Monday, January 27, 2020

Geography Essays Housing and Health

Geography Essays Housing and Health Explore the relationships between housingand health Introduction Historically, there has been recognised a directrelationship between substandard accommodation and poor health. The IndustrialRevolution in Britain resulted in low standard working-class housing beingbuilt quickly to meet this increase in demand for workers. Over-crowdeddwellings, inadequate sanitation and a proclivity to dispose of all forms ofwaste in cesspools, rivers and the street resulted in severe epidemics of manyillnesses, predominantly those which are waterborne. In the preface of OliverTwist (Dickens, 1839 [1994]), the author summarises the problem effectivelyby stating: I am convinced that nothing effectualcan be done for the elevation of the poor in England until their dwellingplaces are made decent and wholesome. This reform must proceed all other socialreforms, without it those classes of the people which increase the fastest,must become so desperate and be made so miserable, as to bear within themselvesthe certain seeds of ruin to the whole community (Dickens, 1839). Many of the most significant improvements in health haveresulted from progression in public health reform, most notably clean water,sanitation, and reduced exposure to extreme cold associated with improvedaccommodation. However, the second half of the twentieth century has seen adecline in political interest in the issue of poor housing, despite overwhelmingevidence of the health consequences of poor housing and increasing economicdisparity among different social groups (Potvin, et. al., 2002). Whilethere has been a dramatic improvement in general health in industrial countriesover the last century, some sections of society still live in poverty-strickenconditions, with indications that the divergence between rich and poor is increasing(Stanwell-Smith, 2003). Economically deprived communities frequently reside ininferior housing and unsanitary environments, and these conditions are directlyassociated with the common health problems reported in such populations.There currently exists a substantial body ofresearch into the many relationships between housing and health status (Dunn,2000). The majority of this research has focused on the connections betweensubstandard and crowded housing conditions and incidence of injury, disease,and myriad physical ailments. Health and Housing Epidemiological studies have determined that certaincontaminants in the residential environment, such as mould, dampness, and pestantigens, can cause or exacerbate a range of respiratory problems (Bornehag, et.al., 2005), particularly among children and the elderly. Structuraldeficiencies, overcrowding, poor ventilation, inappropriate ambienttemperatures and low-quality construction and maintenance have been directlylinked to excessive incidences of infectious diseases, asthma, respiratoryinfections, injuries and an overall shortening of lifespan. Exposure toenvironmental hazards, such as carbon monoxide, pesticides, inadequatelymaintained utilities, and tobacco smoke, tends to be greater within sociallyand economically deprived areas, and accounts for a number of serious healthissues (Klitzman, et. al., 2005). The UK and Ireland have both a high rate of povertyand the worst birth weight in deprived areas compared to any other WesternEuropean country (Sandwell-Smith, 2003). The English House Condition Survey showedthat 1,522,000 UK dwellings did not meet the required suitability standards(EHCS, 1996). For many already deprived communities, the only housing availableis substandard. The World Health Organisation (WHO) recommends that, duringcold weather, ambient room temperature should remain constant at 18-20C (WHO,2005), however, it is estimated that 40% of the UK population resides intemperatures below these guidelines. Similarly, the UK has 19% of cold, damphousing compared to the 9% recorded in Germany (EHCS, 1996). Despite somemeasure adopted by local governments, housing policy remains insufficient inmany areas. For example, insulation of properties is recognised as a costeffective intervention that could increase ambient room temperatures while decreasingfuel costs for poverty-stricke n communities, however, the Warm Front scheme,which provides funding for insulation, is not available to pregnant women andyoung children. Despite repeated evidence of the effects of poor housing, and associatedlack of heating, on public health interventions remain insufficient. The population of Europe had expanded byapproximately 2.5% between 1990 and 1998 (WHO), with growth more prevalentwithin the south. Eastern Europe is considered poorer, with increasing rates ofunemployment (WHO, 2002). Comparatively, eastern Europe had proportionatelyhigher incidences of injuriea, nutritional deficiencies, and cardiovascular andinfectious diseases. Similarly, the EU nations have a lower proportion of largehouseholds and a high proportion of single person households; the resultinghousing densities within the eastern countries can account for the higher rateof substandard health levels (WHO, 2002). Affordable accommodation for poverty-strickenfamilies is generally restricted to housing with inferior physical properties(Dunn, 2000), often in surroundings with socio-environmental problemsdetrimental to physical and psychological well-being. This housing tends to beconcentrated in specific and discrete locations, resulting in a form ofsegregation for low-income communities, often with poor access to employment,leading to socially deprived neighbourhoods (Potvin, et. al., 2002). Neighbourhoodsthat are unsafe, with limited access to essential goods and services and fewopportunities for social integration, also