MEDICINE
Cardiology is the study and treatment of disorders of the heart and blood vessels. A person with heart disease or cardiovascular disease should be referred to a cardiologist. Cardiology is a branch of internal medicine.
Neurology is a branch of medicine dealing with disorders of the nervous system. The discipline deals with the diagnosis and treatment of all categories of conditions and disease involving the central and peripheral nervous systems.
Opthamology is a discipline of medicine and surgery that deals with the diagnosis/treatment of disorders of the eye. An opthamologist is a physician who specializes in eye disorders. The Czech Republic is a leader in eye surgery.
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladadaptations related to behavior, cognition, mood, and perceptions. A psychiatrist is a medical doctor who specializes in treating mental health disorders (eg., abnormal behavior, emotional disturbance, etc.)
Pediatrics is the field of medicine that involves the medical care of infants, children, and adolescents. The American Academy of Pediatrics recommends people seek pediatric care through the age of twenty one. A pediatrician is a child's physician who provides medical care for children at every stage of their development in both sickness and health.
Obstetrics deals with the study of pregnancy, childbirth and the postpartum period. As a medical specialty obstetrics is combined with gynecology to form the hybrid field of Obstetrics/Gynecology which is a surgical field. One can be a gynecologist without being an obstetrician, though one cannot be an obstetrician without being a gynecologist.
According to the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO), the following are among the top public health problems:
There have been enormous strides made in the treatment and prevention of HIV, but there are still millions who die each year from HIV/AIDS. As COVID-19 vaccines were being developed in 2020, many health experts warned that vaccines can take years to come to fruition. The most popular comparison was made with the promised vaccine for HIV many years ago. To this day, there is no vaccine that helps prevent the virus or treat those infected. Scientists continue to work to develop an HIV/AIDS vaccine.
According to the WHO, more than 70 million people have contracted the infection since the epidemic first broke out, and about 33 million have died as a result. Today, there are around 38 million people living with HIV who may need support. Approximately 1.2 million Americans are living with HIV in the United States today, and about 14 percent of them – that is 1 in 7 – do not know it and need testing.
The ongoing pandemic remains front and center for public health officials. The deadly virus / mutations has placed the entire world in a state of emergency. The CDC continues to provide guidance on precautions like mask-wearing, social distancing, and other preventative practices. Healthcare professionals have come out of retirement and traveled to areas with high case counts, to help fight this disease. Thanks to the diligent work of scientists and public health researchers, multiple vaccines have been developed and are helping to curb the infection rate. The U.S. Surgeon General has also been working to increase the number of vaccines available, and expects all Americans to have access by August 2022.
Each year, 1 in 6 Americans get sick from eating contaminated food, and 3,000 die from this cause. Due to this constant, potential public health threat, the CDC tracks food borne illnesses and works with the Food and Drug Administration (FDA) to ensure proper food safety practices. Public health professionals that specialize in food safety and inspection are also in high demand.
Distracted driving, drunk driving, and vehicle safety are among the top concerns for safety on the road, according to the National Highway Traffic Safety Administration. As a result, policies surrounding seatbelt usage, proper car seat installation and usage, and driver’s license testing continue to be ranked among the top public health concerns.
According to the American Heart Association’s latest findings, heart disease remains the leading cause of death worldwide. Experts predict that the broad influence of the COVID-19 pandemic will extend that ranking for years to come. Specifically, they anticipate that the global burden of cardiovascular disease will grow exponentially over the next few years, as part of the evolving long-term effects of coronavirus. Naturally, this means that heart health is among the top public health concerns for physicians and public health workers today.
One of the many unfortunate side effects of the pandemic has been a decline in our mental health. Quarantines, remote work, and distance learning have impacted people of all ages. With tight restrictions on social gatherings, many people are experiencing severe feelings of isolation and distress. In fact, the rates of depression and anxiety are on the rise, which is largely due to social isolation and loneliness. According to the American Psychological Association (APA), 70 percent of teens are currently struggling with mental health issues. 60 percent of youth and adults are not getting the mental health treatment they need. As more people need mental health services, we can expect to see a growing demand for public health and mental health workers.
Much like mental health, substance abuse (e.g, alcohol, cocaine, fentanyl, heroin , marijuana, methamphetamine, etc.,) is another growing concern. This was among the top public health problems before the pandemic started, but it has only been amplified in the days of self-isolation. Studies report that, since the enactment of stay-at-home orders, suspected overdoses have increased 18 percent. According to the CDC, 40 percent of U.S. adults report struggling with mental health or substance abuse. Comedian John Mulaney is one example of this growing concern. He made headlines in December of 2020 when he checked into rehab after years of sobriety. The former SNL-writer attributed the recent struggles to the pandemic. Mulaney is certainly not alone.
The drug overdose epidemic – primarily driven by opioid abuse – has killed more than 750,000 people since 1999. Two out of three of the drug overdose deaths in 2018 involved an opioid. In 2017, the U.S. Department of Health and Human Services declared the opioid epidemic a public health emergency and announced a strategy to help combat the problem.
As noted above, experts are seeing a rise in substance abuse and drug overdoses since the COVID-19 pandemic began. Lockdown orders have increased feelings of boredom, which in turn has increased the risk of substance abuse. In addition, with many people at home alone, there is a higher risk of overdosing without anyone knowing or being there to call for help.
We know that hospitals help patients recover and heal from illnesses and injuries, but we do not always think about the healthcare-associated infections (HAIs) that can come from treatment. These can be caused by the devices used in medical procedures , like catheters or ventilators. They can also happen at surgery sites, known as surgical site infections. While significant progress has been made in preventing some of these HAIs, there is much more work to be done. According to the CDC, on any given day, about 1 in 31 patients has at least one HAI.
Our nutrition and physical activity is another public health issue that has only been amplified by the COVID-19 pandemic. This was among the top public health problems before the outbreak of the novel coronavirus – with the CDC reporting obesity effects 93.3 million American adults and more than 13.7 million children – but those numbers will likely grow significantly in the near future. A global study, published in The Journal of Obesity, found that lockdowns related to the pandemic led to dramatic changes in health behaviors, prompting people around the world to cut back on physical activity and eat more junk foods.
This is a serious health concern for public health professionals, since obesity increases the risk of chronic illnesses like diabetes, blood pressure, and heart disease. Obesity is also considered a high-risk factor for COVID-19.
The good news is that, over the years, the rise of obesity has led to more awareness and education surrounding proper nutrition and physical activity. Public health educators have been paving the way for better nutrition and deepened self-care in communities.