare concerns. The study found that the lack of involvement by mental health social workers in the child protection system meant the Children's Court was given little appreciation of either a child's emotional or a parent's mental health functioning. The lack of effective cooperation between the adult mental health and child protection services also meant decisions made about these children were made without full information about the needs and the likely outcomes for these children and their parents. This lack of interagency cooperation between mental health social work and child welfare also emerged in the findings of the Icarus project, a cross-national project, led by Brunel University, in England. This project compared the views and responses of mental health and child welfare social workers to the dependent children of mentally ill parents, when there were child protection concerns. It is proposed that adult mental health social workers involve themselves in the assessment of, and interventions in, child welfare cases when appropriate, and share essential information about

45 CFR 170.210 - Standards for health information technology to protect electronic health information created...

Science.gov (United States)

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Standards for health information technology to... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION... FOR HEALTH INFORMATION TECHNOLOGY Standards and Implementation Specifications for Health Information...

20 CFR 645.260 - What health and safety provisions apply to participants in Welfare-to-Work programs?

Science.gov (United States)

2010-04-01

... Administrative Requirements § 645.260 What health and safety provisions apply to participants in Welfare-to-Work... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false What health and safety provisions apply to participants in Welfare-to-Work programs? 645.260 Section 645.260 Employees' Benefits EMPLOYMENT AND TRAINING...

Collapsing Worlds and Varieties of welfare capitalism: In search of a new political economy of welfare

OpenAIRE

Waltraud Schelkle

2012-01-01

The study of welfare capitalism is concerned with a founding question of political economy, namely how capitalism and democracy can be combined. Ever since the publication of Esping-Andersen’s Three Worlds of Welfare Capitalism in 1990, the answer was sought in identifying ideal types of welfare states that support a class compromise. The Varieties of (Welfare) Capitalism literature is increasingly used as a complementary theory of production systems although its rationale for social policies...

Rents in a welfare state

DEFF Research Database (Denmark)

Paldam, Martin

2015-01-01

This chapter describes rents in Denmark, a developed welfare state in which the private sector is sharply delimitated and kept efficient by secure property rights and markets including free trade. In the public sector, rents in the form of excess costs that provide benefits are difficult to measure......-governmental organizations have been coopted to serve large welfare expenditure programs that benefit the welfare coalition....

Transforming public welfare institutions through social innovation and action research in Denmark

DEFF Research Database (Denmark)

Andersen, John; Bilfeldt, Annette

2017-01-01

The article will present how action research may contribute to social innovation and empowerment in public welfare and cultural institutions (nursing homes and libraries) in a manner that supports the interests of marginalised citizens and local communities, and creates opportunities for positive...... change. First, we introduce the concepts of empowerment, action research and social innovation along with the roots of these concepts in critical social theory. Secondly, two case studies are presented to analyse two different methodological variants of action research in two different contexts...... space” for reflection and creation of concrete suggestions of social innovation in elder care. The second case is about the transformation of a public library into a community centre. In this case, the aim was to break down barriers between citizens and public institutions in a deprived, multicultural...

Welfare standards in hospital mergers.

Science.gov (United States)

Katona, Katalin; Canoy, Marcel

2013-08-01

There is a broad literature on the consequences of applying different welfare standards in merger control. Total welfare is usually defined as the sum of consumer and provider surplus, i.e., potential external effects are not considered. The general result is then that consumer welfare is a more restrictive standard than total welfare, which is advantageous in certain situations. This relationship between the two standards is not necessarily true when the merger has significant external effects. We model mergers on hospital markets and allow for not-profit-maximizing behavior of providers and mandatory health insurance. Mandatory health insurance detaches the financial and consumption side of health care markets, and the concept consumer in merger control becomes non-evident. Patients not visiting the merging hospitals still are affected by price changes through their insurance premiums. External financial effects emerge on not directly affected consumers. We show that applying a restricted interpretation of consumer (neglecting externality) in health care merger control can reverse the relation between the two standards; consumer welfare standard can be weaker than total welfare. Consequently, applying the wrong standard can lead to both clearing socially undesirable and to blocking socially desirable mergers. The possible negative consequences of applying a simple consumer welfare standard in merger control can be even stronger when hospitals maximize quality and put less weight on financial considerations. We also investigate the implications of these results for the practice of merger control.

Impact of animal health and welfare planning on medicine use, herd health and production in European organic dairy farms

DEFF Research Database (Denmark)

Ivemeyer, S; Smolders, G; Brinkmann, J

2012-01-01

medicine use through animal health and welfare planning (AHWP). Medicine use (excluding complementary treatments such as homeopathic remedies) was assessed as the total number of treatments and as the number of treatments of various disease categories (udder, fertility, metabolism, locomotion and others...... acidosis and imbalanced energy supply, respectively. Calving interval was used as an indicator for fertility. Milk recording data and treatment data were retrospectively collected for a one year period before and after the first farm visit. Focus areas of animal health and welfare plans were either...

Growth and welfare effects of health care in knowledge-based economies.

Science.gov (United States)

Kuhn, Michael; Prettner, Klaus

2016-03-01

We study the effects of labor intensive health care within a research and development (R&D) driven growth model with overlapping generations. Health care increases longevity, labor participation, and productivity, while it also diverts labor away from production and R&D. We examine under which conditions expanding health care enhances growth and welfare and establish mild conditions under which the provision of health care beyond the growth-maximizing level is Pareto superior. Copyright © 2016 Elsevier B.V. All rights reserved.

Ethnicization in Welfare State Politics

DEFF Research Database (Denmark)

Hjorth, Frederik Georg

, but also why it is more likely for some issues (such as European integration or crime) than others (such as welfare). The dissertation includes four stand-alone articles illustrating the influence of group identities in political cognition. Compared to the existing literature, they suggest...... is to a significant extent shaped by studies of American public opinion, where public opinion on some issues is widely considered 'racialized', i.e. in part based on attitudes toward racial outgroups. The dissertation examines whether by the same token, political attitudes in universal welfare states can become...... 'ethnicized', i.e. in part based on attitudes toward ethnic outgroups. The existing literature has tended to focus on the issue of welfare, where the expectation is that ethnic diversity will diminish public support. I outline a theoretical framework which explains why political attitudes can be ethnicized...

Awareness and implementation of the regional animal welfare strategy for the Americas: a questionnaire.

Science.gov (United States)

Glass, E; Kahn, S; Arroyo Kuribreha, M

2015-12-01

The World Organisation for Animal Health (OIE) is the global standard-setting organisation for animal health and these standards are references for the World Trade Organization legal framework. In 2002, noting the relationship between animal health and welfare, the OIE accepted the mandate to develop animal welfare standards. These standards were subsequently adopted by Member Countries and have been included in the TerrestrialAnimal Health Code and the Aquatic Animal Health Code. The implementation of the OIE standards by Member Countries is continually promoted. National OIE Delegates are encouraged to nominate National Focal Points for key topics, including animal welfare. In 2012, the OIE Regional Commission of the Americas adopted a Regional Animal Welfare Strategy (Regional Strategy) to promote a coordinated approach to the implementation of the OIE animal welfare standards by the 29 Member Countries in the region. In February 2015, the OIE Regional Representation for the Americas distributed a questionnaire to determine the level of awareness and implementation of the Regional Strategy. This paper presents the results of the questionnaire. With a few exceptions, veterinary officials and stakeholders are only just becoming aware of the strategy and implementation is at an early stage. To promote the implementation of the Regional Strategy, it will be.necessary to continue building the capacity of the national Veterinary Services, strengthening public-private partnerships, modernising legislation and promoting veterinary involvement in animal welfare. Through the implementation of the Regional Strategy, the OIE will provide support to countries in establishing animal welfare standards, in line with government priorities and consumer concerns.

A Public Finance Perspective on Climate Policy: Six Interactions That May Enhance Welfare

OpenAIRE

Siegmeier, Jan; Mattauch, Linus; Franks, Max; Klenert, David; Schultes, Anselm; Edenhofer, Ottmar

2015-01-01

Climate change economics mostly neglects sizeable interactions of carbon pricing with other fiscal policy instruments. Conversely, public finance typically overlooks the effects of future decarbonization efforts when devising instruments for the major goals of fiscal policy. We argue that such a compartmentalisation is undesirable: policy design taking into account such interdependencies may enhance welfare and change the distribution of mitigation costs within and across generations. This cl...

Technology and Poultry Welfare

Directory of Open Access Journals (Sweden)

Neila Ben Sassi

2016-10-01

Full Text Available Consideration of animal welfare is essential to address the consumers’ demands and for the long term sustainability of commercial poultry. However, assessing welfare in large poultry flocks, to be able to detect potential welfare risks and to control or minimize its impact is difficult. Current developments in technology and mathematical modelling open new possibilities for real-time automatic monitoring of animal welfare and health. New technological innovations potentially adaptable to commercial poultry are appearing, although their practical implementation is still being defined. In this paper, we review the latest technological developments with potential to be applied to poultry welfare, especially for broiler chickens and laying hens. Some of the examples that are presented and discussed include the following: sensors for farm environmental monitoring, movement, or physiological parameters; imaging technologies such as optical flow to detect gait problems and feather pecking; infrared technologies to evaluate birds’ thermoregulatory features and metabolism changes, that may be indicative of welfare, health and management problems. All these technologies have the potential to be implemented at the commercial level to improve birds’ welfare and to optimize flock management, therefore, improving the efficiency of the system in terms of use of resources and, thus, long term sustainability.

Technology and Poultry Welfare

Science.gov (United States)

Ben Sassi, Neila; Averós, Xavier; Estevez, Inma

2016-01-01

Consideration of animal welfare is essential to address the consumers’ demands and for the long term sustainability of commercial poultry. However, assessing welfare in large poultry flocks, to be able to detect potential welfare risks and to control or minimize its impact is difficult. Current developments in technology and mathematical modelling open new possibilities for real-time automatic monitoring of animal welfare and health. New technological innovations potentially adaptable to commercial poultry are appearing, although their practical implementation is still being defined. In this paper, we review the latest technological developments with potential to be applied to poultry welfare, especially for broiler chickens and laying hens. Some of the examples that are presented and discussed include the following: sensors for farm environmental monitoring, movement, or physiological parameters; imaging technologies such as optical flow to detect gait problems and feather pecking; infrared technologies to evaluate birds’ thermoregulatory features and metabolism changes, that may be indicative of welfare, health and management problems. All these technologies have the potential to be implemented at the commercial level to improve birds’ welfare and to optimize flock management, therefore, improving the efficiency of the system in terms of use of resources and, thus, long term sustainability. PMID:27727169

Data warehouse for assessing animal health, welfare, risk management and -communication.

Science.gov (United States)

Nielsen, Annette Cleveland

2011-01-01

The objective of this paper is to give an overview of existing databases in Denmark and describe some of the most important of these in relation to establishment of the Danish Veterinary and Food Administrations' veterinary data warehouse. The purpose of the data warehouse and possible use of the data are described. Finally, sharing of data and validity of data is discussed. There are databases in other countries describing animal husbandry and veterinary antimicrobial consumption, but Denmark will be the first country relating all data concerning animal husbandry, -health and -welfare in Danish production animals to each other in a data warehouse. Moreover, creating access to these data for researchers and authorities will hopefully result in easier and more substantial risk based control, risk management and risk communication by the authorities and access to data for researchers for epidemiological studies in animal health and welfare.

Animal Welfare in Air Transport

Directory of Open Access Journals (Sweden)

Boris Popović

2012-10-01

Full Text Available Animal welfare is becoming an evermore-important factorfor air carriers from the economical viewpoint, due to its importantimpact on the carrier public image. High standard care hasto be taken of animals during transport in order to satisfy an importantsegment of airline customers, either the Business/Firstclass passengers travelling with pets, or influential shippers ofracing horses, dogs, Zoo species etc.Air transp011 of animals, disregarding other advantages,may pose a threat to their health and welfare being a significantmultifactorial stressor. Along with cardiovascular, endocrineand metabolic abe1mtions, it affects the immune response ofan animal and increases susceptibility to infection. Therefore,strict conditions for air transport of eve1y animal species havebeen imposed. Transport of only healthy animals is approved,as it is necessG/y to prevent the spread of disease during transportand to provide satisfactOJy environment for animals to betransported.

Images of welfare in law and society: the British welfare state in comparative perspective.

Science.gov (United States)

Wincott, Daniel

2011-01-01

Designed by Beveridge and built by Attlee's post-war Labour government, the welfare state was created during the 1940s. Britain has been seen – in domestic debates and internationally – as a world first: the place where both the idea and the practice of the welfare state were invented. I draw together comparative welfare state analysis with law and society scholarship (previously largely developed in isolation from one another) – as well as using British political cartoons as a source – to develop a revisionist historical critique of this conventional wisdom. First, the British welfare state has always been comparatively parsimonious. Second, the idea of the welfare state seems to have its origins outside the United Kingdom and this terminology was adopted relatively late and with some ambivalence in public debate and scholarly analysis. Third, a large body of socio-legal scholarship shows that robust ‘welfare rights’ were never embedded in the British ‘welfare state’.

Defensive technology and welfare analysis of environmental quality change with uncertain consumer health impacts

International Nuclear Information System (INIS)

Lee, L.K.; Moffitt, L.J.

1993-01-01

Measuring the ex post losses from environmental quality change is an important issue when environmental contamination creates health risks, liability is assigned, and private compensation efforts are required. This paper proposes a methodology for measuring the ex post welfare impact of environmental quality change using market behavior from defensive expenditures. Conditions under which a defensive technology can provide a bound on welfare estimates are identified

The Influence of Keel Bone Damage on Welfare of Laying Hens

DEFF Research Database (Denmark)

Riber, Anja Brinch; Casey-Trott, Teresa M.; Herskin, Mette S.

2018-01-01

This article reviews current knowledge about welfare implications of keel bone damage in laying hens. As an initial part, we shortly describe the different conditions and present major risk factors as well as findings on the prevalence of the conditions. Keel bone damage is found in all types...... of commercial production, however with varying prevalence across systems, countries, and age of the hens. In general, the understanding of animal welfare is influenced by value-based ideas about what is important or desirable for animals to have a good life. This review covers different types of welfare...... indicators, including measures of affective states, basic health, and functioning as well as natural living of the birds, thereby including the typical public welfare concerns. Laying hens with keel bone fractures show marked behavioral differences in highly motivated behavior, such as perching, nest use...

A Critical Evaluation of Waste Incineration Plants in Wuhan (China) Based on Site Selection, Environmental Influence, Public Health and Public Participation.

Science.gov (United States)

Hu, Hui; Li, Xiang; Nguyen, Anh Dung; Kavan, Philip

2015-07-08

With the rapid development of the waste incineration industry in China, top priority has been given to the problem of pollution caused by waste incineration. This study is the first attempt to assess all the waste incineration plants in Wuhan, the only national key city in central China, in terms of environmental impact, site selection, public health and public participation. By using a multi-criterion assessment model for economic, social, public health and environmental effects, this study indicates these incineration plants are established without much consideration of the local residents' health and environment. A location analysis is also applied and some influences of waste incineration plants are illustrated. This study further introduces a signaling game model to prove that public participation is a necessary condition for improving the environmental impact assessment and increasing total welfare of different interest groups in China. This study finally offers some corresponding recommendations for improving the environmental impact assessments of waste incineration projects.

A Critical Evaluation of Waste Incineration Plants in Wuhan (China Based on Site Selection, Environmental Influence, Public Health and Public Participation

Directory of Open Access Journals (Sweden)

Hui Hu

2015-07-01

Full Text Available With the rapid development of the waste incineration industry in China, top priority has been given to the problem of pollution caused by waste incineration. This study is the first attempt to assess all the waste incineration plants in Wuhan, the only national key city in central China, in terms of environmental impact, site selection, public health and public participation. By using a multi-criterion assessment model for economic, social, public health and environmental effects, this study indicates these incineration plants are established without much consideration of the local residents’ health and environment. A location analysis is also applied and some influences of waste incineration plants are illustrated. This study further introduces a signaling game model to prove that public participation is a necessary condition for improving the environmental impact assessment and increasing total welfare of different interest groups in China. This study finally offers some corresponding recommendations for improving the environmental impact assessments of waste incineration projects.

Coherence of animal health, welfare and carcass quality in pork production chains.

Science.gov (United States)

Klauke, Thorsten N; Piñeiro, Matilde; Schulze-Geisthövel, Sophia; Plattes, Susanne; Selhorst, Thomas; Petersen, Brigitte

2013-11-01

Aim of the study was to measure the potential impact of animal health and welfare on the carcass quality. 99 pigs under equal housing and feeding conditions were involved in the study. Effects of the immune system on carcass composition, meat quality and performance data of slaughter pigs became measureable by quantification of acute phase proteins (APP), haptoglobin (Hp) and pig major acute phase protein (Pig-MAP). The results were not significantly affected by gender or breed. The calculated correlations between chosen animal health indicators and carcass quality parameters prove an influence of health and welfare on performance, carcass composition and meat quality traits. The acute phase proteins could also be valuable as a predictive indicator for risk assessment in meat inspection, as increased Hp concentrations in slaughter blood indicate a 16 times higher risk for organ abnormalities and Pig-MAP concentrations above 0.7mg/ml a 10 times higher risk. Copyright © 2013 Elsevier Ltd. All rights reserved.

A synthesis of welfare reform policy and its impact on substance users.

Science.gov (United States)

Montoya, Isaac D; Atkinson, John S

2002-01-01

The purpose of this study was to provide an overview of welfare reform and its impact on the substance-abusing recipient. The data for this paper were derived from sources including the US Department of Health and Human Services and the National Institute on Drug Abuse. The number of individuals on public assistance has decreased in the years following implementation of welfare reform legislation. Factors relevant to transitioning welfare recipients into the workplace, such as transportation and childcare, have special ramifications for the drug-using population. Additionally, these individuals require treatment for their addictions in order to become employable. The issue of concern is that recipients may be deterred from seeking benefits by various provisions of welfare reform legislation and turn instead to other sources (including illicit activities) for sustenance. Welfare caseloads have been dropping over the past two years. However, the number of substance abusers continues to rise. It is not known in what ways welfare reform will affect substance abusers who are welfare recipients. Important policy issues arise from this nexus; it is argued that these issues will require careful investigation.

Market Behavior in the Welfare State:

DEFF Research Database (Denmark)

Kristensen, Niels Nørgaard; christensen, bjarke

2018-01-01

The “consumerist citizen” is a type of citizen who develops his or her public and political commitments on the basis of market-like principles. For this citizen the important thing is the possibility to make individual choices in public contexts. In this article the implications of the consumerist...... of the consumerist citizen, and finally we suggest its implications for the welfare state. The dissemination of consumerist identity represents a serious change in the relationship between citizens and the welfare state. The rise of a public acting on the basis of market-logic is a serious change taking place...... in relation to citizenship. Regardless of whether this development is perceived as positive or negative, it will inevitably influence the ways in which the public sector is perceived. The rise of the consumerist citizen can be seen as a factor erosive of the basic solidary principles of the welfare state...

Health and Welfare IT Product Design

DEFF Research Database (Denmark)

Merritt, Timothy; Grønbæk, Kaj

2012-01-01

finding a suitable problem to solve, iterating and refining their designs, evaluating prototypes with users, and finally presenting their work as a potential product with a detailed plan for how the product would be sold in the market. The primary contribution of this paper is to share innovative design......In this paper we describe the outcomes from a university design class focused on the design of systems intended to solve problems faced by health care professionals, patients and systems that support welfare or extended independence for older people. The students worked in groups for 10 weeks...... ideas with the design community and to reflect on lessons learned by the students who, for the first time, were designing robust prototypes that solve real world problems....

Has the Nordic Welfare Model Been Transformed?

DEFF Research Database (Denmark)

Greve, Bent; Kvist, Jon

2011-01-01

The Nordic welfare model is undergoing a fundamental transformation. Using Denmark we show how a universal welfare state model is gradually being transformed into an emergent multi-tiered welfare state. Whereas the Danish pension system's having become multi-tiered in the 1990s, with private...... and the sick. Although Denmark still offers universal coverage in core welfare state areas, the increased use of occupational and fiscal welfare as well as changes in public schemes has gradually transformed the nation into a multi-tiered welfare state that is more dualistic and individualistic...

Marketization of welfare services in Scandinavia

DEFF Research Database (Denmark)

Petersen, Ole Helby; Hjelmar, Ulf

2013-01-01

Scandinavian welfare states are undergoing a gradual transformation towards a more market-based mode of public service delivery. The results of these marketization reforms are, however, insufficiently documented in terms of their consequences for the price and quality of welfare services...... the evidence base and inform future policy-making on marketization in general and within the welfare areas in particular....

Welfare inequality, regionalisation, and welfare policy : measurement and analysis for Spain

NARCIS (Netherlands)

Quadrado, L.

1999-01-01

This study is focused on the changes in regional inequality in Spain over the last four decades, with emphasis on regional welfare. The two most important items of welfare in Spain are, health and education, and so these are the main focus of this study. Attention is paid to the levels and

Vision of Dutch organic dairy farmers on animal health and welfare

NARCIS (Netherlands)

Smolders, E.A.A.; Bestman, M.W.P.; Eijck, I.A.J.M.

2009-01-01

Dutch organic dairy farmers expressed their opinions on animal health and welfare in order to be able to communicate it internally (within the dairy sector) and externally (to consumers). A healthy animal in their opinion is free of physical and psychological discomfort, survives in a herd, takes

The British welfare state and mental health problems: the continuing relevance of the work of Claus Offe.

Science.gov (United States)

Pilgrim, David

2012-09-01

It is now over thirty years since Claus Offe theorised the crisis tendencies of the welfare state in late capitalism. As part of that work he explored ongoing and irresolvable forms of crisis management in parliamentary democracies: capitalism cannot live with the welfare state but also cannot live without it. This article examines the continued relevance of this analysis by Offe, by applying its basic assumptions to the response of the British welfare state to mental health problems, at the turn of the twenty first century. His general theoretical abstractions are tested against the empirical picture of mental health service priorities, evident since the 1980s, in sections dealing with: re-commodification tendencies; the ambiguity of wage labour in the mental health workforce; the emergence of new social movements; and the limits of legalism. © 2012 The Author. Sociology of Health & Illness © 2012 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.

Factors in the Decision to Leave: Retaining Social Workers with MSWs in Public Child Welfare.

Science.gov (United States)

Samantrai, Krishna

1992-01-01

Surveyed 7 social workers with master's in social work (MSW) degrees who had left public child welfare and 20 who decided to stay. Found two factors that distinguished groups: inflexibility in job assignment and poor relationship with immediate supervisor. Academic preparation for this type of practice was not decisive factor. (Author/NB)

Gender inequalities in mental wellbeing in 26 European countries: do welfare regimes matter?

Science.gov (United States)

Dreger, Stefanie; Gerlinger, Thomas; Bolte, Gabriele

2016-10-01

Nature and extent of welfare regimes and social policies are important determinants of health and health inequalities. This study examines the association of gender and mental wellbeing in European countries and investigates whether type of welfare regime plays a role in this association. Data of 19 366 women and 14 338 men of the third round of the European Quality of Life Survey (2011-12) was used to analyse mental wellbeing, assessed by the World Health Organization 5-Mental Wellbeing Index. Multilevel logistic regression analyses were performed to analyse the association between gender and good mental wellbeing first at country-level, and secondly the between country variation was analysed and welfare regimes were included as explanatory variables. We observed cross-national variation in good mental wellbeing. At country levels gender inequalities in good mental wellbeing were observed in 7 out of 26 countries. In analyses considering all countries together gender inequalities in good mental wellbeing were identified independent of further individual socio-demographic variables and independent of the welfare regimes that people lived in [women vs. men: OR = 0.76; (95% CI = 0.71-0.81)]. Gender inequalities in good mental wellbeing were not modified by welfare regimes. There are cross-national differences in good mental wellbeing between European countries. Gender inequalities with a lower prevalence of good mental wellbeing among women are common in European countries. This study suggests that welfare regimes do not modify these gender inequalities in mental wellbeing. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

The Danish welfare state

DEFF Research Database (Denmark)

Larsen, Jørgen Elm; Bengtsson, Tea Torbenfeldt; Frederiksen, Morten

The Danish Welfare State analyzes a broad range of areas, such as globalization, labor marked, family life, health and social exclusion, the book demonstrates that life in a modern welfare state is changing rapidly, creating both challenges and possibilities for future management....

Strengthening public health research for improved health

Directory of Open Access Journals (Sweden)

Enrique Gea-Izquierdo

2012-08-01

prophylaxis methods. The multidisciplinary and multi-center approach in research will provide a better understanding of the processes and quality solutions. The implementation of strategies that encourage the promotion of research will lead to the establishment of joint action lines, allowing a general approach in enhancing biomedical research. In this sense and for social improvement, awareness of researchers in encouraging the detection of social problems is especially relevant. As mentioned it’s estimate the need for establish an adequate framework for public health research in loss-making countries, with results that impact on the advancement of the welfare of the people, advocating to take appropriate actions by the governments and health authorities. Therefore, the primary purpose must be to protect and improve the health of people. This specific aim is positioned on the border between basic research and development, so the contribution of ideas from clinical practice should be used in the treatment of health problems and advance of the prevention. At the same time, promotion of public health training habits will contribute to a better knowledge transfer and implementation of healthy behaviors to collaborate towards the development. There’s an extraordinary opportunity for the establishment of public health research, through the primary consideration of major health problems and providing workable solutions that contribute to improve the existing situation. Overcoming health challenges undoubtedly lead to advance in sustainability in the twenty-first century, producing a social benefit, promoting the progress of humanity in technological and communicative processes, and equity. The competition between research groups should be understood as a mechanism for constructive approach with the ultimate aim to improve society. In turn, the latter must understand and appreciate the progress made through biomedical research, so an effort to scientific communication and

[Modifications in health and welfare jobs transferred to thirty-five participating "core cities"].

Science.gov (United States)

Hara, Kunio; Hoshiko, Michiko; Ishitake, Tatsuya

2010-06-01

The aim of this study was to determine modifications in health and welfare jobs transferred to thirty-five participating "core cities. We focused on health and welfare jobs in the following sectors: (1) local welfare; (2) health care; (3) city planning; (4) environmental protection; (5) education; and (6) urban revitalization. We developed a self-report questionnaire regarding implementation of administrative jobs transferred from prefectures to the core cities with attention to affects of changes in the jobs on the city administrative efficiency and the health of both the citizens and the city officials. The questionnaire, consisting of 27 multiple-choice and 12 open-ended questions, was forwarded via e-mail to lead city officials of the thirty-five core cities in mid-February 2008. Twenty-seven cities responded to the questionnaire in mid-March 2008 (collection rate: 77%). The core cities incorporated almost all the jobs transferred from the prefectures, in spite of some limitations regarding time taken for delivering assistive equipment to disabled children, implementing wider administrative plans and establishing educational centers. Almost all core cities answered that they implemented their jobs independently, autonomously and systematically. Seventeen out of 27 core cities established new health care centers during the transition period and increased their number of staff. The majority of these 17 answered that establishment of organizations directly providing services to citizens contributed to improvement in the efficiency of the administrative jobs. The core cities incorporated almost all the jobs transferred from the prefectures in spite of some limitations. The core cities which established their new health care centers during this transition period increased their number of staff to address modifications to the work load.

Perceptions of self-esteem in a welfare-to-wellness-to-work program.

Science.gov (United States)

Martin, Carolyn Thompson; Keswick, Judith L; Crayton, Diane; Leveck, Paula

2012-01-01

The study investigates welfare recipients' perceptions of personal self-esteem in relationship with their participation in a welfare-to-wellness-to-work program. The cross-sectional, mixed-methods design examined a convenience sample of 33 participants who attended a welfare-to-wellness-to-work program called Work Wellness: The Basics that is based in an agency called Wellness Works!. A demographic survey, Rosenberg's Self-Esteem scale, and qualitative interviews were used. Even with normal self-esteem scores, the participants credited the program with decreasing negative thoughts and improving self-esteem. The themes identified include program, self-esteem, mental health, and domestic violence. Information about the benefits of a holistic wellness program and its relationship with self-reported enhanced self-esteem can be used to assist with health promotion, policy, and the development of innovative programs that assist with transition from public assistance. © 2011 Wiley Periodicals, Inc.

Epidemiological reflections of the contribution of anthropology to public health policy and practice.