pose health risks (Klitzman, et.al, 2005), particularly for the poor, the elderly, and other vulnerablegroups. Although technically affordable, accommodation for poorer families canbe disproportionately expensive, and the payment of large rental or mortgagecosts from already meagre finances can result in less disposable income forfuel, food and other basic necessities (EHCS, 1 996). Obesity is a familiarhealth issue associated with poverty; a consequence of low incomes andinexpensive inferior, high fat, high salt diets. Consequentially, it has beendetermined that people with serious health issues are far more likely to occupythe least health-promoting segments of the housing market, which may, in turn,exacerbate their health problems. A broad cross-section of the community is nolonger provided for with regards to the social housing sector, and has becomecharacterised by deprivation and social exclusion (Curtis, 2004). Theowner-occupier sector has expanded, and now includes more people on low incomesthan ever before (EHCS, 1996). The resulting increase in stress as a result ofmortgage debt, arrears and repossession is a major public health issue, and onewhich is rarely addressed. Low-income and poverty-stricken householdstend to move residences more frequently than middle and upper income families.Numerous studies show negative associations between residential mobility and behaviouraland cognitive problems, particularly in developing children (Dunn, 2000). Inturn, inadequate housing may influence individuals health and mentalwell-being by increasing their level of stress as they are affected by securityand long-term stability (Curtis, 2004). Children Low quality housing distinctly affectsthe most vulnerable sections of society: children, the elderly, and thementally and physically impaired. During physical and psychologicaldevelopment, children are more at risk; poor housing and living environmentscan lead to permanent health issues for the child. Crowded living conditions canresult in easier transmission of infectious diseases, such as tuberculosis(Curtis, 2004), and higher incidences of respiratory illness, such asbronchitis and asthma, particularly when residence is shared with smokers. Excessivenoise can result in sleep deprivation, which in turn can affect growth andpsychological well-being of children, and similarly, can have various negativepsychological effects on adults and children alike, including irritability,aggression, depression and inability to concentrate, which is reported tocontribute to family tensions and potentially violence. The health and well-being of children areclosely related to housing quality, suitability and affordability. Housing is akey component of both the physical and social environments in which childrenlive, and it plays both a direct and indirect role in the achievement ofpositive development. Studies indicate that stable, safe and secure housing isvital to childrens healthy development (Board of Science and Education, 2003).Faulty structure and inadequate heating, for example, can cause accidentalinjuries (English House Condition Survey (EHCS), 1996); fire is one of theleading causes of accidental death among children in developed countries. Factorsaffecting the health of children include the cost, quality, tenure andstability of the housing, along with the neighbourhood environment in which thechild resides. The elderly Longevity of society in the developedworld has increased over the past century. However, studies have establishedthat lifespan is positively influenced by living in appropriate, affordable andsafe housing of good quality. Housing is linked to many of the twelvedeterminants of an elderly persons health as identified by internationalhealth committees, including physical environment, social environment, lifestyleand health care, income and social status. Poor housing contributes towards greater mortalityrates among the elderly  in winter, and greater incidences of avoidableaccidents within the home and the local neighbourhood. High susceptibility toillnesses, particularly respiratory problems, associated with old age may begreatly exacerbated by inferior housing, and can result in a much higherhospital admission rate and mortality rate than seen in the same age groupliving in better quality accommodation. Disabilities Difficulties in accessing and maintaininghousing can be acute for people with physical disabilities. Internationally,there are definite obstacles with regards to affordable housing deficiencies,and physically disabled individuals confront specific barriers in securing andretaining safe and suitable accommodation. By the 1970s, advances in medicineand technology began to prolong the lives of physically disabled adults, however,housing for these individuals was primarily limited to nursing homes; a problemwhich still exists. As a result of this shortage of appropriate housing, manyof these people remain in long-term care facilities rather than living independently,regardless of their specific disability. Homelessness The relationship between homelessness andmental and physical health are irrefutable. Regardless of geography, homelessnessis associated with higher incidences of accidental and non-accidental trauma,addictions, sexual assault, and a plethora of physical health conditions,including tuberculosis, skin infections and conditions, and poor bloodcirculation (Curtis, 2004). Rates of mental illness among the adult homelesspopulation within the developed world are estimated at between 10 and 50 percent. In a relatively recent study conducted among the homeless male populationof Toronto, Canada, mortality rates were significantly higher compared to otherToronto social groups. Mortality rates were established at eight times