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Quiz 3 Terms
History of Public Health @ University of Iowa
46
History
Undergraduate 3
11/12/2012

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Term
anti-vaccinationism
Definition
-those who opposed the vaccination acts in Britain, became a major social movement against the state
-public was not convinced that vaccines were safe, effective, and necessary
-thought it was against scripture, aimed only at the poor, religiously dissident, and socially marginal, and it spread diseases not stopped them
-movement in the US was supported by conservatives, libertarians, ethnic and religious minorities, outsiders lacking access to government officials
-late 20th century in US people well aware of herd immunity and didnt want to risk immunization to their kids well being
Term
conscientious exemption
Definition
-Britain allowing exemption from vaccination based on the belief that it was medically unsafe in 1898
-procedure of gaining this was difficult and costly. Child needed to be less than 4 months old and needed an exemption certificate to not be fined.
-today in US many states allow exemptions for religious, medical, or philosophical reasons. Miss. and Virg. do not allow religious
Term
Brigadas Mata Mosquitos
Definition
-Director General of Public health Dr Oswaldo Cruz in Brazil created these brigades to enter homes and exterminate mosquitoes
-led to many forceful brigades to vaccinate people from smallpox
Term
Vaccine revolt of Rio de Janeiro
Definition
-Brazil congress passed mandatory vaccination law in October 1904, opposition created the League Against Mandatory Vaccination
-revolt against forceful vaccination in Brazil, urban public rioted in November of 1904
-government immediately suspended the mandatory vaccination law
Term
Jacobson vs. Massachusetts
Definition
-Rev. Henning Jacobson refused vaccination in 1902 because liberty was being invaded and vaccination violated the 14th amendment
-Supreme court ruled that states and cities have the police power to compel vaccination of adults as well as kids b/c they have a real and substantial relation to the protection of the public heath. Otherwise be fined for not getting vaccinated
-the liberty secured by the constitution of the US to every person does not import an absolute right to each person to be at all times free from restraint
Term
decentralized public health
Definition
-To distribute the administrative functions or powers of (a central authority) among several local authorities
-could prevent the development of a system that fully protects the public
-consider the proportion of spending on health at a local and state level
Term
1853 UK vaccination act
Definition
-first of the 2 acts passed in Britain. This one made vaccination compulsory, no escape
-caused a widespread opposition by anti-vaccinationists
Term
voluntary regulation
Definition
-where participants have a choice of whether to be regulated rather than mandatory
-regulate policies in industries
Term
smokestacks
Definition
-tall pipe tower that vents bad industrial fumes into the air where in will dilute with the clean air
-takes concentrated toxic matter and mixes with clean air to make it less concentrated and less toxic
-needs to be tall enough to not fumigate the area at the base
Term
most dangerous occupations
Definition
-in 2011 of US it ranked: fisherman, loggers, airplane pilots, sanitation workers, roofers, iron workers, farmers/ranchers, truckers/deliverymen, electrical power linemen, taxi drivers
-most dangerous while on the job
-new machines/technologies created to decrease these, also new manual labor laws
Term
unions
Definition
-representatives of workers in many industries in the United States
-activity today centers on collective bargaining over wages, benefits, and working conditions for their membership, and on representing their members in disputes with management over violations of contract provision
Term
child labor laws
Definition
-children worked in UK mines and factories until these in 1841
-many worked barefoot and occasionally were ground up in textile machines
Term
immiseration
Definition
-occurs when a society's living standards go down (wages, health, longevity, and consumption all decline)
-in 1750-1870 urban workers in industrial cities were filled with disease and the labor extracted in factories was exhausting
-changed after the 1870's
Term
"Can't Take It No More"
Definition
-1980 video, watched on youtube in class
-workers efforts against inhumane working conditions and child labor
Term
Alice Hamilton
Definition
-a leading expert in the field of occupational health
-a pioneer in the field of toxicology, studying occupational illnesses and the dangerous effects of industrial metals and chemical compounds on the human body
-"shoe leather epidemiology"
-findings were scientifically persuasive and influenced reforms, both voluntary and regulatory, to improve the health of worker
Term
current meningitis outbreak
Definition
-October 2012 outbreak of fungal meningitis in the US
-infections of the lining tissue of the brain and spinal cord
-traced outbreak to contaminated medication used for epidural steroid injections
-FDA not authorized to regulate compounding pharmacies in which this medication came from
Term
compounded drugs
Definition
-the creation of a particular pharmaceutical product to fit the unique needs of a patient
-licensed and regulated by their respective state like all other pharmacies
-seldom tested, can cause contamination
Term
FDA
Definition
-Food and Drug Administration
-origin under Harvey Washington Wiley
-Large drug companies are FDA inspected & must keep track of who has handled their raw materials while compounding pharmacies are not bound by similar guidelines
Term
adulteration
Definition
-misbranding of food or drugs
-different ingredients, make them of less strength quality or purity, not what the label says
-Wiley Act prohibited the transport of food that had been altered like this
Term
United States Pharmacopoeia (USP)
Definition
-where the standard of strength quality or purity for active ingredients for drugs are listed
-ingredients of drugs must be listed here or on the label to fill requirements of Wiley Act
-also sets standards for food ingredients and dietary supplements.
