Social, physical, and economic environments are the greatest determinants of our individual and collective health. Inadequate or substandard environments of all types present barriers to health. Addressing these broader determinants will be the quintessential core in the next era of public health practice. The framework for health improvement is…

Describes cancer control activities by the Indian Health Service in North Dakota, South Dakota, Iowa, and Nebraska, including risk factor assessment and cancer screening using a modified Health Risk Appraisal; interventions to reduce smoking; community empowerment; development of health education materials; and clinical preventive services. (SV)

Describes the economic and demographic changes experienced by rural communities over the past few years and how they have increased rural health professionals' responsibilities. Presents the Community Wellness program and four case histories illustrating how it has strengthened community infrastructure, developed human capital, and created rural…

Speech delivered to Plenary Session on "Specific Needs for Medical Manpower at the annual meeting of the Association of American Medical Colleges (79th, Houston, Texas, Nov. 2, 1968.

The basic premise of this document is that every community college should have a plan through which the health needs of students, faculty and staff can be met by health services which are available, accessible and of high quality. Services should be available in each of the following program areas: personal medical, mental health, and other direct…

New, attractive health programs are needed to meet practical health needs in the community with positive results. (JD)

Need exists for an integrated community health system comprised of a unit within the health care delivery system concentrating on behavioral change and coordinating educational influences on the individual, and a second educational unit providing necessary health knowledge and debating and analyzing the whole system of health care provision. (MB)

This report examines the possiblities of increasing the amount of preventive work being carried out by primary care workers in European communities. Before making practical recommendations about promoting prevention, an analysis is presented of the main present day problems. These center on the environment (not only physical but also social and…

In many low-income communities, children are not properly immunized and are left vulnerable to completely preventable illnesses. This report provides information gained as a result of a 1-year funding project in the Chicago area to determine why so many children were not being immunized and how to increase immunization rates. The project tested 5…

This book is a revised and enlarged edition of "The Primary Health Worker," a standard teaching text and reference manual developed for community health workers and their trainers and supervisors. The new edition has been updated with practical knowledge gained during the extensive field use of the previous work. The book also incorporates new…

The Buffalo School Health Demonstration Plan is an innovative model program designed to expand and improve the delivery of health services and health education to school-age children attending Buffalo (New York) schools, with emphasis on lower socioeconomic youth. It seeks to develop a primarily preventive program that attempts to modify attitudes…

This book is primarily a guide and source directory to health education materials in 10 nationally recognized health risk areas: (1) stopping or reducing smoking; (2) improving nutrition; (3) controlling high blood pressure; (4) modifying alcohol intake or drinking habits; (5) increasing physical activity; (6) reducing stress; (7) detecting cancer…

This monograph brings together staff papers relating to the national guidelines for health planning called for by Section 1501 of the National Health Planning and Resources Development Act of 1974 (Public Law 93-641). The papers consider relationships between local plans and programs and ten health policies designated for priority consideration:…

Although Blacks face a higher risk of hypertension than other Americans, a comparison between Blacks and Whites participating in a hypertension education series showed no significant differences. The program reduced by 68 percent the number of participants with high blood pressure. Proposes marketing and adherence strategies to attract and retain…

Health promotion redirects thinking about health by: reasserting its social and political aspects; ensuring the people the power to define their own health concerns; and placing health more clearly in the context of other aims in life. This compilation of 41 articles in 8 sections attempts to document this process of redirection of thought. The…