Best 52 quotes in «public health quotes» category

Will Brazilian antigambiae measures succeed in Africa? As time goes by it will almost certainly be found that an increasing number of areas can be cleaned of gambiae and be freed of gambiae-transmitted malaria. In Africa, where the species is already widely disseminated, it would seem logical to attempt eradication by beginning in the center of the area to be cleaned and working always outward. It has been demonstrated in Brazil that species eradication of Aedes aegypti and Anopheles gambiae is feasible.

Will 2015 ever be noted as the year Ebola was decisively downgraded from a lurid horror meme to just one of many commonly treatable diseases?

With drug use related harms, explanatory models are often presented as predictive tools, even though they ‘are [rarely if ever] predictive of consequent behavior’ or outcomes. Hence, we feel confident in asserting at outset, that prohibition based approaches in drug policy lack a sound basis in empirical research (despite sounding logical, i.e. remove drugs or the means of their production and less drugs will be available to users, thus minimising or eliminating harm), and are not animated by well-defined goals, goals that are not only consistent with the ethical and humanitarian aims of public health policy in general, but also with the fundamental principles of democracy) such as empowering or enabling those best placed to act, but by beliefs, assumptions, hypotheses and expectations.

Aedes aegypti, which transmits yellow fever, is one of the feeblest species in its ability for flight and it is at once blown away and destroyed when it gets into a breeze. It therefore seldom wanders from the house in which it was bred.

Adding social structural analysis to medical and public health education would move toward a more realistic and balanced version of the biopsychosocial model already explicitly claimed in contemporary health-professional training. More important, this would provide future physicians and public health professionals with the lenses to recognize the societal critiques available in sicknesses and their distributions. With such an awareness of the structurally violent social context of disease, health professionals could move effectively toward acknowledging, treating, and preventing suffering.

But such is the nature of man that as soon as you begin to force him to do a thing, from that moment he begins to seek ways by which he can avoid doing the thing you are trying to force upon him. A man with malaria parasites in his blood is a danger to his companions. To kill all the parasites, he was then required to continue doses of quinine a week or ten days after his fever. When the convalescing men were given their daily dose of quinine they would manage to throw their tablets out of the dispensary window. The old turkey-gobbler pet of the hospital gobbled up all the tablets he could find. He became so dissipated he finally developed a species of blindness caused by too much quinine. I cannot vouch for this, but I was often twitted with this story as an illustration of how the men were treating prophylactic quinine.

Amateurs are fond of advising that all practical measures should be postponed pending carrying out detailed researches upon the habits of anophelines, the parasite rate of localities, the effect of minor works, and so on. In my opinion, this is a fundamental mistake. It implies the sacrifice of life and health on a large scale while researches which may have little real value and which may be continued indefinitely are being attempted… In practical life we observe that the best practical discoveries are obtained during the execution of practical work and that long academic discussions are apt to lead to nothing but academic profit. Action and investigation together do more than either of these alone.

Eradicating mosquitoes is a means to an end. An uninfected mosquito is harmless to humans - just a nuisance. An infected mosquito is a danger.

Chronic stress in infancy and early childhood has been identified as a major contributor to adult health problems. In 2009, Jack Shonkoff and colleagues published a major review in the Journal of the American Medical Association that stated that "adult disease prevention begins with reducing early toxic stress." Considering the state of American's health, this is something we should take quite seriously. A recent report from the Institute of Medicine (2013) noted the following: "For many years, Americans have been dying at younger ages than people in almost all other high-income countries. This disadvantage has been getting worse for three decades, especially among women. Not only are their lives shorter, but Americans also have a longstanding pattern of poorer health that is strikingly consistent and pervasive over the life course." One way we can improve the health of the next generation is to challenge the hegemony of the cry-it-out advocates. We need to stand by the others we serve as they make the decision to defy cultural norms and respond to their babies. The health of the next generation depends on it.

Despite 4,000 years of proven usefulness, quarantines seem to be to modern international public health experts as garlic is to a vampire.

Eradication represents a complete change of philosophy and a recognition of the equal rights of all citizens to protection from infection, no matter where they live. Eradication, by its very nature, is public health with a conscience. The public health control officer can sleep tranquilly, salving his conscience with the thought that most of his responsibility has been discharged – that he did not have enough money to do any more. The eradicator knows that his success is not measured by what has been accomplished but, rather, is the extent of his failure indicated by what remains to be done. He must stamp out the last embers of infection in his jurisdiction. His slogan must be: ANY IS TOO MANY.

Even if these researchers do see the need to address the problem immediately, though they have obligations and legitimate interests elsewhere, including being funded for other research. With luck, the ideas discussed in Good Calories, Bad Calories may be rigorously tested in the next twenty years. If confirmed, it will be another decade or so after that, at least, before our public health authorities actively change their official explanation for why we get fat, how that leads to illness, and what we have to do to avoid or reverse those fates. As I was told by a professor of nutrition at New York University after on of my lectures, the kind of change I'm advocating could take a lifetime to be accepted.

