The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Summary: • Presents a comprehensive overarching framework to portray the determinants of the nation’s health and organize the major components of the Book. Then, under each major component, we present a more detailed framework capturing the essential elements of that particular component of the overarching framework. This would be an important new addition to the Book and will make better sense to the readers when approaching the reading materials. • The book cross-links to Delivering Healthcare in the US and Essentials of the US Health Care System books so that the readings presented in this Book would also become background and supplemental readings of the two other textbooks. • In front of each major component, a summary section highlights the major issues and challenges related to that component and provides a summary of the representative articles to follow. This helps readers clearly grasp the essential elements related to that component and understand the main objectives of each of the selected readings for that component. • The Book will include both classic readings and new readings published within the last five years. • New features: Introduces articles on healthcare delivery and interventions to address health determinants and improve population health from other countries in the world. Readers will benefit from learning from other countries in both healthcare delivery and health determinants interventions. Other positive features of the Book include: • Limited use of tables and figures to allow readers to grasp the essence of the chapter without too much distraction • The book can be used either stand-alone as a textbook or a secondary reader to a health care related course Courses will be found in: Schools of Public Health Department of Health Administration and Policy School of Nursing School of Medicine Allied Health Competitive Features: Timely / current Concise and easy-to-follow Well-organized Focusing on essentials of U.S. health care delivery Include lessons and experiences from foreign countries Inexpensive Qualifying Questions: a) Do your students have limited knowledge of U.S. health care? – The book includes overviews and collection of articles that provide an introduction to the most essentials components of U.S. health care delivery at layman’s terms. b) Is current information important in your teaching? – The book provides relevantly current articles on important components of U.S. health care delivery. Its relatively short-length facilitates quick updates from year to year. c) Is coherence important to you and your students? – The book uses a comprehensive framework to organize the parts and chapters. Its limited use of tables and figures does not cause too much a ‘slow-down’.

This toxicological profile succinctly characterizes the toxicologic and adverse health effects information for fluorides, hydrogen fluoride, and fluorine. Fluorides are often added to drinking water supplies and a variety of dental compounds. Some fluoride compounds are also used in the production of glass and enamel and in the steel industry. Fluorine gas is used primarily to make chemical compounds used in separating isotopes of uranium for use in nuclear reactors and nuclear weapons. Hydrogen fluoride is used in the manufacture of fluorocarbons, which are used as refrigerants, solvents, and aerosols. This profile includes: (A) The examination, summary, and interpretation of available toxicologic information and epidemiologic evaluations on fluorides, hydrogen fluoride, and fluorine to ascertain the levels of significant human exposure for the substance and the associated acute, subacute, and chronic health effects; (B) A determination of whether adequate information on the health effects of fluorides, hydrogen fluoride, and fluorine is available or in the process of development to determine levels of exposure that present a significant risk to human health of acute, subacute, and chronic health effects; and (C) Where appropriate, identification of toxicologic testing needed to identify the types or levels of exposure that may present significant risk of adverse health effects in humans. Tables and figures. This is a print on demand edition of a hard to find publication.

Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.