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The Place for Environmental Professionals in Protecting and Promoting Health

机译:环境专业人员保护和促进健康的地方

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The Resnick et al article and abstract end with the exhortation "We cannot afford to miss this opportunity to reshape and strengthen the EPH workforce and assure our continued leadership in protecting the environment and the public's health." This language is consistent in sentiment with points frequently raised 20 or more years ago by colleague Larry Gordon, a long-time leader in public health practice, and advocate for strengthening the environmental public health infrastructure. Similar perspectives inform the analysis of training needs conducted by this author and a colleague just over 10 years ago.1 Public health work in the United States (and elsewhere) in the late 19th century and early 20th century was very much an environmental effort: cleaner drinking water, safer disposal of sewage and other waste, draining of mosquito-breeding lowlands near cities, and safer housing. The gradual dominance of disease-specific medical interventions and the development of public health roles for a wide range of healthcare professions, including nursing, gradually moved environmental actions from center stage to being one of many interventions taking place. The environmental movement of mid-20th century was an additional disruption, reshaping what were already the "fuzzy edges" of public health into new agencies with wider-reaching powers to protect not only human life but all life and all ecological niches.
机译:Resnick等人的文章和摘要以“告诫”结尾:“我们不能错过这次重塑和加强EPH员工队伍并确保我们在保护环境和公众健康方面继续发挥领导作用的机会。”这种语言与长期从事公共卫生实践的领导人拉里·戈登(Larry Gordon)经常提倡的观点一致,后者是公共卫生实践的长期领导者,并主张加强环境公共卫生基础设施。类似的观点为作者和一位同事在10年前进行的培训需求分析提供了信息。119世纪末和20世纪初,美国(及其他地区)的公共卫生工作在很大程度上是一项环境工作:清洁工作饮用水,更安全地处理污水和其他废物,排水城市附近的蚊子繁殖低地以及更安全的住房。针对特定疾病的医疗干预措施逐渐占据主导地位,以及包括护理在内的各种医疗保健行业在公共卫生方面的作用逐渐发展,环境行动已从中心阶段逐渐转移到许多干预措施之一。 20世纪中叶的环境运动是另一次破坏,将原本已经是公共卫生“模糊边缘”的东西重塑为具有更广泛力量的新机构,不仅保护人类生命,而且保护所有生命和所有生态位。

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