Science.gov (United States)

Porter, John D H

2006-01-01

Academic disciplines like anthropology and epidemiology provide a niche for researchers to speak the same language, and to interrogate the assumptions that they use to investigate problems. How anthropological and epidemiological methods communicate and relate to each other affects the way public health policy is created but the philosophical underpinnings of each discipline makes this difficult. Anthropology is reflective, subjective and investigates complexity and the individual; epidemiology, in contrast, is objective and studies populations. Within epidemiological methods there is the utilitarian concept of potentially sacrificing the interests of the individual for the benefits of maximizing population welfare, whereas in anthropology the individual is always included. Other strengths of anthropology in the creation of public health policy include: its attention to complexity, questioning the familiar; helping with language and translation; reconfiguring boundaries to create novel frameworks; and being reflective. Public health requires research that is multi-, inter- and trans-disciplinary. To do this, there is a need for each discipline to respect the 'dignity of difference' between disciplines in order to help create appropriate and effective public health policy.

Implications of Animal Welfare on Toxicity Testing

DEFF Research Database (Denmark)

Meyer, Otto A.

1993-01-01

The testing strategy for chemical substances is discussed with regard to obtaining improved quality of data for health assessment while respecting the ethical responsibility for consideration of the welfare of the animals involved. Ensuring animal welfare without indulging too much in anthropomor......The testing strategy for chemical substances is discussed with regard to obtaining improved quality of data for health assessment while respecting the ethical responsibility for consideration of the welfare of the animals involved. Ensuring animal welfare without indulging too much...

Welfare States, Labor Markets, Political Dynamics, and Population Health: A Time-Series Cross-Sectional Analysis Among East and Southeast Asian Nations.

Science.gov (United States)

Ng, Edwin; Muntaner, Carles; Chung, Haejoo

2016-04-01

Recent scholarship offers different theories on how macrosocial determinants affect the population health of East and Southeast Asian nations. Dominant theories emphasize the effects of welfare regimes, welfare generosity, and labor market institutions. In this article, we conduct exploratory time-series cross-sectional analyses to generate new evidence on these theories while advancing a political explanation. Using unbalanced data of 7 East Asian countries and 11 Southeast Asian nations from 1960 to 2012, primary findings are 3-fold. First, welfare generosity measured as education and health spending has a positive impact on life expectancy, net of GDP. Second, life expectancy varies significantly by labor markets; however, these differences are explained by differences in welfare generosity. Third, as East and Southeast Asian countries become more democratic, welfare generosity increases, and population health improves. This study provides new evidence on the value of considering politics, welfare states, and labor markets within the same conceptual framework. © 2016 APJPH.

[Grounding public health policies in ethics and economic efficiency. SESPAS report 2010].

Science.gov (United States)

Ramiro Avilés, Miguel A; Lobo, Félix

2010-12-01

In recent times, various voices in Spain have questioned public health policies as an assault to personal freedom. The present article aims to respond to these voices with ethical and economic arguments. The scope and characteristics of this current of opinion are described. Then, starting with John Stuart Mill, the ethical principles of non-maleficence, beneficence, personal autonomy and justice, as well as related concepts taken from economic efficiency, such as externalities, monopoly, incomplete and asymmetric information, agency relationship, public goods and adverse selection, are discussed. A short mention is made of equity in economics, the welfare state and public health systems. The justification for paternalist actions by the state, as well as limits to these actions, are briefly discussed. Respect for individual freedom does not exclude the implementation of public health actions but rather demands the adoption of such policies. If these actions comply with certain conditions, they do not limit individual freedom but rather serve to protect it. Copyright © 2010 SESPAS. Published by Elsevier Espana. All rights reserved.

Making better babies: public health and race betterment in Indiana, 1920-1935.

Science.gov (United States)

Stern, Alexandra Minna

2002-05-01

In 1920, Indiana's Division of Infant and Child Hygiene inaugurated its first Better Babies Contest at the state fair. For the next 12 years, these contests were the centerpiece of a dynamic infant and maternal welfare program that took shape in Indiana during the decade of the federal Sheppard-Towner act. More than just a lively spectacle for fairgoers, these contests brought public health, "race betterment," and animal breeding together in a unique manner. This article describes one of the most popular expressions of public health and race betterment in rural America. It also raises questions about the intersections between hereditarian and medical conceptions of human improvement during the early 20th century, especially with respect to child breeding and rearing.

Fiscal 1997 research report on the survey on public test and evaluation organizations for development of welfare equipment; 1997 nendo fukushi kiki kaihatsu ni kakawaru koteki shiken hyoka kikan chosa hokokusho

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-03-01

This research studies the construction policy of public test and evaluation systems for future development and practical use of welfare equipment, through survey on the current methods for development, practical test and evaluation of welfare equipment in countries advanced in welfare, and preparation of basic data for promoting establishment of public test and evaluation functions in Japan. Infrastructure preparation for standards and public test and evaluation organizations for developing welfare equipment is being promoted by Technical Laboratory of Bicycle Industry Promotion Association and some national organizations such as Product Evaluation Technical Center, Mechanical Engineering Laboratory, National Institute of Bioscience and Human Technology, and Living and JIS Center. However, preparation of objective and across test and evaluation systems for developing welfare equipment is still insufficient. Product Evaluation Technical Center is now approaching to evaluation and standardization of welfare equipment. Public test and evaluation organizations of the UK, Sweden and Denmark are presented. (NEDO)

[Extreme types - a comparison of public health systems in Thuringia and the Warthegau].

Science.gov (United States)

Vossen, J

2013-11-01

Special policing measures in Nazi Germany required centralisation in the public health service which was mainly achieved through the Law for the Unification of Municipal and State Health Administration in 1934. The long-term aim for public health officers was now hereditary and racial welfare. Several following legal regulations contributed to the implementation of a specific national-socialist health and social policy on the basis of racial hygiene and gave immense power to the health officers. Especially with the Law for the Prevention of Hereditarily Sick Offspring, compulsory sterilisation was legalised and resulted in about 400,000 victims up to 1945. The central force in this new system was the public health office. The most extreme variation of public health administration was launched in Thuringia, where professional powers and state authority implemented an extensive institutional machinery which managed to reinforce Nazi population policy almost to perfection. After the invasion of western Poland the Germans built up an inhumane regime in the annexed and occupied regions, persecuted and murdered the Polish population and tried to exterminate the Jewish people. Here the health officers of the Warthegau could promote a rigorously racial dominated population policy of segregation. © Georg Thieme Verlag KG Stuttgart · New York.

Welfare states, the Great Recession and health: Trends in educational inequalities in self-reported health in 26 European countries.

Science.gov (United States)

Leão, Teresa; Campos-Matos, Inês; Bambra, Clare; Russo, Giuliano; Perelman, Julian

2018-01-01

Although socioeconomic inequalities in health have long been observed in Europe, few studies have analysed their recent patterning. In this paper, we examined how educational inequalities in self-reported health have evolved in different European countries and welfare state regimes over the last decade, which was troubled by the Great Recession. We used cross-sectional data from the EU-SILC survey for adults from 26 European countries, from 2005 to 2014 (n = 3,030,595). We first calculated education-related absolute (SII) and relative (RII) inequalities in poor self-reported health by country-year, adjusting for age, sex, and EU-SILC survey weights. We then regressed the year- and country-specific RII and SII on a yearly time trend, globally and by welfare regime, adjusting for country fixed effects. We further adjusted the analysis for the economic cycle using GDP growth, unemployment, and income inequality. Overall, absolute inequalities persisted and relative inequalities slightly widened (betaRII = 0.0313, pAnglo-Saxon countries experienced the largest increase in absolute inequalities (betaSII = 0.0032, pAnglo-Saxon countries. Educational inequalities in health have overall persisted across European countries over the last decade. However, there is considerable variation across welfare regimes, possibly related to underpinning social safety nets and to austerity measures implemented during this 10-year period.

Nuisances and welfare of free-roaming cats in urban settings and their association with cat reproduction.

Science.gov (United States)

Gunther, I; Raz, T; Berke, O; Klement, E

2015-05-01

Free roaming cats (FRC) are highly abundant in cities around the world. Increasing populations of these cats might result in impairment of cat welfare and cause nuisances and public health risks. In order to study the seasonal dynamics of FRC populations and its association with events of cat welfare impairment and nuisances, we analyzed a database of FRC-associated citizens' telephone complaint events, which were registered in five cities in Israel (total human population of 1.42 million residents) during the years 2007-2011. These complaint events were classified to the following six categories: cat's carcasses, kittens, parturition, aggressive behavior toward people, invasion to human facilities, and cat injuries and distress. Overall, 87,764 complaint events associated with these categories were registered in the five cities during the study period (123.2 complaint events per 10,000 citizens per year). Length of daylight was moderately correlated with the rate of complaints on kittens in the same month (r=0.64) and parturition in the previous month (r=0.54) (Pcat aggressiveness toward people, cat invasion to human facilities and cat injuries and distress. In most of the cities the rate of citizen complaints regarding carcasses, aggression, invasion and injuries were still significantly correlated with rate of complaints regarding kittens after omission of these joint complaints and remained significant after controlling for seasonality. These findings imply an association of cat welfare impairment and nuisances with FRC reproduction intensity. The current study revealed the high rate of nuisances and potential public health hazards related to FRC, as well as the impairment of cat welfare, which might be merely 'the tip of the iceberg' of the real welfare situation of these cats. Further studies should examine the effectiveness of FRC population control strategies for the reduction of the rate of nuisances and public health risks related to FRC, as well as for

One foot in the furrow: linkages between agriculture, plant pathology, and public health.

Science.gov (United States)

Scholthof, Karen-Beth G

2003-01-01

Plant pathology is a field of biology that focuses on understanding the nature of disease in plants as well as on more practical aspects of preventing and controlling plant diseases in crop plants that are important to agriculture. Throughout history, plant diseases have had significant effects on human health and welfare. Several examples, in both historical and contemporary contexts, are presented in this review to show how plant pathogens, biotechnology, and farming practices have affected public health. Specific topics illustrating clear linkages between agriculture and human health include allergens in the environment, food-safety and agricultural practices, mycotoxigenic fungi, agrobioterrorism, and the biological control of plant diseases. The further argument is made that in order to monitor and ensure that good health and safety practices are maintained from "farm to fork," public health specialists may benefit from the resources and expertise of agricultural scientists.

[Researches on health and welfare promotion based on an approach of social medicine].

Science.gov (United States)

Kagamimori, Sadanobu

2004-07-01

This article was derived from my memorial talk given when receiving the prize of the Japanese Society for Hygiene at their academic congress. The reader could review my research on health and welfare promotion made by introducing new conceptual health policy based on the approach of social medicine. Through my experience in different research work, the importance of social factors in the etiology of health during childhood, adulthood and old age was discussed. In addition, it was revealed that social factors not only influence the population's health status but also constitute the context within which organized efforts can be made to promote health. For the elderly, the annual health check, stroke patient registration, and insurance for care and spousal bereavement; for adults, the Karoshi and occupational health; and for children, air pollution-atopy predisposition and lifestyles were highlighted as social medicine-related issues. The research on mostly longitudinal population studies showed that health status, including the life expectancy and the prevalence of disability and chronic disorders, are related to one's marital status, social support, psychosocial working conditions and environmental factors as well as to lifestyles such as physical activity and hours of work and sleep at entry. More attention should be directed to independent factors' effects on health, separate from those of adverse health habits and bio-medical situations, under the health and welfare promotion strategy.

The Digitisation of Welfare – a Strategy towards improving Citizens’ Self-care and Co-management of Welfare

DEFF Research Database (Denmark)

Thualagant, Nicole; From, Ditte-Marie

2018-01-01

(SKAD) analysis, this chapter scrutinizes central documents on the strategy of digital welfare. Our exploration provides a critical insight in the current digitisation of health care by illustrating how new virtues of citizenship are demanded in the digital era in relation to digital health......Government strategy of Digital Welfare 2016-2020 in regards to health and discusses how this strategy encourages self-measurement and self-improvement through discourses of improvement at both state and citizen levels. By illustrating how performativity is embedded in current conceptions of health, this chapter...... emphasize how strategies of digitisation lean on a bio-citizenship where individuals with poor health capacities become depended, not on a supporting welfare system, but paradoxically on own self-management skills in order to receive health services. Based on the sociology of knowledge approach to discourse...

Welfare states, the Great Recession and health: Trends in educational inequalities in self-reported health in 26 European countries.

Directory of Open Access Journals (Sweden)

Teresa Leão

Full Text Available Although socioeconomic inequalities in health have long been observed in Europe, few studies have analysed their recent patterning. In this paper, we examined how educational inequalities in self-reported health have evolved in different European countries and welfare state regimes over the last decade, which was troubled by the Great Recession.We used cross-sectional data from the EU-SILC survey for adults from 26 European countries, from 2005 to 2014 (n = 3,030,595. We first calculated education-related absolute (SII and relative (RII inequalities in poor self-reported health by country-year, adjusting for age, sex, and EU-SILC survey weights. We then regressed the year- and country-specific RII and SII on a yearly time trend, globally and by welfare regime, adjusting for country fixed effects. We further adjusted the analysis for the economic cycle using GDP growth, unemployment, and income inequality.Overall, absolute inequalities persisted and relative inequalities slightly widened (betaRII = 0.0313, p<0.05. There were substantial differences by welfare regime: Anglo-Saxon countries experienced the largest increase in absolute inequalities (betaSII = 0.0032, p<0.05, followed by Bismarkian countries (betaSII = 0.0024, p<0.001, while they reduced in Post-Communist countries (betaSII = -0.0022, p<0.001. Post-Communist countries also experienced a widening in relative inequalities (betaRII = 0.1112, p<0.001, which were found to be stable elsewhere. Adjustment for income inequality only explained such trend in Anglo-Saxon countries.Educational inequalities in health have overall persisted across European countries over the last decade. However, there is considerable variation across welfare regimes, possibly related to underpinning social safety nets and to austerity measures implemented during this 10-year period.

Antibiotic resistance--consequences for animal health, welfare, and food production.

Science.gov (United States)

Bengtsson, Björn; Greko, Christina

2014-05-01

Most of the literature on the consequences of emergence and spread of bacteria resistant to antibiotics among animals relate to the potential impact on public health. But antibiotics are used to treat sick animals, and resistance in animal pathogens may lead to therapy failure. This has received little scientific attention, and therefore, in this article, we discuss examples that illustrate the possible impact of resistance on animal health and consequences thereof. For all animals, there may be a negative effect on health and welfare when diseases cannot be treated. Other consequences will vary depending on why and how different animal species are kept. Animals kept as companions or for sports often receive advanced care, and antibiotic resistance can lead to negative social and economic consequences for the owners. Further, spread of hospital-acquired infections can have an economic impact on the affected premises. As to animals kept for food production, antibiotics are not needed to promote growth, but, if infectious diseases cannot be treated when they occur, this can have a negative effect on the productivity and economy of affected businesses. Antibiotic resistance in animal bacteria can also have positive consequences by creating incentives for adoption of alternative regimes for treatment and prevention. It is probable that new antibiotic classes placed on the market in the future will not reach veterinary medicine, which further emphasizes the need to preserve the efficacy of currently available antibiotics through antibiotic stewardship. A cornerstone in this work is prevention, as healthy animals do not need antibiotics.

A new animal welfare concept based on allostasis

NARCIS (Netherlands)

Korte, S. Mechiel; Olivier, Berend; Koolhaas, Jaap M.

2007-01-01

Animal welfare is an increasing issue of public concern and debate. As a result, many countries are reconsidering the way animal welfare is embedded in the legislation and rules for housing and care of animals. This requires general agreement of what animal welfare is. Unfortunately, the current

Treating Mental Health Disorders for Children in Child Welfare Care: Evaluating the Outcome Literature

Science.gov (United States)

Stewart, Shannon L.; Leschied, Alan; den Dunnen, Wendy; Zalmanowitz, Sharla; Baiden, Philip

2013-01-01

Background: Children involved in the child welfare system (CWS) have a greater need for mental health treatment relative to children in the general population. However, the research on mental health treatment for children in the CWS is sparse with only one known previous review of mental health services with children in the CWS. Objective: This…

Making the case for a 'fifth wave' in public health.

Science.gov (United States)

Hanlon, P; Carlisle, S; Hannah, M; Reilly, D; Lyon, A

2011-01-01

This paper will argue that the UK has seen several phases of public health improvement since the Industrial Revolution, and that each of these can be linked to major shifts in thinking about the nature of society and health itself. The authors are not, however, attempting to delineate firm sequences of events (or imply causality) as this would require a level of analysis of the relationship between economy, society and culture which is beyond the scope of this paper. Rather, it is suggested that each phase of health improvement can be thought of in metaphorical terms as a 'wave'. The first wave is associated with great public works and other developments arising from social responses to the profound disruptions which followed the Industrial Revolution. The second wave saw the emergence of medicine as science. The third wave involved the redesign of our social institutions during the 20th Century and gave birth to the welfare state. The fourth wave has been dominated by efforts to combat disease risk factors and the emergence of systems thinking. Although a trough of public health activity continues from each wave, none exerts the same impact as when it first emerged. This paper will discuss the complex challenges of obesity, inequality and loss of wellbeing, together with the broader problems of exponential growth in population, money creation and energy usage. As exponential growth is unsustainable on a finite planet, inevitable change looms. Taken together, these analyses suggest that a fifth wave of public health development is now needed; one which will need to differ radically from its forerunners. The authors invite others to join them in envisioning its nature and in furthering the debate about future public health. Copyright © 2010 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

[Qualitative evaluation of TAMARPP, the relapse prevention program for substance abusers at the Mental Health and Welfare Center].

Science.gov (United States)

Taniai, Tomoko; Yottsuji, Naomi; Okuda, Hidemi; Karibe, Haruo; Miura, Kasumi; Hiraga, Masasi; Kondo, Ayumi; Matsumoto, Toshihiko

2014-12-01

The development of an effective treatment system for patients with addiction-related problems like substance abuse or pathological gambling is urgently needed. The purpose of this study was to clarify the therapeutic factors of the Tama Mental Health and Welfare Center Relapse Prevention Program (TAMARPP). The program is provided at the Tama Comprehensive Center for Mental Health and Welfare, which is operated publicly by the Tokyo Metropolitan Government. Seven personnel (3 clinical psychologists, 2 public health nurses, and 2 recovering counselors) searched the consultation records of 31 participants who had continued treatment longer than 1 year, and made a list of qualitative factors that may positively impact participant outcome. The following six factors were extracted: 1) a "no-blame" atmosphere that makes participants feel safe and free; 2) a mutual helping process that enables participants to empathize with one another; 3) an individual-centered approach that focuses on a participant's motivation to recover; 4) a psycho-educational process that establishes treatment goals; 5) a treatment goal that involves some type of social role; and 6) the referral of graduates to another long-term treatment program such as Narcotics Anonymous. Our results suggest the need of personnel to provide treatment as follows: 1) keep the circumstances safe; 2) use a method that matches the participant's motivation; 3) refer graduates to another in-depth treatment program; 4) emphasize the relationship between thinking, emotion, and behavior; and 5) improve the quality of life of the participant. The missions of our center, an official institution that runs such a program, are as follows: 1) to be the first place at which addicts seek aid during the early stage; 2) to cooperate with other facilities in order to provide social resources that support recovery; and 3) to support patients suffering from both addiction and comorbid psychiatric diseases.

Annual report of the Public Health Authority of the Slovak Republic in 2010

International Nuclear Information System (INIS)

2011-01-01

A brief account of activities carried out by the Public Health Authority of the Slovak Republic (UVZ SR) in 2010 is presented. These activities are reported under the headings: (1) General part; (2) Department of legislation and law; (3) Department of control, surveillance and complaints; (4) Department of environmental health; (5) Department of preventive occupational medicine; (6) Department of food hygiene, food safety and cosmetic products; (7) Department of hygiene of children and youth; (8) Department of objectification factors welfare; (9) Department of medical microbiology; (10) Department of epidemiology; (11) Division of health protection against radiation; (12) Department of health promotion; (13) Department of alcohol and tobacco control.

Annual report of the Public Health Authority of the Slovak Republic for 2007

International Nuclear Information System (INIS)

2008-01-01

A brief account of activities carried out by the Public Health Authority of the Slovak Republic (UVZ SR) in 2006 is presented. These activities are reported under the headings: (1) General section; (2) Department of legislation and law; (3) Department of control, surveillance and complaints; (4) Department of environmental health; (5) Department of preventive occupational medicine; (6) Department of food hygiene, food safety and cosmetic products; (7) Department of hygiene of children and youth; (8) Department of objectification factors welfare; (9) Department of medical microbiology; (10) Department of epidemiology; (11) Department of health protection against radiation; (12) Department of health promotion; (13) Center of tobacco control.

[Health services research for the public health service (PHS) and the public health system].

Science.gov (United States)

Hollederer, A; Wildner, M

2015-03-01

There is a great need for health services research in the public health system and in the German public health service. However, the public health service is underrepresented in health services research in Germany. This has several structural, historical and disciplinary-related reasons. The public health service is characterised by a broad range of activities, high qualification requirements and changing framework conditions. The concept of health services research is similar to that of the public health service and public health system, because it includes the principles of multidisciplinarity, multiprofessionalism and daily routine orientation. This article focuses on a specified system theory based model of health services research for the public health system and public health service. The model is based on established models of the health services research and health system research, which are further developed according to specific requirements of the public health service. It provides a theoretical foundation for health services research on the macro-, meso- and microlevels in public health service and the public health system. Prospects for public health service are seen in the development from "old public health" to "new public health" as well as in the integration of health services research and health system research. There is a significant potential for development in a better linkage between university research and public health service as is the case for the "Pettenkofer School of Public Health Munich". © Georg Thieme Verlag KG Stuttgart · New York.

Reproductive health care strategy -- a gender-sensitive approach to family welfare.

Science.gov (United States)

Anita

1996-01-01

The author advocates a reproductive health care strategy to revitalize India's family welfare program. A major shift in focus is needed in population policy and programs to incorporate a gender-sensitive approach. That shift should help to clear the path toward improved health status for women and female children. Consensus reached at the UN's 1994 International Conference on Population and Development supported a change in population and development policies, affording women's empowerment, gender equality, and equity greater priority for a meaningful policy of human-centered sustainable development. Reproductive health care, reproductive health in practice, the quality of care in reproductive health, gender equality as a human right, and empowering women are discussed.

Annual report of the Public Health Authority of the Slovak Republic for 2011

International Nuclear Information System (INIS)

2011-04-01

A brief account of activities carried out by the Public Health Authority of the Slovak Republic (UVZ SR) in 2011 is presented. These activities are reported under the headings: (1) General part; (2) Legislation section; (3) Section of control, supervision and complaints; (4) Section of environmental hygiene; (5) Section hygiene living and working conditions; (6) Department of food hygiene, food safety and cosmetic products; (7) Department of hygiene of children and youth; (8) Department of objectification factors welfare; (9) Division of Medical Microbiology; (10) Epidemiology Section; (11) Division of health protection against radiation.

Stereotypes and Welfare Attitudes

DEFF Research Database (Denmark)

Hedegaard, Troels Fage

2014-01-01

recipients lacking both the financial incentives and the will to work. According to theories of the impact of media on welfare attitudes, this had the potential to undermine public support. A two-wave panel survey, however, showed only a small drop in public support for spending on social assistance...

Current Perspectives on Therapy Dog Welfare in Animal-Assisted Interventions.

Science.gov (United States)

Glenk, Lisa Maria

2017-02-01

Research into the effects of animal-assisted interventions (AAIs) has primarily addressed human health outcomes. In contrast, only few publications deal with the therapy dog experience of AAIs. This paper provides an overview on potential welfare threats that therapy dogs may encounter and presents the results of a review of available studies on welfare indicators for therapy dogs during AAIs. Previous investigations used physiological and behavioral welfare indicators and dog handler surveys to identify work-related stress. Research outcomes are discussed in the light of strengths and weaknesses of the methods used. Study results suggest that frequency and duration of AAI sessions, novelty of the environment, controllability, age and familiarity of recipients modulate animal welfare indicators. However, this review reveals that currently, clear conclusions on how the well-being of dogs is influenced by the performance in AAIs are lacking due to the heterogeneity of programs, recipient and session characteristics, small dog sample sizes and methodological limitations. This paper further aimed to identify unresolved difficulties in previous research to pave the way for future investigations supporting the applicability of scientific findings in practice.

Making Better Babies: Public Health and Race Betterment in Indiana, 1920–1935

Science.gov (United States)

Stern, Alexandra Minna

2002-01-01

In 1920, Indiana's Division of Infant and Child Hygiene inaugurated its first Better Babies Contest at the state fair. For the next 12 years, these contests were the centerpiece of a dynamic infant and maternal welfare program that took shape in Indiana during the decade of the federal Sheppard–Towner act. More than just a lively spectacle for fairgoers, these contests brought public health, “race betterment,” and animal breeding together in a unique manner. This article describes one of the most popular expressions of public health and race betterment in rural America. It also raises questions about the intersections between hereditarian and medical conceptions of human improvement during the early 20th century, especially with respect to child breeding and rearing. PMID:11988439

A Survey of Chinese Citizens’ Perceptions on Farm Animal Welfare

Science.gov (United States)

You, Xiaolin; Li, Yibo; Zhang, Min; Yan, Huoqi; Zhao, Ruqian

2014-01-01

Farm animal welfare has been gradually recognized as an important issue in most parts of the world. In China, domestic animals were traditionally raised in backyard and treated as an important component of family wealth. Industrialization of animal production brings forth the farm animal welfare concerns recently in China, yet the modern concept of animal welfare has not been publicized and a comprehensive recognition on how consumers and farmers perceive animal welfare is lacking. Therefore, we conducted a survey on public opinions toward farm animal welfare in China, based on pigs (including sows, piglets, and fattening pigs), domestic fowls (including layers and broilers) and their products. From 6,006 effective questionnaires approximately two thirds of the respondents had never heard of ‘animal welfare’; 72.9% of the respondents claimed that, for the sake of animal derived food safety, human beings should improve the rearing conditions for pigs and domestic fowls; 65.8% of the respondents totally or partly agreed on establishing laws to improve animal welfare; more than half of the respondents were willing, or to some extent willing, to pay more for high-welfare animal products, whereas 45.5% of the respondents were not willing or reluctant to pay more. In summary, farm animal welfare is still in its early stage of development and more efforts are needed to improve the public conception to animal welfare in the process of establishing farm animal welfare standards and legislations in China. PMID:25314159

Public health emergencies and the public health/managed care challenge.

Science.gov (United States)

Rosenbaum, Sara; Skivington, Skip; Praeger, Sandra

2002-01-01

The relationship between insurance and public health is an enduring topic in public health policy and practice. Insurers share certain attributes with public health. But public health agencies operate in relation to the entire community that they are empowered by public law to serve and without regard to the insurance status of community residents; on the other hand, insurers (whether managed care or otherwise) are risk-bearing entities whose obligations are contractually defined and limited to enrolled members and sponsors. Public insurers such as Medicare and Medicaid operate under similar constraints. The fundamental characteristics that distinguish managed care-style insurance and public health become particularly evident during periods of public health emergency, when a public health agency's basic obligations to act with speed and flexibility may come face to face with the constraints on available financing that are inherent in the structure of insurance. Because more than 70% of all personal health care in the United States is financed through insurance, public health agencies effectively depend on insurers to finance necessary care and provide essential patient-level data to the public health system. Critical issues of state and federal policy arise in the context of the public health/insurance relations during public health emergencies. These issues focus on coverage and the power to make coverage decisions, as well as the power to define service networks and classify certain data as exempt from public reporting. The extent to which a formal regulatory approach may become necessary is significantly affected by the extent to which private entities themselves respond to the problem with active efforts to redesign their services and operations to include capabilities and accountability in the realm of public health emergency response.

[Poverty, public transfers and health: An analysis on self-rated health of social benefit recipients in Germany].