Far more potently than any miracle medicine, relatively uncelebrated shifts in civic arrangements--better nutrition, housing, and sanitation, improved sewage systems and ventilation--had driven TB mortality down in Europe and America. Polio and smallpox had also dwindles as a result of vaccinations. Cains wrote, "The death rates from malaria, cholera, typhus, tuberculosis, scurvy, pellagra, and other scourges of the past have dwindled in the US because humankind has learned how to prevent these diseases.... To put most of the effort into treatment is to deny all precedent.

Havana, Cuba, in which city yellow fever had not failed to make its yearly appearance during the past one hundred and forty years... Havana was freed from yellow fever within ninety days. Dr. Walter Reed, 1902

Humanity shares a common ancestry with all living things on Earth. We often share especially close intimacies with the microbial world. In fact, only a small percentage of the cells in the human body are human at all. Yet, the common biology and biochemistry that unites us also makes us susceptible to contracting and transmitting infectious disease.

If people's night fears of sorcery - which negatively influences their decision to use mosquito nets - fail to impress the outsider, the brute everyday reality remains; in a number of rural African villages it is still much too common for very real hyenas to snatch people, especially children, out of their own homes as they lie sleeping at night, because of the lack of a good front door.

If truth prevails, the contributions of a courageous physician and a brilliant engineer to the conquest of waterborne disease will still be remembered in another hundred years.

Imagine a world where people were 10% happier and less reactive. Marriage, parenting, road rage, politics - all would be improved upon. Public health revolutions can happen rapidly. Most Americans didn't brush their teeth until after world war 2 after soldiers were demanded to maintain oral hygiene. Exercise didn't get popular until science proved its benefits. Mindfulness, I had come to believe, could, in fact, change the world.

Incredibly, just one mosquito species, Aedes aegypti is responsible for the spread of four known different deadly viral diseases to human beings, yet this mosquito has been allowed to infest densely-populated urban centers.

In times of stress and danger such as come about as the result of an epidemic, many tragic and cruel phases of human nature are brought out, as well as many brave and unselfish ones.

Arguably the greatest technological triumph of the century has been the public-health system, which is sophisticated preventive and investigative medicine organized around mostly low- and medium-tech equipment; ... fully half of us are alive today because of the improvements.

Fortunately for the cause of science and of humanity, we had as Governor-General of Cuba at that time General Leonard Wood, of the United States Army. General Wood had been educated as a physician, and had a very proper idea of the great advantages which would accrue to the world if we could establish the fact that yellow fever was conveyed by the mosquito, and his medical training made him a very competent judge as to the steps necessary to establish such fact. General Wood during the whole course of the investigations took the greatest interest in the experiments, and assisted the Board in every way he could.

He was one of life’s great helpers, for he cleaned up foul places and made them sweet.

How to spell Aedes aegypti,the world's one-stop, viral-disease-transmitting mosquito: T-R-O-U-B-L-E.

I am sorry for you tonight, Mr. President. You are facing one of the greatest decisions of your career. Upon what you decide depends on whether or not you are going to get your canal. If you fall back upon the old methods of sanitation you will fail, just as the French failed. If you back up Dr. Gorgas and his ideas, and you let him make his campaign against mosquitoes, then you get your canal. I can only give you my advice; you must decide for yourself. There is only one way of controlling yellow fever and malaria, and that is the eradication of the mosquitoes. But it is your canal; you must do the choosing and you must choose tonight whether you are going to build that canal.

In one respect New Orleans has set an example for all the world in the fight against yellow fever. The first impression was the complete organization of the citizens and the rational and reasonable way in which the fight has been conducted by them. With a tangible enemy in view, the army of defense could begin to fight rationally and scientifically. The... spirit in which the citizens of New Orleans sallied forth to win this fight strikes one who has been witness to the profound gloom, distress, and woe that cloud every other epidemic city. Rupert Boyce, Dean of Liverpool School of Tropical Diseases, 1905

It is much easier to evaluate perfect rather than partial results.

It is not possible to live in a malaria endemic zone without either being sickened by it oneself or without knowing someone who has had it or been hospitalized with it or without personally knowing at least one man, woman or child who has died from it or without knowing at least one woman who has lost her unborn baby from it.

It’s not that easy living with malaria. The reality of the high annual death toll should make that very obvious.

In recent years, academics, policy-makers, and experts have raised the question of the applicability of peacetime environmental law in times of armed conflict.

It is almost impossible for contemporaries to judge the true value of discoveries, or to give the proper position to the men of their own time who make these discoveries. The Surgeon-General of the Public Health Service expected the greatest results to flow from his commission of medical officers, but the conclusions of the Board turned out to be all wrong, while he did not notice the report from his own subordinate, Dr. H. R. Carter, which turned out to be pure gold and was one of the great steps in establishing the true method of the transmission of Yellow Fever.

It was not feasible to lose time in making careful surveys or extensive preliminary studies of possible control methods; learn how to get rid of Anopheles gambiae by actually getting rid of Anopheles gambiae.

