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History of Public Health Timeline - Spring 2015

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Bethany Rainisch

on 5 March 2015

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Transcript of History of Public Health Timeline - Spring 2015

History of Health Timeline
Early Cultures: 1500 B.C. - 500 A.D.
Middle Ages: 500 - 1500 A.D.
Age of Enlightenment
Renaissance through 1800s: 1500 - 1800 A.D.
Public Health in the US
Began in 1980 with "Objectives for the Nation"
226 objectives divided into 3 areas: 1) preventive services; 2) health protection; 3) health promotion
Moved on to HP2000
to HP2010 to HP2020.
Strategic planning tool at federal, state, & local levels
Let's take a closer look!
Explore the HP2020 topic areas for 10 minutes.
Consider a topic area for your Healthy People 2020 Project!
(be sure to pick a topic with actual objectives!!)
Affordable Care Act (ACA) 2010
March 23, 2010
Obama signs Patient Protection and ACA!
Assignment #2: ACA
Think about Qs as you watch the video
What does Health Reform entail?
Do we need it? Why?
Let's take a quick Health Reform quiz and see where we stand!

built 13 aqueduct system:delivering water to various cities in Rome.
222million gal/day

Built 1st underground sewers.
Common diseases in the US
Smallpox, Cholera, Diphtheria
Trade of slaves caused
Yaws, Yellow fever, Malaria
Quarantine & regulations were the way diseases were controlled
Health boards were formed but there was no budget

1789 Dr. Edward Wigglesworth developed the first life expectancy tables.
1789 = 28.15 years
2006 = 77.7 years
diseases remained a problem since it was unknown that diseases were produced by microscopic organisms.
first to observe the occupational hazards on health

built first hospitals:setting up private medical practices.
miasmas theory
- concept believed that vapors rising from rotting refuse could travel through air causing disease. Therefore used herbs and incense.
furthered work done by Greeks on Anatomy & Practice of Surgery
- a skin disease that causes nerve damage and muscle weakness. Worsens over time
Reformed phase of public
urban expansion
Healthier workplace; food industrys; workers comp
National Volunteer Agency
Prevention of Tuberculosis 1902
American Cancer Society est 1913
APHA est. 1922
Need for Health Edu/Promotion early 20th century
Debate oveer Curative or Preventive medicine

Black Plague
- a zoonotic
disease carried by fleas on
small rodents. Est. 20-35 million casualties from black plague.
-explained how contagious the plague was
-became universally accepted
-opened doors to new interests in science
-weakened Sin Disease Theory
-health educators: priests, medical doctors, & community leaders
Code of Hammurabi; named after
the king of Babylon. It contained laws
pertaining to health practices and
physicians, including the first known
fee schedule.

Egyptians made progress in the area
of public health. Noted for sanitation
contained (privies for sewage and public drainage pipes)

Priest distributed health information
and used remedies.

In 1500 Bc the Hebrews extended
Egyptians hygienic thought and for
mulated what is probably the world's first
written hygienic code.
Bacteriological Period of Public Health
- Edwin Chadwick published
Report on an Inquiry into the Sanitary Conditions of the Laboring Population of Great Britain
- General Board of Health for England was formed
- Dr. John Snow's cholera connection
- Louis Pasteur of France formed the "germ theory"
Edward Jenner discovered vaccine procedure against smallpox; Dr. James Lind surgeon discovered--scurvy=lime juice
- other epidemics of communicable diseases include
small pox, diphtheria, measles, flu, syphilis,
disease came from filth and epidemics caused by poison developed by putrefaction process
At this time Christians started to take care of their body and Health.
Saying their bodies were called "Souls Earthly Dwelling"
They believed they got diseases because they sinned.
They started banning and burning libraries because they wanted to leave their body in God's hands.
Health related advancements abandoned/shunned.
Social Security Act 1935
-Began with federal government beginning to be more involved with giving money for health care. Along with giving money to all 50 states to set up programs for health care. Also gave money to help mother and children for health care.
1946: CDC was created
1946 Hill-Burton Act
-Improve distribution and improve quality of hospitals.
1950s: Health education was taught to improve chronic illnesses, people didn't begin to take it seriously until 1970s
1965: Medicare and Medicaid were amended to the social security act.

They were the first people to put emphasize on disease prevention as well as treatment of disease.

Religion played an important role in health care for them.

Asclepius was a Thessalian chief who was the God of Medicine. He had two daughters named Hygeia, who had the power to prevent disease and Panacea had the ability to treat disease.

A Greek physician Hippocrates developed a theory that taught that health was a result of balance and disease was a result of imbalance.

The Greeks believed the ideal person was perfectly balanced in mind, body, and spirit.
Lemuel Shattuck's






helped spark the health reform in the U.S
Limited resources
first full-time county health department formed in 1911
Marine Hospital Service Act
"represented the first prepaid medical and hospital insurance plan in the world"
required 20 cent tax per month for every sea man employed
philosophers like Voltaire, Locke, Rousseau helped promote the importance of individual health
Bloodletting was a major form of treatment for almost anything (from common cold to tuberculosis)

When diagnosis occurred, physicians examined the patient's urine color (water casting)

One of the major health problems was disposal of human waste

Scientific advancements developed were by Antonie van Leeuwenhoek

John Graunt forwarded the field of statistics and epidemiology

In Italy they established a Health Board Institution to fight the plague
Full transcript