Science.gov (United States)

Pförtner, T-K; Schumann, N

2016-09-01

Prevention and reduction of poverty are key elements of social welfare policy in Germany. This study is the first analysis of self-rated health of individuals that escape poverty by benefiting form public transfers. Analyses are based on the German Socio-economic Panel (GSOEP) of 2010. Self-rated health was based on subjective assessment of general health status. Subjects were directly asked about receipt of public transfers. Income poverty was based on the equalized disposable income and is applied to a threshold of 60% of the median-based average income. We analyzed the association between self-rated health and pre- and post-transfer poverty by means of descriptive analyses and binary logistic regression. After adjusting for age, we found a significantly higher risk of poor self-rated health among those who escaped income poverty due to the receipt of social transfers compared to others (ORWomen: 1.85; 95%-CI: 1.27-2.69; ORMen: 2.57; 95%-CI: 1.63-4.05), in particular to those at risk of post-transfer poverty. These poverty-related inequalities in health were predominantly explained by nationality, occupational status, household type and long-term care within the household. This study provides first evidence that the receipt of public transfers is associated with increased risk of poor health in the light of impending income-poverty. This study adds to the current debate about the social and health implications of public transfers in the relationship between poverty and health. © Georg Thieme Verlag KG Stuttgart · New York.

Training public health superheroes: five talents for public health leadership.

Science.gov (United States)

Day, Matthew; Shickle, Darren; Smith, Kevin; Zakariasen, Ken; Moskol, Jacob; Oliver, Thomas

2014-12-01

Public health leaders have been criticized for their policy stances, relationships with governments and failure to train the next generation. New approaches to the identification and training of public health leaders may be required. To inform these, lessons can be drawn from public health 'superheroes'; public health leaders perceived to be the most admired and effective by their peers. Members and Fellows of the UK Faculty of Public Health were contacted via e-newsletter and magazine and asked to nominate their 'Public Health Superhero'. Twenty-six responses were received, nominating 40 different people. Twelve semi-structured interviews were conducted. Thematic analysis, based on 'grounded theory', was conducted. Five leadership 'talents' for public health were identified: mentoring-nurturing, shaping-organizing, networking-connecting, knowing-interpreting and advocating-impacting. Talent-based approaches have been effective for leadership development in other sectors. These talents are the first specific to the practice of public health and align with some aspects of existing frameworks. An increased focus on identifying and developing talents during public health training, as opposed to 'competency'-based approaches, may be effective in strengthening public health leadership. Further research to understand the combination and intensity of talents across a larger sample of public health leaders is required. © The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

[Public health services between "new public health" and "new public management"].

Science.gov (United States)

Oppen, M

1996-04-01

Today, a substantial reorientation of the Public Health services in the Federal Republic of Germany is broadly seen necessary. Patterns of functional and organisational restructuring of Public Health services on the regional and the communal level are closely linked with concepts of prevention and health promotion. Hence, a number of agencies have already adopted new tasks and functions like comprehensive and transorganizational planning, coordination and evaluation as well as the establishment of new reporting systems. Presently, the transformation process from the bureaucratic mode of administering matters of health to a new Public Health orientation receives new impacts from the international "New Public Management" movement. Comparatively late, with the beginning of the 1990s, a growing number of German municipalities has introduced new concepts of administration. Local government administrations, of which the Public Health services are a part, follow the model of modern service organizations producing services in a more efficient, professionalized and consumer-oriented way. Specific elements of economising modernisation programmes like re-distribution of tasks, de-centralisation, extension of managerial capacities, setting of stimulating working conditions that provide employees with greater independence of action as well as career opportunities, are at the same time prerequisites for innovative strategies of health protection and coordination policies of Public Health services.

Animal Welfare in Relation to Standards in Organic Farming

Directory of Open Access Journals (Sweden)

Hammarberg Karl-Erik

2002-03-01

Full Text Available The new EU-regulations on organic farming (1804/1999 are also influencing the animal welfare. A lot of positive regulations is to find, but also regulations that seen to mind more about the general public and customer and their view on organic farming, than the health and welfare of the animals. The paper specially focus on the impact of the regulations and the recommendations that phytotherapeutic essences and homeopathic products take precedence over the so called chemically-synthesised allopatic veterinary medical products, and that the use of the same is prohibited for preventive treatments. Key questions here are the lack of scientific evidence concerning homeopathy in animals, and that Swedish veterinarians are not allowed to work with homeopathy. Differences in interpretation of the regulations between animal owners and veterinarians will also be discussed. What is a disease that needs treatment? Who is to decide about the treatment? Parasitic infections are discussed as an illustrative example. Other consequences of the regulations concerning the animal welfare are problems in certain geographical zones, for instance subarctic areas where necessary crops are impossible to grow. Animal transports and splitting mother-offspring are briefly discussed as future problems to be handled in the regulations, and the paper ends by presenting the need of regulated herd health control programs in organic husbandry, which can detect and focus on welfare and production problems. The organic movement is not static, and must not be so.

Estimating the benefits of public health policies that reduce harmful consumption.

Science.gov (United States)

Ashley, Elizabeth M; Nardinelli, Clark; Lavaty, Rosemarie A

2015-05-01

For products such as tobacco and junk food, where policy interventions are often designed to decrease consumption, affected consumers gain utility from improvements in lifetime health and longevity but also lose utility associated with the activity of consuming the product. In the case of anti-smoking policies, even though published estimates of gross health and longevity benefits are up to 900 times higher than the net consumer benefits suggested by a more direct willingness-to-pay estimation approach, there is little recognition in the cost-benefit and cost-effectiveness literature that gross estimates will overstate intrapersonal welfare improvements when utility losses are not netted out. This paper presents a general framework for analyzing policies that are designed to reduce inefficiently high consumption and provides a rule of thumb for the relationship between net and gross consumer welfare effects: where there exists a plausible estimate of the tax that would allow consumers to fully internalize health costs, the ratio of the tax to the per-unit long-term cost can provide an upper bound on the ratio of net to gross benefits. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

A randomized controlled trial to improve health among women receiving welfare in the US: the relationship between employment outcomes and the economic recession.

Science.gov (United States)

Kneipp, Shawn M; Kairalla, John A; Sheely, Amanda L

2013-03-01

The high prevalence of health conditions among U.S. women receiving Temporary Assistance for Needy Families (TANF, or 'welfare') impedes the ability of many in this group to move from 'welfare-to-work', and the economic recession has likely exacerbated this problem. Despite this, few interventions have been developed to improve employment outcomes by addressing the health needs of women receiving TANF, and little is known about the impact of economic downturns on the employment trajectory of this group. Using data from a recent randomized controlled trial (RCT) that tested the efficacy of a public health nursing (PHN) intervention to address the chronic health condition needs of 432 American women receiving TANF, we examine the effect of the intervention and of recession exposure on employment. We further explore whether intervention effects were modified by select sociodemographic and health characteristics. Both marginal and more robust intervention effects were noted for employment-entry outcomes (any employment, p = 0.05 and time-to-employment, p = 0.01). There were significant effects for recession exposure on employment-entry (any employment, p = 0.002 and time-to-employment, p understanding of the health and employment dynamics among this group of disadvantaged women under variable macroeconomic conditions, and have implications for guiding health and TANF-related policy. Copyright © 2012 Elsevier Ltd. All rights reserved.

Current Perspectives on Therapy Dog Welfare in Animal-Assisted Interventions

Science.gov (United States)

Glenk, Lisa Maria

2017-01-01

Simple Summary In animal-assisted interventions (AAIs) animals are used as adjuncts to therapy to positively affect human health. The practice of implementing dogs into therapeutic environments is emerging and as a result, there has been a growing scientific interest on human health outcomes over the past decades. Research efforts into the canine perspective of AAIs have been scarce. Accordingly, there is little consensus on the impact of such interventions on the animals involved. This paper aimed to contribute to the limited body of knowledge by reviewing available studies on therapy dogs’ welfare during AAIs. Moreover, discussion of theoretical and methodological issues, implications for practice and suggestions for future research are provided. Abstract Research into the effects of animal-assisted interventions (AAIs) has primarily addressed human health outcomes. In contrast, only few publications deal with the therapy dog experience of AAIs. This paper provides an overview on potential welfare threats that therapy dogs may encounter and presents the results of a review of available studies on welfare indicators for therapy dogs during AAIs. Previous investigations used physiological and behavioral welfare indicators and dog handler surveys to identify work-related stress. Research outcomes are discussed in the light of strengths and weaknesses of the methods used. Study results suggest that frequency and duration of AAI sessions, novelty of the environment, controllability, age and familiarity of recipients modulate animal welfare indicators. However, this review reveals that currently, clear conclusions on how the well-being of dogs is influenced by the performance in AAIs are lacking due to the heterogeneity of programs, recipient and session characteristics, small dog sample sizes and methodological limitations. This paper further aimed to identify unresolved difficulties in previous research to pave the way for future investigations supporting the

Annual report of the Public Health Authority of the Slovak Republic for 2010

International Nuclear Information System (INIS)

2011-01-01

A brief account of activities carried out by the Public Health Authority of the Slovak Republic (UVZ SR) in 2010 is presented. These activities are reported under the headings: (1) General pat; (2) Legislation section; Section of control, supervision and complaints; (3) Section of environmental hygiene; (4) Section hygiene living and working conditions; (5) Department of food hygiene, food safety and cosmetic products; (6) Department of hygiene of children and youth; (7) Department of objectification factors welfare; (8) Division of medical microbiology; (9) Epidemiology section; (10) Division of health protection against radiation; (11) Department of health promotion; (12) Department of alcohol and tobacco Control.

SWEDEN--RECENT CHANGES IN WELFARE STATE ARRANGEMENTS.

Science.gov (United States)

Burström, Bo

2015-01-01

The Swedish welfare state, once developed to create a new society based on social equality and universal rights, has taken on a partly new direction. Extensive choice reforms have been implemented in social services and an increasing proportion of tax-funded social services, including child day care, primary and secondary schools, health care, and care of the elderly, is provided by private entrepreneurs, although funded by taxes. Private equity firms have gained considerable profits from the welfare services. The changes have taken place over a 20-year period, but at an accelerated pace in the last decade. Sweden previously had very generous sickness and unemployment insurance, in terms of both duration and benefit levels, but is falling behind in terms of generosity, as indicated by increasing levels of relative poverty among those who depend on benefits and transfers. Increasing income inequality over the past 20 years further adds to increasing the gaps between population groups. In some respects, Sweden is becoming similar to other Organisation for Economic Co-operation and Development countries. The article describes some of the changes that have occurred. However, there is still widespread popular support for the publicly provided welfare state services.

Annual activity report of the Public Health Authority of the Slovak Republic for 2009

International Nuclear Information System (INIS)

2010-01-01

A brief account of activities carried out by the Public Health Authority of the Slovak Republic (UVZ SR) in 2009 is presented. These activities are reported under the headings: (1) General section; (2) Department of legislation and law; (3) Department of control, surveillance and complaints; (4) Department of environmental health; (5) Department of preventive occupational medicine; (6) Department of food hygiene, food safety and cosmetic products; (7) Department of hygiene of children and youth; (8) Department of objectification factors welfare; (9) Department of medical microbiology; (10) Department of epidemiology; (11) Department of health protection against radiation; (12) Department of health promotion; (13) Department of alcohol and tobacco control.

Annual activity report of the Public Health Authority of the Slovak Republic for 2008

International Nuclear Information System (INIS)

2009-01-01

A brief account of activities carried out by the Public Health Authority of the Slovak Republic (UVZ SR) in 2008 is presented. These activities are reported under the headings: (1) General section; (2) Department of legislation and law; (3) Department of control, surveillance and complaints; (4) Department of environmental health; (5) Department of preventive occupational medicine; (6) Department of food hygiene, food safety and cosmetic products; (7) Department of hygiene of children and youth; (8) Department of objectification factors welfare; (9) Department of medical microbiology; (10) Department of epidemiology; (11) Department of health protection against radiation; (12) Department of health promotion; (13) Department of alcohol and tobacco control.

Annual activity report of the Public Health Authority of the Slovak Republic for 2006

International Nuclear Information System (INIS)

2007-01-01

A brief account of activities carried out by the Public Health Authority of the Slovak Republic (UVZ SR) in 2006 is presented. These activities are reported under the headings: (1) General section; (2) Department of legislation and law; (3) Department of control, surveillance and complaints; (4) Department of environmental health; (5) Department of preventive occupational medicine; (6) Department of food hygiene, food safety and cosmetic products; (7) Department of hygiene of children and youth; (8) Department of objectification factors welfare; (9) Department of medical microbiology; (10) Department of epidemiology; (11) Department of health protection against radiation; (12) Department of health promotion; (13) Center of tobacco control; (14) Crisis management unit.

Leprosy: International Public Health Policies and Public Health Eras

Directory of Open Access Journals (Sweden)

Niyi Awofeso

2011-09-01

Full Text Available Public health policies continue to play important roles in national and international health reforms. However, the influence and legacies of the public health eras during which such policies are formulated remain largely underappreciated. The limited appreciation of this relationship may hinder consistent adoption of public health policies by nation-states, and encumber disinvestment from ineffective or anachronistic policies. This article reviews seven public health eras and highlights how each era has influenced international policy formulation for leprosy control—“the fertile soil for policy learning”. The author reiterates the role of health leadership and health activism in facilitating consistency in international health policy formulation and implementation for leprosy control.

Welfare State e emprego em saúde nos países avançados desde o Pós-Segunda Guerra Mundial Welfare State and employment in health activities in developed countries since the Post-Second World War

Directory of Open Access Journals (Sweden)

Luiz Marcos de Oliveira Silva

2009-09-01

Full Text Available The article analyzes the economic importance of the health activities in the developed countries in the last decades of the twentieth century. It takes into consideration the evolution of the weight of the employment in the health activities in European countries' and also in the United States' labour markets, which will be compared in an historical perspective. The evolution and the weight of the public expenditure in the health activities will also be taken into account so as to analyze the economic importance of the sector in the last decades of twentieth century. The role played by the political, economic and social context of the Post-Second World War in the construction of the system of social protection (Welfare State and its effects over the health activities will be also considered.

Social work and research in advanced welfare states

DEFF Research Database (Denmark)

and North-Western Europe more generally, there are other countries where the public spend on welfare is relatively high. The contributors to this book explore and exemplify ways in which social work and research are distinctive for advanced welfare states. This involves exploring their connection......The aim of this book is to exemplify the ways in which social work and research develop in ‘advanced’ welfare states - countries where public spending is relatively high as a proportion of GNP. While such countries have traditionally been associated with Scandinavian countries in particular...... to professional identities, histories and welfare systems, their associations with academic, theoretical and cultural traditions of collaboration between academic and social work practice, and the distinctive links with community, national policy, governmentality and agency, with respect to forms of knowledge...

Animal Welfare: What's coming down the pipe?

Science.gov (United States)

Concern for farm animal welfare is not a new concept. However, increased public pressure and an increasingly entangled global economy are effecting change across the world. The conversation about farm animal welfare is difficult because the world’s population has become disconnected from agricultur...

Trade-offs between health and absenteeism in welfare states: Striking the balance

OpenAIRE

Markussen, Simen

2007-01-01

Workers’absenteeism due to illness represents a major concern in several countries. Absenteeism are however not very well understood in economics. This paper presents a model where absenteeism is understood in relation to health. Its main predictions are (i) intermediate welfare state generosity lead to the lowest absence rates as (ii) generous regimes results in excess long-term absenteeism and (iii) strict regimes lead to excess short-term absenteeism. (iv) Maximizing health is not the same...

Review A balanced perspective on animal welfare for improved ...

African Journals Online (AJOL)

Chulayo, Amanda

2015-12-01

Dec 1, 2015 ... Increased public concern for animal welfare in the logistics chain has .... still complain about poor management of animals and state that ... assurance of good animal welfare and healthier foods to all participating supply chains, animal genetics has ...... Toward a global perspective on farm animal welfare.

Farmers taking responsibility for herd health development—stable schools in research and advisory activities as a tool for dairy health and welfare planning in Europe

DEFF Research Database (Denmark)

Ivemeyer, Silvia; Bell, Nick J.; Brinkmann, Jan

2015-01-01

Achieving and maintaining a high herd health and welfare status is an important aim in organic livestock farming. The varying farming systems across and within countries call for models that are relevant for different farming types and that can be integrated into local practice. In stable schools...... for animal health and welfare planning, providing an overview of ongoing activities and their implementation into advisory situations in selected European countries. Studies on stable schools as an intervention tool showed improvements regarding the specific project aim on the majority of the participating...... farms. Farmers and facilitators were convinced of the approach and benefits for dairy herds. Farmers’ attitude and attention towards their herds and their ownership of the process appear to be crucial success factors for herd health and welfare situations. In some European countries, this method has...

Cardinal Scales for Public Health Evaluation

DEFF Research Database (Denmark)

Harvey, Charles M.; Østerdal, Lars Peter

Policy studies often evaluate health for a population by summing the individuals' health as measured by a scale that is ordinal or that depends on risk attitudes. We develop a method using a different type of preferences, called preference intensity or cardinal preferences, to construct scales...... that measure changes in health. The method is based on a social welfare model that relates preferences between changes in an individual's health to preferences between changes in health for a population...

Immigration and welfare state cash benefits

DEFF Research Database (Denmark)

Pedersen, Peder J.

2013-01-01

Purpose – The purpose of this paper is to summarize existing evidence on welfare dependence among immigrants in Denmark and to produce new evidence with focus on the most recent years. Design/methodology/approach – The paper combines a broad descriptive/analytical approach with multivariate...... estimation on the impact on welfare dependence from individual background factors. Findings – The main finding is the importance of aggregate low unemployment for immigrants to assimilate out of welfare dependence. Fairly small effects are reported from policy changes intending to influence the economic...... policy programs and to extend the analysis to cover the period including the financial crisis years. Social implications – The paper has a potential to influence public attitudes in this area and to inform further public policy regarding benefit programs. Originality/value – The main new result...

What Works in Education and Social Welfare?

DEFF Research Database (Denmark)

Krejsler, John B.

2013-01-01

-up professional strategy. It is subsequently reworked and launched into education and social welfare in moves that largely bypass professionals to serve policy-maker and market needs to enable evidence-based choices among public services. From this perspective, the author argues that education and social welfare...

The Climate of Child Welfare Employee Retention

Science.gov (United States)

Cahalane, Helen; Sites, Edward W.

2008-01-01

This article describes differences in perceptions of the child welfare work environment among Title IV-E educated individuals who remain within public child welfare and those who sought employment elsewhere after fulfilling a legal work commitment. Job satisfaction, emotional exhaustion, and personal accomplishment were predictive of staying…

Management Systems for Organic EggProduction - Aiming to Improve AnimalHealth and Welfare

DEFF Research Database (Denmark)

Hegelund, Lene

one production period. In the second part of the project a generic HACCP system was developed, using an expert panel analysis. The two management tools have very different approaches to improving animal health and welfare, and subsequently different methods, cost and advantages. This makes them...

Multiple shocks, coping and welfare consequences: natural disasters and health shocks in the Indian Sundarbans.

Science.gov (United States)

Mazumdar, Sumit; Mazumdar, Papiya Guha; Kanjilal, Barun; Singh, Prashant Kumar

2014-01-01

Based on a household survey in Indian Sundarbans hit by tropical cyclone Aila in May 2009, this study tests for evidence and argues that health and climatic shocks are essentially linked forming a continuum and with exposure to a marginal one, coping mechanisms and welfare outcomes triggered in the response is significantly affected. The data for this study is based on a cross-sectional household survey carried out during June 2010. The survey was aimed to assess the impact of cyclone Aila on households and consequent coping mechanisms in three of the worst-affected blocks (a sub-district administrative unit), viz. Hingalganj, Gosaba and Patharpratima. The survey covered 809 individuals from 179 households, cross cutting age and gender. A separate module on health-seeking behaviour serves as the information source of health shocks defined as illness episodes (ambulatory or hospitalized) experienced by household members. Finding reveals that over half of the households (54%) consider that Aila has dealt a high, damaging impact on their household assets. Result further shows deterioration of health status in the period following the incidence of Aila. Finding suggests having suffered multiple shocks increases the number of adverse welfare outcomes by 55%. Whereas, suffering either from the climatic shock (33%) or the health shock (25%) alone increases such risks by a much lesser extent. The multiple-shock households face a significantly higher degree of difficulty to finance expenses arising out of health shocks, as opposed to their counterparts facing only the health shock. Further, these households are more likely to finance the expenses through informal loans and credit from acquaintances or moneylenders. This paper presented empirical evidence on how natural and health shocks mutually reinforce their resultant impact, making coping increasingly difficult and present significant risks of welfare loss, having short as well as long-run development manifestations.

Retrenched Welfare Regimes Still Lessen Social Class Inequalities in Health: A Longitudinal Analysis of the 2003-2010 EU-SILC in 23 European Countries.

Science.gov (United States)

Muntaner, C; Davis, O; McIsaack, K; Kokkinen, L; Shankardass, K; O'Campo, P

2017-07-01

This article builds on recent work that has explored how welfare regimes moderate social class inequalities in health. It extends research to date by using longitudinal data from the EU-SILC (2003-2010) and examines how the relationship between social class and self-reported health and chronic conditions varies across 23 countries, which are split into five welfare regimes (Nordic, Anglo-Saxon, Eastern, Southern, and Continental). Our analysis finds that health across all classes was only worse in Eastern Europe (compared with the Nordic countries). In contrast, we find evidence that the social class gradient in both measures of health was significantly wider in the Anglo-Saxon and Southern regimes. We suggest that this evidence supports the notion that welfare regimes continue to explain differences in health according to social class location. We therefore argue that although downward pressures from globalization and neoliberalism have blurred welfare regime typologies, the Nordic model may continue to have an important mediating effect on class-based inequalities in health.

Correlation between Drug Market Withdrawals and Socioeconomic, Health, and Welfare Indicators Worldwide.

Science.gov (United States)

Lee, Kye Hwa; Kim, Grace Juyun; Kim, Ju Han

2015-11-01

The relationship between the number of withdrawn/restricted drugs and socioeconomic, health, and welfare indicators were investigated in a comprehensive review of drug regulation information in the United Nations (UN) countries. A total of of 362 drugs were withdrawn and 248 were restricted during 1950-2010, corresponding to rates of 12.02 ± 13.07 and 5.77 ± 8.69 (mean ± SD), respectively, among 94 UN countries. A socioeconomic, health, and welfare analysis was performed for 33 OECD countries for which data were available regarding withdrawn/restricted drugs. The gross domestic product (GDP) per capita, GDP per hour worked, health expenditure per GDP, and elderly population rate were positively correlated with the numbers of withdrawn and restricted drugs (P < 0.05), while the out-of-pocket health expenditure payment rate was negatively correlated. The number of restricted drugs was also correlated with the rate of drug-related deaths (P < 0.05). The World Bank data cross-validated the findings of 33 OECD countries. The lists of withdrawn/restricted drugs showed markedly poor international agreement between them (Fleiss's kappa = -0.114). Twenty-seven drugs that had been withdrawn internationally by manufacturers are still available in some countries. The wide variation in the numbers of drug withdrawals and restrictions among countries indicates the need to improve drug surveillance systems and regulatory communication networks.

Local enactments of national health promotion policies

DEFF Research Database (Denmark)

Wimmelmann, Camilla Lawaetz

2017-01-01

organisational levels. Visiting, observing and interviewing 15 policy workers from 10 municipalities during a two-year period, this study investigated what happened to a Danish national health promotion policy as it was put into practice and managed in the Danish municipalities. The analysis reveals...... the concrete enactments and their locally experienced effects, our understanding of national public health policies risks becoming detached from praxis and unproductive. Public health policy-makers must pay methodological and analytical attention to the policies' multimodality and their concrete locally......Governments of welfare states are firmly committed to public health, resulting in a substantial number of public health policies. Given the multi-level structure of most welfare systems, the influence of a public health policy is related to its ability to spread geographically and move across...

Relationships of work characteristics to job satisfaction, turnover intention, and burnout among doctors in the district public-private mixed health system of Bangladesh.

Science.gov (United States)

Roy, Ashim; van der Weijden, Trudy; de Vries, Nanne

2017-06-20

Work design integrates work characteristics having organizational, social and job components which influence employees' welfare and also organizational goals. We investigated the effects of work characteristics and other predictors to job satisfaction, turnover intention, and burnout in doctors of the public primary, public secondary and private facilities of the district health system of Bangladesh. A quantitative study using a self-administered questionnaire containing mostly structured items was conducted among the public and private doctors with a sample size of 384 from 29 out of a total 64 districts of Bangladesh during October and November 2015. All variables including work characteristics and outcomes of interest were based on literature and measured on 5-point Likert scale. Multivariate analysis of variance, bivariate correlation, and multiple regression were the models operated through SPSS version-21. A total of 354 doctors responded. No significant differences were found between public primary and secondary level doctors on combined work characteristics and outcomes variables, which however differed significantly between the public and private doctors. Organizational support was the strongest predictor adversely affecting job satisfaction, turnover intention and burnout of both the public and private doctors; private doctors' experienced more support. The effects of health-professional politics on the public doctors were alarming. Work design of the Bangladesh's health system is in need of ample development. Doing so, improvement in organizational supports is crucial; however, other work characteristics components are also important for enhancing doctors' welfare and health system productivity.

Measures of Consumer Satisfaction in Social Welfare and Behavioral Health: A Systematic Review

Science.gov (United States)

Fraser, Mark W.; Wu, Shiyou

2016-01-01

This article reviews the origins, conceptual bases, psychometric properties, and limitations of consumer satisfaction measures in social welfare and behavioral health. Based on a systematic review of research reports published between 2003 and 2013, we identify 58 consumer satisfaction measures. On average, these measures have acceptable…

Welfare, wellness, and job satisfaction of Chinese physicians: A national survey of public tertiary hospitals in China.

Science.gov (United States)

Sun, Jing; Ma, Jing; Hu, Guangyu; Zhao, Qi; Yuan, Changzheng; Si, Wen; Zhang, Xinqing; Liu, Yuanli

2017-07-01

Little national data are available on Chinese physicians' welfare, wellness, and job satisfaction. We conducted a self-administered smartphone-based national survey in early 2016 of 17 945 physicians from 136 tertiary hospitals across 31 provinces in China. In addition to collecting the physicians' basic information, we also measured 5 domains (the ethical and working environments, welfare, wellness, and job satisfaction). Half of the physicians reported a hospital-based annual income of less than RMB 72 000 ($10 300), and 60.31% of them did not think that the current medical pricing system reflects physicians' value. More than half (58.64%) of them did not have or did not know about medical malpractice insurance. These physicians worked long hours (an average of 10 h) and slept short hours (average 6 h). Only 35.78% of them thought that they were in good health, and 51.03% were in good mental health. Approximately, a quarter of them had helped to pay medical bills for patients who could not afford care, and 1 in 7 has been penalised for seeing patients who generated bad debts. Only 33.42% of them thought that their occupation receives social recognition and respect, and 70.98% would not encourage their children to pursue a medical career. The top 3 factors that may influence physician job satisfaction as chosen by the physicians were as follows: (1) the income distribution policy (45.92%), (2) working environment safety (25.86%), and (3) public trust and respect for their job (16.10%). In conclusion, we found that Chinese physicians bear heavy physical, mental, and financial stress, and many of them lack confidence that they receive trust and respect from society. Copyright © 2017 John Wiley & Sons, Ltd.

The impact of dystocia on dairy calf health, welfare, performance and survival.

Science.gov (United States)

Barrier, A C; Haskell, M J; Birch, S; Bagnall, A; Bell, D J; Dickinson, J; Macrae, A I; Dwyer, C M

2013-01-01

Up to one-third of dairy calves are born after dystocia and this is a major cause of calf mortality. This study investigated the neonatal physiology, survival, health and subsequent growth of dairy calves following dystocia and is the first longitudinal study to analyse multiple effects and to look beyond the perinatal period. A total of 455 live born Holstein calves (N: No assistance, n=360; FN: Farmer assistance but normally presented calf, n=82; FM: Farmer assistance of malpresented calf, n=13) were followed from birth to first service (heifers) or until leaving the farm (bulls). Compared to N calves, FN and FM animals had higher salivary cortisol concentrations at day 1 (PDystocia had no biologically significant impact on rectal temperature throughout the first 4 days (P>0.05). During the first 60 days, FM calves had a higher proportion of days with non-routine health treatments (Pdystocia category (P>0.05). Calves which survive dystocia experience lower passive immunity transfer, higher mortality and higher indicators of physiological stress. Such calves have poorer welfare in the neonatal period and possibly beyond. Strategies need to be implemented to improve the subsequent health and welfare of such calves and to lower the incidence of dystocia. Copyright © 2012 Elsevier Ltd. All rights reserved.

