September 15 Notes Health 101

8/11/2019 September 15 Notes Health 101

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HLTH 101

15 September



Announcements



WELCOME

B CK BBQ



Annual General Meeting: Sept. 24 & Sept. 29 at 6pm in School of Kinesiology &

Health Sciences bldg.

Peer Education and Internship ApplicationDeadline Oct 1 st AMS office

Queen’s Health Outreach

@QHealthOutreach



Special Guest

• Lori Vos, Student Academic Success Services(SASS)http://sass.queensu.ca/learningstrategies/

http://sass.queensu.ca/learningstrategies/

http://sass.queensu.ca/learningstrategies/



Queen’s Learning Commons



You want to succeed at university.

We want to help you!

The Queen’s Learning Commons is here forall students, at all levels of academic

achievement.

Come see how you can do even better.



WHO ARE WE?

• Queen’s Library (all six libraries)

• Adaptive Technology Centre (LibraryServices for Students with Disabilities)

• ITServices (ITSupport Desk)

• Student Academic Success Centre(SASS) – the Writing Centre andLearning Strategies



WHERE ARE WE?PHYSICALLY:

Main floor of Stauffer Library

VIRTUALLY:www.queensu.ca/qlc



WHAT DO WE OFFER?• workshops

• free 1:1 consultations withprofessional staff and trained peers

• information on learning strategies

• research help

• writing help

• computer support

• support for students with disabilities



Learning StrategiesStudent Academic Success ServicesStauffer Library, main floor

sass.queensu.ca/learningstrategies@SASS_LS



You’ve heard thisbefore, but university

is different.

sass.queensu.ca/learningstrategies



You’re now expected to …

- Think at “higher levels”

- Process more information in less time- Work in high-pressure situations

- Work with professors and teaching assistantswho may seem more “distant” than high

school teachers- Resist MANY distractions!




Time Management

Procrastination & MotivationMemory

Focus and ConcentrationReading & Comprehension

Active ListeningNote-making

Exam Prep

Dealing with Stress and AnxietyPresentation Skills



Learning StrategiesHow We Help You Reach Your

Academic Goals

1. sass.queensu.ca/learningstrategies2. Workshops in Stauffer Library

3. Peer Study Skills Coaching4. Confidential one-on-one advising with professionalLearning Strategies Advisors




Balance School and Life: Create a WeeklySchedule

Studying for Midterms: Tips and StrategiesMidterms: Essay and Short AnswerMidterms: Multiple ChoiceAnd more …

Register at www.queensu.ca/qlc

Learning StrategiesWorkshops at the QLC



“How do I get the most out of lectures?” “How can I study for 3 exams at once?”

“I feel overwhelmed. How can I get organized andkeep up?”

Get your questions answered by professionalLearning Strategies Advisors at Stauffer Library

Call 613-533-6315 to make an appointment



Learning Strategies

Study Skills Coaching with Peer Learning AssistantsStauffer Library, Room 143

Tuesday, Wednesday, Thursday 6-8 pm

Online Resourcessass.queensu.ca/learningstrategies

We’re on Twitter, too! @SASS_LS(And Facebook – search our name.)

20



The Writing CentreStudent Academic Success Services

Stauffer Library, main [email protected]

sass.queensu.ca/writingcentre/



WritingCentre

Brainstorming

Organizing Your IdeasThesis statements

Clarity

FocusGrammar & style

Self-editing

Essays, lab reports, and more

sass.queensu.ca/writingcentre/



Individual consultations:6 free and confidential appointments per

student per year

for students in all disciplines at all levels ofability

25 or 50-minute sessions

with professional staff or peer volunteers



for any kind of writing at any stage of development

to generate ideas, organize material, or review a draft

Book early! Phone or visit the Writing Centre

More info on our website



Free Workshops:

Writing Effective Thesis Statements

Clear and Focused Paragraphs

Avoiding Plagiarism

…and more!

Schedule posted on the Writing Centre website

Register on the QLC website



Upcoming WorkshopsHow to Write Your First University Essay

Tuesday, September 23 7:00-8:30 p.m.Dupuis Auditorium

Thursday, September 25 7:00-8:30 p.m.Dupuis Auditorium

Effective Writing for First-Year Science StudentsWednesday, October 1 7:00-8:30 p.m.

