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PubMed2003

Strengthening the public health system for a healthier future.

On November 6, 2002, Grantmakers In Health (GIH) convened a group of experts from the fields of philanthropy, research, government, and policy to examine the nation's public health infrastructure and explore opportunities for grantmakers to strengthen and sustain this fragile and troubled system. During the course of this meeting, representatives from the Institute of Medicine, which recently released a report on this topic, and the Centers for Disease Control and Prevention (CDC) discussed the role of the national public health system and reviewed weaknesses in its infrastructure. Elaborating on these points, local public health leaders offered an on-the-ground perspective of the challenges they face as they struggle to maintain and improve the health of the public at the same time as they prepare for the possibility of bioterrorism. Finally, several foundations with experience in this area shared their strategies for helping to buttress the infrastructure so vital to the health of the nation. This Issue Brief builds on a paper prepared in advance of the meeting by incorporating the highlights from presentations and discussions that took place at GIH's Issue Dialogue. It also incorporates comments and discussion from GIH's 2002 Fall Forum intensive breakout session Worst Case Public Health Scenario: Can Philanthropy Respond? Following a brief introduction to the public health system and its evolution over the past several decades, the Issue Brief discusses essential elements of the public health infrastructure, reviews the issues confronting each of these elements, and profiles various philanthropic initiatives aimed at repairing and improving the public health infrastructure. It concludes with an in-depth look at the infrastructure issues involved in emergency preparedness.

Community Health Planning↗
PubMed2004

Oral health in Syria.

The aim of this paper is to describe and analyse the oral health situation in Syria in the last two decades and to propose recommendations for improvement of the current situation. The epidemiological data on caries of the last two decades did not indicate a decrease in the DMFT value of various age groups, nor was a decrease in the percentage of untreated caries apparent. The unequal distribution of oral health care continued to exist throughout the country, despite an enormous increase in the number of dentists from about 2,000 in 1985 to about 14,500 in 2002. The affluent part of the population is served with technically oriented expensive dental services. The public sector suffers from limited finance, the absence of appropriate technology in restorative dentistry and the lack of a community and preventive oriented approach. It is recommended to utilise dental hygienists in the public sector, since these auxiliaries if appropriately trained can offer the preventive and curative oral care wanted and demanded by the poor and that the government and the people can afford.

Adolescent↗
PubMedDate not supplied

Research on Alzheimer's caregiving in Canada: current status and future directions.

In December 2002, a national workshop was held in Ottawa to guide research directions for the caregiving of people with Alzheimer's disease in Canada. Prior to the workshop, a search was conducted to identify Canadian-based investigators who have conducted research related to caregiving of individuals with cognitive impairment, Alzheimer's disease and other dementia, identify relevant Canadian research studies, and provide an overview of results and themes emerging from this research. This paper summarizes findings from our search for Canadian studies, research themes identified at the national workshop in Ottawa, and recommendations from the workshop. The report first outlines patterns of caregiving and subsequently focusses on the impact of different ways of assisting Alzheimer's caregivers. It concludes by outlining the methodological challenges of observational and intervention studies related to Alzheimer's caregiving and recommendations on how to increase Canada's capacity to conduct research on Alzheimer's caregiving.

Alzheimer Disease↗