[METHODICAL APPROACHES, EXPERIENCE AND PERSPECTIVES OF THE IMPLEMENTATION OF THE RISK MODEL OF SURVEILLANCE ACTIVITIES IN THE SPHERE OF THE ASSURANCE OF SANITARY AND EPIDEMIOLOGICAL WELFARE OF POPULATION, POPULATION'S HEALTH RISK MANAGEMENT AND THE CONSUMER RIGHTS PROTECTION].

Science.gov (United States)

Gurvich, V B; Kuz'min, S V; Dikonskaia, O V; Gileva, M A; Boiarskiĭ, A P

2015-01-01

Control and supervision measures--one of the main technologies of Federal Service for Supervision of Consumer Rights protection and Human Welfare in the overall system of risk management for public health and damage to property consumers, aimed at the solution of the prior tasks in the field of assurance of the sanitary and epidemiological welfare of the population and consumer rights protection. The effectiveness of this technology depends on the correct choice of priority objects of supervision, which form the main problems in the sanitary and epidemiological situation and in the consumer market. The application of is approach has led to more effective oversight activity and the improvement of a number of indices characterizing the achievement of the objectives in the common system of risk management for public health and property of consumers.

Partners in Public Health: Public Health Collaborations With Schools of Pharmacy, 2015.

Science.gov (United States)

DiPietro Mager, Natalie A; Ochs, Leslie; Ranelli, Paul L; Kahaleh, Abby A; Lahoz, Monina R; Patel, Radha V; Garza, Oscar W; Isaacs, Diana; Clark, Suzanne

To collect data on public health collaborations with schools of pharmacy, we sent a short electronic survey to accredited and preaccredited pharmacy programs in 2015. We categorized public health collaborations as working or partnering with local and/or state public health departments, local and/or state public health organizations, academic schools or programs of public health, and other public health collaborations. Of 134 schools, 65 responded (49% response rate). Forty-six (71%) responding institutions indicated collaborations with local and/or state public health departments, 34 (52%) with schools or programs of public health, and 24 (37%) with local and/or state public health organizations. Common themes of collaborations included educational programs, community outreach, research, and teaching in areas such as tobacco control, emergency preparedness, chronic disease, drug abuse, immunizations, and medication therapy management. Interdisciplinary public health collaborations with schools of pharmacy provide additional resources for ensuring the health of communities and expose student pharmacists to opportunities to use their training and abilities to affect public health. Examples of these partnerships may stimulate additional ideas for possible collaborations between public health organizations and schools of pharmacy.

Current Perspectives on Therapy Dog Welfare in Animal-Assisted Interventions

Directory of Open Access Journals (Sweden)

Lisa Maria Glenk

2017-02-01

Full Text Available Research into the effects of animal-assisted interventions (AAIs has primarily addressed human health outcomes. In contrast, only few publications deal with the therapy dog experience of AAIs. This paper provides an overview on potential welfare threats that therapy dogs may encounter and presents the results of a review of available studies on welfare indicators for therapy dogs during AAIs. Previous investigations used physiological and behavioral welfare indicators and dog handler surveys to identify work-related stress. Research outcomes are discussed in the light of strengths and weaknesses of the methods used. Study results suggest that frequency and duration of AAI sessions, novelty of the environment, controllability, age and familiarity of recipients modulate animal welfare indicators. However, this review reveals that currently, clear conclusions on how the well-being of dogs is influenced by the performance in AAIs are lacking due to the heterogeneity of programs, recipient and session characteristics, small dog sample sizes and methodological limitations. This paper further aimed to identify unresolved difficulties in previous research to pave the way for future investigations supporting the applicability of scientific findings in practice.

Drivers for animal welfare policies in Europe.

Science.gov (United States)

Dalla Villa, P; Matthews, L R; Alessandrini, B; Messori, S; Migliorati, G

2014-04-01

The European region has been, and remains, a global leader in the development of animal welfare policies. The region has a great diversity of cultures and religions, different levels of socio-economic development, and varied legislation, policies and practices. Nevertheless, there are common drivers for animal welfare policy based on a history of animal welfare ethics and obligations to animal users and society in general. A unifying goal of countries in the region is to achieve sustainable compliance with the World Organisation for Animal Health (OIE) standards on animal health and welfare. Ethics isthe overarching driver, supported by the actions of governmental, inter-governmental and non-governmental activities, markets and trade, science and knowledge. Historically, organisations involved in promoting animal welfare have tended to act in isolation. For example, non-governmental organisations (NGOs) have run campaigns to influence retailers and the welfare policies of their farmer suppliers. Increasingly, different organisations with common or complementary goals are working together. For example, competent authorities, inter-governmental bodies and NGOs have combined their efforts to address dog population control across several countries in the region. Also, animal welfare is becoming integrated into the corporate social responsibility targets of private companies. Science and knowledge, as drivers and tools, are assisting with the harmonisation of welfare standards, e.g. by providing a common basis for measuring welfare impacts through animal-based measures and widespread sharing of this information. Current trends suggest that there will be greater collaboration among the organisations driving change, and increasing convergence of animal welfare strategies and welfare assessment tools. The result will be increased harmonisation of animal welfare standards throughout the region.

The Nordic Welfare Model

DEFF Research Database (Denmark)

Neergaard, Helle; Thrane, Claus

2011-01-01

to include maternity/paternity leave, benefits, childcare and leave to take care of sick children. The aim of this paper is to increase awareness and elucidate the impact of welfare policies on women’s entrepreneurship because it may impact on women’s entrepreneurial behaviour. The paper investigates...... that the initiation of public childcare would facilitate increased entrepreneurship among women. Our study shows that this is not necessarily so, that women utilize ‘babystrapping’ strategies, and that there is a schism between welfare models that facilitate employment and those that facilitate entrepreneurship....

Using pooled budgets to integrate health and welfare services: a comparison of experiments in England and Sweden.

Science.gov (United States)

Hultberg, Eva-Lisa; Glendinning, Caroline; Allebeck, Peter; Lönnroth, Knut

2005-11-01

The lack of collaboration between health, social and other welfare services is believed to impair efficiency and reduce effectiveness in addressing the complex problems of patients. Differences in funding streams, political accountabilities, organisational structures and professional cultures are all alleged to contribute to barriers between services. Drawing on their respective evaluations, this paper describes experiments in England and Sweden that use pooled budgets between services to improve interagency and interprofessional collaboration and presents evidence on their impact. Despite differences in the funding and organisation of health and welfare services in each country, some similar conclusions are reached. Among senior managers and politicians, budget pooling broadened their awareness of interdependencies with other agencies and professionals in promoting patients' welfare. However, these broadened perspectives were not immediately shared by professionals working at the front line, with whom patients had immediate contact. Moreover, neither experiment yielded unequivocal evidence of improved cost-effectiveness or of the benefits of budget pooling on the outcomes for service users. These experiments also raise questions about the equity and accountability of welfare services because in both countries only a limited range of services has been integrated under the umbrella of the pooled budgets.

Women, Families and Social Welfare in Spain from the 18th Century to the Present

Directory of Open Access Journals (Sweden)

Juan Gracia Cárcamo

2010-11-01

Full Text Available This is a contribution to the debate on the development of Social Welfare in Southern Europe. Emphasis is placed on factors such as educational formation of women for their task of responsibility for welfare and care within the families; this made possible improvements in Public Health. We note the relevance of women in the charitable activities of the public sphere grew paradoxically through reactionary movements. Emphasis is placed on the importance of women in Social Welfare during the Catholic Revival as receivers of charity (in Christian trade unions, in catholic mutual aid societies…, as intermediaries for poor families (facing priests, nuns and charitable ladies, as assistants (teachers in religious schools and nurses in hospitals and as leaders (Catholic ladies. There was an increase during the Francoist dictatorship in the participation of women in the reception, intermediation and offer of charity (in groups closer to fascism and in Catholic organisations.

Impacts of toxic plants on the welfare of grazing livestock

Science.gov (United States)

Interest in farm animal welfare has been increasing for several decades. Animal health is an integral part of animal welfare, but the concept of animal welfare has evolved from an emphasis on physical health, and coping ability to a greater sensitivity to and recognition of animals’ experiences of...

Public health cadre in India: The need of the hour

Directory of Open Access Journals (Sweden)

Chandra Mohan Singh Rawat

2014-12-01

Full Text Available India has made considerable progress in public health since independence including eradication of small pox, poliomyelitis, guinea worm, and elimination of yaws, leprosy and neonatal tetanus from the country. The strategies of the National Rural Health Mission have resulted in significant improvements in key health indicators like institutional deliveries, full immunization, and availability of diagnostic and family welfare services in many states of the country. However, the country’s health system continues to faces many challenges. Population of India as per census 2011 stood 1210 million.1 The demographic transition of the country has been relatively slow, so the population ages slowly. Because of epidemiological transition, the county is facing double burden of communicable as well as non-communicable diseases. The rates of coronary heart disease (CHD have increased rapidly in India recently which is also attributed partly to a demographic transition. The country is facing other several public health problems. In 2012, the infant mortality rate (IMR was 42/1000 live births and there was a huge gap between IMR of rural (46/1000 live births and urban (28/1000 live births, while the maternal mortality ratio was 178/100,000 live births.2 According to National Family Health Survey (NFHS-3, nearly 50 % of children under 5 years age have protein energy malnutrition of various grades.

Public health cadre in India: The need of the hour

Directory of Open Access Journals (Sweden)

Chandra Mohan Singh Rawat

2014-12-01

Full Text Available India has made considerable progress in public health since independence including eradication of small pox, poliomyelitis, guinea worm, and elimination of yaws, leprosy and neonatal tetanus from the country. The strategies of the National Rural Health Mission have resulted in significant improvements in key health indicators like institutional deliveries, full immunization, and availability of diagnostic and family welfare services in many states of the country. However, the country’s health system continues to faces many challenges. Population of India as per census 2011 stood 1210 million.1 The demographic transition of the country has been relatively slow, so the population ages slowly. Because of epidemiological transition, the county is facing double burden of communicable as well as non-communicable diseases. The rates of coronary heart disease (CHD have increased rapidly in India recently which is also attributed partly to a demographic transition. The country is facing other several public health problems. In 2012, the infant mortality rate (IMR was 42/1000 live births and there was a huge gap between IMR of rural (46/1000 live births and urban (28/1000 live births, while the maternal mortality ratio was 178/100,000 live births.2 According to National Family Health Survey (NFHS-3, nearly 50 % of children under 5 years age have protein energy malnutrition of various grades.

Undergraduate Public Health Majors: Why They Choose Public Health or Medicine?

Science.gov (United States)

Hilton, Warren

2013-01-01

This mixed methods study examined the relationship between the motivations for attending college of undergraduate students with a focus on students with a public health major, and their desire to pursue graduate training in public health and subsequently, public health careers. The study highlighted the current public health workforce shortage and…

Linking Child Welfare and Mental Health Using Trauma-Informed Screening and Assessment Practices

Science.gov (United States)

Conradi, Lisa; Wherry, Jeffrey; Kisiel, Cassandra

2011-01-01

An abundance of research suggests that children in the child welfare system (CWS) have experienced numerous traumatic events and are exhibiting traumatic stress symptoms. Therefore, it is critical that the CWS work closely with the mental health system to ensure that these children receive the appropriate trauma screening, trauma-focused…

Invited review : Changes in the dairy industry affecting dairy cattle health and welfare

NARCIS (Netherlands)

Barkema, H W; von Keyserlingk, M A G; Kastelic, J P; Lam, T J G M|info:eu-repo/dai/nl/14686820X; Luby, C; Roy, J-P; LeBlanc, S J; Keefe, G P; Kelton, D F

2015-01-01

The dairy industry in the developed world has undergone profound changes over recent decades. In this paper, we present an overview of some of the most important recent changes in the dairy industry that affect health and welfare of dairy cows, as well as the science associated with these changes.

42 CFR 441.106 - Comprehensive mental health program.

Science.gov (United States)

2010-10-01

... health and public welfare resources; including— (i) Community mental health centers; (ii) Nursing homes... 42 Public Health 4 2010-10-01 2010-10-01 false Comprehensive mental health program. 441.106... Comprehensive mental health program. (a) If the plan includes services in public institutions for mental...

Danish and Norwegian hospital social workers’ cross-institutional work amidst inter-sectoral restructuring of health and social welfare

DEFF Research Database (Denmark)

Søbjerg Nielsen, Ulla; Harsløf, Ivan; Feiring, Marte

2017-01-01

, they report increasing difficulties in ‘making their way through’ the state-municipal bureaucracy. However, by drawing on the formal health knowledge derived from medical settings and the symbolic capital it bestows on them, they often manage to negotiate the work-and-welfare services, thereby transforming......-makers have instituted economic incentives to both individuals and the health and welfare organisations who handle them. Through an institutional logics approach, this paper explores how hospital social workers in these countries are experiencing these changes. The ‘social’ part of post-treatment care...

Keeping the "public" in schools of public health.

Science.gov (United States)

Freudenberg, Nicholas; Klitzman, Susan; Diamond, Catherine; El-Mohandes, Ayman

2015-03-01

In this article, we compared the characteristics of public and private accredited public health training programs. We analyzed the distinct opportunities and challenges that publicly funded schools of public health face in preparing the nation's public health workforce. Using our experience in creating a new, collaborative public school of public health in the nation's largest urban public university system, we described efforts to use our public status and mission to develop new approaches to educating a workforce that meets the health needs of our region and contributes to the goal of reducing health inequalities. Finally, we considered policies that could protect and strengthen the distinct contributions that public schools of public health make to improving population health and reducing health inequalities.

Nonprofit Organizations in Danish Welfare Provision – Explaining Differences Across Welfare Areas

DEFF Research Database (Denmark)

Thøgersen, Malene

This paper describes and analyzes the large variation in the proportion of non-profit providers across different welfare areas in Denmark with specific focus on two selected areas: Primary schools and care homes for elderly. With inspiration from niche theory, the aim is to get a deeper insight...... in the characteristics of the institutional framework in the two areas. The main argument of the paper is that non-profit welfare providers cannot be lumped together. It is necessary to take a closer look at both the differences and similarities across areas, but also across non-profit providers and their public...... counterparts within the same niche. In the preliminary results a number of explanatory factors are identified and analyzed: Regulative rules, funding issues, norms and expectations and the degree of competition. The analysis show that an indepth analysis of the two selected welfare areas can provide useful...

Effects of Parent Immigration Status on Mental Health Service Use Among Latino Children Referred to Child Welfare.

Science.gov (United States)

Finno-Velasquez, Megan; Cardoso, Jodi Berger; Dettlaff, Alan J; Hurlburt, Michael S

2016-02-01

Latino families may be at risk of experiencing stressors resulting from the immigration process, such as those related to documentation status and acculturation, that may increase their need for mental health services. However, little research exists on the mental health needs and service use of Latino children. This study examined how parental nativity and legal status influence mental health needs and service utilization among children in Latino families investigated by child welfare. Data from the second National Survey of Child and Adolescent Well-Being, a nationally representative, prospective study of families investigated by child welfare agencies for maltreatment, were used to examine mental health need and service use in a subset of Latino children who remained in the home following a maltreatment investigation (N=390). Although children of immigrants did not differ from children of U.S.-born parents in levels of clinical need, they had lower rates of mental health service receipt. After the analyses accounted for other relevant variables, the odds of receiving services were significantly lower (odds ratio=.09) for children whose parents were undocumented compared with children whose parents were U.S. citizens. This study contributes to growing discourse on Latino family needs within the child welfare system. Analyses support earlier research regarding the effects of parent nativity on mental health service use and advance the literature by identifying parent legal status as a unique barrier to child service receipt.

Child welfare caseworkers as brokers of mental health services: a pilot evaluation of Project Focus Colorado.

Science.gov (United States)

Fitzgerald, Monica M; Torres, Marcela M; Shipman, Kimberly; Gorrono, Jessica; Kerns, Suzanne E U; Dorsey, Shannon

2015-02-01

Youth in the child welfare system (CWS) have substantially higher rates of mental health needs compared to the general population, yet they rarely receive targeted, evidence-based practices (EBPs). Caseworkers play the critically important role of "service broker" for CWS youth and families. This study examines preliminary caseworker-level outcomes of Project Focus Colorado (PF-C), a training and consultation program designed to improve access to EBPs for CWS youth. PF-C evaluation occurred in four child welfare offices (two intervention [n = 16 caseworkers] vs. two practice-as-usual, wait-list control [WLC; n = 12 caseworkers]). Receipt of PF-C was associated with significantly increased caseworker knowledge of (a) EBPs, (b) child mental health problems, (c) evidence-based treatment components targeting mental health problem areas, and (d) mental health screening instruments, compared to WLC. Dose of training and consultation was associated with greater ability to correctly classify mental health problems and match them to EBPs. These preliminary results suggest that targeted training and consultation help to improve caseworker knowledge of children's mental health needs, EBPs for mental health, and mental health screening instruments. © The Author(s) 2014.

Co-production of community mental health services: Organising the interplay between public services and civil society in Denmark.

Science.gov (United States)

Vaeggemose, Ulla; Ankersen, Pia Vedel; Aagaard, Jørgen; Burau, Viola

2018-01-01

Co-production involves knowledge and skills based on both lived experiences of citizens and professionally training of staff. In Europe, co-production is viewed as an essential tool for meeting the demographic, political and economic challenges of welfare states. However, co-production is facing challenges because public services and civil society are rooted in two very different logics. These challenges are typically encountered by provider organisations and their staff who must convert policies and strategies into practice. Denmark is a welfare state with a strong public services sector and a relatively low involvement of volunteers. The aim of this study was to investigate how provider organisations and their staff navigate between the two logics. The present analysis is a critical case study of two municipalities selected from seven participating municipalities, for their maximum diversity. The study setting was the Community Families programme, which aim to support the social network of mental health users by offering regular contact with selected private families/individuals. The task of the municipalities was to initiate and support Community Families. The analysis built on qualitative data generated at the organisational level in the seven participating municipalities. Within the two "case study" municipalities, qualitative interviews were conducted with front-line co-ordinators (six) and line managers (two). The interviews were recorded, transcribed verbatim and coded using the software program NVivo. The results confirm the central role played by staff and identify a close interplay between public services and civil society logics as essential for the organisation of co-production. Corresponding objectives, activities and collaborative relations of provider organisations are keys for facilitating the co-productive practice of individual staff. Organised in this way, co-production can succeed even in a mental health setting associated with social stigma

Substance Testing in the Fire Service: Making Public Safety a Matter of National Policy

Science.gov (United States)

2014-03-01

prevalence rate of certain knee, ankle , and back ailments or disabilities than office workers, no information is available to confirm they are at...archive/adastat91.htm# Anchor -6296 Title 42—The public health and welfare. Chapter 126—Equal opportunity for individuals with disabilities: Section...www.ada.gov/archive/adastat91.htm# Anchor -Sec-23240 Title 42—The public health and welfare. Chapter 126—Equal opportunity for individuals with

Contested embryonic culture in Japan--public discussion, and human embryonic stem cell research in an aging welfare society.

Science.gov (United States)

Sleeboom-Faulkner, Margaret

2010-01-01

This article explores the reasons for the lack of a broad discussion on bioethical regulation of human embryonic stem cell research (hESR) in Japan and asks why scientists experience difficulties accessing resources for hESR despite the acclaimed indifference of dominant Japanese culture to embryo research. The article shows how various social actors express their views on the embryo and oocyte donation in terms of dominant Japanese culture, foiled against what is regarded as Western culture. Second, it shows how the lack of concern with hESR should be understood in the context of public health policies and communications and bioethics decision making in Japan. Finally, it interprets the meaning of the embryo in the context of Japan as an aging modern welfare society, explaining how policymakers have come to emphasize the urgency of infertility problems over issues around abortion and embryonic life.

Animal Health and Welfare – Pig Production

Directory of Open Access Journals (Sweden)

Hämeenoja Pirkko

2002-03-01

Full Text Available Requirements of the organic pig farming create an opportunity to offer good life for animals. The space requirements give animals the possibility to exhibit species-specific behavior and provide them opportunity for more exercise. Bedding and roughage are important in helping to reduce production stress. The most difficult question in a veterinary point of view is how to manage the animal health care. Vaccinations, antibiotics and anthelmintic can be used in organic production but only in a limited way. A lot can be achieved with good management but there are still situations when the use of medicine is necessary. What is the amount of joint inflammations or liver spots to justify the use of medicine? The question has to be solved case by case. The profitability of the production is a crucial point in an organic farm because a poor economy is a great threat to animal welfare.

25 Years of Three Worlds of Welfare Capitalism

DEFF Research Database (Denmark)

Emmenegger, Patrick; Kvist, Jon; Marx, Paul

2015-01-01

In this introduction to the special issue, we review the various debates spurred by Esping-Andersen’s The Three Worlds of Welfare Capitalism. Tracing its impact since the book’s publication in 1990, we show that Three Worlds continues to be the point of reference for comparative welfare state...

Introduction: The Failure and Future of the Welfare State in Post-socialism

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Abel Polese

2015-01-01

Full Text Available Debates on the post-socialist welfare state evolved in two main directions. While some scholars have maintained that they would eventually converge with Western European patterns, some others have pointed at the need of a more ‘particularist’ approach, seeking to demonstrate that post-socialist states might follow a different and non-traditional path, individually or as a region in terms of welfare provision. Our current work is an attempt to contribute to the debate on the direction of post-socialist welfare state adaptation by engaging with corruption and welfare state/public sector failure in post-socialist spaces. In particular, emphasis is put on the tactics and strategies used by public workers and citizens to cope with incomplete and inadequate public social welfare provision. Rooted in different disciplinary schools, and making use of diverse methodological and theoretical approaches, the papers of this special issue provide further evidence to rechart the relationship between the public welfare sector, citizens and the current economic transition, a commonality that allows us to point at alternatives to the capitalist model that for some time has been seen as the only option. In line with our previous works, in this special issue we explore the possibility that informality and formality are complementary or that informality may ‘replace’ formal processes and structures. In other words, where the welfare state does not penetrate, welfare might be spread also through informal channels and it might redefine the very dynamics underpinning of a society.

Future of keeping pet reptiles and amphibians: towards integrating animal welfare, human health and environmental sustainability.

Science.gov (United States)

Pasmans, Frank; Bogaerts, Serge; Braeckman, Johan; Cunningham, Andrew A; Hellebuyck, Tom; Griffiths, Richard A; Sparreboom, Max; Schmidt, Benedikt R; Martel, An

2017-10-28

The keeping of exotic pets is currently under debate and governments of several countries are increasingly exploring the regulation, or even the banning, of exotic pet keeping. Major concerns are issues of public health and safety, animal welfare and biodiversity conservation. The keeping of reptiles and amphibians in captivity encompasses all the potential issues identified with keeping exotic pets, and many of those relating to traditional domestic pets. Within the context of risks posed by pets in general, the authors argue for the responsible and sustainable keeping of reptile and amphibian pets by private persons, based on scientific evidence and on the authors' own expertise (veterinary medicine, captive husbandry, conservation biology). © British Veterinary Association (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

18 CFR 808.1 - Public hearings.

Science.gov (United States)

2010-04-01

... to give adequate consideration to issues relating to public health, safety and welfare, or protection... Web site), mailed by first class mail to the parties who, to the Commission's knowledge, will...

Determinants of puberty health among female adolescents residing in boarding welfare centers in Tehran: An application of health belief model.

Science.gov (United States)

Shirzadi, Shayesteh; Asghari Jafarabadi, Mohammad; Nadrian, Haidar; Mahmoodi, Hassan

2016-01-01

Background: Adolescence is a critical stage of growth and development. That is associated with changes in body shape and appearance. Issues such as irregular menstrual periods, amenorrhea, and menstrual cycle are major issues in women's health. The purpose of this study was to examine the determinants of physical puberty health based on the Health Belief Model (HBM) among female adolescents. Methods: This analytical cross sectional study was conducted in welfare boarding centers in Tehran, Iran. Data were collected in 2011 by a structured and valid questionnaire. Total 61 female adolescents (age range: 12-19 yrs) participated in this study from welfare boarding centers in Iran, Tehran, by using convenience sampling method. The questionnaire consisted of demographic characteristics, health belief model constructs and physical puberty health behaviors gathered by using interview. A series of univariate general linear models were used to assess the relationship between puberty health and health belief model constructs. Results: According to the results of this study there were positive significant relationships between perceived susceptibility, perceived benefits, perceived barriers, cues to action and increased puberty health in female adolescents (p<0.05). Perceived benefits, perceived barriers and cues to action were predictors of physical puberty health behaviors. Conclusion: Based on the results of the study to improve the physical Puberty health behaviors of female adolescents should make them aware of the benefits of health behaviors, and remove or reform the perceived barriers of health behaviors. Also, the appropriate information resources should be introduced for obtaining information about puberty health.

Absenteeism and sex differences in attitudes in Dutch health care and welfare institutions : paper presented at the VIIth European conference on Organisational Psychology and Health Care, Stockholm, 11-13 October 2001

NARCIS (Netherlands)

Vuuren, C.V. van; Gent, M.J. van; Smit, A.A.

2001-01-01

In Dutch health care and welfare institutions 75% of the employees are women. On the whole, women are more frequently absent because of illness than men. In the Dutch health care and welfare sector workplace absenteeism is in fact higher than the national average: in 1997 the national average was

Implications of the World Trade Center Health Program (WTCHP) for the public health response to the Great East Japan Earthquake

International Nuclear Information System (INIS)

Crane, Michael A.; Cho, Hyunje G.; Landrigan, Phillip J.

2014-01-01

The attacks on the World Trade Center (WTC) on September 11, 2001 resulted in a serious burden of physical and mental illness for the 50,000 rescue workers that responded to 9/11 as well as the 400,000 residents and workers in the surrounding areas of New York City. The Zadroga Act of 2010 established the WTC Health Program (WTCHP) to provide monitoring and treatment of WTC exposure-related conditions and health surveillance for the responder and survivor populations. Several reports have highlighted the applicability of insights gained from the WTCHP to the public health response to the Great East Japan Earthquake. Optimal exposure monitoring processes and attention to the welfare of vulnerable exposed sub-groups are critical aspects of the response to both incidents. The ongoing mental health care concerns of 9/11 patients accentuate the need for accessible and appropriately skilled mental health care in Fukushima. Active efforts to demonstrate transparency and to promote community involvement in the public health response will be highly important in establishing successful long-term monitoring and treatment programs for the exposed populations in Fukushima. (author)

Towards a Post-Antropocene Perspective on the Welfare City

DEFF Research Database (Denmark)

Braae, Ellen Marie; Bøggild, Signe Sophie

2015-01-01

The welfare city with its humanistic, anthropocentric and progressive design ideals of the good life and egalitarianism usually signifies the post-war welfare state’s tabula rasa suburbs with evergreen public landscapes as common ground for public happiness. Inspired by the recent discourse of th...... green heritage’; an umbrella term bridging the gap between perspectives of the anthropocentric, the anthropocene and a possible post-anthropocene era, both challenged and driven by climate change and urbanisation....

Knowledge of the Animal Welfare Act and Animal Welfare Regulations Influences Attitudes toward Animal Research

Science.gov (United States)

2015-01-01

Recent public-opinion polls indicate that Americans have shown a decline in support for animal experimentation, and several reports suggest a relationship between people's knowledge of animal welfare regulations and their attitudes toward animal research. Therefore, this study was designed to assess respondent's knowledge of several provisions in the Animal Welfare Act (AWA) and Animal Welfare Regulations (AWR), and determine whether exposure to elements of this legislation would influence an individual's attitudes toward the use of animals in research. A survey was used to assess knowledge of animal research regulations and attitudes toward animal research from a sample of individuals recruited through Amazon's Mechanical Turk crowdsourcing marketplace. Results from study 1 confirmed the hypothesis that respondents had little knowledge of various federal regulations that govern animal research activities. Data from study 2 revealed that exposure to elements of the AWA and AWR influenced participants’ attitudes toward the use of animals in research. These results suggest that providing information to the general public about the AWA and AWR that protect laboratory animals from abuse and neglect may help alleviate concerns about using animals in research settings. PMID:25651094

The Oregon Public Health Policy Institute: Building Competencies for Public Health Practice

Science.gov (United States)

Yoon, Jangho; Bernell, Stephanie; Tynan, Michael; Alvarado, Carla Sarai; Eversole, Tom; Mosbaek, Craig; Beathard, Candice

2015-01-01

The Oregon Public Health Policy Institute (PHPI) was designed to enhance public health policy competencies among state and local health department staff. The Oregon Health Authority funded the College of Public Health and Human Sciences at Oregon State University to develop the PHPI curriculum in 2012 and offer it to participants from 4 state public health programs and 5 local health departments in 2013. The curriculum interspersed short instructional sessions on policy development, implementation, and evaluation with longer hands-on team exercises in which participants applied these skills to policy topics their teams had selected. Panel discussions provided insights from legislators and senior Oregon health experts. Participants reported statistically significant increases in public health policy competencies and high satisfaction with PHPI overall. PMID:26066925

Crafting the English Welfare State

DEFF Research Database (Denmark)

Ydesen, Christian

2016-01-01

administrators in England during the constitutive years of English welfare state formation. Using Birmingham local education administration as an empirical and historical case, the influential Children Acts of 1948 and 1963 serve to demarcate the period treated. The theoretical framework is drawn from Bourdieu...... and Wacquant’s concept of state, with the key concept being ‘state-crafting’. The article contributes knowledge about the imaginaries, and the manufacturing and managing of ‘the public good’ – understood as a referent for modern governing – of the English welfare state. The article concludes...