Dupuis Auditorium



Student Academic Success Services

Resources include• Writing tip sheets• Workshop slides• Specific resources for first year, undergraduate, graduate

and ESL/Int’l students

Website



Happy writing and learning,and remember –help is close by!

http://sass.queensu.ca/



From Last Week



PHAC’s Determinants of Health

http://www.phac-aspc.gc.ca/ph-sp/determinants/index-eng.php

http://www.phac-aspc.gc.ca/ph-sp/determinants/index-eng.php



Mikkonen & Raphael

http://www.thecanadianfacts.org/






Hopes, Dreams, Wishes

Fears, Worries, Anxieties



Fears, Anxieties, Worries

• failure – failing oneself and one

’

s family

– failing academically or in career – sports & other activities – socially – to stay healthy

• loneliness• feeling overwhelmed



Failure:

• we all fail

• more often we fail in small ways

• sometimes we fail in big ways

• take responsibility: use the resources

available to you to learn the lessons of thesmall failures; sometimes you can preventthe big failures



• failure does not mean the end of the world

• failure can change the direction of ourlives - it is up to us whether that is positiveor negative in the end

• ***failing at something DOES NOT meanyou are

“

a failure”

as a person***



Resources

• http://queensu.ca/studentaffairs/firstyear.html

• http://queensu.ca/studentaffairs/healthandwellness.html

http://queensu.ca/studentaffairs/firstyear.html


http://queensu.ca/studentaffairs/healthandwellness.html









Gifts



I-clicker questions



This Evening’s Class - syllabus

– Different models of health; experiences of health& well-being; lay understandings of health;Indigenous understandings of health

– Antonovsky’s sense of coherence – Introduction to public health & its history;

ideology & public health



New schedule

• Introduction to public health; ideology & publichealth

• history of public health

• For next week:• Different models of health; experiences of health & well-

being; lay understandings of health; Indigenousunderstandings of health

• Antonovsky’s sense of coherence



Also for next week

• social determinants of addiction – readings by Bruce Alexander & Gabor Mate

• in class: we will watch the film Through a BlueLens – a portrait of IV drug users in theDowntown Eastside Vancouver



What is public health?



Rob Baggott• public health refers to the health of a

population, the longevity of its

members and the extent to which theyare free of disease -“

the public’

shealth; the health of the public

”



Top Ten Public Health Achievements of the20th Century (UNC School of Public Health)

1. vaccination2. motor vehicle safety3. safer workplaces

4. control of infectious disease5. decline in deaths from CHD & stroke6. safer food7. healthier mothers & babies8. family planning9. fluoridation of drinking water10. recognition of tobacco as a health hazard



Canadian Public Health Association’

s Top 12Public Health Achievements in past 100 years

1. Smoking rates down dramatically2. Vaccination - measles, smallpox, polio

virtually gone3. Motor vehicle deaths reduced by 50%

since 1970s

4. Improved conditions for workers5. Control of infectious diseases such as

tuberculosis, cholera, typhus



6. Sharp declines in deaths from heart disease &strokes

7. Food regulation & inspection has reduced food-borne disease

8. Maternal & child health - a century ago, 1 in 7children died before age 2; death in childbirth

common9. Family planning & women

’

s reproductive rights10. Reduced air/water pollution

11. Social programs - Medicare, old age pensions, childbenefits

12. Recognition of the impt of the SDOH



Public Health Disaster in Ontario

• Walkerton tragedy - May 2000 - E.colicontaminated water -> 7 people died,

2500 ill with long-term health effects – incompetent manager & staff at Walkerton

Public Utilities Commission – privatization of water-testing facilities – no provincial regulation of water quality &

lack of enforcement of regulations



Public health:• main goal: improve the health status of

the population by reducing disease andearly (preventable) deaths in populations

• recognizes the importance of individualcontributions to injury & disease but moreinterested in understanding how to

reduce or alleviate hazards by addressingunderlying causes (i.e.,

“

upstream”

not“

downstream”

)



In public health:

• the“

patient”

is the population; saves“

statistical”

lives through prevention• health benefits to the population ≠ health

benefits to the individual• collective enterprize - requires strong

state (government) willing to act

Th i i i i



Three main questions in preventingdeath & disease:

1. What is to be prevented? How canexposure be reduced?

2. Who is responsible for taking action toprotect the public’

s health?3. How safe should we seek to make the

public from the hazards in theworkplace, in transportation, or in theenvironment?



