Graduate School of Public Health San Diego State University PH 101: Introduction to Public Health Fall 2011 Syllabus Class Meeting: September 2, 3, 23 & 24 October 14 & 15 November 4 & 5 December 2, 3 & 16 (Final Exam) Fridays 10:00AM - 12:40PM & 2:00 - 4:40PM Saturdays 12:00 - 2:40PM Student Services West Room 1500 (SSW-1500) Instructors: Jennifer Schwartz, MPH Carleen Stoskopf, ScD Email: schwartj@rohan.sdsu.edu; stoskopf@mail.sdsu.edu Office Hours: By Appointment Course Learning Objectives Identify major public health disciplines, agencies/organizations, and be able to conceptualize “What is public health?” Understand the difference between personal health and public health; Describe the basic principles of epidemiology, including rates, risk factors, disease determinants and causation; Understand the importance of data in public health assessments; Understand the determinants of health from a global perspective, including environmental, social, cultural, behavioral and biological factors; Understand the concepts of prevention, detection and control of infectious and chronic diseases; Understand the impact of health behavior on population health; Understand the organization, financing and delivery of medical care in the U.S; The role of access to, and quality of. health care and its impact on population health and health outcomes; Explore current public health issues, to include such topics as: health reform; health disparities; sustainability; food and water safety; climate change; risky behaviors; public health interventions; the role of public health in social justice. Required Text Schneider, Mary-Jane. Introduction to Public health. 3rd Ed. Jones & Bartlett. 2010. 1 Additional readings and reference websites will be provided throughout the semester. These will be posted on Blackboard. Grading Criteria Major Paper: During the course you will be writing a paper in sections. Each part will be 3 to 4 pages and worth 10% of your grade. Part I will be your evaluation of your health beliefs, attitudes, and behaviors. You will also assess, in your opinion, your current health status and concerns you have about your future health. Part II will be an assessment of your immediate family. What illnesses run in your family’s history, what behaviors you learned in your family that contribute to good or bad health status? Are some of you health beliefs, attitudes, and behaviors different from other members of your family? Why or why not? In Part III of the paper you will describe the community you live in. For this section you must get real data on your community and cite that data in the bibliography. What health problems exist? Are there any community interventions in place? Can you think of other interventions that could be implemented? How could you improve the health of your community? What interventions might be deployed in your community? You will give an oral presentation of the Major Paper in small groups; group members will provide feedback and an evaluation of the presentation. Infectious Disease 3 x 5 Card Exercise: Each student will be assigned a specific infectious disease. You will find out the etiological agent, the mode of transmission, any hosts involved in the life cycle, and vectors required for transmission, appropriate interventions that will break the chain-of-infection. Use a 3 x 5 card to complete this exercise and on the back of the card, please list your references. Tracing your Food to Its Source paper: You will bring one food item to class, preferably one that you like to eat. It can be fresh or packaged. You will then follow that food, or foods, to its or their source (all ingredients). This can be turned in “bullet form.” Toilet to Tap paper: Students will research the issues as applied to the current proposal in San Diego County. Then you will argue one side or the other. Is this a good idea? What alternative water resources does the county have? Five pages maximum. This paper required references. Tobacco Case Study: A short case study will be provided on interventions targeting smoking cessation in young adults. You will answer the questions provided with the case in writing. This is no more than two pages. In-Class Debate: Each student will be put in a group. Each group will be assigned a topic for debate. The group will then divide itself into those “for” or “against” the debate topic. Research the topic and be prepared to debate the subject in class. The debate will follow formal debate guidelines. 