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EN
The relationship between the public health status and income inequality has been taken into consideration in the last two decades. One of the important questions in this regard is that whether the changes in income inequality will lead to changes in health indicators or not. To answer this question, life expectancy is used as a health indicator and the Gini coefficient is used as an income inequality indicator. In this study, the relationship between income inequality and the public health has been investigated by panel data in Eviews software during 2000–2011 in 65 low-and middle-income countries. By using panel data and considering fixed effects and heterogeneity of sections, the relationship between income inequality and public health status is a significant negative relationship.
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This article explores various factors that affect implementation of the Polish health strategy, namely National Health Programme (NHP). On the basis of the concept of the Health Policy Triangle, the authors identify several factors of effective implementation of the NHP for the years 2016–2020 under the current legislation and organisational conditions. Those factors are divided into two groups: internal (dependant on NHP policy document) and external ones (related to legal and organisational context of programme’s implementation). Next, each factor is briefly characterised to provide some general guidance for the NHP for the next period. The final part of the article contain a list of proposed actions and decisions to be taken in order to ensure higher effectiveness of the next NHP.
EN
Regarding the prevalence of illicit psychoactive drugs about one third of the adults in Germany are experienced with such kind of drugs. Consumption of classical illegal drugs like heroin and cocaine seems to be unchanged. This article focuses essentially on ‘natural and synthetic drugs’ with respect to (i) injecting drug users (IDU) with the potential of spreading blood borne infections such as, e.g., HBV, HCV and HIV and (ii) people actively participating in sexual exposure settings where psychotropic drugs are concomitantly used. Entactogenic [1,2] drugs are also in demand in these settings especially for sexual stimulation. The addressed issues are to highlight the complexity of the misuse of illicit psychotropic drugs in Germany, and then both targeting directly the individual, temporally limited as well as permanently following hazards of health; furthermore, the indirect consequences are the increasing spread of STIs (sexually transmitted infections) that poses the next relevant issues for public health and social importance. The drugs discussed here are no longer restricted to the most-atrisk populations [3] but have been expanded to include the general population
EN
Introduction. Periodontitis is a group of inflammatory disorders affecting periodontal tissues. This condition manifests by a progressive destruction of the alveolar bone, subsequently leading to tooth loss. World Health Organization introduced Community Periodontal Index of Treatment Needs in order to gain data regarding periodontal health and treatment needs of people with periodontitis Aim. To evaluate the periodontal status of citizens living in the city of Lublin and its surrounding, using Community Periodontal Index of Treatment Needs (CPITN). Material and methods. Community Periodontal Index of Treatment Needs was used to assess the periodontal status among 180 patients aged 35-44 residing in Lublin and the area around it. Results. Periodontal diseases have been observed in over 90% of the examined population. Treatment need index TN1 has referred to 26.11% of the patients, TN2 – 61.67% and TN3 – 2.22% respectively. Conclusions. Patients who visit the dentist regularly have a better periodontal status as compared to groups randomly selected.
EN
Healthcare systems in Europe are constantly undergoing reforms which adapt them to social, economic and political requirements. The aim of this article is to examine the efficiency of healthcare systems in 30 European countries in 2014. The Network Data Envelopment Analysis (NDEA) model was used. The efficiency of the countries’ overall health systems and their two main components were examined: the public health system and the medical care system. The models include variables that are out of control of policy makers and the ones that can be controlled by them. The research results show that countries which reformed their healthcare systems achieved higher efficiency more often.
EN
Introduction. According to epidemiologic research, the number of obese and overweight children is increasing. A common way of dealing with this problem is enacting legislation regarding food served in educational institutions. In Poland, the regulations regarding the assortment of school shops are contained in the Ordinance of the Minister of Health of 26th June 2015 (and its subsequent amendments). Aim. The main aim of this study is to evaluate the product range of school shops and vending machines in Rzeszów. Methods and materials. The study covered 52 primary and secondary schools in Rzeszów. The schools included in the study had 15568 students altogether. Products bought by students in school shops and vending machines were recorded over the period of 3 days. Results. The study has shown a statistically significant relationship (p <0.001) between the amount and types of products bought in primary and secondary schools. Healthy snacks only made up a small percentage of products sold. Secondary schools sold 20% more snacks with high sugar content compared to primary schools. A majority of products sold were compliant with regulations (p=0.12). Conclusions. The assortment of school shops has changed after the implementation of the Ordinance of the Minister of Health of 26 June 2015 (and its subsequent amendments). The newly introduced restrictions significantly narrowed down the range of products offered in schools, reducing the number of products containing more than 15g of sugar (13.5g per 100g/ml in case of dairy products) or 10g of fat per portion.