Welfare: The Negative Societal Effects

Directory of Open Access Journals (Sweden)

Knight Victoria

2015-12-01

Full Text Available The welfare system was instituted, presumably, to decrease poverty, increase the wealth and well-being of the poor. Paradoxically, it has had just about the opposite effect. How did this boomerang in public policy occur? It is simple. Welfare payments helped break up the family, disproportionately in the black community. But a non-intact family is one of the most effective causal agents in impoverishment. Hence, a program that throws massive amounts of money at poor people reduces their economic wellbeing, does not increase it.

On revenue and welfare dominance of ad valorem taxes in two-sided markets

DEFF Research Database (Denmark)

Kind, Hans Jarle; Köthenbürger, Marko; Schjelderup, Guttorm

2009-01-01

A benchmark result in public economics is that it is possible to increase both tax revenue and welfare by making a monopoly subject to ad valorem taxes rather than unit taxes. We show that such revenue and welfare dominance does not hold in two-sided markets.......A benchmark result in public economics is that it is possible to increase both tax revenue and welfare by making a monopoly subject to ad valorem taxes rather than unit taxes. We show that such revenue and welfare dominance does not hold in two-sided markets....

[Brazilian bibliographical output on public oral health in public health and dentistry journals].

Science.gov (United States)

Celeste, Roger Keller; Warmling, Cristine Maria

2014-06-01

The scope of this paper is to describe characteristics of the scientific output in the area of public oral health in journals on public health and dentistry nationwide. The Scopus database of abstracts and quotations was used and eight journals in public health, as well as ten in dentistry, dating from 1947 to 2011 were selected. A research strategy using key words regarding oral health in public health and key words about public health in dentistry was used to locate articles. The themes selected were based on the frequency of key words. Of the total number of articles, 4.7% (n = 642) were found in oral health journals and 6.8% (n = 245) in public health journals. Among the authors who published most, only 12% published in both fields. There was a percentile growth of public oral health publications in dentistry journals, though not in public health journals. In dentistry, only studies indexed as being on the topic of epidemiology showed an increase. In the area of public health, planning was predominant in all the phases studied. Research to evaluate the impact of research and postgraduate policies in scientific production is required.

Risk perceptions of public health and food safety hazards in poultry husbandry by citizens, poultry farmers and poultry veterinarians

Science.gov (United States)

Poortvliet, P M; Ekkel, E D; Kemp, B; Stassen, E N

2018-01-01

Abstract Differences in risk perceptions of public health and food safety hazards in various poultry husbandry systems by various stakeholder groups, may affect the acceptability of those husbandry systems. Therefore, the objective was to gain insight into risk perceptions of citizens, poultry farmers, and poultry veterinarians regarding food safety and public health hazards in poultry husbandry systems, and into factors explaining these risk perceptions. We surveyed risk perceptions of Campylobacter contamination of broiler meat, avian influenza introduction in laying hens, and altered dioxin levels in eggs for the most commonly used broiler and laying hen husbandry systems in Dutch citizens (n = 2,259), poultry farmers (n = 100), and poultry veterinarians (n = 41). Citizens perceived the risks of the three hazards in the indoor systems higher and in the outdoor systems lower than did the professionals. Citizens reported higher concerns regarding aspects reflecting underlying psychological factors of risk perception compared to professionals. Professionals indicated a relatively low level of personal control, which might imply risk denial. Of the socio-demographic characteristics, gender and childhood residence were associated with risk perceptions. The influence of other factors of risks perception are discussed. It is suggested that risk perceptions of all stakeholder groups are influenced by affect, stigma, and underlying values. To adapt current or new husbandry systems that can count on societal support, views of key stakeholders and multiple aspects such as animal welfare, public health, food safety, and underlying values should be considered integrally. When trade-offs, such as between animal welfare and public health have to be made, insight into underlying values might help to find consensus among stakeholders. PMID:29161444

Health shocks and retirement: the role of welfare state institutions.

Science.gov (United States)

Datta Gupta, Nabanita; Larsen, Mona

2007-09-01

We investigate the effect of an acute health shock on retirement among elderly male workers in Denmark, 1991-1999, and in particular whether various welfare state programs and institutions impinge on the retirement effect. The results show that an acute health event increases the retirement chances of elderly male workers by 8%, and that this increase in the baseline retirement probability is not affected by eligibility to early exit programs and persists even after accounting for selection due to take-up of disability pension. Neither is it affected by the relatively long duration of sickness benefits in Denmark nor by the promotion of corporate social responsibility initiatives since the mid-1990s. In the late 1990s, however, the retirement rate following a health shock is reduced to 3% with the introduction of the subsidized employment program ( fleksjob ) but this effect is on the margin of being significant. For the most part, the retirement effect following a health shock seems to be immune to the availability of a multitude of government programs for older workers in Denmark.

Promising Innovations in Child Welfare Education: Findings from a National Initiative

Science.gov (United States)

Strand, Virginia C.; Dettlaff, Alan J.; Counts-Spriggs, Margaret

2015-01-01

For many years, schools of social work have engaged in partnerships, especially with public child welfare agencies, to prepare a competent and professional child welfare workforce through the mechanism of Title IV-E training. In 2008 the National Child Welfare Workforce Institute (NCWWI) established an additional resource for preparing students in…

Primary problems associated with the health and welfare of employees observed when implementing lean manufacturing projects.

Science.gov (United States)

Rampasso, Izabela Simon; Anholon, Rosley; Gonçalves Quelhas, Osvaldo Luiz; Filho, Walter Leal

2017-01-01

Lean philosophy is used by companies to increase productivity and reduce costs. Although uncontested benefits are created, it is necessary to highlight the problems related to employees' health and welfare caused by implementing lean manufacturing projects. The primary objective of this paper is to review the literature and identify the most relevant problems created by lean philosophy for employees. Research about the theme was performed on many international databases over three months, and an initial sample of 77 papers was found. Twenty-seven sources were utilized. We identified 22 categories of problems related to health and welfare of employees. The most cited problem was work intensification, mentioned by thirteen papers. Increased stress and increased responsibilities, demands and, consequently, pressure on the workers are among the primary problems observed in the research.

Prevalence, Employment Rate, and Cost of Schizophrenia in a High-Income Welfare Society: A Population-Based Study Using Comprehensive Health and Welfare Registers.

Science.gov (United States)

Evensen, Stig; Wisløff, Torbjørn; Lystad, June Ullevoldsæter; Bull, Helen; Ueland, Torill; Falkum, Erik

2016-03-01

Schizophrenia is associated with recurrent hospitalizations, need for long-term community support, poor social functioning, and low employment rates. Despite the wide- ranging financial and social burdens associated with the illness, there is great uncertainty regarding prevalence, employment rates, and the societal costs of schizophrenia. The current study investigates 12-month prevalence of patients treated for schizophrenia, employment rates, and cost of schizophrenia using a population-based top-down approach. Data were obtained from comprehensive and mandatory health and welfare registers in Norway. We identified a 12-month prevalence of 0.17% for the entire population. The employment rate among working-age individuals was 10.24%. The societal costs for the 12-month period were USD 890 million. The average cost per individual with schizophrenia was USD 106 thousand. Inpatient care and lost productivity due to high unemployment represented 33% and 29%, respectively, of the total costs. The use of mandatory health and welfare registers enabled a unique and informative analysis on true population-based datasets. © The Author 2015. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

The Odd One Out? Revisiting the Belgian Welfare State

Directory of Open Access Journals (Sweden)

Cor Wagenaar

2014-08-01

Full Text Available Michael Ryckewaert publication Building the Economic Backbone of the Belgian Welfare State. Infrastructure, planning and architecture 1945-1973 describes the evolution of the welfare state and Belgium, more specifically its spatial characteristics. This by now historical socio-political model had decidedly collectivist traits, culminating in the provision of social security networks and a vast expansion of the public domain. If collectivism was one of the key elements of the welfare state, the absence of centralized planning appears to make the Belgian variant somewhat problematic.Whereas in countries like the Netherlands, Germany and France, modernism became the house style of the welfare state, thanks to the massive investments in public housing, this did not happen in Belgium. Here, the De Taeye Act of 1948 sponsored the construction of individual, detached houses; not surprisingly, most clients preferred traditional architecture and refrained from modern experiments. Industrial parks, office buildings and shops, on the other hand, developed into the cornerstones of Belgian modern architecture after 1945. Both the low-density sprawl and the industrial parks depend heavily on the use of the car, which was accommodated by the construction of a network of highways.

Opportunities for Public Relations Research in Public Health.

Science.gov (United States)

Wise, Kurt

2001-01-01

Considers how communication researchers have developed a solid body of knowledge in the health field but know little about the activities of public relations practitioners in public health bodies. Suggests that public relations scholarship and practice have much to offer the field of public health in helping public health bodies meet their…

The political-economic transition and the building of the welfare state in Spain (1975-1986

Directory of Open Access Journals (Sweden)

Rafael Muñoz de Bustillo Llorente

2008-12-01

Full Text Available This article analyses the economic policy in Spain during the govern- ments of the Spanish political transition from 1975 to 1986. It considers the different areas of economic policy with special emphasis on the development of welfare state issues in this period. Taking into account the difficult economic and political situation in 1975, there were some important advances in social policy and progressive taxation during the period. The transition to democracy in Spain changed the role and size of the public sector above all from 1975 to 1986. The social demands over the political system were possible improvements in the progressive and redistributive policies in education, health, and social programs. Spain’s transition to democracy and the first period of welfare state show a mutually reinforcing and its consequences were the modernization of the Spanish economy. However, from 1986 the economic develop- ment and the progress of welfare state have had a different growth.Key words: Welfare state, Economic transition, Spain.

East Asian welfare regime

DEFF Research Database (Denmark)

Abrahamson, Peter

2017-01-01

The paper asks if East Asian welfare regimes are still productivist and Confucian? And, have they developed public care policies? The literature is split on the first question but (mostly) confirmative on the second. Care has to a large, but insufficient extent, been rolled out in the region...

Population density, distance to public transportation, and health of women in low-income neighborhoods.

Science.gov (United States)

DeGuzman, Pamela B; Merwin, Elizabeth I; Bourguignon, Cheryl

2013-01-01

The purpose of this research was to determine the impact of two neighborhood walkability (the extent to which the built environment is pedestrian friendly) metrics on health outcomes of women living in low-income urban neighborhoods, both before and after accounting for individual and neighborhood factors. A cross-sectional, retrospective design was used. The sample of 1800 low-income women was drawn from Welfare, Children and Families: A Three-City Study (a study of low-income women from three U.S. cities). Using multilevel modeling and geographic information systems, the study sought to determine the effect of distance to public transportation and residential density on health status, mental health symptoms, and health-related limitations. No significant relationship was found between the two walkability metrics and health outcomes. Instead, neighborhood problems that affect crime and safety impacted health status and mental health symptoms. As cities make changes to the built environment with the hope of affecting residents' health outcomes, public health nurses need to be aware that changing walkability characteristics in a neighborhood may not affect the health of residents of high crime, low-income neighborhoods. Without first addressing neighborhood crime, efforts to improve walkability in low-income neighborhoods may fail. © 2013 Wiley Periodicals, Inc.

A balancing act? Work-life balance, health and well-being in European welfare states

OpenAIRE

Lunau, Thorsten; Bambra, Clare; Eikemo, Terje Andreas; van Der Wel, Kjetil A.; Dragano, Nico

2014-01-01

Background: Recent analyses have shown that adverse psychosocial working conditions, such as job strain and effort–reward imbalance, vary by country and welfare state regimes. Another work-related factor with potential impact on health is a poor work–life balance. The aims of this study are to determine the association between a poor work–life balance and poor health across a variety of European countries and to explore the variation of work–life balance between European countries. Methods: D...

Re-imagining the (Welfare) Professional as a Specialised Generalist

DEFF Research Database (Denmark)

Dahl, Hanne Marlene

2005-01-01

The new welfare professions are often linked to the enlargement of the welfare state and the extension of social rights. Recently, this story has become more complex. The increasing prevalence of New Public Management (NPM) in state regulation sets a new discursive (meta) context for groups...

Review of wallowing in pigs: implications for animal welfare

NARCIS (Netherlands)

Bracke, M.B.M.; Spoolder, H.A.M.

2011-01-01

Most modern production systems, especially in temperate climates, do not offer wallowing facilities to pigs and, to date, this has neither generated much concern in welfare science nor public debate on pig welfare. Nevertheless, wallowing is a natural behaviour of pigs which may be important to

Ethics in public health research: privacy and public health at risk: public health confidentiality in the digital age.

Science.gov (United States)

Myers, Julie; Frieden, Thomas R; Bherwani, Kamal M; Henning, Kelly J

2008-05-01

Public health agencies increasingly use electronic means to acquire, use, maintain, and store personal health information. Electronic data formats can improve performance of core public health functions, but potentially threaten privacy because they can be easily duplicated and transmitted to unauthorized people. Although such security breaches do occur, electronic data can be better secured than paper records, because authentication, authorization, auditing, and accountability can be facilitated. Public health professionals should collaborate with law and information technology colleagues to assess possible threats, implement updated policies, train staff, and develop preventive engineering measures to protect information. Tightened physical and electronic controls can prevent misuse of data, minimize the risk of security breaches, and help maintain the reputation and integrity of public health agencies.

EFSA Panel on Animal Health and Welfare (AHAW); Scientific Opinion on bluetongue monitoring and surveillance

DEFF Research Database (Denmark)

Stegeman, Arjan; Bøtner, Anette; Savini, Giovanni

Following a request from the Commission, the Panel on Animal Health and Welfare was asked to deliver a Scientific Opinion on: 1) the expected prevalence (design prevalence) under different circumstances, and, 2) an updated scientific assessment of the size of the relevant geographical area...

Invertebrate welfare: an overlooked issue

Directory of Open Access Journals (Sweden)

Kelsey Horvath

2013-03-01

Full Text Available While invertebrates make up the majority of animal species, their welfare is overlooked compared to the concern shown to vertebrates. This fact is highlighted by the near absence of regulations in animal research, with the exception of cephalopods in the European Union. This is often justified by assumptions that invertebrates do not experience pain and stress while lacking the capacity for higher order cognitive functions. Recent research suggests that invertebrates may be just as capable as vertebrates in experiencing pain and stress, and some species display comparable cognitive capacities. Another obstacle is the negative view of invertebrates by the public, which often regards them as pests with no individual personalities, gastronomic entities, or individuals for scientific experimentation without rules. Increasingly, studies have revealed that invertebrates possess individual profiles comparable to the personalities found in vertebrates. Given the large economic impact of invertebrates, developing certain attitude changes in invertebrate welfare may be beneficial for producers while providing higher welfare conditions for the animals. While the immense number and type of species makes it difficult to suggest that all invertebrates will benefit from increased welfare, in this review we provide evidence that the topic of invertebrate welfare should be revisited, more thoroughly investigated, and in cases where appropriate, formally instituted.

[Terrorism, public health and health services].

Science.gov (United States)

Arcos González, Pedro; Castro Delgado, Rafael; Cuartas Alvarez, Tatiana; Pérez-Berrocal Alonso, Jorge

2009-01-01

Today the terrorism is a problem of global distribution and increasing interest for the international public health. The terrorism related violence affects the public health and the health care services in an important way and in different scopes, among them, increase mortality, morbidity and disability, generates a context of fear and anxiety that makes the psychopathological diseases very frequent, seriously alters the operation of the health care services and produces important social, political and economic damages. These effects are, in addition, especially intense when the phenomenon takes place on a chronic way in a community. The objective of this paper is to examine the relation between terrorism and public health, focusing on its effects on public health and the health care services, as well as to examine the possible frames to face the terrorism as a public health concern, with special reference to the situation in Spain. To face this problem, both the public health systems and the health care services, would have to especially adapt their approaches and operational methods in six high-priority areas related to: (1) the coordination between the different health and non health emergency response agencies; (2) the reinforcement of the epidemiological surveillance systems; (3) the improvement of the capacities of the public health laboratories and response emergency care systems to specific types of terrorism as the chemical or biological terrorism; (3) the mental health services; (4) the planning and coordination of the emergency response of the health services; (5) the relations with the population and mass media and, finally; (6) a greater transparency in the diffusion of the information and a greater degree of analysis of the carried out health actions in the scope of the emergency response.

Genetics, health care, and public policy: an introduction to public health genetics

National Research Council Canada - National Science Library

Stewart, Alison

2007-01-01

... initiative About this book Further reading and resources Principles of public health The emergence of public health genetics The human genome project and 'genomic medicine' Community genetics Current developments in public health genetics Genomics and global health 2 Genetic science and technology Basic molecular genetics Genes and the geno...

Welfare locale e innovazione sociale: una buona pratica dal terzo settore

Directory of Open Access Journals (Sweden)

Antonella Golino

2016-06-01

Full Text Available The local welfare -among other possibilities- effectively enhances the contribution of volunteering and nonprofit. On the local level we can identify the third sector institutions or companies operating on the market with which to make agreements to carry out activities of new welfare and social innovation, i.e. new ideas (products, services and models to meet social needs, improve the quality of human life and well-being, and create new relationships and social inclusion. The paper describes a good practice to social innovation performed by volunteers of the Università Cattolica del Sacro Cuore, Research Foundation and Care John Paul II of Campobasso. The social innovation initiative in the health field, by developing new forms of co-operation between public actors of the third sector, shows that the actors are able to develop appropriate responses and affordable to different social needs in the area and to mobilize resources for this purpose and private skills, pro- ducing value for society as a whole in a perspective of innovative welfare.

Towards a public health profession

DEFF Research Database (Denmark)

Foldspang, Anders

2015-01-01

in the theoretical as well as the practical potential of the public health professional. Thus, he and she must be able to perform, what WHO Europe has developed as Essential Public Health Operations (EPHOs).3 This, in turn, implies that the public health professional possesses the set of intellectual (knowledge...... endorsed by WHO Europe’s member states as the basis for the public health education in Europe.5 The sections of the lists include: Public health methods; Population health and: Its social and economic determinants, and: Its material environmental determinants; Man-made interventions and systems, namely...... Health policy, health economics, organizational theory, health legislation, and public health leadership and management; Health promotion—health education, health protection, disease prevention; public health ethics. This should form the central part of the basis for all public health professionals...

Stakeholder Perceptions of Welfare Issues and Indicators for Extensively Managed Sheep in Australia.

Science.gov (United States)

Doughty, Amanda K; Coleman, Grahame J; Hinch, Geoff N; Doyle, Rebecca E

2017-03-23

An online survey was designed to form the basis of a framework for the welfare assessment of extensively managed sheep in Australia. The survey focused on welfare compromise and useful welfare indicators. A total of 952 people completed the survey in its entirety, representing four stakeholder groups: Public (53.6%), Producer (27.4%), Scientist (9.9%), and Service provider (9.1%). Animal welfare was considered to be important by all participating groups in this survey (average score of 3.78/4). Respondents felt the welfare of grazing sheep was generally adequate but improvement was desired (2.98/5), with female members of the public rating sheep welfare significantly worse than other respondents ( p risk to welfare (3.87/5), followed by heat stress (3.79), lameness (3.57) and husbandry practices (3.37). Key indicators recognised by all respondents were those associated with pain and fear (3.98/5), nutrition (4.23), mortality/management (4.27), food on offer (4.41) and number of illness/injures in a flock (4.33). There were gender and stakeholder differences in the perceived importance of both welfare issues and indicators with women and the public consistently rating issues (all p indicators (all p < 0.05) to be of greater significance than other respondents. These results highlight the importance of including all stakeholders and an even balance of genders when developing a welfare framework that can address both practical and societal concerns.

Development of animal welfare understanding drives change in minimum welfare standards.

Science.gov (United States)

Mellor, D J; Webster, J R

2014-04-01

pain is a useful entry point. Finally, it is important that the pace of the journey, in terms of public awareness and shifts in understanding, be supported by high-quality science that is rigorously assessed and validated in its practical application to the management of animal welfare.

Pigs in Public Health

DEFF Research Database (Denmark)

Svendsen, Mette N.

2017-01-01

of public health, made me re-evaluate both what ‘public’ and what ‘health’ means in public health. In this commentary I provide a short personal account of that intellectual journey. I argue that entanglements between species make it urgent that public health scholars investigate the moral, socio......Animals are rare topics in public health science texts and speech despite the fact that animal bodies and lives are woven into the health of human populations, and vice versa. Years of ethnographic and documentary research – following pigs and their humans in and out of biomedical research – made......-economic, material, and bacterial passages between humans and animals that constitute the various publics of public health and profoundly shape the health of human and animal populations in a globalized world....

Administration of the Radiation Control for Health and Safety Act of 1968, Public Law 90-602, April 1, 1975. Annual report, Jan--Dec 1974

International Nuclear Information System (INIS)

1974-01-01

The Secretary of Health, Education, and Welfare is required, Subpart 3, Section 2, Part F of Title III of the Public Health Service Act; 42 USC et seq. (Public Law 90-602), to submit an annual report to the President for transmittal to the Congress on or before April 1 on the adminstration of the Radiation Control for Health and Safety Act. The detailed information required to be included in the report is outlined in Section 360D of Public Law 90-602. The Food and Drug Administration, through its Bureau of Radiological Health, has been delegated the authority for the day-to-day administration of the Act. This report covers the detailed operation of the Agency in carrying out that responsibility for calendar year 1974

Contribution of organic farming to public goods in Denmark

DEFF Research Database (Denmark)

Jespersen, Lizzie Melby; Baggesen, Dorte Lau; Fog, Erik

2017-01-01

€”in particular in relation to the public goods Energy and Climate, which at present are not addressed in the EU Organic Regulation. Moreover, some organic farming requirements and practices cause dilemmas; e.g. more space per animal and outdoor access improves Animal Health and Welfare but at the same time has......The potential contribution of organic farming to the public goods, ‘Nature and Biodiversity’, ‘Environment’, ‘Energy and Climate’, ‘Human Health and Welfare’ and ‘Animal Health and Welfare’ in Denmark is guided and partly secured by the principles and specific requirements...... of the EU Organic Regulation. However, other factors, such as the production type, farm size, geographical location and—not the least—the management of the farm, also influence the contribution. Using the ban on synthetic pesticides and restricted use of antibiotics, including the requirements...

The Intersectionality of Religion and Social Welfare: Historical Development of Richmond’s Nonprofit Health and Human Services

Directory of Open Access Journals (Sweden)

F. Ellen Netting

2016-01-01

Full Text Available Studying the intersectionality of religion and social welfare in Richmond, Virginia requires going back to the beginning of the Virginia colony. In the crucible of the colony, the religious and social welfare functions of a parish community were one and the same. However, after the Revolutionary War it was just a matter of time before the entire system was disassembled. The process of disentanglement of church and state created an identity crisis in Virginia. In the late 1700s, the emergence of charitable efforts began with leading men of Richmond who tried to address the temporary needs of travelers, followed by groups of women who discovered new roles they could play through charitable works. The new “system” became a potpourri of societies, congregations, associations, and county units attempting to provide for the social welfare of the populous. The intersectionality of religion and social welfare continued as a diverse landscape of small and large organizations and congregations performing the social welfare functions in Richmond and throughout the Commonwealth emerged. Today, to attempt to separate the church from the state in this conglomerate of agencies is neither possible nor desirable. However, understanding its’ historical complexity is essential if one is to engage in contemporary practice within Richmond’s health and human service system.

From cruelty to welfare: the emergence of farm animal welfare in Britain, 1964-71.

Science.gov (United States)

Woods, Abigail

2012-03-01

There is a long history of concern in Britain for how animals are treated. Until the 1960s, these concerns were expressed largely in terms of cruelty or suffering, which was prevented through various acts of Parliament. Over the period 1964-71, amidst public debates about intensive farming, a new discourse of animal welfare emerged. To understand what welfare meant and how it became established as a term, a concept and a target of government regulation, it is necessary to examine farming politics and practices, the existing tradition of animal protection and attempts to rethink the nature of animal suffering. Copyright © 2011 Elsevier Ltd. All rights reserved.

Health and Welfare in Dutch Organic Laying Hens

Directory of Open Access Journals (Sweden)

Monique Bestman

2014-06-01

Full Text Available From 2007–2008, data on animal health and welfare and farm management during rearing and laying periods were collected from 49 flocks of organic laying hens in the Netherlands. Our aim was to investigate how organic egg farms performed in terms of animal health and welfare and which farm factors affected this performance. The flocks in our study were kept on farms with 34 to 25,000 hens (average 9,300 hens. Seventy-one percent of the flocks consisted of ‘silver hybrids’: white hens that lay brown eggs. Fifty-five percent of the flocks were kept in floor-based housing and 45% of the flocks in aviaries. No relation was found between the amount of time spent outdoors during the laying period and mortality at 60 weeks. Flocks that used their outdoor run more intensively had better feather scores. In 40% of the flocks there was mortality caused by predators. The average feed intake was 129 g/day at 30 weeks and 133 g/day at 60 weeks of age. The average percentage of mislaid eggs decreased from three at 30 weeks to two at 60 weeks. The average mortality was 7.8% at 60 weeks. Twenty-five percent of the flocks were not treated for worms in their first 50 weeks. Flubenol© was applied to the flocks that were treated. Ten percent of the flocks followed Flubenol© instructions for use and were wormed five or more times. The other 65% percent were treated irregularly between one and four times. Sixty-eight percent of the flocks showed little or no feather damage, 24% showed moderate damage and 8% showed severe damage. The feather score was better if the hens used the free-range area more intensely, the laying percentage at 60 weeks was higher, and if they were allowed to go outside sooner after arrival on the laying farm. In 69% of the flocks, hens had peck wounds in the vent area: on average this was 18% of the hens. Keel bone deformations were found in all flocks, on average in 21% of the birds. In 78% of the flocks, an average of 13% of the hens

Health and Welfare in Dutch Organic Laying Hens.

Science.gov (United States)

Bestman, Monique; Wagenaar, Jan-Paul

2014-06-20

From 2007-2008, data on animal health and welfare and farm management during rearing and laying periods were collected from 49 flocks of organic laying hens in the Netherlands. Our aim was to investigate how organic egg farms performed in terms of animal health and welfare and which farm factors affected this performance. The flocks in our study were kept on farms with 34 to 25,000 hens (average 9,300 hens). Seventy-one percent of the flocks consisted of 'silver hybrids': white hens that lay brown eggs. Fifty-five percent of the flocks were kept in floor-based housing and 45% of the flocks in aviaries. No relation was found between the amount of time spent outdoors during the laying period and mortality at 60 weeks. Flocks that used their outdoor run more intensively had better feather scores. In 40% of the flocks there was mortality caused by predators. The average feed intake was 129 g/day at 30 weeks and 133 g/day at 60 weeks of age. The average percentage of mislaid eggs decreased from three at 30 weeks to two at 60 weeks. The average mortality was 7.8% at 60 weeks. Twenty-five percent of the flocks were not treated for worms in their first 50 weeks. Flubenol(©) was applied to the flocks that were treated. Ten percent of the flocks followed Flubenol(©) instructions for use and were wormed five or more times. The other 65% percent were treated irregularly between one and four times. Sixty-eight percent of the flocks showed little or no feather damage, 24% showed moderate damage and 8% showed severe damage. The feather score was better if the hens used the free-range area more intensely, the laying percentage at 60 weeks was higher, and if they were allowed to go outside sooner after arrival on the laying farm. In 69% of the flocks, hens had peck wounds in the vent area: on average this was 18% of the hens. Keel bone deformations were found in all flocks, on average in 21% of the birds. In 78% of the flocks, an average of 13% of the hens had foot-sole wounds

Health, welfare reform, and narratives of uncertainty among Cambodian refugees.

