Preventive Medicine and Public Health

Getting the student to complete its study is able, through the acquisition of knowledge, attitudes and habits appropriate, of:
1. Identify risk factors that may affect the health and learn how they act.
2. Hygienic measures and preventive personal and community more suitable for disease prevention and health promotion.
3. Contribute to the planning and management of health care in the community:
a) Identifying and analyzing health problems in its various aspects by applying epidemiological methodology.
b) to collaborate in implementing plans for health and health promotion.
c) Leading a health team.
d) Participating in health education.

Part I: CONCEPTS (2)
Lesson 1. Health and its determinants. Natural history of health and disease.
Lesson 2. Public Health. Instruments of Public Health: Environmental Health, Preventive Medicine, Health Education, Health Planning. Disease prevention and health promotion.

Part II: Environmental Health (5)
Chapter 1: SANITATION (4)
Lesson 3. Ecology and human health. Health of the Earth: ozone hole and greenhouse. Climate change. Air pollution
Lesson 4. Health aspects of drinking water. Services drinking water supply. Them water purification drinking.
Lesson 5. Wastewater: debugging. The ground. Disposal and treatment of municipal solid waste. Sanitary waste. Industrial waste
Lesson 6. Health problems of physical contaminants: Noise. Ionizing and non ionizing radiations.

Chapter 2: FOOD HYGIENE. FOOD SAFETY (1)
Lesson 7. Health aspects of food. Food security. HACCP in the food sector

Part III. OCCUPATIONAL HEALTH AND OCCUPATIONAL HEALTH (3)
Lesson 8. Occupational health. Working conditions and health. Occupational pathology
Lesson 9. Prevention of occupational hazards. World Health Organization working in Spain.
Lesson 10. Occupational hazards of healthcare workers.

Part IV: HABITS AND HEALTH. HEALTH EDUCATION (4)
Lesson 11. Health education: concept and fields. Methods of Health Education.
Lesson 12. Lifestyle and health. Dependencies: Epidemiology and prevention of dependence on alcohol and psychotropic drugs
Lesson 13. Epidemiology and prevention of smoking.
Lesson 14. Epidemiology and prevention of eating disorders: anorexia and bulimia.

Part V. EPIDEMIOLOGY AND PREVENTION OF DISEASES, CHRONIC AND ACCIDENTS. (18)
Chapter 1: EPIDEMIOLOGY AND DISEASE PREVENTION: GENERAL (3)
Lesson 15. General epidemiology and prevention of communicable diseases.
Lesson 16. Techniques Sanitation: Disinfection. Vermin. Rat control.
Lesson 17. Prophylaxis of disposal. Vaccines: general characteristics. Vacinaciones Calendars. Chemoprophylaxis. Gammaglobulinoprofilaxis.

Chapter 2: EPIDEMIOLOGY AND PREVENTION OF DISEASE (10)
Lesson 18. Diseases of fecal-oral transmission. Typhoid fever. Hepatitis A and E.
Lesson 19. Epidemiology and prevention of airborne diseases. Meningococcal disease. Legionnaire's Disease. Others diseases.
Lesson 20. Epidemiology and prevention of tuberculosis. Control Plan
Lesson 21. Epidemiology and prevention of influenza.
Lesson 22. Parenteral transmission. Bloodborne Pathogens: Epidemiology and prevention of hepatitis B, C and Delta. HIV and AIDS.
Lesson 23. Skin diseases by mucosal contact: Sexually Transmitted Infections (STIs). Tetanus. Nosocomial infections.
Lesson 24. Quality of care. Patient safety.
Lesson 25. Zoonoses: Brucellosis. Rabies. and other diseases.
Lesson 26. Emerging Zoonoses: Variant CJD. Bloody diarrhea and hemolytic uremic syndrome.
Lesson 27. Arthropod-borne diseases: Malaria. Yellow fever and dengue. International Health Regulations. Health advice to travelers

Chapter 4: EPIDEMIOLOGY AND PREVENTION OF DISEASES AND ACCIDENTS NONCOMMUNICABLE (5)
Lesson 28. General epidemiology of noncommunicable diseases. Importance. Prevention strategies. Screening
Lesson 29. Epidemiology and prevention of cancer
Lesson 30. Epidemiology and prevention of cardiovascular diseases.
Lesson 31. Epidemiology and prevention of diabetes and obesity
Lesson 32. Epidemiology and prevention of traffic accidents and domestic.

Part VI: HEALTH ADMINISTRATION AND MANAGEMENT (4)
Lesson 33. Health Economics.
Lesson 34. Planning, programming and evaluation of health programs.
Lesson 35. Models and healthcare systems. Spanish Health System: General Health Law. Health organization of the Galician Autonomous Community
Lesson 36. International Health Organizations: WHO

SEMINARS (6 hours)
1. Poverty. Millennium Development Goals
2. Epidemiological Surveillance. Compulsorily notifiable diseases.
3. Health Education in clinical care. Medical Council
4. Poisoning and food poisoning: Study of an outbreak
5. Proceedings before a tuberculosis case.
6. Advice to international travelers


INTERNSHIP PROGRAM (6 hours)
Be conducted at the Department of Preventive Medicine at University Hospital. Students rotate through the Service Units (Occupational Risk Prevention, Epidemiology and Environmental Health, Preventive Medicine and Tuberculosis Unit) acquiring information and participating in activities that are performed on the Service among which epidemiological surveillance of nosocomial infection (germs of alert, incidence studies, EPINE) and notifiable diseases, epidemiological surveys and outbreak studies, environmental biosafety, epidemiology and prevention of tuberculosis, prevention of occupational risks (medical recoñecimientos, risk assessment, vacinaciones) and preventive health visit (contacts of infectious diseases, immunizations, international travel and smoking cessation).