E l f P bli H lth R t i ti



Examples of Public Health Restrictionson Individual Liberty

• anti-smoking legislation

• motorcycle helmet laws

• bicycle helmet laws for children



“

Easy riders bear high cost offeeling wind in their hair

”

The Globe and Mail

12 August 2005



“

Easy Riders”



A l i g ICE t th



Applying ICE to the“

Easy Riders”

article

• Ideas

• Connections

• Extensions



Ideology:

• a relatively coherent system of values,beliefs, or ideas shared by some social

group and often taken for granted asnatural or inherently true;• the consciously shared ideas and beliefs

that members of a society have aboutthemselves and the world around them;

• how we understand the world in whichwe live.



What does ideology have to dowith health or public health?

Liberal Individualist or



Liberal Individualist orNeoliberal or Free-Market Ideology

• Emphasis on: – the role of the market in promoting

individual freedom; social goods secondarily – limiting the role of the state (except in

maintaining order & protecting privateproperty)

– “

negative”

liberty (freedom“

from”

interference in my life)



Key Words of Liberal

Individualism/Neoliberalism• freedom• self-determination

• self-discipline• personal responsibility• limited government; tax cuts

• consumer choice• the market (where things/services are

bought & sold)



Collectivist (Communitarian) &Socialist (Social democratic) Ideology

• emphasis on:

– the role of the state as a principal means ofsocial improvement – limiting the effects of capitalism –

“

positive”

liberty (freedom“

to do”

things -state ensures basic needs (income,education) enabling citizens to fullyparticipate in society)



Key words ofCollectivism/Socialism

• egalitarianism, (in)equality, (in)equity• humanitarianism

• social justice, social responsibility• collective or common or public good(s)• interdependence, interconnection,

mutual obligation• community• compassion



Environmental and Green Ideology• Emphasis on:

– interconnectedness of humans, human healthand the environment

– destructiveness of economic growth at allcosts; indifference of the state to theenvironment

– local, community-based actions



Key words ofEnvironmental/Green Ideology

• sustainability, sustainable development• ecological, ecological model of health,

eco-systems• interdependence (with other species)• holistic

• local, community-based• precautionary principle



The interpretation of publichealth is an essentially

political process. Public health

is a political arena in whichvarious ideological (and

moral) perspectives competefor supremacy (Baggott, 2000).



Rose ’s Key Messages:

• “

a large number of people exposed to asmall risk may generate many morecases than a small number exposed to ahigh risk ”

• causes of individual cases may not bethe same as causes of population ratesof disease

• prevention paradox



Data from 361,662 men worldwide, MRFIT

Fig h 3 thi g



Figure shows 3 things:

1. most common distribution of serumcholesterol at initial exam = 5-5.5 mmol/l

2. broken curved line -> incidence of fatalheart attack rises steeply as chol ↑



3. 6-yr death rate was 7.3/1000 - highest% of fatal heart attack occurred around& slightly above the centre of the choldistribution

– only 8% of the total of fatal heart attacksattributable to cholesterol occurred in thehigh chol group

– 39%

of fatal heart attacks attributable tochol occurred in men with chol levelsbetween 5 and 6 mmol/l



• at the high levels of cholesterol, personal or individual risk is high - butnot many people have high levels ofcholesterol, so not many fatal heart

attacks attributable to cholesterol at thepopulation level involve people with thehighest levels of cholesterol

Implication:



Implication:

• must find a way to ↓risk of largenumbers of people who, more often thannot, will not benefit from the change

• conflict between collective interest,requiring community-wide change, andindividual interest -> people may notwant to bother, but public health willimprove only if they do

’



Rose s conclusion

• It is common to find that the burden of illhealth comes more from the many whoare exposed to low inconspicuous risk

than from the few who face an obviousproblem. This sets a limit to theeffectiveness of an individual (high risk)

approach to prevention



Geoffrey Rose’

s

Prevention Paradox

A preventive measure which brings muchbenefit to the population offers little to

each participating individual

f l k



Before class next week:

Read:• Alexander, B. K. (2008). The Globalization of

Addiction: A Study in Poverty of the Spirit .Oxford: Oxford University Press, p. 1-26

• Maté, G. (2008). In the Realm of HungryGhosts: Close Encounters with Addiction .

Toronto, ON: Alfred A. Knopf Canada, p. 251-266.

N k



Next week:

• different models & understandings of health• Antonovsky’s sense of coherence

• social determinants of addiction

• film: Through a Blue Lens

September 15 Notes Health 101

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Transcript of September 15 Notes Health 101