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The New Public Health - 3rd Edition - ISBN: 9780124157668, 9780124157675

The New Public Health

3rd Edition

Authors: Theodore Tulchinsky Elena Varavikova
eBook ISBN: 9780124157675
Hardcover ISBN: 9780124157668
Imprint: Academic Press
Published Date: 15th April 2014
Page Count: 912
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The New Public Health has established itself as a solid textbook throughout the world. Translated into 7 languages, this work distinguishes itself from other public health textbooks, which are either highly locally oriented or, if international, lack the specificity of local issues relevant to students' understanding of applied public health in their own setting.

This 3e provides a unified approach to public health appropriate for all masters' level students and practitioners—specifically for courses in MPH programs, community health and preventive medicine programs, community health education programs, and community health nursing programs, as well as programs for other medical professionals such as pharmacy, physiotherapy, and other public health courses.

Key Features

  • Changes in infectious and chronic disease epidemiology including vaccines, health promotion, human resources for health and health technology
  • Lessons from H1N1, pandemic threats, disease eradication, nutritional health
  • Trends of health systems and reforms and consequences of current economic crisis for health
  • Public health law, ethics, scientific d health technology advances and assessment
  • Global Health environment, Millennium Development Goals and international NGOs


Upper level undergraduate and graduate students taking a public health course, professionals seeking a comprehensive reference

Table of Contents

Chapter 1. A History of Public Health

  • Introduction
  • Prehistoric Societies
  • The Ancient World
  • The Early Medieval Period (Fifth to Tenth Centuries CE)
  • The Late Medieval Period (Eleventh to Fifteenth Centuries)
  • The Renaissance (1400–1600s)
  • Enlightenment, Science, and Revolution (1600s–1800s)
  • Foundations of Health Statistics and Epidemiology
  • Social Reform and the Sanitary Movement (1830–1875)
  • Hospital Reform
  • The Bacteriological Revolution
  • Microbiology and Immunology
  • Maternal and Child Health
  • Nutrition in Public Health
  • Military Medicine
  • Globalization of Health
  • Epidemiological Transition
  • Achievements of Public Health in the Twentieth Century
  • Creating and Managing Health Systems
  • Challenges in the Twenty-First Century
  • Summary
  • Historical Markers
  • Note

Chapter 2. Expanding the Concept of Public Health

  • Introduction
  • Concepts of Public Health
  • Evolution of Public Health
  • Health and Disease
  • The Natural History of Disease
  • Society and Health
  • Modes of Prevention
  • Demographic and Epidemiological Transition
  • Interdependence of Health Services
  • Defining Public Health
  • The World Health Organization’s Definition of Health
  • Selective Primary Care
  • The Risk Approach
  • The Case for Action
  • Political Economy and Health
  • Social, Behavioral, and Political Sciences
  • Health and Development
  • Health Systems: The Case for Reform
  • Advocacy and Consumerism
  • The Health Field Concept
  • The Value of Medical Care in Public Health
  • Health Targets
  • Individual and Community Participation in Health
  • Human Ecology and Health Promotion
  • Defining Public Health Standards
  • Integrative Approaches to Public Health
  • Achievements of Public Health
  • The Future of Public Health
  • The New Public Health
  • Summary
  • Note

Chapter 3. Measuring, Monitoring, and Evaluating the Health of a Population

  • Introduction
  • Demography
  • Life Expectancy
  • Epidemiology
  • Social Epidemiology
  • Epidemiology in Building Health Policy
  • Definitions and Methods of Epidemiology
  • Sentinel Events
  • The Burden of Disease
  • Years of Potential Life Lost
  • Measurement
  • Normal Distribution
  • Standardization of Rates
  • Potential Errors in Measurement
  • Screening for Disease
  • Epidemiological Studies
  • Establishing Causal Relationships
  • Notification of Diseases
  • Special Registries and Reporting Systems
  • Disease Classification
  • Hospital Discharge Information
  • Health Information Systems (Informatics)
  • Surveillance, Reporting, and Publication
  • Assessing the Health of the Individual
  • Assessment of Population Health
  • Health Care Financing and Organization
  • From Health Information to Knowledge to Policy
  • Summary
  • Note