BASIC BIBLIOGRAPHY:

Piédrola Gil, Fernández-Crehuet Navajas, Gestal Otero, Delgado Rodríguez, Bolúmar Montrull, Herruzo
Cabrera & Serra Majem ……… PIÉDROLA GIL. PREVENTIVE MEDICINE AND PUBLIC HEALTH. 12ª ed.
Dec. 2015. Reference manual in the Spanish-speaking world on the discipline of numerous authors
specialists in different areas.

Martínez González. PUBLIC HEALTH CONCEPTS AND PREVENTIVE STRATEGIES A MANUAL
FOR HEALTH SCIENCES. 2nd ed. Feb.2018 Manual that updates the main aspects of Health
Publish with a very synthetic system of presenting the topics that facilitates reading and comprehension.

Alvarez Alva R, Kuri-Morales P. PUBLIC HEALTH AND PREVENTIVE MEDICINE. 5th ed. January 2018.
It collects the fundamentals of the discipline, updating the contents and if some new chapters have been added
in response to advances and new tools that Public Health has to deal with new and old
challenges.

SUPPLEMENTARY BIBLIOGRAPHY:
- Gestal Otero JJ. Occupational hazards of health personnel. (3ª ed). Madrid: McGraw-Hill / Interamericana de España 2003.
- Salleras L. Preventive vaccinations. Principles and applications. (2ª ed). Barcelona: Masson 2003.
- Gil Hernández F. La Medicina del Trabajo al día. Barcelona: Mas

POWERS OF THE DEGREE TO WHICH HELPS THE MATTER
3. Knowing how to apply the principle of social justice to professional practice and understand the ethical implications of health in a changing global environment.
5. Recognize your limitations and the need to maintain and update their professional skills, with particular emphasis on learning independently of new knowledge and skills and motivation for quality.
10. Understand and recognize the causative agents and risk factors that determine health status and development of the disease.
19. Ask and propose preventive measures appropriate to each clinical situation.
25. Know and recognize the determinants of population health, both genetic and sex-dependent lifestyle, demographic, environmental, social, economic, psychological and cultural.
26. Assume their role in the actions of prevention and protection from diseases, injuries or accidents, maintenance and health promotion at both individual and community level.
27. Recognize their role in multidisciplinary teams, providing leadership when appropriate, both for the supply of health care, such as interventions for health promotion.
29. Understand the national and international health and the environment and conditions of the different health systems.
30. Basic knowledge of NHS and health legislation.

SPECIFIC SKILLS MATTER:
a) Understand the principles and apply the methods of preventive medicine and public health.
b) Understand the principle of risk factor and its importance in preventing the disease.
c) Recognize the determinants of population health.
d) To know the basis of the relationship between health and environment.
e) Understand the principles of food safety.
f) Learn the basics of occupational health.
g) To know how to prevent and protect against disease, injuries and accidents.
h) Establish guidelines for vaccine administration.
i) Understand the principles of planning, programming and evaluation of health programs.
j) Understand the planning and health management worldwide, European, Spanish and regional level.
k) Establish the basis for assessing the quality of care and patient safety strategies.
l) To know the economic and social implications that medical intervention involves considering criteria of effectiveness and efficiency.

From a cognitive standpoint, the head teaching more conceptual education to the outright transfer of information, much of this will likely be obsolete before the student has the opportunity to apply. We will seek the formation of concepts, not their mere rote learning, but the internalization of the conceptual function, which enable students to understand our teaching and, when given the opportunity to modify the models do not fit well to the new discoveries. Try to train students to be able to continue later, individually or in teams, their lifelong learning and creativity. Rather to try to fill that form heads; produce persoas educable they can learn and adapt efficiently. Present in the classroom the concepts and procedures related to the contents of the subject, and we will follow the group of items proposed to be developed in the seminars. Discussions and presentations on topics in seminars and tutorials in small groups.

The training activities in which the students carry out some type of work or activity of a group or individual nature will be evaluated based on the documentation provided by the student (reports) and / or presentations made and the skills and attitudes shown during their participation in the seminars and in practice. If the number of students allows individual monitoring, this will have a weight of 20% in the final grade. While this is not possible, 85 % of the grade will be based on the result of the exam, which will consist of a written exam and / or a traditional exam, oral or written, of questions to be developed, with a proficiency level of 70% of correct answers without negatively counting failures. To this can be added 5% of attendance at classes and seminars, another 5% of attendance at practices and another 5% of the completion and aptitude of the Advanced Training Course in Information Competencies, organized by the Library of Faculty of Medicine and Dentistry.

In cases of fraudulent performance of exercises or tests, the provisions of the Regulations for evaluation of students' academic performance and review of grades.

Hours:
- Expository:30
- Seminar: 10
- Clinical practice: 8
- Tutorials: 3

Non-contact hours:
- Individual study. Further reading, library or similar activities: 46 hours.
- Search for material and processing of papers for the seminars: 48 hours
- Attendance at lectures, or other activities recommended: 3.5 hours.

Read topics before attending classes and seminars, and actively participate in classes and seminars asking any questions.