2 [Topic examples: Menu labeling; water fluoridation; universal health insurance coverage; advertising junk food; requiring vaccinations; genetically modified organisms; nuclear power, etc.] Final Exam: The final will cover all class material and all assigned readings. The final grade for this course will be determined according to the following criteria: Major Paper 3 x 5 Card Infectious Disease Exercise Toilet to Tap Short Paper Tobacco Case Study Tracing Food to Its Source In-Class Debate Final Exam 25% 5% 10% 10% 10% 20% 20% 100% Course grades will be assigned based on each individual's absolute percentage score. Grades will be based on the following percentages of the semester grades earned: A 94-100 A- 90-93 B+ 87-89 B 80-86 B- 78-79 C+ 75-77 C 70-74 C- 67-69 D 60-66 F < 60 Incompletes: Medical emergencies verified by practicing clinicians and other documented emergencies are the only bases for an incomplete. Failure to complete assignments on time will result in no credit for the assignment. The final exam will be given only once. Attendance: Students may miss no more than two class sessions. For every absence thereafter, one percentage point will be taken off your final grade. NOTE: Students who intend to apply for a public health major MUST receive a grade of B or better in both PH101 and PH290. IF YOU RECEIVE A GRADE OF B-, C+ or C IN EITHER COURSE, NEW UNIVERSITY POLICY DOES NOT PERMIT YOU TO RETAKE THAT COURSE. This means you will not be allowed to declare public health as your major if you receive a grade of B-, C+ or C in PH101, PH 290, PH 296. However, you may retake any course at SDSU if you receive a grade of C- or lower. Please take this into account as you prepare and study for this course and the exams. Your final course grade will be based solely on the criteria shown above. See the General Catalog for a full description of requirements for the public health major. Statement on Nondiscrimination Policy 3 San Diego State University complies with the requirements of Title VI and Title VII of the Civil Rights Act of 1964 as well as other applicable federal and state laws prohibiting discrimination. No person shall, on the basis of race, color or national origin be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination in any program of the California State University. SDSU does not discriminate on the basis of disability in admission or access to, or treatment or employment in, its programs and activities. Students should direct inquiries concerning SDSU compliance with all relevant disability laws to the Director of Student Disability Services, Calpulli Center, Room 3101, San Diego State University, San Diego, CA 92128 or call 619.594.6473 (TDD: 619.594.2929). SDSU does not discriminate on the basis of sex, gender, or sexual orientation in the educational programs or activities it conducts. More details on SDSU’s Nondiscrimination Policy can be found in the SDSU General Catalog, University Policies. Student Conduct and Grievances SDSU is committed to maintaining a safe and healthy living and learning environment for students, faculty and staff. For more information regarding student conduct, please review Sections 41301, Standards for Student Conduct, and Sections 41302-41304 of the University Policies. If a student believes that a professor’s treatment is grossly unfair or that a professor’s behavior is clearly unprofessional, the student may bring the complaint to the proper university authorities and official reviewing bodies. See University policies on Student Grievances. Plagiarism Plagiarism or cheating will not be tolerated. If it is found that a student has cheated on the exam or plagiarized on a paper, the student will lose all points for that assignment. We reserve the right to put all papers through “Turn It In.” If a student does not want