Chapter 4. Communicable Diseases

  • Introduction
  • Public Health and the Control of Communicable Disease
  • The Nature of Communicable Disease
  • Host–Agent–Environment Triad
  • Classifications of Communicable Diseases
  • Modes of Transmission of Disease
  • Immunity
  • Surveillance
  • Healthcare-Associated Infections
  • Endemic and Epidemic Disease
  • Control of Communicable Diseases
  • Vaccine-Preventable Diseases
  • Vaccine Regulation, Schedules, and Programs
  • Essentials of an Immunization Program
  • Connections Between Infectious and Chronic Diseases
  • Control and Eradication of Infectious Diseases
  • Vectorborne Diseases
  • Neglected Tropical Diseases
  • Legionnaire’s Disease
  • Leprosy
  • Sexually Transmitted Infections
  • Diarrheal Diseases
  • Acute Respiratory Infections
  • Inequalities in Control of Communicable Diseases
  • Communicable Disease Control in the New Public Health
  • Summary
  • Note

Chapter 5. Non-Communicable Diseases and Conditions

  • Introduction
  • The Rise and Spread of Chronic Disease
  • Environment and Lifestyle
  • Global Burden of Mortality
  • Risk Factors, Health Promotion, and Prevention of Non-Communicable Diseases
  • The Social and Economic Burden of Non-Communicable Diseases
  • Health Promotion and Disease Prevention
  • Hypertension and Cardiovascular Diseases
  • Diabetes Mellitus
  • Cancer
  • Trauma, Violence, and Injury
  • Chronic Lung Disease
  • End-Stage Renal Disease
  • Disabling Conditions
  • Neurological Disorders
  • Visual Disorders
  • Hearing Disorders
  • Non-Communicable Diseases and the New Public Health
  • Integrated Non-Communicable Disease Prevention and Control
  • Summary
  • Note

Chapter 6. Family Health

  • Introduction
  • The Family Unit
  • Preventive Health through Life Stages
  • The Family Physician Cannot do All This Alone
  • Maternal Health
  • Pregnancy Care
  • Labor and Delivery
  • Genetic and Birth Disorders
  • Infant and Child Health
  • Infancy Care and Feeding
  • Anticipatory Counseling
  • Documentation, Records, and Monitoring
  • Preschool Children (Age 1–5 Years)
  • School and Adolescent Health
  • Adult Health
  • Women’s Health
  • Men’s Health
  • Health of Older Adults
  • Summary
  • Note

Chapter 7. Special Community Health Needs

  • Introduction
  • Mental Health
  • Oral Health
  • Physical Disability and Rehabilitation
  • Special Group Health Needs
  • Military Medicine
  • Health in Disasters
  • Summary
  • Note

Chapter 8. Nutrition and Food Safety

  • Introduction
  • Development of Nutrition in Public Health
  • Nutrition in a Global Context
  • Nutrition and Infection
  • Functions of Food
  • Human Nutritional Requirements
  • Growth
  • Measuring Body Mass
  • Recommended Dietary Intakes
  • Disorders of Undernutrition
  • Diseases of Overnutrition
  • Nutrition in Pregnancy and Lactation
  • Promoting Healthy Diets and Lifestyles
  • Dietary Guidelines
  • Vitamin and Mineral Enrichment of Basic Foods
  • Genetically Modified Foods
  • Food and Nutrition Policy
  • Nutrition Monitoring and Evaluation
  • Global Nutrition Targets for 2025
  • Food Quality and Safety
  • Nutrition and the New Public Health
  • Summary
  • Note