higheramong men aged 18 to 24 years, four times higher among men aged 25 to 44 years,and twice as high among men aged 45 to 64 years (Hwang, 1999). Countless studies have previously determined aspecific connection between homelessness and severely diminished health levelsamong any given population (Hwang, 1999). Access to appropriate, affordablehousing offers benefits beyond the basic necessity of shelter, includingimproved health and well-being, and reduced levels of mental health disorders. Conclusion Everyone has the right to a standard of livingadequate for the health and well being of himself and of his family, includingfood, clothing, housing and medical care. (General Assembly of the United Nations, 1948) In the European Region, addressing inequities inhealth has been fundamental to the work of WHO and features prominently in thetargets for health for all (WHO, 2002). Despite these efforts, however, thereis critical recognition that poverty itself is a distinct and serious problem.Poverty-stricken communities, regardless of geographic location, suffer frominadequate housing, a deficiency in remunerative employment and theinsufficient means to guarantee a nutritious diet. Consequentially, poor healthis predominant within low-income sections of society, and the location ofaffordable housing frequently results in marginalisation, social exclusion(Curtis, 2004) and the associative mental health issues. Central and eastern European populations with transitionaland often instable economies are particularly at risk as a result of socialpoverty and inferior public health, predominantly as a result of the inabilityto provide payment to new health care systems. Many subsections of society arehigh-risk with regards to poor housing and health, and numerous groups,including children, the elderly, people with mental illness, and displacedindigenous communities, such as Aboriginal peoples, rely on suitable housing toprovide access to other forms of support and interventions with broader,positive individual and social effects (Curtis, 2004). There is conclusive evidence that habitation in substandardhousing environments and experience of poor socio-economic circumstances duringchildhood negatively influences health status in adulthood. Vulnerable groups,including the elderly, the very young and those suffering from long-term illhealth, are at specific risk, particularly as they often have diminished immunesystems and the greatest exposure to many specific hazards due to the lengthyperiods that they spend indoors (Klitzman, et. al., 2005). Insufficientamenities, shared facilities and overcrowding are very much a concern withinfectious disease, while damp and mould can cause various debilitatingrespiratory problems (Bornehag, et. al., 2005). However, the debatearound housing and health tends to be concerned with discussion of the direct coursefrom poor housing to health (Dunn, 2000). There is much less consideration ofthe indirect effects of poor housing upon health, such as social exclusion(Curtis, 2004) and depression, a nd psycho-social aetiologies of disease arefrequently overlooked. However, in recent years socio-economic determinants ofhealth have returned to policy debates and housing circumstances are, onceagain, identified as a critical influence upon public health (Board of Scienceand Education, 2003). Epidemiological studies have recently shifted focusedtowards a broader-ranging perspective with regard to poverty, health andquality of life, which presents the potential of enhanced understanding of thedeterminants of health status. As with many health determinants, the quality ofaccommodation is directly related to income. Minimising the adverse effects ofpoor housing remains a major challenge. Health disparities are not reducing inthe UK, and the worst health is experienced by the most socially andeconomically deprived (Stanwell-Smith, 2003). As in the nineteenth century,there is a profound need for concerted public health reform. Central to thismust be improved living standards and prevention of ill health. Bibliography Board of Science and Education (2003) Housing health: building for the future.British Medical Association. Bornehag, C. G., Sundell, J., Hagerhed-Engman, L.,Sigsggard, T., Janson, S., and Aberg, N. (2005) Dampness at home and itsassociation with airway, nose, and skin symptoms among 10,851 preschoolchildren in Sweden: a cross-sectional study. Indoor Air. 10: 48-55. Curtis, S. (2004) Health andInequality: London, Sage. Dickens,C. (1839) [1994] Oliver Twist. London, Penguin. Dunn,J. R. (2000) Housing and health inequalities: review and prospects forresearch. Housing Studies 15: 341-66 EnglishHouse Condition Survey (1996). Office of the Deputy Prime Minister. Availableathttp://www.odpm.gov.uk/stellent/groups/odpm_housing/documents/page/odpm_house_603825.hcsp GeneralAssembly of the United Nations (1948) Universal Declaration of Human Rights.United Nations. Hwang, S. W. (1999) Mortality among homeless men inToronto. Journal of General Internal Medicine. 14(S2): 42. Klitzman, S., Caravanos, J., Deitcher, D., Rothenberg,L., Belanoff, C., Kramer, R., and Cohen, L. (2005) Prevalence and predictors ofresidential health hazards: a pilot study. Journal of Occupational andEnviron Hygiene. 2(6): 293-301 Potvin L, Lessard R, and Fournier P. (2002) Socialinequalities in health. A partnership of research and education. CanadianJournal of Public Health. 93(2): 134-7 Stanwell-Smith, R. (2003) Poverty and Health.   Healthand Hygiene. WorldHealth Organisation (2002) The European Health Report 2002. WHO. Available at: http://www.who.dk/eprise/main/who/progs/ehr/home/ WorldHealth Organisation (2005) Socioeconomic determinants of health. WHOEuropean Office for Investment for Health and Development.