their paper(s) reviewed with this software, you must provide the full text of each reference you cite in that paper. Schedule Day F (10 AM) F (2 PM) Date 9/2 9/2 Topics Introduction to course; “What is Public Health?” Dr. Carleen Stoskopf & Jennifer Schwartz, MPH How is Public Health Organized in the U.S.? Dr. Carleen Stoskopf Introduction to Epidemiology; Population health; Health status indicators; Rates & ratios; Incidence & prevalence. Chapters/Readings Due Assignments Due Ch. 1 & 2 Ch. 4, 5, 7, & 8 4 Dr. Carleen Stoskopf Public Health Perspectives from the ER Guest Lecturer: Dr. Adam Schwartz Sat (12 PM) 9/3 Health Behavior and Chronic Diseases Jennifer Schwartz, MPH Public Health Interventions, Ex: Menu labeling, junk food advertising, smoking bans Jennifer Schwartz, MPH Ch. 11, 13, & 16 “Less Active at Work, Americans Have Packed on Pounds” “Physical Activity to Prevent CVD” “HealthCare Reform in Action – Calorie Labeling Goes National” Infectious Disease Exercise Due “Immunizations: A Child’s Front-Line Defense” F (10 AM) 9/23 In-Class “Heart Deck” Activity Cardiovascular Epidemiology: “How We Determine Where to Intervene” Guest Lecturer: Dr. Nketi Forbang Infectious diseases; 3 x 5 card exercise Guest Lecturer: Dr. Melanie Rusch “Vaccine Cleared Again as Autism Culprit” “Getting Doctors to Wash Their Hands” “Should Smokers and Obese Pay Fee for Medicaid in AZ?” Ch. 9 & 10 “The Outbreak of West Nile Virus Infection in the New York City Area in 1999” Film: “Bird Flu, How Safe Are We” F (2 PM) “EIS Case Study: Measles” 9/23 Sexually Transmitted Infections Jennifer Schwartz, MPH “The Forever War: Malaria versus the World” “Syphilis Outbreak in San Diego” Ch. 19 Sat (12 PM) 9/24 Concepts in Environmental Health; EH Agencies Case study: Childhood Asthma Guest Lecturer: Dr. Jenny Quintana Film: “Journey to Planet Earth” Major Paper: Part I Due “Study Suggests Higher Cancer Risk for 9/11 Firefighters” “In Carlsbad, Parents of Cancer Patients Plead for Answers” “Childhood Asthma in Metropolitan Areas” “Fumigant Worry in 5 Strawberry Fields” Ch. 14 F (10 AM) 10/14 Health Behavior Research & Theories Guest Lecturer: Dr. Melbourne Hovell Film: “World in The Balance, Part I” Tobacco Case Study Due "The behavioral ecology of secondhand smoke exposure: A pathway to complete tobacco control" . "Chapter 13: The Behavioral Ecological Model". Ch. 20 F (2 PM) 10/14 Climate change & green architecture Guest Lecturer: Dr. Zohir Chowdhury “Warming of Earth’s Surface Creates More Clouds, Rain” “Figuring the Nuclear Odds” Sat (12 PM) Organization of the U.S. health care system, MediCal, Medicare Dr. Carleen Stoskopf Ch. 25 Film: “Critical Condition” “Demand for Medi-Cal Rises when Economy Sinks” 10/15 Ch. 15 Sustainability Guest Lecturer: Dr. Geoff Chase “Nature’s Barbers” Food Source Short Paper Due Toilet to Tap Short Paper Due “Nissan Leaf: To Buy or Not to Buy” F (10 AM) 11/4 Global and International Health Case Study: Tobacco Guest Lecturer: Sanghyuk Shin “The Earth Charter” “The Story Of A Poor Family Afflicted With Multi-Drug-Resistant Tuberculosis” Ch. 23 “CA Death Linked to Ground Turkey” F (2 PM) Sat (12 PM) 11/4 11/5 Food safety (FDA, Dept Agriculture) Exercise: Tracing Food to its source Guest Lecturer: Dr. Eunha Hoh Water resources: Toilet to Tap Guest Lecturer: Dr. Rick Gersberg Film: “Liquid Assets” “Cargill Recalls Ground Turkey Linked to Outbreak” “Making Better Maps of Food Deserts” Ch. 21 Major Paper: Part II Due “Keeping the Faucets Flowing” 6 F (10 AM) 12/2 Health Reform, Comparative health systems; Issues of access & quality Dr. Carleen Stoskopf Film: “Sick Around the World” Health Disparities & Social Determinants of Health Guest Lecturer: Holly Shakya, MPH F (2 PM) 12/2 Film: “Unnatural Causes” (Presentation of Major Paper Parts I-III in Groups) Sat (12 PM) 12/3 In-Class Panel Discussions in Groups F (10 AM) 12/16 Final Exam: Based on Readings, Lectures, Films, & Guest Lectures Ch. 26 Major Paper: Part III Due “A Long Way to go on Health Reform” “Social Determinants of Health: The Solid Facts” “Improving Health Care in an Underserved Community” Ch. 24 In-Class Panel Discussions Final Exam 7