PL
W artykule przedstawiono analizy wybranych wskaźników zdrowia publicznego monitorowanych przez Eurostat w ramach strategii zrównoważonego rozwoju. Analizy oparto na danych pochodzących z baz Eurostat (on-line) i INSEE (on-line). Dane przedstawione w tabelach i na rysunkach prezentują dynamikę zmiennych. W wyniku przedstawionych analiz można wnioskować, że we wszystkich rozpatrywanych obszarach zdrowia publicznego istnieje znaczne zróżnicowanie pomiędzy krajami UE. Niemalże we wszystkich wymiarach poprawiają się wskaźniki zdrowia publicznego mieszkańców Unii: zmniejsza się dystans między oczekiwaną długością zdrowego życia mężczyzn i kobiet; maleje przeciętna śmiertelność z powodu chorób przewlekłych i samobójstw; nie wzrasta wskaźnik narażenia ludności miejskiej na zanieczyszczenia powietrza; mniejsza część ludności deklaruje uciążliwość z powodu hałasu.
EN
The paper presents analyses of selected indicateurs from public health area monitored by Eurostat in the framework of the sustainable development strategy. Analyses are based on data derived from databases of the INSEE and the Eurostat. The data shown in tables and figures present the dynamics of variables. It could be concluded that in all are as of public health, there is considerable variation between countries in the EU. Almost in all dimensions of public health of the EU population improves: the gap between the healthy life expectancy of men and women is reducing, the average mortality from chronic diseases and suicide is decreasing , the urban population exposure to air pollution does not increase, a nuisance because of the noise is declared by smaller part of the population.
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Content available Zdrowie jako kategoria społeczno – ekonomiczna
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EN
The article looks at the issue of public health understood as an important factor of production. The author also analyzes the impact of the population’s health on economic growth. Korporowicz discusses a variety of approaches to public health, with a particular emphasis on a socioeconomic approach. She highlights the economic aspect of health as a component of human capital that creates the basis for examining living conditions and socioeconomic development. Health also needs to be evaluated for the purposes of economic calculations in the area of health protection policies, the author says. Such evaluations are used to determine the costs of health insurance, for example in the case of car accidents. The author counters a popular belief that the level of human capital is exclusively associated with education and public spending on education. According to Korporowicz, the health status of the population influences the level of human capital, while healthcare needs to be treated as a major socioeconomic category. Health is a resource that is subject to wear and can be enhanced and partly replenished by adequate investment. It plays an increasingly important role in the structure of production. Without it, uninhibited economic growth is impossible, the author argues. Korporowicz sets out to prove that health and healthcare can be analyzed in terms of the theory of public goods. Health is an asset that can be used in a specific way, the author says, but its benefits cannot be directly accessed through the market; nor is health subject to competition because the more health there is among individuals, the more society benefits as a whole. This is what sets public goods apart from private goods, which means that the idea of analyzing health on the basis of the public goods theory is justified, the author argues. It needs to be assumed that economic growth is impossible without a healthy and efficiently functioning innovative and creative society, Korporowicz adds. In modern economies, economic efficiency strongly depends on the intellectual potential and health of the population, the author concludes.
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Content available remote Zewnętrzne zagrożenia bezpieczeństwa zdrowotnego Polski
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EN
Since the United Nations Security Council’s declaration that a disease outbreak may be considered a threat to the stability and security of state, the widespread use of the term “health security” has begun. This paper presents the concept of health security along with its threats, with particular focus on the new phenomena related to globalisation which contribute to the occurrence of new health threats. The threats to Poland’s health security are divided into internal and external. Internal ones may occur when the authorities do not meet the health needs of society. However, policymakers from industrialized countries put emphasis on protecting the population from external health security threats, especially from those that may become cross-border threats.
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EN
Desirable sound of music has a wide range of psychological and physiological beneficial health effect among diverse population in different conditions. Research for example showed when music is selected according to its motivational qualities, the positive impact on performance (e.g., increased endurance) and psychological states (e.g., enhanced affect) are even greater, which has important implications for exercise adherence in male and female participants. On the other hand, healing sounds have always been considered in the past an important aid in medical practice, and nowadays, medicine has confirmed the efficacy of music therapy in clinical setting and in aging population. It seems healing harmony as a source of inspiration in science is an effective approach to improve quality of life in different individuals. Hence, music intervention as an easily, inexpensive, noninvasive approach to improve public health is notably recommended
EN
Obesity is a significant social and health problem of societies world wide. Nowadays, the percentage of children suffering from overweight is increasing. This is the result of nutrition mistakes done during the first years of a young person’s life, and the lack of parental knowledge about the rules of proper nutrition. School-aged children suffering from overweight are clearly exposed to obesity in adulthood. The authors undertook to assess the nutritional habits of children attending primary schools located in the province of Lublin. The survey was conducted among a group of 150 students from three primary schools in the Lublin province. As a research method, the authors set up a survey in the printed version. The data obtained were compiled and analyzed in the Statistica 13™ (DellSoftware, USA). Over one-third (36.7%) of the children taking part in the study eat the recommended daily number of meals. Eating in the intervals between the main meals is often observed among the respondents (77.3%). Daily consumption of dairy products was declared by 20.8% of girls and 35.6% of boys. In questions about the promotion of healthy eating programs carried out at schools, the “Fruit and Vegetables at School” program was the most popular. The children who took part in the study showed mostly incorrect eating habits. The current situation requires further research and taking decisive steps by healthcare professionals, educators and parents. Consistent steps in existing programs promoting a healthy eating style will improve the epidemiological situation of abnormal nutrition among early-childhood children in the near future.