Malaria eradication requires a 100% mind-set of success. There are no 70% or 80% or 90% efforts that pass in malaria control and eradication. One single infected mosquito that escapes can go on to bring death to dozens of victims in its lifespan, lay more eggs and restart an outbreak that progresses from a few to dozens to hundreds.

Malaria-hosting mosquitoes will not wait politely during their most active evening feeding hours for people to go to bed under mosquito nets.

Malaria prevention and eradication should be inspired by General George Patton’s advice: “A good plan executed violently today is better than a perfect plan in a week.” In this war of attrition, millions of people will be lost while waiting on researchers to finally emerge triumphant from their labs with the perfect malaria cure; yet meanwhile, there are plenty of time-proven, practical actions that individuals, families and communities can do today with what is already in hand that can decisively defeat malaria transmission if applied with vigor and disciplined consistency.

Rainy season should fill us with joy, not malaria parasites.

Many ‘experts’ don’t possess the imagination or vision or any of the logistical expertise required to achieve malaria eradication. Their opinions shouldn’t be allowed to hold back men and women who do possess these qualities from achieving the ‘impossible.

My dear Gorgas, Instead of being simply satisfied to make friends and draw your pay, it is worth doing your duty, to the best of your ability, for duty’s sake; and in doing this, while the indolent sleep, you may accomplish something that will be of real value to humanity. Your good friend, Reed Dr. Walter Reed encouraging Dr. William Gorgas who went on to make history eradicating Yellow Fever in Havana, 1902 and Panama, 1906, liberating the entire North American continent from centuries of Yellow Fever epidemics.

Preferring steady progress, slow and imperfect, is a good philosophy for the defeated.

Raising awareness versus raising alarm; the public can't be better informed if the information isn't better.

Recognizing its importance, Aedes aegypti should be studied as a long-term national, regional, and world problem rather than as a temporary local threat to the communities suffering at any given moment from yellow fever, dengue or other aegypti-borne disease. No one can foresee the extent of the future threat of Aedes aegypti to mankind as a vector of known virus diseases, and none can foretell what other virus diseases may yet affect regions where A. aegypti is permitted to remain.

The case which I reported on September 26, 1901, was really the last which occurred in Havana. Of course we did not know it at the time, but this case marked the first conquest of yellow fever in an endemic center; the first application of the mosquito theory to practical sanitary work in any disease.

Over a century now after Dr. William Gorgas wiped Yellow Fever out of Havana and Panama, and by that out of an entire continent, and more than half a century after Fred Lowe Soper led the eradication of Anopheles gambiae out of Northeast Brazil, their names are unknown, their carefully-detailed, boots-on-the-ground methods that they described in detail to leave expressly for generations to study and learn from to apply to malaria - and specifically they both had the desire for the destruction of malaria in Africa on their minds - is unread. The mistakes they warned about, the assumptions that they discovered to be useless and ineffectual in the field against disease-bearing mosquitoes are repeated today, while what Gorgas and Soper found to be effective and efficient in real-life conditions are routinely ignored or unknown, avoidable errors blithely doomed to be repeated thanks to modern ignorance of their incredibly important and transformative historical successes in public health. In the battles against malaria, to be ignorant of Gorgas’ and Soper's work in eradicating the mosquito that carries it is to be hobbled by the lack of hard-earned field knowledge, practical and effective discoveries that remain completely relevant and critical to success in eradicating malaria today.

The entire world has benefited and prospered since the decisive defeat of Yellow Fever, an unconventional and far-reaching military victory derived from the field medical discoveries of U.S. Army Major Dr. Walter Reed, designed and carried out by U.S. Army Major Dr. William Gorgas with the overall support under the command of U.S. Army General Leonard Wood.

The use of vaccine in the control of yellow fever should occupy more or less the same place that typhoid fever vaccine has in the control of typhoid fever. No sanitary authority would desire to substitute typhoid vaccine for the supply of pure water and food, so we must not accept the yellow fever vaccine as a substitute for the elimination of Aedes aegypti. The vaccine provides individual protection for the person who cannot be protected by more general measures.

There can be no doubt that the development of a practical method of water disinfection during the last two years marks an epoch in the art of water purification.

There is unspeakable yet entirely preventable suffering in this world. The job of journalists and writers engaged with global issues is to articulate the unspeakable and give voice to solutions. -- K. Lee Lerner

Shovels aren't very glamorous, but they've been liberating entire communities from malaria for the past 5,000 years.

The work directed against mosquitoes carrying yellow fever had an equally good effect upon malaria, especially when anti-anopheles work was extended to the suburbs of the city. Before the year 1901 Havana had yearly from 300 to 500 deaths from malaria, rising as high in 1898 as 1,900 deaths. Since 1901 there has been a steady decrease in the malaria death rate until 1912, when there were only four deaths. Four deaths from malaria in a city in the tropics the size of Havana, about 300,000 population, means the extinction of malaria in that city.

Transparency is critical in public health and epidemics; laypeople become either effective force-multipliers or stubborn walls.