Science.gov (United States)

Becker, G; Beyene, Y; Ken, P

2000-06-01

Massive disruptions to a way of life, such as those brought on by widespread violence, terror, and genocide, disorder the body as well as the social order. When they flee their homelands, refugees bring their experiences of violence and terror with them. Drawing on an ethnographic study of 40 Cambodian refugees between the ages of 50 and 79 who suffered from one or more chronic illnesses, we explore how refugees who live with chronic illnesses and are dependent on government support were affected by the threat of welfare reform. When welfare reform threatened to cut Cambodian refugees' income, it posed a new crisis for those who were chronically in limbo and placed further constraints on their lives. Through their narratives, Cambodian refugees enacted their bodily distress and resisted the threat of welfare reform. The story of threatened welfare reform in the U.S. and its possible consequences for refugees is a story of quixotic U.S. politics, policies and antidotes for refugeeism gone awry.

WELFARE ASPECTS OF THE LONG DISTANCE TRANSPORTATION OF CATTLE

Directory of Open Access Journals (Sweden)

EVANGELIA N. SOSSIDOU

2009-10-01

Full Text Available This paper sets out to examine the facts behind the trade of long distance transportation of cattle. In particular it looks at the various welfare implications during handling and transport with examples from research work on cattle. The role of the science is explained and the methodology for assessing the welfare of animals is then presented. Finally, public concerns and legal position are presented as they play an important role to promote farm animal welfare principles during transportation.

Private animal health and welfare standards in quality assurance programmes: a review and proposed framework for critical evaluation.

Science.gov (United States)

More, S J; Hanlon, A; Marchewka, J; Boyle, L

2017-06-24

In recent years, 'private standards' in animal health and welfare have become increasingly common, and are often incorporated into quality assurance (QA) programmes. Here, we present an overview of the use of private animal health and welfare standards in QA programmes, and propose a generic framework to facilitate critical programme review. Private standards are being developed in direct response to consumer demand for QA, and offer an opportunity for product differentiation and a means to drive consumer choice. Nonetheless, a range of concerns have been raised, relating to the credibility of these standards, their potential as a discriminatory barrier to trade, the multiplicity of private standards that have been developed, the lack of consumer input and compliance costs. There is a need for greater scrutiny of private standards and of associated QA programmes. We propose a framework to clarify the primary programme goal(s) and measureable outputs relevant to animal health and welfare, the primary programme beneficiaries and to determine whether the programme is effective, efficient and transparent. This paper provides a theoretical overview, noting that this framework could be used as a tool directly for programme evaluation, or as a tool to assist with programme development and review. British Veterinary Association.

WelFur - mink: development of on-farm welfare assessment protocols for mink

DEFF Research Database (Denmark)

Møller, Steen Henrik; Hansen, Steffen W; Rousing, Tine

2012-01-01

European Fur Breeder's Association initiated the "WelFur" project in 2009 in order to develop a welfare assessment protocol for mink and fox farms after the Welfare Quality® standards. The assessment is based on four welfare principles (Good feeding, good housing, good health and appropriate beha...... mink production seasons: Winter, spring, and autumn, in order to cover the life cycle of mink and proved feasible for a one-day visit.......European Fur Breeder's Association initiated the "WelFur" project in 2009 in order to develop a welfare assessment protocol for mink and fox farms after the Welfare Quality® standards. The assessment is based on four welfare principles (Good feeding, good housing, good health and appropriate...

Profile of Public Health Leadership.

Science.gov (United States)

Little, Ruth Gaskins; Greer, Annette; Clay, Maria; McFadden, Cheryl

2016-01-01

Public health leaders play pivotal roles in ensuring the population health for our nation. Since 2000, the number of schools of public health has almost doubled. The scholarly credentials for leaders of public health in academic and practice are important, as they make decisions that shape the future public health workforce and important public health policies. This research brief describes the educational degrees of deans of schools of public health and state health directors, as well as their demographic profiles, providing important information for future public health leadership planning. Data were extracted from a database containing information obtained from multiple Web sites including academic institution Web sites and state government Web sites. Variables describe 2 sets of public health leaders: academic deans of schools of public health and state health directors. Deans of schools of public health were 73% males and 27% females; the PhD degree was held by 40% deans, and the MD degree by 33% deans. Seventy percent of deans obtained their terminal degree more than 35 years ago. State health directors were 60% males and 40% females. Sixty percent of state health directors had an MD degree, 4% a PhD degree, and 26% no terminal degree at all. Sixty-four percent of state health directors received their terminal degree more than 25 years ago. In addition to terminal degrees, 56% of deans and 40% of state health directors held MPH degrees. The findings call into question competencies needed by future public health professionals and leadership and the need to clarify further the level of public health training and degree type that should be required for leadership qualifications in public health.

Public Health Departments

Data.gov (United States)

Department of Homeland Security — State and Local Public Health Departments in the United States Governmental public health departments are responsible for creating and maintaining conditions that...

Depicted welfare-recipient stereotypes in Norway and Denmark

DEFF Research Database (Denmark)

Dencker-Larsen, Sofie; Lundberg, Kjetil G.

2016-01-01

Welfare recipients are continuously subjected to media debates and governmental campaigns drawing on images and symbols encouraging improved work ethic and individual responsibility. Only few studies, however, have analysed how welfare recipients as ‘othered’ citizens react to these often...... stereotypical symbols and images targeting them. In this study we have investigated how welfare recipients in Norway and Denmark, and caseworkers in Denmark, understand and account for images which, through the use of stereotypes, directly or indirectly may question welfare recipients’ work ethic...... and deservedness. Analysing photo-elicitation interview data, we have uncovered a variety of reactions characterized by ‘problematization’. The interviewees problematize the image and depicted stereotypes, which they link both with motif and symbols and with surrounding public debates on the work ethic...

Depicted welfare recipient stereotypes in Norway and Denmark

DEFF Research Database (Denmark)

Dencker-Larsen, Sofie; Lundberg, Kjetil G.

2016-01-01

Welfare recipients are continuously subjected to media debates and governmental campaigns drawing on images and symbols encouraging improved work ethic and individual responsibility. Only few studies, however, have analysed how welfare recipients as ‘othered’ citizens react to these often...... stereotypical symbols and images targeting them. In this study we have investigated how welfare recipients in Norway and Denmark, and caseworkers in Denmark, understand and account for images which, through the use of stereotypes, directly or indirectly may question welfare recipients’ work ethic...... and deservedness. Analysing photo-elicitation interview data, we have uncovered a variety of reactions characterized by ‘problematization’. The interviewees problematize the image and depicted stereotypes, which they link both with motif and symbols and with surrounding public debates on the work ethic...

Welfare's Children. Discussion Paper.

Science.gov (United States)

Wiseman, Michael

States with family cap public assistance policies deny or reduce additional welfare benefits to mothers who conceive and give birth to additional children while they are receiving aid. By 1999, 22 states had family cap policies in place. This paper reports estimates of the number and cost implications of infants conceived by mothers receiving…

A meta-analysis of effects of post-hatch food and water deprivation on development, performance and welfare of chickens

NARCIS (Netherlands)

Jong, de I.C.; Riel, van J.W.; Bracke, M.B.M.; Brand, van den H.

2017-01-01

A ‘meta-analysis’ was performed to determine effects of post-hatch food and water deprivation (PHFWD) on chicken development, performance and welfare (including health). Two types of meta-analysis were performed on peer-reviewed scientific publications: a quantitative ‘meta-analysis’ (MA) and a

The Public Health Innovation Model: Merging Private Sector Processes with Public Health Strengths.

Science.gov (United States)

Lister, Cameron; Payne, Hannah; Hanson, Carl L; Barnes, Michael D; Davis, Siena F; Manwaring, Todd

2017-01-01

Public health enjoyed a number of successes over the twentieth century. However, public health agencies have arguably been ill equipped to sustain these successes and address the complex threats we face today, including morbidity and mortality associated with persistent chronic diseases and emerging infectious diseases, in the context of flat funding and new and changing health care legislation. Transformational leaders, who are not afraid of taking risks to develop innovative approaches to combat present-day threats, are needed within public health agencies. We propose the Public Health Innovation Model (PHIM) as a tool for public health leaders who wish to integrate innovation into public health practice. This model merges traditional public health program planning models with innovation principles adapted from the private sector, including design thinking, seeking funding from private sector entities, and more strongly emphasizing program outcomes. We also discuss principles that leaders should consider adopting when transitioning to the PHIM, including cross-collaboration, community buy-in, human-centered assessment, autonomy and creativity, rapid experimentation and prototyping, and accountability to outcomes.

The Public Health Innovation Model: Merging Private Sector Processes with Public Health Strengths

Directory of Open Access Journals (Sweden)

Cameron Lister

2017-08-01

Full Text Available Public health enjoyed a number of successes over the twentieth century. However, public health agencies have arguably been ill equipped to sustain these successes and address the complex threats we face today, including morbidity and mortality associated with persistent chronic diseases and emerging infectious diseases, in the context of flat funding and new and changing health care legislation. Transformational leaders, who are not afraid of taking risks to develop innovative approaches to combat present-day threats, are needed within public health agencies. We propose the Public Health Innovation Model (PHIM as a tool for public health leaders who wish to integrate innovation into public health practice. This model merges traditional public health program planning models with innovation principles adapted from the private sector, including design thinking, seeking funding from private sector entities, and more strongly emphasizing program outcomes. We also discuss principles that leaders should consider adopting when transitioning to the PHIM, including cross-collaboration, community buy-in, human-centered assessment, autonomy and creativity, rapid experimentation and prototyping, and accountability to outcomes.

Local knowledge held by farmers in Eastern Tyrol (Austria) about the use of plants to maintain and improve animal health and welfare.

Science.gov (United States)

Vogl, Christian R; Vogl-Lukasser, Brigitte; Walkenhorst, Michael

2016-09-12

The sustainable management of animal health and welfare is of increasing importance to consumers and a key topic in the organic farming movement. Few systematic studies have been undertaken investigating farmers' local knowledge related to this issue. Ethnoveterinary medicine (EVM) is a discipline focusing on local knowledge and folk methods in veterinary medicine, however most ethnoveterinarian studies primarily address the treatment of animal diseases. Very few studies have explored prophylactic methods. An ethnoveterinary research project in Eastern Tyrol (Austria) was conducted in 2004 and 2005 to gather information about local knowledge of animal husbandry from 144 informants, with the emphasis on plants that maintain livestock health and welfare. Informants mentioned a total of 87 plants and 22 plant-based generic terms in the context of maintaining and improving livestock health and welfare. The most important preventive measures for maintaining and improving animal health and welfare were practices related to "fodder" and "feeding". In this category the plants mentioned could be grouped according to three different perceptions about their effect on animals: "Good or bad fodder", "Functional fodder" and "Fodder medicine". In addition to fodder, environmental management, the human-animal relationship, household remedies and cultural/religious activities were also mentioned. When asked about practices in the past that maintained animal health and well-being, interviewees mentioned, for example, the importance of the diversity of sources that used to be available to obtain feed and fodder. The informants' approach that feeding is central to livestock welfare is in line with the standard scientific literature on animal health, including in organic farming. Various scientific studies into common fodder evaluate the nutritive and dietary value, efficiency and safety of fodder. Future studies also have to consider the evaluation of traditional, local fodder

Feminism and public health nursing: partners for health.

Science.gov (United States)

Leipert, B D

2001-01-01

It is a well-known fact that nursing and feminism have enjoyed an uneasy alliance. In recent years, however, nursing has begun to recognize the importance of feminism. Nevertheless, the literature still rarely addresses the relevance of feminism for public health nursing. In this article, I articulate the relevance of feminism for public health nursing knowledge and practice. First, I define and describe feminism and public health nursing and then I discuss the importance of feminism for public health nursing practice. The importance of feminism for the metaparadigm concepts of public health nursing is then reviewed. Finally, I examine several existing challenges relating to feminism and public health nursing research, education, and practice. The thesis of this article is that feminism is vitally important for the development of public health nursing and for public health care.

45 CFR 61.9 - Reporting civil judgments related to the delivery of a health care item or service.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Reporting civil judgments related to the delivery of a health care item or service. 61.9 Section 61.9 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION HEALTHCARE INTEGRITY AND PROTECTION DATA BANK FOR FINAL ADVERSE INFORMATION...

Path Dependency and the Politics of Socialized Health Care.

Science.gov (United States)

Brady, David; Marquardt, Susanne; Gauchat, Gordon; Reynolds, Megan M

2016-06-01

Rich democracies exhibit vast cross-national and historical variation in the socialization of health care. Yet, cross-national analyses remain relatively rare in the health policy literature, and health care remains relatively neglected in the welfare state literature. We analyze pooled time series models of the public share of total health spending for eighteen rich democracies from 1960 to 2010. Building on path dependency theory, we present a strategy for modeling the relationship between the initial 1960 public share and the current public share. We also examine two contrasting accounts for how the 1960 public share interacts with conventional welfare state predictors: the self-reinforcing hypothesis expecting positive feedbacks and the counteracting hypothesis expecting negative feedbacks. We demonstrate that most of the variation from 1960 to 2010 in the public share can be explained by a country's initial value in 1960. This 1960 value has a large significant effect in models of 1961-2010, and including the 1960 value alters the coefficients of conventional welfare state predictors. To investigate the mechanism whereby prior social policy influences public opinion about current social policy, we use the 2006 International Social Survey Programme (ISSP). This analysis confirms that the 1960 values predict individual preferences for government spending on health. Returning to the pooled time series, we demonstrate that the 1960 values interact significantly with several conventional welfare state predictors. Some interactions support the self-reinforcing hypothesis, while others support the counteracting hypothesis. Ultimately, this study illustrates how historical legacies of social policy exert substantial influence on the subsequent politics of social policy. Copyright © 2016 by Duke University Press.

Comparing Tax Routes to Welfare in Denmark and the United Kingdom

DEFF Research Database (Denmark)

Kvist, Jon; Sinfield, Adrian

Substantial benefits are being routed through the tax system separately and much less publicly than in the welfare state. This study analyses how the tax benefits in Denmark and the United Kingdom are operating, raising questions of equity and privilege, and of cost and value for money. One major...... conclusion is that tax routes to welfare deserves much closer and more public examination than they currently receive in either country....

Welfare assessment of dairy cows housed in a tie-stall system

Directory of Open Access Journals (Sweden)

Marija Vučemilo

2012-03-01

Full Text Available Welfare assessment methods and techniques developed as a result of great interest of scientific and consumer populations regarding the welfare of animals housed in farms. In view of the fact that welfare by definition includes both physical and mental health, the welfare quality assessment includes an extensive number of measures. Welfare assessment was performed in two stables in which cows are kept in tie-stall by using the specific method described in the Welfare Quality® Assessment Protocol for Cattle. The measures included body condition score, qualitative behaviour assessment and body hygiene. The welfare assessment confirmed the importance of quality housing for ensuring better performance from animals, thus also affecting their health and productivity. It also pointed out the necessity of freeing animals by providing them with the possibility of free movement, whereat they can exhibit their physiological behaviour. It is definitely important to continue research, expand the number of researched measures in order to confirm the most useful indicators for welfare assessment and to identify the factors that within the animals’ physical and social environment affect the increase of their welfare.

Animal behavior and well-being symposium: Farm animal welfare assurance: science and application.

Science.gov (United States)

Rushen, J; Butterworth, A; Swanson, J C

2011-04-01

Public and consumer pressure for assurances that farm animals are raised humanely has led to a range of private and public animal welfare standards, and for methods to assess compliance with these standards. The standards usually claim to be science based, but even though researchers have developed measures of animal welfare and have tested the effects of housing and management variables on welfare within controlled laboratory settings, there are challenges in extending this research to develop on-site animal welfare standards. The standards need to be validated against a definition of welfare that has broad support and which is amenable to scientific investigation. Ensuring that such standards acknowledge scientific uncertainty is also challenging, and balanced input from all scientific disciplines dealing with animal welfare is needed. Agencies providing animal welfare audit services need to integrate these scientific standards and legal requirements into successful programs that effectively measure and objectively report compliance. On-farm assessment of animal welfare requires a combination of animal-based measures to assess the actual state of welfare and resource-based measures to identify risk factors. We illustrate this by referring to a method of assessing welfare in broiler flocks. Compliance with animal welfare standards requires buy-in from all stakeholders, and this will be best achieved by a process of inclusion in the development of pragmatic assessment methods and the development of audit programs verifying the conditions and continuous improvement of farm animal welfare.

Contextuality of pig welfare - a study comparing public perception in three European countries

DEFF Research Database (Denmark)

Thorslund, Cecilie Agnete H; Lassen, Jesper; Sandøe, Peter

2015-01-01

Existing research suggests that attitudes to pig welfare are perspectival: they depend on whether the welfare is viewed from the perspective of a politically engaged citizen or from the perspective of a consumer looking at options for the next family meal. Furthermore, this context-dependence may...

Animal welfare assessment at slaughter in Europe: moving from inputs to outputs.

Science.gov (United States)

Velarde, Antonio; Dalmau, Antoni

2012-11-01

Producers, retailers and other food chain actors increasingly recognize that consumer concerns for good animal welfare represent a business opportunity that could be profitably incorporated into their commercial strategies. Therefore, during the last decade, numerous trade groups (producers, processors, retailers and restaurant chains) have developed certification systems with their suppliers which include elements of animal welfare. The Welfare Quality® project has developed an integrated and standardised welfare assessment system based on twelve welfare criteria grouped into four main principles (good feeding, good housing, good health and appropriate behaviour) according to how they are experienced by animals. One of the innovations of the Welfare Quality® assessment system is that it focuses more on outcome measures (e.g. directly related to animal body condition, health aspects, injuries, behaviour, etc.). This paper has the objective to discuss the rationale behind the welfare assessment and to describe the Welfare Quality® assessment of pigs and cattle at the slaughterhouse. Copyright © 2012 Elsevier Ltd. All rights reserved.

Next Generations of Road Pricing: Social Welfare Enhancing

Directory of Open Access Journals (Sweden)

Omid M. Rouhani

2016-03-01

Full Text Available This paper offers a broad overview of road pricing from a social welfare perspective. I first examine two common objectives of road pricing: congestion management and profit making. My goal is to provide a guideline explaining how to promote a social-welfare-enhancing road pricing scheme. To this end, we should: (i consider and improve public transportation systems by providing more environment-friendly transport options; (ii include tolling profits in our welfare analysis (as opposed to what economists suggest since residents are the real owners of roads not users, and since some users are from outside the region and so might not be excluded from analysis; and (iii search for a holistic approach that takes into account system-wide impacts, disutility to users who change their travel behavior (i.e., switch to public transportation, shift their travel, or do not travel at all, and the impacts on land use, employment, and residents.

Health and Welfare of Women and Child Survival: A Key to Nation Building.

Science.gov (United States)

Singh, Meharban

2018-01-06

Health of women has a profound effect on the health and welfare of communities, countries and the world at large. A large number of social, economic, educational, political and religious dimensions impact the lives of girls and women with repercussions on their health and status in society and welfare of their children. It is a sad reality that a large number of children, adolescents and women worldwide have limited or no access to essential health care services, nutrition and education. Gender inequity and discrimination against girls cannot be bridged unless there are equal opportunities for healthcare and education for boys and girls. The International Day of the Girl Child is celebrated on 11th October to create global awareness about issues of gender inequity, bias, right to education, nutrition, medical care and protection against discrimination, violence, genital mutilation and child marriages. There is a need to provide essential healthcare and nutrition to girls and women throughout their life cycle. Children are the foundation of a nation and mothers are its pillars, and no sensible government can afford to neglect the needs and rights of women and children. The government of India has launched several initiatives like National Plan of Action for the Girl Child, Preconception and Prenatal Diagnostic Techniques (PCPNDT) Act to curb female feticides and "Save Girl Child, Educate Girl Child" Yojana. But the real challenge is effective implementation of these programs without any leakage of funds and resources. The United Nations, through a series of conventions, has declared child marriages as a violation of human right. They have launched an ambitious global strategy for promotion of health of women, children and adolescents for achieving Sustainable Development Goals (SDGs) by 2030 with a focus on "Every Woman Every Child".

The acceptability and impact of a randomised controlled trial of welfare rights advice accessed via primary health care: qualitative study

Directory of Open Access Journals (Sweden)

Howel Denise

2006-06-01

Full Text Available Abstract Background Qualitative research is increasingly used alongside randomised controlled trials (RCTs to study a range of factors including participants' experiences of a trial. The need for a sound evidence base within public health will increase the need for RCTs of non-clinical interventions. Welfare rights advice has been proposed as an intervention with potential to reduce health inequalities. This qualitative study, nested within an RCT of the impact of welfare rights advice, examined the acceptability of the intervention, the acceptability of the research process and the perceived impact of the intervention. Methods 25 men and women aged 60 years or over were recruited from four general practices in Newcastle upon Tyne (UK, a sub-sample of those who consented to be contacted (n = 96 during the RCT baseline interview. Semi-structured interviews were undertaken and analysed using the Framework Method. Results Participants viewed the trial positively although, despite agreeing that the information leaflet was clear, some had agreed to participate without being fully aware of what was involved. Some participants were unaware of the implications of randomisation. Most thought it fair, but a few concerns were raised about the control condition. The intervention was acceptable and made participants feel confident about applying for benefit entitlements. 14 out of 25 participants received some financial award; median weekly income gain was £57 (€84, $101. The perceived impact of additional finances was considerable and included: increased affordability of necessities and occasional expenses; increased capacity to deal with emergencies; and a reduction in stress related to financial worries. Overall, perceived independence and ability to participate in society increased. Most participants perceived benefits to their mental well-being, but no-one reported an improvement in physical health. The RCT showed little or no effect on a wide range

Privatization and Optimum-Welfare in an International Cournot Duopoly

Directory of Open Access Journals (Sweden)

Fernanda A. Ferreira

2017-12-01

Full Text Available In this paper, we will analyse the relationship between privatization of a public firm and tax revenue for the domestic government in an international competition, with import tariffs. We consider a duopoly model where a domestic public firmand a foreign private firmcompete in the domesticmarket, asCournot players. Furthermore, the domestic government imposes a tariff to regulate an imported good, and may have a higher preference for tariff revenue than for social welfare. We compute the outputs at equilibrium and we show that privatization (i will increase the profits of both domestic and foreign firms; (ii will increase the tariff imposed to the imported good; and (iii will decrease the domestic welfare. Furthermore, we demonstrate that a rise in the government’s preference for tariff revenues raises the social welfare in both mixed and private models.

Television Programming, Monopolistic Competition and Welfare. Technical Report No. 159.

Science.gov (United States)

Spence, Michael; Owen, Bruce

An economic analysis of television programing was conducted focusing on the public welfare implications of alternative market structures and policies in the broadcasting industry. Welfare was measured by the sum of producer's and consumer's surplus. It was demonstrated that any of the private market systems considered contain biases against…

The Influence of Keel Bone Damage on Welfare of Laying Hens

Directory of Open Access Journals (Sweden)

Anja B. Riber

2018-02-01

Full Text Available This article reviews current knowledge about welfare implications of keel bone damage in laying hens. As an initial part, we shortly describe the different conditions and present major risk factors as well as findings on the prevalence of the conditions. Keel bone damage is found in all types of commercial production, however with varying prevalence across systems, countries, and age of the hens. In general, the understanding of animal welfare is influenced by value-based ideas about what is important or desirable for animals to have a good life. This review covers different types of welfare indicators, including measures of affective states, basic health, and functioning as well as natural living of the birds, thereby including the typical public welfare concerns. Laying hens with keel bone fractures show marked behavioral differences in highly motivated behavior, such as perching, nest use, and locomotion, indicating reduced mobility and potentially negative affective states. It remains unclear whether keel bone fractures affect hen mortality, but there seem to be relations between the fractures and other clinical indicators of reduced welfare. Evidence of several types showing pain involvement in fractured keel bones has been published, strongly suggesting that fractures are a source of pain, at least for weeks after the occurrence. In addition, negative effects of fractures have been found in egg production. Irrespective of the underlying welfare concern, available scientific evidence showed that keel bone fractures reduce the welfare of layers in modern production systems. Due to the limited research into the welfare implications of keel bone deviation, evidence of the consequences of this condition is not as comprehensive and clear. However, indications have been found that keel bone deviations have a negative impact on the welfare of laying hens. In order to reduce the occurrence of the conditions as well as to examine how the affected

The next public health revolution: public health information fusion and social networks.

Science.gov (United States)

Khan, Ali S; Fleischauer, Aaron; Casani, Julie; Groseclose, Samuel L

2010-07-01

Social, political, and economic disruptions caused by natural and human-caused public health emergencies have catalyzed public health efforts to expand the scope of biosurveillance and increase the timeliness, quality, and comprehensiveness of disease detection, alerting, response, and prediction. Unfortunately, efforts to acquire, render, and visualize the diversity of health intelligence information are hindered by its wide distribution across disparate fields, multiple levels of government, and the complex interagency environment. Achieving this new level of situation awareness within public health will require a fundamental cultural shift in methods of acquiring, analyzing, and disseminating information. The notion of information "fusion" may provide opportunities to expand data access, analysis, and information exchange to better inform public health action.

Feminism and public health ethics.

Science.gov (United States)

Rogers, W A

2006-06-01

This paper sketches an account of public health ethics drawing upon established scholarship in feminist ethics. Health inequities are one of the central problems in public health ethics; a feminist approach leads us to examine not only the connections between gender, disadvantage, and health, but also the distribution of power in the processes of public health, from policy making through to programme delivery. The complexity of public health demands investigation using multiple perspectives and an attention to detail that is capable of identifying the health issues that are important to women, and investigating ways to address these issues. Finally, a feminist account of public health ethics embraces rather than avoids the inescapable political dimensions of public health.

Public health and Plowshare

Energy Technology Data Exchange (ETDEWEB)

Terrill, Jr, J G [Consumer Protection and Environmental Health Service, U.S. PubIic Health Service, Washington, DC (United States)

1969-07-01

The protection of public health and safety is a principal area of concern in any application of nuclear energy. A health and safety analysis must be conducted and reviewed by appropriate agencies and the final results made available to interested agencies and groups, both public and private, prior to the application. This is especially important for the Plowshare Program - the peaceful uses of nuclear explosives - where the public is to be the ultimate beneficiary. Because public health must be a primary concern in the Plowshare Program, it is essential that the potential risk be weighed against the expected benefits to the public. Public health agencies must play an increasingly important role in the planning and operational stages of the peaceful applications of nuclear explosives and in the final stage of consumer use of Plowshare-generated products. There are many long term and long distance ramifications of the Plowshare Program, such a the potential radiological contamination of consumer products that may reach the consumer at long times after the event or at great distances from the site of the event. Criteria for evaluating public exposure to radiation from these products need to be developed based on sound scientific research. Standards for radioactivity in consumer products must be developed in relation to potential exposure of the public. Above all, a clear benefit to the public with a minimum of risk must be shown. The major purpose of this Symposium on the Public Health Aspects of Peaceful Uses of Nuclear-Explosives is to focus attention on the health and safety aspects, present the results of safety analyses accomplished to date and other information necessary to an understanding of the public health aspects, and to identify areas where additional research is required. A general overview of the total symposium content is presented with emphasis on the relationship of the topics to public health. (author)

Public health and Plowshare

International Nuclear Information System (INIS)

Terrill, J.G. Jr.

1969-01-01

The protection of public health and safety is a principal area of concern in any application of nuclear energy. A health and safety analysis must be conducted and reviewed by appropriate agencies and the final results made available to interested agencies and groups, both public and private, prior to the application. This is especially important for the Plowshare Program - the peaceful uses of nuclear explosives - where the public is to be the ultimate beneficiary. Because public health must be a primary concern in the Plowshare Program, it is essential that the potential risk be weighed against the expected benefits to the public. Public health agencies must play an increasingly important role in the planning and operational stages of the peaceful applications of nuclear explosives and in the final stage of consumer use of Plowshare-generated products. There are many long term and long distance ramifications of the Plowshare Program, such a the potential radiological contamination of consumer products that may reach the consumer at long times after the event or at great distances from the site of the event. Criteria for evaluating public exposure to radiation from these products need to be developed based on sound scientific research. Standards for radioactivity in consumer products must be developed in relation to potential exposure of the public. Above all, a clear benefit to the public with a minimum of risk must be shown. The major purpose of this Symposium on the Public Health Aspects of Peaceful Uses of Nuclear-Explosives is to focus attention on the health and safety aspects, present the results of safety analyses accomplished to date and other information necessary to an understanding of the public health aspects, and to identify areas where additional research is required. A general overview of the total symposium content is presented with emphasis on the relationship of the topics to public health. (author)

Improved animal welfare, the right technology and increased business.