Sunday, January 19, 2020

Essay --

Introduction Civil conflict has been a focal point of the world’s attention in the post-Cold War Era, with news coverage of human rights violations, poverty, and casualties. This era has brought a systemic change from interstate wars to intra state wars. Civil conflicts may be arguably more severe than interstate wars because of the use of rebels, the lack of organized forces, and issues of sovereignty. The specific topic of this research is conflict and in particular, the causes of civil conflict. The question this research will address is why are states failing? Further, do failed states cause internal conflict? This question has extreme importance because of the implications this conflict has for not only its own civilians, but of those around it. Conflicts can cause a multitude of human rights violations, as well as displaced populations resulting in refugees, and overall tension in the region. Understanding the answer to this question helps policymakers make more informed decisions surrounding failed states in order to protect themselves and those within the failed state. This paper will address what political scientists have studied about the effects of colonization, explanations for how states fail, and the various causes of civil war. The theory and hypotheses of this paper will be stated, followed by descriptions and measurements of the independent, dependent, and control variables. Then, using statistical data, results will be presented, followed by the conclusion. Literature Review State failure has become a key issue in international relations in recent years. Political scientists have offered various explanations as to why states have failed, and possible solutions to stop and reverse state failure. Robert... ...n the recognized territory of a state (Sarkees and Wayman, 2010). For the war to be included in the data set it must involve sustained combat, involving organized armed forces, resulting in a minimum of 1,000 battle-related combatant fatalities within a twelve month period (Sarkees and Wayman, 2010). The UCDP/PRIO dataset requires a lesser threshold. The wars included in the internal armed conflict data set are those that occur between the government if a state and internal opposition groups without intervention from other states, resulting in at least 25 battle related deaths (Gleditsch, Wallensteen, Eriksson, Sollenberg, Strand, 2002). Using quantitative research, I predict there will be a causal relationship between previously colonized states, and their present failure. I also predict there to be a causal relationship between failed states and civil conflict.