Term
fungal meningitis scandal
Definition
-many deaths occurring currently because of spinal injections of contaminated drug
-thousands of vials distributed
-spotlight on compounding pharmacies
-FDA is investigating
Term
Harvey Washington Wiley
Definition
-started research into adulterated food and drugs
-Act named after him which prohibits transport of adulterated food and drugs
-origin of FDA started with him
Term
Progressive Movement
Definition
-a period of social activism and political reform that flourished from the 1890s to the 1920s
-one of the main goals was purification of government and tried to eliminate corruption by exposing and undercutting political machines and bosses
Term
the Great Divergence
Definition
-a separation of species once shared by old and new worlds as a result of continental drift
Term
Colombian exchange
Definition
-a movement of plants, animals, human populations, pathogens, and ideas between Europe and American after 1492
-slave trade, Africans forcibly moved to north and south america
Term
"Hawaiian depopulation as a model for the Amerindian experience"
Definition
-chapter of "Epidemics and Ideas" written by A.W. Crosby
Term
smallpox (in American context)
Definition
-disease brought to new world and slowly killed off most of the native americans
-many leaders died from it during the conquest of Aztec capital in Mexico City
Term
syphilis (in European context)
Definition
-still considered the French disease
-men on columbus's ship had sexual relations with women in new world but this population is never mentioned during spread of the disease
Term
virgin soil impact
Definition
-epidemics to populations at risk have had no previous contact with the diseases that strike them and are therefore immunologically almost defenseless
-importance in history is strong evidence that a number of dangerous maladies-smallpox, measles, malaria, yellow fever spread to new world
Term
"90 percent after 50 years of contact"
Definition
-percentage of native american populations in every part of the americas to die off within a certain number of years
-Europeans replacing native american people from old world diseases killing off new world people
-no records of original population so this is an estimated number
-this was the opposite of public health
Term
the Great Convergence
Definition
-a gradual reunification of dispersed species as a result of European voyages of exploration and conquest around the world after 1492 CE
-species of new world and old world were being intermixed
Term
1918 Influenza outbreak
Definition
-nicknamed the spanish flu
-pandemic that spread across the world
-effected all ages, even those who were perfectly healthy, not just infants and elderly
Term
WWI (as referring to influenza)
Definition
- 1918 influenza killed more people than this event
-16 million deaths vs 50 million
-illness kills more than war
Term
San Francisco flu vaccine
Definition
-offered free to veterans
Term
International health conferences, 1851-1903
Definition
-stimulated by cholera epidemics
-spans transit from sanitation to bacteriology
-US participated in several and hosted 1881 conference
Term
tropical medicine
Definition
-the diseases and medical issues that arise from European contact with distant populations
-findings think that todays generation will live 3 years longer
Term
International Office of Public Hygiene
Definition
-formed in Paris in 1907 then dissolved in 1946 when WHO formed
-investigated outbreaks of diseases in surrounding countries so they could send out warnings to the people, prepare for upcoming outbreaks
Term
Indian famine codes
Definition
-one of the earliest famine scales developed by the British in 1880s
-defined three levels of food insecurity: near-scarcity, scarcity, and famine
-created an Indian Famine commission to create ways to prevent and avoid future famine in India
Term
El Nino weather disturbances
Definition
-phrase for a climate change in the surface of the ocean
-increase in temp can cause atmostpheric shifts in energy and cause severe weather
-decrease can cause weather effects too
-related to public health because the changes in temp can monitored and predicted, just like disease outbreaks
Term
Social Darwinism
Definition
-an ideology of society that seeks to apply biological concepts of evolutionary theory to sociology and politics
-often with the assumption that conflict between groups in society leads to social progress as superior groups outcompete inferior ones
Term
yellow fever epidemics
Definition
-african origin
-passed to new world from colonial trade between West Africa, Caribbean islands, North American
-new world mosquito species competent to transmit old world pathogens
Term
Edward Jenner
Definition
-English physician who was the pioneer of smallpox vaccine
-often called "the father of immunology", and his work is said to have "saved more lives than the work of any other man"
-In 1979, the WHO declared smallpox an eradicated disease b/c of coordinated public health efforts by many people, but vaccination was an essential component
Term
surveillance-containment strategy
Definition
-the central strategy for containing an outbreak of smallpox
-sometimes called ring vaccination
-identify cases of smallpox, vaccinate their household and other close contacts, then also vaccinate close contacts of the primary household and close contacts to the case
-if the primary contacts developed smallpox despite vaccination, their close contacts would already be protected and the chain of transmission would have been broken.
Term
religious resistance to polio vaccine
Definition
-many African nations still follow traditional religions and refuse immunization
-UNICEF efforts to turn these beliefs back
-this disease has been eradicated from much of the world but still appears in many areas of Africa
Term
smallpox eradication
Definition
-vaccination campaigns in 19th and 20th century led to this
-announced by WHO
-one of 2 diseases to be eradicated, no need for vaccinations once eradicated
Term
AIDS in Africa
Definition
-major public health concern in Africa
-learning from people who are able to live healthily with HIV, immune system differences
-some sex workers who are unable to contract it, learning from them too
-accounts for 79% of world AIDS deaths
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