Chapter 9. Environmental and Occupational Health

  • Environmental Health
  • Occupational Health
  • Note

Chapter 10. Organization of Public Health Systems

  • Introduction
  • Government and Health of the Nation
  • Functions of Public Health
  • Non-Governmental Roles in Health
  • Disasters and Public Health Preparedness
  • Medical Practice and Public Health
  • Incentives and Regulation
  • National Government Public Health Services
  • State Government Public Health Services
  • Local Health Authorities
  • Accreditation OF Public Health Departments
  • Monitoring Health Status
  • National Health Targets
  • Universal Health Coverage and the New Public Health
  • Hospitals in the New Public Health
  • Innovations in Health Care Delivery
  • The Uninsured as a Public Health Challenge
  • Summary
  • Note

Chapter 11. Measuring Costs: The Economics of Health

  • Introduction
  • Economic Issues of Health Systems
  • Basic Concepts in Health Economics
  • Supply, Need, Demand, and Utilization of Health Services
  • Competition in Health Care
  • Elasticities of Demand
  • Measuring Costs
  • Economic Measures of Health Status
  • Cost–Benefit Analysis
  • Cost-Effectiveness Analysis
  • Basic Assessment Scheme for Intervention Costs and Consequences
  • The Value of Human Life
  • Health Financing: The Macroeconomic Level
  • Costs of Illness
  • Medical and Hospital Care: Microeconomics
  • Health Maintenance and Managed Care Organizations
  • District Health Systems
  • Paying for Hospital Care
  • Capital Costs
  • Hospital Supply, Utilization, and Costs
  • Modified Market Forces
  • Economics of Prevention
  • Game Theory, Economics, and Health Policy
  • Economics and the New Public Health
  • Summary
  • Note

Chapter 12. Planning and Managing Health Systems

  • Introduction
  • Health Policy and Planning as Context
  • The Elements of Organizations
  • Scientific Management
  • Bureaucratic Pyramidal Organizations
  • Organizations as Energy Systems
  • Target-Oriented Management
  • Human Relations Management
  • Network Organization
  • Total Quality Management
  • Changing Human Behavior
  • Empowerment
  • Strategic Management of Health Systems
  • Health System Organization Models
  • Skills for Management
  • The Chief Executive Officer of Health Organizations
  • Community Participation
  • Integration: Lateral and Vertical
  • Norms and Performance Indicators
  • Health Promotion and Advocacy
  • Philanthropy and Volunteerism
  • New Organizational Models
  • New Projects and their Evaluation
  • Competencies in Health Policy and Management
  • Systems Approach and National Planning
  • Summary
  • Note

Chapter 13. National Health Systems

  • Introduction
  • Health Systems in the Industrialized Countries
  • Health Systems in Developing Countries
  • Federal Republic of Nigeria
  • Latin America and the Caribbean
  • Asia
  • Comparing National Health Systems
  • Reforming National Health Systems
  • Summary
  • Note

Chapter 14. Human Resources for Health

  • Introduction
  • Overview of Human Resources
  • Human Resources Planning
  • Medical Education
  • Postgraduate Medical Training
  • Specialization and Family Practice
  • Training in Preventive Medicine
  • Nursing Education
  • In-Service and Continuing Education
  • Accreditation of Health Professional Educational or Training Facilities
  • The Range of Health Disciplines
  • Licensure and Supervision
  • Constraints on the Health Care Provider
  • Other Health Professions
  • Expanding Roles in Primary Care
  • Alternative Medicine
  • Changing the Balance
  • Education for Public Health and Health Management
  • Health Policy and Management of Human Resources
  • Summary
  • Note

Chapter 15. Health Technology, Quality, Law, and Ethics

  • Introduction
  • Innovation, Regulation, and Quality Control
  • Appropriate Health Technology
  • Health Technology Assessment
  • Dissemination of Technology
  • Diffusion of Technology
  • Quality Assurance
  • Organization of Care
  • Performance Indicators
  • Consumerism and Quality
  • The Public Interest
  • Total Quality Management
  • Public Health Law
  • Ethical Issues In Public Health
  • Summary
  • Note

