[Adverse health events and health hazards reflections of epidemiologists and environmentalists]
| Autor: | KSENIJA VITALE, MLADEN SMOLJANOVIĆ |
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| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske Volume 64 Issue 5 |
| ISSN: | 1330-0164 1848-8897 |
| Popis: | slijedom izlaganja na II. Hrvatskom kongresu preventivne medicine i unaprjeđenja zdravlja. Kongres je dao sliku stanja i mogućnosti svih javnozdravstvenih djelatnosti u ovom trenutku i ukazao da svaki sustav, bilo da se radi o cjelokupnom zdravstvenom sustavu, sustavu opskrbe vodom ili epidemiološkog nadzora, ima svoje pozitivne i negativne strane, a ako ih se ne poznaje i kontinuirano ne djeluje na njihovim izmjenama, postaje nefunkcionalan u slučaju zdravstvene, socijalne ili ekonomske krize. Nameće se zaključak da moderan javnozdravstveni sustav, da bi bio učinkovit, mora njegovati holistički pristup svakom problemu te dostupnost podataka. Često važni okolišni ili epidemiološki podaci ostanu na razini akademske rasprave ili statistike i nikada ne dopru do službe primarne zdravstvene zaštite koja bi ih mogla funkcionalno upotrijebiti pri pružanju svojih usluga. Razmjena informacija u vremenu koje bi moglo biti važno za intervenciju mora biti imperativ, kao i povezanost i dijeljenje informacija svih struka koje sudjeluju u procesu pružanja zdravstvene usluge. Primarna zdravstvena zaštita koja je prva fronta u komunikaciji s korisnicima, prepoznavanju bolesti, ali i preventivnom djelovanju, mora imati pristup svim relevantnim podacima In this article we present management of water resources in Croatia as a model of integral approach in public health interventions. The links between provision of clean water, sanitation and good health are so strong that today management and water protection are deeply integrated in primary health care. This article is a follow up on topics presented on 2nd Croatian congress on preventive medicine and health promotion which gave us “state of art” in Croatian public health. We strongly believe that every system has its own advantages and downsides, and only by knowing the system well and continuous improvement we can protect ourselves in time of health, social or economic crisis. The model of water protection showed that to prevent and overcome the variety of water-related health risks, implementation of various activities that include general environmental protection, development of water management system, permanent water quality monitoring and control, and improvement of standards and legislative is needed. On the other hand if there is no holistic approach, to the public health problems, all the efforts in just one field will not result in health indicators improvement. Constant monitoring and uniform analysis of data could help to identify possible risks of adverse effects of various environmental factors and possible burden of disease as a consequence. That information could be a point of arguing with local governments and communities for public health interventions. It is important that epidemiological and environmental data do not remain in the domain of academic discussion or statistics, and never reach primary health care which could use them in direct health care providing. Information exchange in real time is important for the real time public health intervention. Primary health care is the front line in communication with patients and diagnostics of disease as well as prevention, and they need to have access to all relevant data. |
| Databáze: | OpenAIRE |
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