Science.gov (United States)

Støier, S; Larsen, H D; Aaslyng, M D; Lykke, L

2016-10-01

Animal welfare is receiving increasing attention from the authorities, the public and NGOs. For this reason, the improvement of animal welfare and animal handling systems is of the utmost importance for the meat industry. Technological developments have led to more animal friendly systems that handle animals on the day of slaughter, and these developments will be even more important as consideration for animal welfare and sustainability is no longer just a trend but a licence to operate. Improvement of animal welfare also leads to a higher value of the carcasses due to higher product quality, less cut-off caused by fewer injuries, and reduced working load, which leads to increased business opportunities. Therefore, good animal welfare is good business, and the development and implementation of new technology is the way to obtain improved animal welfare. These subjects will be addressed using examples and cases from the pork and broiler production industry. Copyright © 2016 Elsevier Ltd. All rights reserved.

From welfare states to welfare sectors: Explaining sectoral differences in occupational pensions with economic and political power of employees.

Science.gov (United States)

Wiß, Tobias

2015-12-01

Studies analysing welfare have previously focused on countries as units. In the course of pension cuts and the increasing importance of occupational welfare, our traditional understanding of a homogeneous welfare state is being challenged. In this article, I distinguish between both economic individual power (employee skills) and political collective power (trade unions), and their relation with different occupational pensions. A combined analysis by both factors is not common, where employee skills and power resources are traditionally treated as separate, rival explanations of public welfare. Combining the 'method of difference' with the 'method of agreement', the article first presents the within-country variety of occupational pensions in Germany, Italy, the United Kingdom and Denmark. Occupational pensions in the same economic sectors across countries are then used as the units of analysis in order to illustrate the plausible determinants of economic individual power and political collective power.

Gambling and the Health of the Public: Adopting a Public Health Perspective.

Science.gov (United States)

Korn, David A.; Shaffer, Howard J.

1999-01-01

During the last decade there has been an unprecedented expansion of legalized gambling throughout North America. Three primary forces appear to be motivating this growth: (1) the desire of governments to identify new sources of revenue without invoking new or higher taxes; (2) tourism entrepreneurs developing new destinations for entertainment and leisure; and (3) the rise of new technologies and forms of gambling (e.g., video lottery terminals, powerball mega-lotteries, and computer offshore gambling). Associated with this phenomenon, there has been an increase in the prevalence of problem and pathological gambling among the general adult population, as well as a sustained high level of gambling-related problems among youth. To date there has been little dialogue within the public health sector in particular, or among health care practitioners in general, about the potential health impact of gambling or gambling-related problems. This article encourages the adoption of a public health perspective towards gambling. More specifically, this discussion has four primary objectives:1. Create awareness among health professionals about gambling, its rapid expansion and its relationship with the health care system;2. Place gambling within a public health framework by examining it from several perspectives, including population health, human ecology and addictive behaviors;3. Outline the major public health issues about how gambling can affect individuals, families and communities;4. Propose an agenda for strengthening policy, prevention and treatment practices through greater public health involvement, using the framework of The Ottawa Charter for Health Promotion as a guide.By understanding gambling and its potential impacts on the public's health, policy makers and health practitioners can minimize gambling's negative impacts and appreciate its potential benefits.

Animal welfare impact assessments

DEFF Research Database (Denmark)

Sandøe, Peter; Gamborg, Christian

2017-01-01

aimed at dealing with wild animals. McCulloch and Reiss argue that this could be remedied by means of a “mandatory application of formal and systematic Animal Welfare Impact Assessment (AWIA)”. Optimistically, they consider that an AWIA could help to resolve controversies involving wild animals. The aim...... is a welfare issue. Furthermore, we argue that AWIA is unlikely to prevent serious moral disagreements over how to weigh concerns about wild animals against priorities in human health, the health of domestic and farm animals, and biodiversity, but that it may nonetheless serve to limit harms imposed......Control of wild animals may give rise to controversy, as is seen in the case of badger control to manage TB in cattle in the UK. However, it is striking that concerns about the potential suffering of the affected animals themselves are often given little attention or completely ignored in policies...

Welfare-to-work interventions and their effects on the mental and physical health of lone parents and their children

Science.gov (United States)

Gibson, Marcia; Thomson, Hilary; Banas, Kasia; Lutje, Vittoria; McKee, Martin J; Martin, Susan P; Fenton, Candida; Bambra, Clare; Bond, Lyndal

2018-01-01

Background Lone parents in high-income countries have high rates of poverty (including in-work poverty) and poor health. Employment requirements for these parents are increasingly common. 'Welfare-to-work' (WtW) interventions involving financial sanctions and incentives, training, childcare subsidies and lifetime limits on benefit receipt have been used to support or mandate employment among lone parents. These and other interventions that affect employment and income may also affect people's health, and it is important to understand the available evidence on these effects in lone parents. Objectives To assess the effects of WtW interventions on mental and physical health in lone parents and their children living in high-income countries. The secondary objective is to assess the effects of welfare-to-work interventions on employment and income. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE Ovid, Embase Ovid, PsycINFO EBSCO, ERIC EBSCO, SocINDEX EBSCO, CINAHL EBSCO, Econlit EBSCO, Web of Science ISI, Applied Social Sciences Index and Abstracts (ASSIA) via Proquest, International Bibliography of the Social Sciences (IBSS) via ProQuest, Social Services Abstracts via Proquest, Sociological Abstracts via Proquest, Campbell Library, NHS Economic Evaluation Database (NHS EED) (CRD York), Turning Research into Practice (TRIP), OpenGrey and Planex. We also searched bibliographies of included publications and relevant reviews, in addition to many relevant websites. We identified many included publications by handsearching. We performed the searches in 2011, 2013 and April 2016. Selection criteria Randomised controlled trials (RCTs) of mandatory or voluntary WtW interventions for lone parents in high-income countries, reporting impacts on parental mental health, parental physical health, child mental health or child physical health. Data collection and analysis One review author extracted data using a standardised extraction

Development of an online tool for public health: the European Public Health Law Network.

Science.gov (United States)

Basak, P

2011-09-01

The European Public Health Law Network was established in 2007 as part of the European Union (EU) co-funded Public Health Law Flu project. The aims of the website consisted of designing an interactive network of specialist information and encouraging an exchange of expertise amongst members. The website sought to appeal to academics, public health professionals and lawyers. The Public Health Law Flu project team designed and managed the website. Registered network members were recruited through publicity, advertising and word of mouth. Details of the network were sent to health organizations and universities throughout Europe. Corresponding website links attracted many new visitors. Publications, news, events and a pandemic glossary became popular features on the site. Although the website initially focused only on pandemic diseases it has grown into a multidisciplinary website covering a range of public health law topics. The network contains over 700 publications divided into 28 public health law categories. News, events, front page content, legislation and the francophone section are updated on a regular basis. Since 2007 the website has received over 15,000 views from 156 countries. Newsletter subscribers have risen to 304. There are now 723 followers on the associated Twitter site. The European Public Health Law Network has been a successful and innovative site in the area of public health law. Interest in the site continues to grow. Future funding can contribute to a bigger site with interactive features and pages in a wider variety of languages to attract a wider global audience. Copyright © 2011 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Public Health's Falling Share of US Health Spending.

Science.gov (United States)

Himmelstein, David U; Woolhandler, Steffie

2016-01-01

We examined trends in US public health expenditures by analyzing historical and projected National Health Expenditure Accounts data. Per-capita public health spending (inflation-adjusted) rose from $39 in 1960 to $281 in 2008, and has fallen by 9.3% since then. Public health's share of total health expenditures rose from 1.36% in 1960 to 3.18% in 2002, then fell to 2.65% in 2014; it is projected to fall to 2.40% in 2023. Public health spending has declined, potentially undermining prevention and weakening responses to health inequalities and new health threats.

76 FR 27335 - Laboratory Animal Welfare: Proposed Adoption and Implementation of the Eighth Edition of the...

Science.gov (United States)

2011-05-11

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Laboratory Animal Welfare...: Office of Laboratory Animal Welfare, Office of Extramural Research, National Institutes of Health, RKL1... Animal Welfare Act and other Federal statutes and regulations relating to animal activities. The PHS...

Transportation and public health.

Science.gov (United States)

Litman, Todd

2013-01-01

This article investigates various ways that transportation policy and planning decisions affect public health and better ways to incorporate public health objectives into transport planning. Conventional planning tends to consider some public health impacts, such as crash risk and pollution emissions measured per vehicle-kilometer, but generally ignores health problems resulting from less active transport (reduced walking and cycling activity) and the additional crashes and pollution caused by increased vehicle mileage. As a result, transport agencies tend to undervalue strategies that increase transport system diversity and reduce vehicle travel. This article identifies various win-win strategies that can help improve public health and other planning objectives.

Heaoluühiskond kui luterluse tagajärg: Welfare Society as a Consequence of Lutheranism

DEFF Research Database (Denmark)

Põder, Johann-Christian

2018-01-01

Essay on Max Weber, Calvinism and Capitalism, Lutheranism and the modern Welfare State Opinion Section of the Estonian Public Broadcasting/TV......Essay on Max Weber, Calvinism and Capitalism, Lutheranism and the modern Welfare State Opinion Section of the Estonian Public Broadcasting/TV...

Public health systems under attack in Canada: Evidence on public health system performance challenges arbitrary reform.

Science.gov (United States)

Guyon, Ak'ingabe; Perreault, Robert

2016-10-20

Public health is currently being weakened in several Canadian jurisdictions. Unprecedented and arbitrary cuts to the public health budget in Quebec in 2015 were a striking example of this. In order to support public health leaders and citizens in their capacity to advocate for evidence-informed public health reforms, we propose a knowledge synthesis of elements of public health systems that are significantly associated with improved performance. Research consistently and significantly associates four elements of public health systems with improved productivity: 1) increased financial resources, 2) increased staffing per capita, 3) population size between 50,000 and 500,000, and 4) specific evidence-based organizational and administrative features. Furthermore, increased financial resources and increased staffing per capita are significantly associated with improved population health outcomes. We contend that any effort at optimization of public health systems should at least be guided by these four evidence-informed factors. Canada already has existing capacity in carrying out public health systems and services research. Further advancement of our academic and professional expertise on public health systems will allow Canadian public health jurisdictions to be inspired by the best public health models and become stronger advocates for public health's resources, interventions and outcomes when they need to be celebrated or defended.

The implications of a feelings-based approach to fish welfare

DEFF Research Database (Denmark)

Huntingford, Felicity; Adams, Colin; Braithwaite, Victoria A.

2007-01-01

on this topic, Arlinghaus et al. (2007) explore the question of fish welfare in the particular context of recreational angling, by means of a critique of a review of fish welfare in general written by ourselves (Huntingford et al. 2006). We entirely agree with the desirability of debate on this topic...... and recognize a number of valuable qualities in the commentary by Arlinghaus et al. However, we argue that the critique has some serious flaws. In the first place, by rejecting a feelings-based approach to welfare, it fails to address the aspect of welfare that is at the heart of much legitimate public concern...

Ensuring due process in the IACUC and animal welfare setting: considerations in developing noncompliance policies and procedures for institutional animal care and use committees and institutional officials.

Science.gov (United States)

Hansen, Barbara C; Gografe, Sylvia; Pritt, Stacy; Jen, Kai-Lin Catherine; McWhirter, Camille A; Barman, Susan M; Comuzzie, Anthony; Greene, Molly; McNulty, Justin A; Michele, Daniel Eugene; Moaddab, Naz; Nelson, Randall J; Norris, Karen; Uray, Karen D; Banks, Ron; Westlund, Karin N; Yates, Bill J; Silverman, Jerald; Hansen, Kenneth D; Redman, Barbara

2017-10-01

Every institution that is involved in research with animals is expected to have in place policies and procedures for the management of allegations of noncompliance with the Animal Welfare Act and the U.S. Public Health Service Policy on the Humane Care and Use of Laboratory Animals. We present here a model set of recommendations for institutional animal care and use committees and institutional officials to ensure appropriate consideration of allegations of noncompliance with federal Animal Welfare Act regulations that carry a significant risk or specific threat to animal welfare. This guidance has 3 overarching aims: 1 ) protecting the welfare of research animals; 2 ) according fair treatment and due process to an individual accused of noncompliance; and 3 ) ensuring compliance with federal regulations. Through this guidance, the present work seeks to advance the cause of scientific integrity, animal welfare, and the public trust while recognizing and supporting the critical importance of animal research for the betterment of the health of both humans and animals.-Hansen, B. C., Gografe, S., Pritt, S., Jen, K.-L. C., McWhirter, C. A., Barman, S. M., Comuzzie, A., Greene, M., McNulty, J. A., Michele, D. E., Moaddab, N., Nelson, R. J., Norris, K., Uray, K. D., Banks, R., Westlund, K. N., Yates, B. J., Silverman, J., Hansen, K. D., Redman, B. Ensuring due process in the IACUC and animal welfare setting: considerations in developing noncompliance policies and procedures for institutional animal care and use committees and institutional officials. © FASEB.

Transitions in state public health law: comparative analysis of state public health law reform following the Turning Point Model State Public Health Act.

Science.gov (United States)

Meier, Benjamin Mason; Hodge, James G; Gebbie, Kristine M

2009-03-01

Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and state case studies, we investigated how the Turning Point Act's model legal language has been considered for incorporation into state law and analyzed key facilitating and inhibiting factors for public health law reform. Our findings provide the practice community with a research base to facilitate further law reform and inform future scholarship on the role of law as a determinant of the public's health.

Health and innovation: economic dynamics and Welfare State in Brazil

Directory of Open Access Journals (Sweden)

Carlos Augusto Grabois Gadelha

Full Text Available Abstract: The effective enforcement of the access to healthcare as fundamental right requires an important theoretical and political effort at linking the often contradictory economic and social dimensions of development. This study suggests the need for a systemic view of policies related to the industrial base and innovation in health and the construction of the Brazilian Unified National Health System (SUS. The authors investigate the relations between health, innovation, and development, seeking to show and update the political, economic, and social determinants of the recent Brazilian experience with the Health Economic-Industrial Complex (HEIC. They discuss how the agenda for innovation and domestic industrial production in health gained a central place in the project for construction of the SUS. The article thus seeks to link inherent issues from the agenda for development, production, and innovation to social policy in healthcare, as observed in recent years, and based on this analysis, points to political and conceptual challenges for implementing the SUS, especially as regards strengthening its technological and industrial base. As a byproduct, the article develops an analytical and factual focus on the consolidation of the HEIC in Brazil, both as a dynamic vector of industrial development, generating investment, income, employment, and innovations, and as a decisive element for reducing vulnerability and structural dependence in health. The authors aim to show that strengthening the SUS and orienting it to social needs is an essential part of building a social Welfare State in Brazil.

45 CFR 1355.52 - Funding authority for statewide automated child welfare information systems (SACWIS).

Science.gov (United States)

2010-10-01

... welfare information systems (SACWIS). 1355.52 Section 1355.52 Public Welfare Regulations Relating to... welfare information systems (SACWIS). (a) States may receive Federal reimbursement at the 75 percent match... information system, to the extent such system: (1) Provides for the State to collect and electronically report...

Full- and part-time work: gender and welfare-type differences in European working conditions, job satisfaction, health status, and psychosocial issues.

Science.gov (United States)

Bartoll, Xavier; Cortès, Imma; Artazcoz, Lucía

2014-07-01

The aim of this study was to analyze the differences between full- and part-time employment (FTE and PTE) in terms of working conditions, on the one hand, and job satisfaction, health status, and work-related psychosocial problems according to gender and welfare state regime, on the other hand, and to analyze the role of working conditions in the association between PTE and FTE. This cross-sectional study was based on a sample of 7921 men and 8220 women from the European Working Conditions Survey aged 16-64 years, who were employed part-time (5-19 or 20-30 hours per week) or full-time (31-40 hours/week). Multiple logistic regression models were fitted separately for each gender and welfare state regime. PTE is associated with poorer working conditions than FTE for all national welfare types. Among women, only those in southern European countries experienced low job satisfaction [odds ratio after adjustment (OR adj) for sociodemographic variables, OR adj1.73, and 1.66, for those working 20-30 and 5-19 hours/week, respectively; reference group: FTE workers], but this association disappeared after further adjustment for working conditions. Low job satisfaction and poorer health status was more common among PTE men from continental (low job satisfaction, OR adj1.80 and 3.61, for 20-30 and 5-19 working hours/week, respectively), and southern European (OR adj, 2.98, for 5-19 working hours/week) countries. PTE tended to be associated with fewer psychosocial problems among women, but with more psychosocial problems among men in continental Europe and those those engaged in "mini-jobs" in southern European welfare regimes. The association between FTE and PTE and job satisfaction, health status, and psychosocial problems is partly driven by working conditions and differs between gender and welfare regime. This highlights the importance of promoting effective measures to ensure equal treatment between FTE and PTE workers and the role of the social norms that form part of

Disability and the Worlds of Welfare Capitalism

Directory of Open Access Journals (Sweden)

Rourke O’Brien

2015-01-01

Full Text Available A higher proportion of working- age persons receive disability assistance in the Nordic countries and the Netherlands than in other European countries. Whereas current research emphasizes the connection between disability assistance and rates of labor force exit, to date there has been no exploration of how welfare state context influences individual self-reported disability. Using nationally representative data from 15 countries (n = 88, 478, I find that residents of generous welfare states are significantly more likely to report a disability net of self-reported health, sociodemographic, and labor force characteristics and, notably, that this association extends to younger and more educated workers. I argue that welfare state context may directly shape what it means to be disabled, which may have consequences for evaluations of welfare state performance and social exclusion.

Welfare Comparison of Leader-Follower Models in a Mixed Duopoly

Directory of Open Access Journals (Sweden)

Aiyuan Tao

2013-01-01

Full Text Available In the standard leader-follower duopoly models with otherwise symmetric firms, the market outcome and total welfare are the same whichever firm is the leader. This paper studies and compares total welfare in a sequential-move mixed duopoly when either the public firm or the private firm acts as the leader. It is found that the fact that which firm is the leader affects total welfare and that whether firms compete in quantity or price also affects the optimal choice of market leader.

45 CFR 1370.5 - Public information campaign grants.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Public information campaign grants. 1370.5 Section 1370.5 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT... VIOLENCE PREVENTION AND SERVICES PROGRAMS § 1370.5 Public information campaign grants. Each grantee awarded...

Educating the future public health workforce: do schools of public health teach students about the private sector?

Science.gov (United States)

Rutkow, Lainie; Traub, Arielle; Howard, Rachel; Frattaroli, Shannon

2013-01-01

Recent surveys indicate that approximately 40% of graduates from schools of public health are employed within the private sector or have an employer charged with regulating the private sector. These data suggest that schools of public health should provide curricular opportunities for their students--the future public health workforce--to learn about the relationship between the private sector and the public's health. To identify opportunities for graduate students in schools of public health to select course work that educates them about the relationship between the private sector and public health. We systematically identified and analyzed data gathered from publicly available course titles and descriptions on the Web sites of accredited schools of public health. Data were collected in the United States. The sample consisted of accredited schools of public health. Descriptions of the number and types of courses that schools of public health offer about the private sector and identification of how course descriptions frame the private sector relative to public health. We identified 104 unique courses with content about the private sector's relationship to public health. More than 75% of accredited schools of public health offered at least 1 such course. Nearly 25% of identified courses focused exclusively on the health insurance industry. Qualitative analysis of the data revealed 5 frames used to describe the private sector, including its role as a stakeholder in the policy process. Schools of public health face a curricular gap, with relatively few course offerings that teach students about the relationship between the private sector and the public's health. By developing new courses or revising existing ones, schools of public health can expose the future public health workforce to the varied ways public health professionals interact with the private sector, and potentially influence students' career paths.

Determinants of Attitude toward the Public Health Spending and Its Relationship with Voting Behavior in the 2012 South Korean Presidential Election.

Directory of Open Access Journals (Sweden)

Sang Jun Eun

Full Text Available This study aimed to identify the factors influencing South Korean voters' attitudes towards increasing public expenditure on health and to identify whether the issue of healthcare expenditure influenced candidate choice in the 2012 Korean presidential election. The study used the data from a survey conducted by the Institute of Korean Politics at Seoul National University immediately following the 2012 presidential election. The survey was completed by a nationwide sample of 1,200 people aged 19 or over using a face-to-face interview method and proportional quota sampling based on sex, age, and region. About 44.3% of respondents had a positive attitude toward increasing public health expenditure. There was no significant difference by the candidate they supported (conservative Park Geun-hye or liberal Moon Jae-in. In particular, even 44.9% of conservative supporters agreed with more spending. Politically neutral respondents (OR = 1.76, 90% CI 1.22-2.54 and strong conservative party supporters (OR = 1.53, 90% CI 1.05-2.25 were more likely to support public health expenditure increase compared to strong liberal party supporters. Also, respondents who believed that the economic gap in the country was widening were 1.91 times more likely to support an increase in public health expenditures. However, the issue of health expenditure had no influence on voters' choice of presidential candidates, and in particular no negative effect of choice of the ruling (conservative party's candidate. Our results should be interpreted with care; one possible reason for this lack of effect might be that constituents voted along partisan lines regardless of their attitude to the welfare issue; another possible explanation might be the success of the "left click strategy" of the conservative party. That is, the conservatives did not reject economic democratization or social welfare expansion. Further research should be done to explain why attitudes to health spending

Determinants of Attitude toward the Public Health Spending and Its Relationship with Voting Behavior in the 2012 South Korean Presidential Election.

Science.gov (United States)

Eun, Sang Jun; Lee, Jin Yong; Jung, Hye-Min; Lee, Jin-Seok

2016-01-01

This study aimed to identify the factors influencing South Korean voters' attitudes towards increasing public expenditure on health and to identify whether the issue of healthcare expenditure influenced candidate choice in the 2012 Korean presidential election. The study used the data from a survey conducted by the Institute of Korean Politics at Seoul National University immediately following the 2012 presidential election. The survey was completed by a nationwide sample of 1,200 people aged 19 or over using a face-to-face interview method and proportional quota sampling based on sex, age, and region. About 44.3% of respondents had a positive attitude toward increasing public health expenditure. There was no significant difference by the candidate they supported (conservative Park Geun-hye or liberal Moon Jae-in). In particular, even 44.9% of conservative supporters agreed with more spending. Politically neutral respondents (OR = 1.76, 90% CI 1.22-2.54) and strong conservative party supporters (OR = 1.53, 90% CI 1.05-2.25) were more likely to support public health expenditure increase compared to strong liberal party supporters. Also, respondents who believed that the economic gap in the country was widening were 1.91 times more likely to support an increase in public health expenditures. However, the issue of health expenditure had no influence on voters' choice of presidential candidates, and in particular no negative effect of choice of the ruling (conservative) party's candidate. Our results should be interpreted with care; one possible reason for this lack of effect might be that constituents voted along partisan lines regardless of their attitude to the welfare issue; another possible explanation might be the success of the "left click strategy" of the conservative party. That is, the conservatives did not reject economic democratization or social welfare expansion. Further research should be done to explain why attitudes to health spending did not directly

EFSA Panel on Animal Health and Welfare (AHAW); Scientific Opinion on foot-and-mouth disease in Thrace

DEFF Research Database (Denmark)

Bøtner, Anette; Thulke, Hans-Hermann; Salman, Mo

Following a request from the Commission, the Panel on Animal Health and Welfare was asked to deliver a Scientific Opinion on: 1) the expected prevalence (design prevalence) under different circumstances, and, 2) an updated scientific assessment of the size of the relevant geographical area...

Ready, Set, Go ... Again: Renewing an Academy-Agency Child Welfare Partnership

Science.gov (United States)

Pierce, Barbara; McGuire, Lisa E.; Howes, Patricia

2015-01-01

This article presents a case study of the renewed partnership between a midwestern public child welfare agency and a midwestern university school of social work. The partnership, which includes educating BSW and MSW students, preparing frontline child welfare case managers, and providing leadership training for supervisors and managers,…

45 CFR 63.38 - Publications.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Publications. 63.38 Section 63.38 Public Welfare... THE ASSISTANT SECRETARY FOR PLANNING AND EVALUATION Special Provisions § 63.38 Publications. Any publication or presentation resulting from or primarily related to Federal financial assistance under this...

Child Welfare Outcomes Data Portal

Data.gov (United States)

U.S. Department of Health & Human Services — The most current Child Welfare Outcomes data is featured on this site. Through the site, you can view the data before the full report is published. The most recently...

Why Do People Work in Public Health? Exploring Recruitment and Retention Among Public Health Workers.

Science.gov (United States)

Yeager, Valerie A; Wisniewski, Janna M; Amos, Kathleen; Bialek, Ron

2016-01-01

The public health workforce is critical to the functioning of the public health system and protection of the population's health. Ensuring a sufficient workforce depends on effectively recruiting and retaining workers. This study examines factors influencing decisions to take and remain in jobs within public health, particularly for workers employed in governmental public health. This cross-sectional study employed a secondary data set from a 2010 national survey of US public health workers. Survey respondents were included in this study if they responded to at least 1 survey item related to recruitment and retention. A total of 10 859 survey responses fit this criterion. Data examined demographics of public health workers and factors that influenced decisions to take jobs in and remain in public health. Job security (β = 0.42; 95% confidence interval [CI], 0.28-0.56) and competitive benefits (β = 0.49; 95% CI, 0.28-0.70) were significantly and positively associated with governmental employees' decisions to take positions with their current employers compared with public health workers employed by other types of organizations. The same finding held with regard to retention: job security (β = 0.40; 95% CI, 0.23-0.57) and competitive benefits (β = 0.53; 95% CI, 0.24-0.83). Two personal factors, personal commitment to public service (β = 0.30; 95% CI, 0.17-0.42) and wanted a job in the public health field (β = 0.44; 95% CI, 0.18-0.69), were significantly and positively related to governmental employees deciding to remain with their current employers. It is important to recognize the value of competitive benefits for both current and potential employees. Public health agencies should maintain these if possible and make the value of these benefits known to policy makers or other agencies setting these benefit policies. Job security associated with governmental public health jobs also appears to offer public health an advantage in recruiting and retaining employees.

Neoliberalism and the recommodification of health inequalities: A case study of the Swedish welfare state 1980 to 2011.

Science.gov (United States)

Farrants, Kristin; Bambra, Clare

2018-02-01

This paper examines the effects of neoliberalism on health inequalities through an empirical examination of the recommodification of the social determinants of health. It uses a detailed case study of changes to three specific welfare policy domains in Sweden: unemployment, healthcare, and pensions. Using time series data from the repeat cross-sectional Swedish Living Conditions Survey for 1980-2011, it examines: (1) the effects of reductions in the replacement rate value of unemployment benefit on inequalities in self-reported general health between the employed and the unemployed; (2) the effects of reductions in the replacement rate value of pensions on educational inequalities in self-reported general health among pensioners; and (3) the effects of the increase in user charges on inequalities in having visited a doctor in the past 3 months by educational level. The results suggest mixed effects of welfare state recommodification on health inequalities: inequalities increased between the Swedish employed and unemployed, yet they did not increase in the retired population, and inequalities in access to healthcare also remained steady during the study period. The paper concludes that the association between recommodification and health inequalities in Sweden is stronger regarding unemployment benefits than pensions or healthcare, and that this may relate to the stigmatisation of the unemployed.

Public mental health.

Science.gov (United States)

Lindert, Jutta; Bilsen, Johan; Jakubauskiene, Marija

2017-10-01

Public mental health (PMH) is a major challenge for public health research and practice. This article is organized in six parts. First, we will highlight the significance of PMH; second, we will define mental health and mental disorders; third, we identify and describe determinants of mental health and mental disorders on which we worked in the past 10 years since the establishment of the PMH section such as social determinants and violence. Fourth, we will describe the development of the EUPHA PMH section and provide details on vulnerable groups in the field of PMH, on violence as a main determinant and on suicide as an outcome which affects all countries in the European region. Fifth, we describe policy and practice implications of the development of PMH and highlight the European dimension of PMH. We will conclude this article by providing an outlook on potential further development of PMH as regards research and policy and practice. Finally, we hope that the EUPHA PMH section will contribute to public health in the next 25 years and we can contribute to improvement of PMH in Europe. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Social media in public health.