Chapter 16. Global Health

  • Introduction
  • The Global Health Situation
  • Priorities in Global Health
  • Development and Health
  • Organization for International Health
  • World Health Organization
  • United Nations Children’s Fund
  • Non-Governmental Organizations
  • The World Bank
  • Trends in Global Health
  • Emerging Infectious Disease Threats
  • Expanding National Health Capacity
  • Top–Down and Bottom–Up Development
  • Global Health and the New Public Health
  • Summary
  • Note


No. of pages:
© Academic Press 2015
15th April 2014
Academic Press
eBook ISBN:
Hardcover ISBN:

About the Authors

Theodore Tulchinsky

Theodore H. Tulchinsky (MD from the University of Toronto; M.P.H. degree from Yale University) served as a Deputy Minister of Health and Social Development in the Province of Manitoba, Canada, Director of Public Health in the Ministry of Health in Israel, and Director of Preventive Health Services and Coordinator for Health and supervisor of health in the West Bank and Gaza (development of immunization, nutrition, primary care for maternal and child health especially). He is Associate Professor at the Braun School of Public Health at the Hebrew University, and was Fulbright Scholar and Visiting Professor at the University of California, Los Angeles (UCLA) School of Public Health. He has published extensively on public health topics including on infectious diseases, nutrition and environmental health. He is active in promoting new schools of public health in Countries of Eastern Europe, the former Soviet Union and Central Asia, served on the Executive Board of the European Association of Schools of Public Health. He is lead author on the textbook The New Public Health (three editions in 1999, 2005, 2014); NPH has been translated into Russian, Bulgarian, Macedonian, Moldovan, Romanian, Mongolian, Georgian and Turkish languages. Ted was awarded the Andija Stampar Medal in 2010 for "excellence in promoting public health education in Europe, and has been Deputy Editor of Public Health Reviews from 2010 to 2017.

Affiliations and Expertise

Braun School of Public Health, Hebrew University-Hadassah, Hadassah Ein Karem, Jerusalem, Israel School of Health Professions, Ashkelon Academic College, Ashkelon, Israel

Elena Varavikova

Elena A. Varavikova is an MD from the I.M. Sechenov Moscow Medical Academy. She completed her Ph.D. in Moscow, an M.P.H. degree at the School of Public Health at the State University of New York in Albany, and postdoctoral studies at the Harvard University School of Public Health. She served as Chief of the Unit for Monitoring of Health and Preventable Deaths, Public Health Institute, Russia, as well as Associate Professor of Public Health at the Moscow Medical Academy. After a 4-year affiliation as a scientist for the World Health Organization, HQ, Geneva, Switzerland, she returned to Russia to work in the Ministry of Health and Social Development in the Department for International Collaboration in Public Health, and later in the Federal Agency for High-tech Medical Care. Dr. Varavikova is now a State Adviser for the Russian Federation. She has managed and participated in number of projects in many countries and has published on public health topics including health policy, population health, future studies and globalization, health technology assessment, and professional education.

Affiliations and Expertise

Leading Researcher, Federal Research Institute for Health Organization and Information, FRIHOI, Moscow, Russian Federation


"a broad overview of all public health disciplines…an unexpected level of detail, beginning with the history of public health and branching into the various fields the subject now encapsulates. Summing Up: Highly recommended." --Choice

"The need for a robust public health response to the challenges facing society is greater now than it has been for many decades. The global financial crisis has been seized upon by those who see an opportunity to challenge the responsibility of the state for its citizens, and above all those who are most vulnerable. In the tradition of Rudolph Virchow, the public health community must speak out, marshalling the evidence, formulating policies, and showing that there is an alternative. In this third, substantially revised, edition of what is now established as one of the leading textbooks on the theory and practice of public health, Tulchinsky and Varavikova draw on a wealth of examples from all parts of the world to instruct, invigorate, and inspire us." --Martin McKee CBE, Professor of European Public Health, London School of Hygiene and Tropical Medicine, London , UK

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