Ecological Public Health demonstrates that although public health medicine is useful and honourable, a radical rethink is required and is, indeed, starting to emerge. It aims to revitalize thinking about public health in terms of ecology, and calls for a concerted combined effort from existing disciplines to bring about reform.

Amid ongoing shifts in the world economic and political order, the promise for future public health is tenuous. Will today's economic systems sustain tomorrow's health? Will future generations inherit fair access to health and health care? An important hope for the health of future generations is the establishment of a well-grounded, global public health system. Global Public Health: Ecological Foundations addresses both the challenges and cooperative solutions of contemporary public health, within a framework of social justice, environmental sustainability, and global cooperation. With an emphasis on ecological foundations, this book approaches public health principles-history, foundations, topics, and applications-with a community-oriented perspective. By achieving global reach through cooperative, community-based interventions, this text illustrates that the practical application of public health principles can help maintain the health of the world's people. Blending established wisdom with new perspectives, Global Public Health will stimulate better understanding of how the different streams of public health can work more synergistically to promote global health equity. It is a foundation for future public health measures to be built and to succeed.

Ecological public health: from vision to practice.

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

The "Break the Cycle" program has been an annual academic event since 2005, recruiting students from many different disciplines and departments at different universities across the United States and the world, to break the cycle of environmental health disparities. The chapters in this book range from descriptive narratives to analyses and intervention studies. They cover everything from considerating prenatal vulnerabilities of the fetus, to the outcomes of premature newborn infants through personal, family, community and social perspectives, to grandparents who are taking care of their grandchildren with disabilities; they look at health, nutrition, education and community responsibility. Most importantly, these chapters inform the reader about childrens environmental health disparities, and provide solutions to reduce and eliminate these health disparities.

What is public health? To some, it is about drains, water, food and housing, all requiring engineering and expert management. To others, it is the State using medicine or health education and tackling unhealthy lifestyles. This book argues that public health thinking needs an overhaul, a return to and modernisation around ecological principles. Ecological Public Health thinking, outlined here, fits the twenty-first century’s challenges. It integrates what the authors call the four dimensions of existence: the material, biological, social and cultural aspects of life. Public health becomes the task of transforming the relationship between people, their circumstances and the biological world of nature and bodies. For Geof Rayner and Tim Lang, this is about facing a number of long-term transitions, some well recognized, others not. These transitions are Demographic, Epidemiological, Urban, Energy, Economic, Nutrition, Biological, Cultural and Democracy itself. The authors argue that identifying large scale transitions such as these refocuses public health actions onto the conditions on which human and eco-systems health interact. Making their case, Rayner and Lang map past confusions in public health images, definitions and models. This is an optimistic book, arguing public health can be rescued from its current dilemmas and frustrations. This century’s agenda is unavoidably complex, however, and requires stronger and more daring combinations of interdisciplinary work, movements and professions locally, nationally and globally. Outlining these in the concluding section, the book charts a positive and reinvigorated institutional purpose.

Bioterrorism, drug-resistant disease, transmission of disease by global travel . . . there's no shortage of challenges facing America's public health officials. Men and women preparing to enter the field require state-of-the-art training to meet these increasing threats to the public health. But are the programs they rely on provide the high caliber professional training they require? Who Will Keep the Public Healthy? provides an overview of the past, present, and future of public health education, assessing its readiness to provide the training and education needed to prepare men and women to face 21st century challenges. Advocating an ecological approach to public health, the Institute of Medicine examines the role of public health schools and degree-granting programs, medical schools, nursing schools, and government agencies, as well as other institutions that foster public health education and leadership. Specific recommendations address the content of public health education, qualifications for faculty, availability of supervised practice, opportunities for cross-disciplinary research and education, cooperation with government agencies, and government funding for education. Eight areas of critical importance to public health education in the 21st century are examined in depth: informatics, genomics, communication, cultural competence, community-based participatory research, global health, policy and law, and public health ethics. The book also includes a discussion of the policy implications of its ecological framework.