Science.gov (United States)

Kass-Hout, Taha A; Alhinnawi, Hend

2013-01-01

While social media interactions are currently not fully understood, as individual health behaviors and outcomes are shared online, social media offers an increasingly clear picture of the dynamics of these processes. Social media is becoming an increasingly common platform among clinicians and public health officials to share information with the public, track or predict diseases. Social media can be used for engaging the public and communicating key public health interventions, while providing an important tool for public health surveillance. Social media has advantages over traditional public health surveillance, as well as limitations, such as poor specificity, that warrant additional study. Social media can provide timely, relevant and transparent information of public health importance; such as tracking or predicting the spread or severity of influenza, west nile virus or meningitis as they propagate in the community, and, in identifying disease outbreaks or clusters of chronic illnesses. Further work is needed on social media as a valid data source for detecting or predicting diseases or conditions. Also, whether or not it is an effective tool for communicating key public health messages and engaging both, the general public and policy-makers.

Intergenerational Justice Perceptions and the Role of Welfare Regimes

DEFF Research Database (Denmark)

Sabbagh, Clara; Vanhuysse, Pieter

2010-01-01

, different welfare regimes structure young people's perceptions of the justness of public resources transfers from young to elderly age-groups and (2) the perceived relative contributions and rewards of various age-groups. Thus we inquire about both the perceived support in principle and about the perceived...... justness of actual outcomes of resource transfers between age-groups. We find that support of transfers from the young to the old is higher in social-democratic and conservative welfare regimes than in liberal and radical regimes. Support of resource transfers also correlates positively with a 'welfare......-statist' ideological frame (the endorsement of egalitarian redistribution and broad state responsibility for welfare provision and the attribution of social inequality to external causes), and negatively with a 'market-based' frame (individualism, a work ethic, and internal attribution). Regarding actual outcomes...

Work or welfare after cancer? Explorations of identity and stigma.

Science.gov (United States)

Moffatt, Suzanne; Noble, Emma

2015-11-01

With increasing numbers of people living with cancer, a greater focus is required on the social consequences of the disease. This article explores the connections between cancer and employment and the constraints imposed by ill health and wider structural conditions. Narrative data from 23 people of working age with cancer in north-east England collected longitudinally over 16 months highlight the impact of financial strain caused by temporary or permanent interruption to employment, and the positive benefits of an upstream welfare rights intervention in enabling participants to claim benefit entitlements and boost incomes. Returning to work, for those who were able, helped repair the disruption caused by the illness. For those unable to work, reliance on welfare benefits, while necessary, conferred a stigmatised identity that compounded the disruption wrought by cancer. While stigma occurs at the individual level, the structural dimensions of stigma need to be acknowledged in order to analyse the forces that cause, maintain and perpetuate the stigma associated with claiming welfare while ill. We conclude that current UK policies and welfare reforms to reduce sickness-related welfare claims will lead to greater hardship during periods of ill health and increase inequalities. © 2015 Foundation for the Sociology of Health & Illness.

Interagency task force on the health effects of ionizing radiation: report of the work group on public information

International Nuclear Information System (INIS)

1979-06-01

The health effects of ionizing radiation recently have been the focus of increased public concern. In response to this concern, in a May 9, 1978, memorandum the White House requested the Secretary of Health, Education, and Welfare to coordinate an interagency program that would, among other things, ensure public awareness and knowledge of the health effects of ionizing radiation. As a result, the Interagency Task Force on Ionizing Radiation was formed. The Information Work Group of the Task Force was asked to outline a public information program to meet the needs of the general public, the health and scientific community, workers, and other persons exposed to low levels of ionizing radiation in the past and at present or who may be exposed in the future. The Work Group is composed of 16 members, each representing an agency participating on the Interagency Task Force on Ionizing Radiation. The Work Group members used the draft Reports of the Science Work Group, the Radiation Exposure Reduction Work Group, the Care and Benefits Work Group, and the Privacy Work Group as a basis for developing the Information Report. In addition, the Information Work Group conducted a preliminary review of existing federal information programs. Meetings were held with representatives of environmental and trade groups, unions, and professional societies to help define the dimensions and priorities of a public information program

Do Changes in Welfare and Health Policy Affect Life Satisfaction of Older Citizens in Europe?

Science.gov (United States)

Olaroiu, Marinela; Alexa, Ioana Dana; van den Heuvel, Wim J A

2017-01-01

Ageing of societies causes serious political concerns on well-being of old citizens and care for the (frail) old. These concerns increased with the economic crisis of 2008. In European countries policy measures were taken to deal with the consequences of this crisis. This study explores the possible effects of these measures on life satisfaction of older citizens. Life satisfaction was assessed through international surveys in 2007 and 2013 and changes in societal conditions, using eight indicators on demography, welfare, and health, are assessed in 31 European countries in 2006 and in 2014. Data are standardised and based on official, national surveys and statistics. The former found that U-shape relationship between age and life satisfaction disappeared after the crisis. Negative changes in social protection and care arrangements, taken after the economic crisis, are related to low life satisfaction in old citizens. Various societal conditions deteriorated in 2014 as compared to 2006. Policy measures, taken due to the 2008 economic crisis, have changed societal conditions and affected life satisfaction of older citizens negatively. In countries with a rudimentary structure of health and welfare provisions old citizens could not cope with the imposed policy measures.

Assessing the public health impact of using poison center data for public health surveillance.

Science.gov (United States)

Wang, Alice; Law, Royal; Lyons, Rebecca; Choudhary, Ekta; Wolkin, Amy; Schier, Joshua

2017-12-13

The National Poison Data System (NPDS) is a database and surveillance system for US poison centers (PCs) call data. The Centers for Disease Control and Prevention (CDC) and American Association of Poison Control Centers (AAPCC) use NPDS to identify incidents of potential public health significance. State health departments are notified by CDC of incidents identified by NPDS to be of potential public health significance. Our objective was to describe the public health impact of CDC's notifications and the use of NPDS data for surveillance. We described how NPDS data informed three public health responses: the Deepwater Horizon incident, national exposures to laundry detergent pods, and national exposures to e-cigarettes. Additionally, we extracted survey results of state epidemiologists regarding NPDS incident notification follow-up from 1 January 2015 to 31 December 2016 to assess current public health application of NPDS data using Epi Info 7.2 and analyzed data using SAS 9.3. We assessed whether state health departments were aware of incidents before notification, what actions were taken, and whether CDC notifications contributed to actions. NPDS data provided evidence for industry changes to improve laundry detergent pod containers safety and highlighted the need to regulate e-cigarette sale and manufacturing. NPDS data were used to improve situational awareness during the 2010 Deepwater Horizon oil spill. Of 59 health departments and PCs who responded to CDC notifications about anomalies (response rate = 49.2%), 27 (46%) reported no previous awareness of the incident, and 20 (34%) said that notifications contributed to public health action. Monitoring NPDS data for anomalies can identify emerging public health threats and provide evidence-based science to support public health action and policy changes.

[Animal welfare and corporate welfare in pharmaceutical R&D - the future of third-party assessment].

Science.gov (United States)

Suzuki, Makoto

For research and development (R&D) of new drugs, animal experimentation is indispensable, and research institutes, pharmaceutical companies, or contract research organizations routinely conduct preclinical studies of efficacy, safety, or metabolism using laboratory animals. However, animal experimentation entails some organizational risks. One is the suspension of R&D of a new drug, because in the course of clinical studies it becomes apparent that the drug has limited efficacy, unexpected side effects, and/or unexpected metabolites. Another risk is damage to the company image by development of an unfavorable reputation. Society has accepted animal experimentation as a necessary evil, but if such experimentation is not conducted with adequate concern for animal welfare, social sanctions will against that institute, company or organization will result. Once this happens, it is difficult to recover a good public image. Therefore, pharmaceutical companies must conduct animal experiments so as to obtain highly useful data without sacrificing public favor. One way to maintain a good reputation is through third-party accreditation, which verifies that the institute, company or organization and its researchers value animal welfare appropriately.

Negotiating privacy in surveillant welfare relations

DEFF Research Database (Denmark)

Andersen, Lars Bo; Lauritsen, Peter; Bøge, Ask Risom

. However, while privacy is central to debates of surveillance, it has proven less productive as an analytical resource for studying surveillance in practice. Consequently, this paper reviews different conceptualisations of privacy in relation to welfare and surveillance and argues for strengthening...... the analytical capacity of the concept by rendering it a situated and relational concept. The argument is developed through a research and design project called Teledialogue meant to improve the relation between case managers and children placed at institutions or in foster families. Privacy in Teledialogue...... notion of privacy are discussed in relation to both research- and public debates on surveillance in a welfare setting....

Model to evaluate welfare in dairy cow farms

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Luigi Calamari

2010-01-01

model is important. In addition to considering its aim and the fact that a gold standard for animal welfare does not exist, it aids in identifying some widely accepted reference parameters which cannot be utilized in the field (i.e. ACTH challenge, immune system parameters, etc., but which can be utilized to validate the field models. A new model has been recently set up in our Institute, which is based on many environmental factors included into two clusters: life conditions and feeding. A further cluster considers the animal responses in general and to the previous factors; specific indicators of behavioural, physiological, performance and health type have been included in this last cluster.

The impact of globalization on public health: implications for the UK Faculty of Public Health Medicine.

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Lee, K

2000-09-01

There has been substantial discussion of globalization in the scholarly and popular press yet limited attention so far among public health professionals. This is so despite the many potential impacts of globalization on public health. Defining public health broadly, as focused on the collective health of populations requiring a range of intersectoral activities, globalization can be seen to have particular relevance. Globalization, in turn, can be defined as a process that is changing the nature of human interaction across a wide range of spheres and along at least three dimensions. Understanding public health and globalization in these ways suggests the urgent need for research to better understand the linkages between the two, and effective policy responses by a range of public health institutions, including the UK Faculty of Public Health Medicine. The paper is based on a review of secondary literature on globalization that led to the development of a conceptual framework for understanding potential impacts on the determinants of health and public health. The paper then discusses major areas of public health in relation to these potential impacts. It concludes with recommendations on how the UK Faculty of Public Health Medicine might contribute to addressing these impacts through its various activities. Although there is growing attention to the importance of globalization to public health, there has been limited research and policy development in the United Kingdom. The UK Faculty of Public Health Medicine needs to play an active role in bringing relevant issues to the attention of policy makers, and encourage its members to take up research, teaching and policy initiatives. The potential impacts of globalization support a broader understanding and practice of public health that embraces a wide range of health determinants.

76 FR 17423 - Laboratory Animal Welfare: Proposed Adoption and Implementation of the Eighth Edition of the...

Science.gov (United States)

2011-03-29

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Laboratory Animal Welfare... available. FOR FURTHER INFORMATION CONTACT: Office of Laboratory Animal Welfare, Office of Extramural... Animal Welfare Act and other Federal statutes and regulations relating to animal activities. The PHS...

The public health leadership certificate: a public health and primary care interprofessional training opportunity.

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Matson, Christine C; Lake, Jeffrey L; Bradshaw, R Dana; Matson, David O

2014-03-01

This article describes a public health leadership certificate curriculum developed by the Commonwealth Public Health Training Center for employees in public health and medical trainees in primary care to share didactic and experiential learning. As part of the program, trainees are involved in improving the health of their communities and thus gain a blended perspective on the effectiveness of interprofessional teams in improving population health. The certificate curriculum includes eight one-credit-hour didactic courses offered through an MPH program and a two-credit-hour, community-based participatory research project conducted by teams of trainees under the mentorship of health district directors. Fiscal sustainability is achieved by sharing didactic courses with MPH degree students, thereby enabling trainees to take advantage of a reduced, continuing education tuition rate. Public health employee and primary care trainees jointly learn knowledge and skills required for community health improvement in interprofessional teams and gain an integrated perspective through opportunities to question assumptions and broaden disciplinary approaches. At the same time, the required community projects have benefited public health in Virginia.

Pig producer perspectives on the use of meat inspection as an animal health and welfare diagnostic tool in the Republic of Ireland and Northern Ireland.

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Devitt, Catherine; Boyle, Laura; Teixeira, D L; O'Connell, N E; Hawe, M; Hanlon, Alison

2015-01-01

Currently, there is growing interest in developing ante and post mortem meat inspection (MI) to incorporate measures of pig health and welfare for use as a diagnostic tool on pig farms. However, the success of the development of the MI process requires stakeholder engagement with the process. Knowledge gaps and issues of trust can undermine the effective exchange and utilisation of information across the supply chain. A social science research methodology was employed to establish stakeholder perspectives towards the development of MI to include measures of pig health and welfare. In this paper the findings of semi-structured telephone interviews with 18 pig producers from the Republic of Ireland and Northern Ireland are presented. Producers recognised the benefit of the utilisation of MI data as a health and welfare diagnostic tool. This acknowledgment, however, was undermined for some by dissatisfaction with the current system of MI information feedback, by trust and fairness concerns, and by concerns regarding the extent to which data would be used in the producers' interests. Tolerance of certain animal welfare issues may also have a negative impact on how producers viewed the potential of MI data. The private veterinary practitioner was viewed as playing a vital role in assisting them with the interpretation of MI data for herd health planning. The development of positive relationships based on trust, commitment and satisfaction across the supply chain may help build a positive environment for the effective utilisation of MI data in improving pig health and welfare. The utilisation of MI as a diagnostic tool would benefit from the development of a communication strategy aimed at building positive relationships between stakeholders in the pig industry.

Developing an academia-based public health observatory: the new global public health observatory with emphasis on urban health at Johns Hopkins Bloomberg School of Public Health

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Carlos Castillo-Salgado

2015-11-01

Full Text Available Abstract Health observatories may differ according to their mission, institutional setting, topical emphasis or geographic coverage. This paper discusses the development of a new urban-focused health observatory, and its operational research and training infrastructure under the academic umbrella of the Department of Epidemiology and the Institute of Urban Health at the Johns Hopkins Bloomberg School of Public Health (BSPH in Baltimore, USA. Recognizing the higher education mission of the BSPH, the development of a new professional training in public health was an important first step for the development of this observatory. This new academia-based observatory is an innovative public health research and training platform offering faculty, investigators, professional epidemiology students and research partners a physical and methodological infrastructure for their operational research and training activities with both a local urban focus and a global reach. The concept of a public health observatory and its role in addressing social health inequalities in local urban settings is discussed.

Developing an academia-based public health observatory: the new global public health observatory with emphasis on urban health at Johns Hopkins Bloomberg School of Public Health.

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Castillo-Salgado, Carlos

2015-11-01

Health observatories may differ according to their mission, institutional setting, topical emphasis or geographic coverage. This paper discusses the development of a new urban-focused health observatory, and its operational research and training infrastructure under the academic umbrella of the Department of Epidemiology and the Institute of Urban Health at the Johns Hopkins Bloomberg School of Public Health (BSPH) in Baltimore, USA. Recognizing the higher education mission of the BSPH, the development of a new professional training in public health was an important first step for the development of this observatory. This new academia-based observatory is an innovative public health research and training platform offering faculty, investigators, professional epidemiology students and research partners a physical and methodological infrastructure for their operational research and training activities with both a local urban focus and a global reach. The concept of a public health observatory and its role in addressing social health inequalities in local urban settings is discussed.

The reoccurance of pre-welfare state poverty profiles in Denmark?

DEFF Research Database (Denmark)

Christensen, Anders Bøggild

. However immigrants and descendants are facing a pre-welfare state poverty risk profile with very high poverty rates among children, families and old age. In context the economical crisis has several consequences. One is regarding the possibilities to prevent poverty through increased public spending. Most...... forthcoming, AE 2009). My study based on public registered data on individual level of the city of Aarhus from 1983-2007 show very high and increasing poverty rates for immigrants and descendants. The pre-welfare state poverty risk situations such as old age and childhood are in general of no relevance...

Advances in dental public health.

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Holt, R D

2001-07-01

Dental public health has been defined as 'the science and art of preventing oral diseases, promoting oral health and improving the quality of life through the organised efforts of society'. Dental practitioners most often have the oral health of individual patients as their primary focus but the aim of public health is to benefit populations. Early developments in dental public health were concerned largely with demonstrating levels of disease and with treatment services. With greater appreciation of the nature of oral health and disease, and of their determinants has come recognition of the need for wider public health action if the effects of prevention and oral health promotion are to be maximized.

Health needs and public health functions addressed in scientific publications in Francophone sub-Saharan Africa.

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Benie-Bi, J; Cambon, L; Grimaud, O; Kivits, J; Alla, F

2013-09-01

To describe the reporting of public health research in Francophone sub-Saharan Africa (FSA). A bibliometric research study of scientific public health publications in FSA, which includes 24 countries and approximately 260 million people. Two researchers analysed original articles published in 2007 in the medical or social sciences fields and indexed in Scopus. At least one co-author of articles had to be based in FSA. The analysis focused on research field, public health function (WHO classification), FSA country author's affiliation, language, journal type and global burden of disease (WHO classification). Of 1047 articles retrieved by the search, 212 were from the public health field. The number of articles per country varied from 0 to 36. Public health functions examined were health service research (24.5%), health monitoring (27.4%), prevention (15%) and legislation (0.5%). The distribution of health needs described in the articles was close to that of the WHO data for Africa for 2004: infectious and parasitic diseases (70% vs 54%), maternal and perinatal conditions (15% vs 17%), non-communicable diseases (15.6% vs 21%), and injuries (0.5% vs 8%). The areas reported in published articles from sub-Saharan Africa reflect the health needs distribution in Africa; however, the number of publications is low, particularly for prevention. In light of the current focus on evidence-based public health, this study questions whether the international scientific community adequately considers the expertise and perspectives of African researchers and professionals. Copyright © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Ethical challenges with welfare technology: a review of the literature.

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Hofmann, Bjørn

2013-06-01

Demographical changes in high income counties will increase the need of health care services but reduce the number of people to provide them. Welfare technology is launched as an important measure to meet this challenge. As with all types of technologies we must explore its ethical challenges. A literature review reveals that welfare technology is a generic term for a heterogeneous group of technologies and there are few studies documenting their efficacy, effectiveness and efficiency. Many kinds of welfare technology break with the traditional organization of health care. It introduces technology in new areas, such as in private homes, and it provides new functions, e.g. offering social stimuli and entertainment. At the same time welfare technology is developed for groups that traditionally have not been extensive technology users. This raises a series of ethical questions with regard to the development and use of welfare technologies, which are presented in this review. The main challenges identified are: (1) Alienation when advanced technology is used at home, (2) conflicting goals, as welfare technologies have many stakeholders with several ends, (3) respecting confidentiality and privacy when third-party actors are involved, (4) guaranteeing equal access and just distribution, and (5) handling conflicts between instrumental rationality and care in terms of respecting dignity and vulnerability. Addressing these issues is important for developing and implementing welfare technologies in a morally acceptable manner.

Public health against a centralized state: institutions and welfare services in the province of Mendoza during the first Peronism

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Ivana Hirschegger

2016-10-01

Full Text Available This research analyzes the state action in public health during the first Peronism and engages on some factors that determined the success or failure of policies at provincial level. The work also refers , through concrete examples , to smaller territorial units such as municipalities , while application areas of public policy or executors of them. Some of the questions that were attempted to answer what extent the new changes in the state structure were accompanied by concrete actions that have a bearing on the living conditions of the population? What obstacles limited government action? the realization of public works will be included in this analysis by the state , staff in charge , as well as investments in other resources necessary for adequate medical care.

Assessing entrepreneurship in governmental public health.

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Jacobson, Peter D; Wasserman, Jeffrey; Wu, Helen W; Lauer, Johanna R

2015-04-01

We assessed the feasibility and desirability of public health entrepreneurship (PHE) in governmental public health. Using a qualitative case study approach with semistructured interview protocols, we conducted interviews between April 2010 and January 2011 at 32 local health departments (LHDs) in 18 states. Respondents included chief health officers and senior LHD staff, representatives from national public health organizations, health authorities, and public health institutes. Respondents identified PHE through 3 overlapping practices: strategic planning, operational efficiency, and revenue generation. Clinical services offer the strongest revenue-generating potential, and traditional public health services offer only limited entrepreneurial opportunities. Barriers include civil service rules, a risk-averse culture, and concerns that PHE would compromise core public health values. Ongoing PHE activity has the potential to reduce LHDs' reliance on unstable general public revenues. Yet under the best of circumstances, it is difficult to generate revenue from public health services. Although governmental public health contains pockets of entrepreneurial activity, its culture does not sustain significant entrepreneurial activity. The question remains as to whether LHDs' current public revenue sources are sustainable and, if not, whether PHE is a feasible or desirable alternative.

The impact on health of employment and welfare transitions for those receiving out-of-work disability benefits in the UK.

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Curnock, Esther; Leyland, Alastair H; Popham, Frank

2016-08-01

Employment status has a dynamic relationship with health and disability. There has been a striking increase in the working age population receiving out-of-work disability benefits in many countries, including the UK. In response, recent UK welfare reforms have tightened eligibility criteria and introduced new conditions for benefit receipt linked to participation in return-to-work activities. Positive and negative impacts have been suggested but there is a lack of high quality evidence of the health impact when those receiving disability benefits move towards labour market participation. Using four waves of the UK's Understanding Society panel survey (2009-2013) three different types of employment and welfare transition were analysed in order to identify their impact on health. A difference-in-difference approach was used to compare change between treatment and control groups in mental and physical health using the SF-12. To strengthen causal inference, sensitivity checks for common trends used pre-baseline data and propensity score matching. Transitions from disability benefits to employment (n = 124) were associated on average with an improvement in the SF12 mental health score of 5.94 points (95% CI = 3.52-8.36), and an improvement in the physical health score of 2.83 points (95% CI = 0.85-4.81) compared with those remaining on disability benefits (n = 1545). Transitions to unemployed status (n = 153) were associated with a significant improvement in mental health (3.14, 95% CI = 1.17-5.11) but not physical health. No health differences were detected for those who moved on to the new out-of-work disability benefit. It remains rare for disability benefit recipients to return to the labour market, but our results indicate that for those that do, such transitions may improve health, particularly mental health. Understanding the mechanisms behind this relationship will be important for informing policies to ensure both work and welfare are 'good for

Urban Mobility and Polluting Emissions: Impacts on Public Welfare

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Romano Fistola

2009-07-01

Full Text Available This article introduces the problem of assessing urban effects of air pollution produced by road traffic and it is oriented to individualize the "critical" areas where it is necessary to intervene in order to optimize the security levels for public wellbeing. The research is targeted to assess the effects of pollutant emissions, particularly of PM10, on human health by testing methodology at three different territorial levels (regional, provincial, municipal. In this article we refer particularly to the city of Benevento and we propose to point out a methodology for identifying critical infrastructure where it is necessary to restrict vehicular traffic. The target of this study is the identification of urban ambit characterized by high levels of risk to public health arising from the mobility vehicle. Prerequisite is the consideration that the effects of pollutants are linked with urban morphology in particular the physical structure of the road network. In other word, within the city it is possible to identify "critical channels" where safety levels for human health are strongly compromise by their physical structure. The test has been referred to Benevento by using GIS to identify urban areas where high levels of risk due to pollutant emission concentrate. Gis has been projected to allow both the identification of “maximum risk areas” and the "critical channel" within the city.

Public health educational comprehensiveness: The strategic rationale in establishing networks among schools of public health.

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Otok, Robert; Czabanowska, Katarzyna; Foldspang, Anders

2017-11-01

The establishment and continuing development of a sufficient and competent public health workforce is fundamental for the planning, implementation, evaluation, effect and ethical validity of public health strategies and policies and, thus, for the development of the population's health and the cost-effectiveness of health and public health systems and interventions. Professional public health strategy-making demands a background of a comprehensive multi-disciplinary curriculum including mutually, dynamically coherent competences - not least, competences in sociology and other behavioural sciences and their interaction with, for example, epidemiology, biostatistics, qualitative methods and health promotion and disease prevention. The size of schools and university departments of public health varies, and smaller entities may run into problems if seeking to meet the comprehensive curriculum challenge entirely by use of in-house resources. This commentary discusses the relevance and strength of establishing comprehensive curriculum development networks between schools and university departments of public health, as one means to meet the comprehensiveness challenge. This commentary attempts to consider a two-stage strategy to develop complete curricula at the bachelor and master's as well as PhD levels.

Linking human health and livestock health: a "one-health" platform for integrated analysis of human health, livestock health, and economic welfare in livestock dependent communities.

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S M Thumbi

Full Text Available For most rural households in sub-Saharan Africa, healthy livestock play a key role in averting the burden associated with zoonotic diseases, and in meeting household nutritional and socio-economic needs. However, there is limited understanding of the complex nutritional, socio-economic, and zoonotic pathways that link livestock health to human health and welfare. Here we describe a platform for integrated human health, animal health and economic welfare analysis designed to address this challenge. We provide baseline epidemiological data on disease syndromes in humans and the animals they keep, and provide examples of relationships between human health, animal health and household socio-economic status.We designed a study to obtain syndromic disease data in animals along with economic and behavioral information for 1500 rural households in Western Kenya already participating in a human syndromic disease surveillance study. Data collection started in February 2013, and each household is visited bi-weekly and data on four human syndromes (fever, jaundice, diarrhea and respiratory illness and nine animal syndromes (death, respiratory, reproductive, musculoskeletal, nervous, urogenital, digestive, udder disorders, and skin disorders in cattle, sheep, goats and chickens are collected. Additionally, data from a comprehensive socio-economic survey is collected every 3 months in each of the study households.Data from the first year of study showed 93% of the households owned at least one form of livestock (55%, 19%, 41% and 88% own cattle, sheep, goats and chickens respectively. Digestive disorders, mainly diarrhea episodes, were the most common syndromes observed in cattle, goats and sheep, accounting for 56% of all livestock syndromes, followed by respiratory illnesses (18%. In humans, respiratory illnesses accounted for 54% of all illnesses reported, followed by acute febrile illnesses (40% and diarrhea illnesses (5%. While controlling for household

Linking human health and livestock health: a "one-health" platform for integrated analysis of human health, livestock health, and economic welfare in livestock dependent communities.

Science.gov (United States)

Thumbi, S M; Njenga, M Kariuki; Marsh, Thomas L; Noh, Susan; Otiang, Elkanah; Munyua, Peninah; Ochieng, Linus; Ogola, Eric; Yoder, Jonathan; Audi, Allan; Montgomery, Joel M; Bigogo, Godfrey; Breiman, Robert F; Palmer, Guy H; McElwain, Terry F

2015-01-01

For most rural households in sub-Saharan Africa, healthy livestock play a key role in averting the burden associated with zoonotic diseases, and in meeting household nutritional and socio-economic needs. However, there is limited understanding of the complex nutritional, socio-economic, and zoonotic pathways that link livestock health to human health and welfare. Here we describe a platform for integrated human health, animal health and economic welfare analysis designed to address this challenge. We provide baseline epidemiological data on disease syndromes in humans and the animals they keep, and provide examples of relationships between human health, animal health and household socio-economic status. We designed a study to obtain syndromic disease data in animals along with economic and behavioral information for 1500 rural households in Western Kenya already participating in a human syndromic disease surveillance study. Data collection started in February 2013, and each household is visited bi-weekly and data on four human syndromes (fever, jaundice, diarrhea and respiratory illness) and nine animal syndromes (death, respiratory, reproductive, musculoskeletal, nervous, urogenital, digestive, udder disorders, and skin disorders in cattle, sheep, goats and chickens) are collected. Additionally, data from a comprehensive socio-economic survey is collected every 3 months in each of the study households. Data from the first year of study showed 93% of the households owned at least one form of livestock (55%, 19%, 41% and 88% own cattle, sheep, goats and chickens respectively). Digestive disorders, mainly diarrhea episodes, were the most common syndromes observed in cattle, goats and sheep, accounting for 56% of all livestock syndromes, followed by respiratory illnesses (18%). In humans, respiratory illnesses accounted for 54% of all illnesses reported, followed by acute febrile illnesses (40%) and diarrhea illnesses (5%). While controlling for household size, the

Invited review: Changes in the dairy industry affecting dairy cattle health and welfare.

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