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Public Health

Covid 19 - irreversible and catastrophic consequences

Hanns-Jürgen Hodann
Collapse of the economy, not just recession, is now very likely. To give just one possible cause, in the U.S. the fracking industry is in deep trouble. It is not only that most fracking companies have never achieved a free cash flow (made a profit) since the fracking boom started in 2008, but that  an already very weak  and unprofitable oil industry cannot cope with extremely low oil prices. The result will be the imminent collapse of the industry. However, when the fracking industry collapses in the US, so will the American economy – and by extension, probably, the rest of the world economy. To grasp a second and far more serious threat it is vital to understand the phenomenon of ‘Global Dimming’. Industrial activity not only produces greenhouse gases, but emits also sulphur dioxide which converts to reflective sulphate aerosols in the atmosphere. Sulphate aerosols act like little mirrors that reflect sunlight back into space, cooling the atmosphere. But when economic activity stops, these aerosols (unlike carbon dioxide) drop out of the atmosphere, adding perhaps as much as 1° C to global average temperatures. This can happen in a very short period time, and when it does mankind will be bereft of any means to mitigate the furious onslaught of an out-of-control and merciless climate. The data and the unrelenting dynamic of the viral pandemic paint bleak picture.  As events unfold in the next few months,  we may discover that it is too late to act,  that our reign on this planet has, indeed,  come to an abrupt end?  

Environment Public Health Climate Heating COVID-19

  • 5 days 22 hours ago

Diabetes Prevention Opportunities

Chris Skelly
This is a systems model that allows groups of professionals to discuss 'prevention at scale' opportunities and the implications of numbers 'needed to treat' in any local population. In terms of public health interventions this equates to reach, compliance and efficacy, which are usually lower than one might suspect.

Health Care Public Health

  • 9 months 2 weeks ago

NJ Low-Risk CSections

Seri Anderson
This model estimates the number of low-risk C-sections that will be performed in NJ. These estimates are based on the best available evidence in the literature.

There are four interventions that can reduce the number of low-risk c-sections:
1) Allowing movement and positioning other than supine in the first stage of labor ("Supine")
2) Encouraging the use of doulas and creating doula-friendly policies ("Doula")
3) Improving access to and promoting quality childbirth education ("Childbirth Education")
4) Tracking provider-level C-section rates and conducting case reviews ("Tracking and Case Review")

Experiment with the interventions by moving the sliders below.

Each slider indicates the number of NJ hospitals in which the intervention is implemented. Zero indicates that the intervention is not used. Fifty-three indicates full implementation.

You can simulate by pressing the "simulate" button at the top left. If you don't see the simulate button, click the downward facing arrow next to "Clone Insight". You may need to turn off your pop-up blocker.

Public Health Maternal And Child Health United States Birth

  • 2 years 7 months ago

Health Prevention

David Plummer
Increasing demand for unplanned hospital services can be met either by increasing the capacity of hospitals or investing in prevention services, either by Public Health or Primary Care. Historically, justifying this investment has been difficult, with funding discussions focusing on how much can money the prevention will save in secondary care, and then the difficulty of releasing that money. However, switching the narrative to one based upon improving health outcomes, and working within the existing capacity of secondary care rather than building new hospitals as the population grows may provide more positive in releasing cash for prevention activity.

Model to quantify the benefit of providing Public Health and Primary Care interventions to reduce the risk of unplanned hospital attendances.​

Health Care Prevention Public Health

  • 2 months 2 weeks ago