Saturday, January 11, 2020

Case Study About Ebola Essay

Throughout this world over the course of centuries, there were many deadly diseases and plagues that killed people or killed an entire population. From the black plague to chickenpox, disease have a huge impact on the population and countries as a whole. Just recently, the virus, Ebola, has made its way through countries across the world and have killed many people. Some people do not know what exactly Ebola is or how it kills people, but people need to discover the importance of the disease and how we as people are preventing it. Ebola is a hemorrhagic virus, part of the virus family called Filoviridae, that consists of 5 other Ebola diseases. Ebola started in the Sudan and the Democratic Republic of the Congo with an infectious person. The infected person then spread the virus to thousands of people which lead to between 1,552 to 1,716 cases of Ebola. What causes this virus among many people are blood on a human as well as bodily fluids of infected or sick animals. Once these fluid s are in or affect the human body, the virus Ebola will infect the whole body of an individual. The symptoms of the virus Ebola are active two to three weeks after contracting the virus. Some common symptoms of Ebola are a very high fever, sore throat, muscle pain, as well as a headache. The high fever weakens the body to perform at an all time low and it is hard for the patient to move around or communicate. After the basic symptoms occur, more complex and harsher conditions come on to the patient. The patient would soon feel very sick and begin to vomit, develop a harsh rash, and develop a lot of very painful diarrhea. One scientist on the virus Ebola describes the virus: â€Å"Ebola then turns the insides of its host into jelly: you begin to vomit black junk which is basically your dissolved liver and internal organs.†. Though we live in a modern technological and medical world, there is no treatment to be found to fully cure an infected human being. Some people in the world have not fully treated the disease by tried abnormal treatments. People infected my go on oral rehydration therapy (salty/sweet water diet) or drink intravenous fluids. The virus is so deadly, that its kills nearly 50 to 90 percent of its patients infected with the virus. Because there is no treatment, there are only way to prevent the disease from starting or spreading. The way the disease can not spread or develop is by checking animals (origin of disease) for infections or making sure not fluids make contact with human skin. Along with checking animals,  humans need to wear protective gear to check, kill, and correctly dispose of the animal or people with Ebola. Many believe a quarantine has done a good job to separate the virus from virus-free people. Some people in the Congo believe that just washing the hands may prevent the virus from attacking a human. Although countries have come a long way in preventing the disease, the disease had made it was closer to other countries and has found a way into the United States. There have been a handful of United States citizens who have been affected but have been â€Å"cured†. One case has been found in Texas when a man has not realized he was infected until three weeks later. Because Ebola is a harsh, developing disease across the country and is growing concern, the United States and other coun ty’s organizations have come to fight the disease. Before the virus, Ebola, has spread into the United States and friendly countries, the United States stepped up to fight the deadly disease. The current president, Barack Obama, has taken a huge to step to help fight the disease while other foreign problems, like Isis or Syria, has started over the last couple of months. Some ways the United States has been involved in fighting the disease is by sending in thousands of soldiers. By sending in soldiers, the virus Ebola can be obtained more easily and create less of the spread. Also, the United States has also planned and announced the 22 million dollar project to create hospitals to station and help patients fight Ebola. This hospital will contain 100 beds and 500 health care providers per week. What other countries, international aid organizations, and the UN have done to fight the disease is provide health care systems. Although the health care systems are to help the patients, the systems failed miserably and collapsed under the strain of the virus, Ebola. Also, other countries like Britain, have send more than 40 troops and humanitarian staff members to help cure and c onstruct hospitals to fight the disease. At last, how do we develop health care infrastructures? One main position of creating health care infrastructures will focus on the people in poverty and helping them become distant from the disease. If we can eliminate the poverty community from Ebola, we can decrease the spread of it. At last, what we as people need to do is to donate or help out the system in which would put a huge dent and impact into cures and preventions for viruses such as Ebola. Although the disease is deadly, two principles can be applied to the deadly disease called Ebola.  Two principles that apply to the virus Ebola are human dignity and common good. Human dignity is something that can be taken away. One thing that can be taken away from Ebola patients is assisted or mandatory death. Common Good is for the benefit and interest of all. One action that benefits and interests all is to find a cure for the disease. In conclusion about Ebola, the rise of Ebola has started in our country and we need a way to find to cure Ebola around the world.

Friday, January 3, 2020

Self Assessment in the Clinical Environment - 1783 Words

INTRODUCTION This essay will discuss the advantages and disadvantages of student self assessment in clinical environments and the importance of health professionals utilizing self assessment throughout their careers. Self assessment is the technique by which a student or professional rates and judges his or her own work thereby motivating him or her to work on improving any aspects of their work they feel may be lacking. It is an assessment technique employed in a diverse range of settings worldwide from the school room to the professional arena. One of the most common fields to employ this technique is the health professions. Lifelong learning is essential throughout the careers of health care professionals and self assessment is†¦show more content†¦This process can be applied to a qualified dental hygienist’s everyday clinical schedule. The professional can utilize self assessment strategies both before and after treatment of their patients. (REF 5) The self assessment process will help the hygienist to determine what they need to know and how to go about getting the answers to any questions that remain. For example the hygienist may check a new patient’s medical history for contraindications of hygiene treatment and reviewing medical histories the hygienist can then determine what steps he/she should take as to complete their knowledge and skills before undertaking treatment e.g. using MIMS as a source to research medications or consultations with the patient’s general practitioner with regar ds to the patient’s medical conditions. If a dental hygienist takes the time to self assess before each patient the hygienist can confidently continue with treatment and give optimal treatment/care to the patient. Self assessment can also continue during dental hygiene treatment as the dental professional should self- assess and determine whether or not they might need to refresh or update or learn new skills for the course of patient treatment plan. The dental hygienist can do this self assessment in between appointments or in their own time to make sure they are prepared for the patient’s next appointment. (REF5) The hygienist can also get feedback from the patient to assess their understanding ofShow MoreRelatedA Reflection On Learning Theories And Assessment Strategies1616 Words   |  7 Pagespractice. Great part of this learning can be developed in clinical practice, under supervision, from a person with sufficient skills to facilitate learning. Therefore, as part of pre-registration nursing students development process, the Nursing and Midwifery Council (NMC) (2008a) declares the requirement of a mentor for their clinical placements. 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