PL
Brak dostępu do nowych technologii medycznych powoduje nierówności w zdrowiu. Przed zdrowiem publicznym staje nowe wyzwanie, jakim są roboty medyczne. W artykule przenalizowano w kilku europejskich krajach obowiązujące systemy finansowania oraz wydatki na ochronę zdrowia, ze szczególnym uwzględnieniem wydatków na urządzenia medyczne. Polska przeznacza jedynie 4,5% PKB na ochronę zdrowia. Natomiast w analizowanych państwach Europy zachodniej jest to średnio około 8% PKB. Średnio, w analizowanych państwach, na jednego robota chirurgicznego przypada 1,2 mln mieszkańców. W Europie, w dużej mierze dominuje społeczny system ochrony zdrowia. W państwach, w których wydaje się najwięcej na ochronę zdrowia, takich jak Wielka Brytania, Francja czy Niemcy, szanse wdrożenia robotów medycznych są większe niż w Polsce. W Stanach Zjednoczonych, gdzie panuje system opieki zdrowotnej oparty na prywatnych ubezpieczeniach zdrowotnych roboty stanowią o prestiżu i wysokim poziomie świadczonych usług. Każdy zakupiony robot przyciąga nowych pacjentów-klientów za którymi idą dodatkowe fundusze. Pomimo ogólnej tendencji spadkowej w kwestii finansowania nowych urządzeń i wyrobów medycznych w państwach Europy Zachodniej liczba robotów chirurgicznych rośnie. Sytuacja Polski na tle analizowanych danych wydawałaby się rokująca, ze względu na coraz większe kwoty przeznaczane na nowe urządzenia. Jednak bezwzględne kwoty, rzędu 12-13 milionów euro rocznie wydają się zbyt małe na dynamiczny rozwój rynku robotyki medycznej. Jednak generalnie prognozy dotyczące rynku robotów medycznych są optymistyczne i przewidują dynamiczny wzrost sprzedaży.
EN
The new challenges of public health are medical robots. In the article, the existing financing systems and expenditures on health care were analyzed in several European countries, with particular emphasis on expenditure on medical devices. The number of medical robots was analyzed. In Europe, the social health system is largely dominant. In countries where the most money is spent on healthcare, such as Great Britain, France or Germany, the chances of implementing medical robots are greater than in Poland. In the United States, where there is a health care system based on private health insurance, robots determine the prestige and high level of services provided. Each purchased robot attracts new clients-clients for which additional funds go. Despite the general downward trend in the financing of new devices and medical devices in Western European countries, the number of surgical robots is growing. The situation of Poland on the background of the analyzed data would seem to be promising due to the increasing amounts spent on new devices. However, the absolute amounts, amounting to EUR 12-13 million per year, seem too small for the dynamic development of the robotics market. However, in general, the forecasts for the medical robot market are optimistic and predict a dynamic growth in sales.
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Content available remote Opinia prawna na temat rządowego projektu ustawy o zdrowiu publicznym
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EN
The initiative to draw up a Public Health Act deserves support. This draft rightly aims to complement the normative basis of disease treatment with normative basis of preventive medicine. The bill, however, requires further work on: clarifying the title of the Act and its scope and extent, the competence of the minister responsible for health, determine the statutory framework for a National Health Program, public health policy on the international and EU level.
PL
Artykuł ma charakter poglądowy. Przedstawia związek między migracjami a zdrowiem publicznym. Od stuleci migracje przyczyniają się do szerzenia chorób zakaźnych i chorób psychicznych, wpływając na rozwój cywilizacji. Najważniejszą procedurą wypracowaną dla potrzeb walki z epidemiami jest kwarantanna. Walka z chorobami zakaźnymi, a więc i migracje, przyczyniła się do postępu naukowo-technicznego w medycynie.
EN
This review article presents the relationship between migration and public health. For centuries, migrations have contributed to the spread of infectious diseases and mental disorders, moreover, have impacted the development of civilization. The most important procedure developed to combat epidemics in the past is quarantine. The fight against infectious diseases and therefore migrations contributed to scientific and technical progress in medicine.
EN
On October 9-10, 2017, the International Scientific Conference „Polish, European and Global Nursing” was held in Warsaw, Poland. The main organizer of the conference was the National Council of Nurses and Midwives in Warsaw. The event was an excellent opportunity to seriously discuss the situation of nurses and midwives and other topics in a large group of experts, pondering such issues as how to restore the dignity and prestige of the profession, and also how to initiate a discussion on the psychological and psychiatric consequences of a terrorist attack on the human body.
EN
The global COVID-19 pandemic has resulted in restrictions in most countries. One of them was to replace traditional education in schools with online learning. Such a change could provoke a build-up of negative feelings due to insecurity and loneliness. In addition, reducing daily physical activity and closing sports venues can have a detrimental effect on health. The article presents the results of the study of the impact of distance learning on the daily physical activity and condition of physical education teachers in Poland, as well as the subjective perception of physical and mental health in this professional group. Google forms were used to collect the data. The research tool was a questionnaire. The analysis showed that distance learning had a significant negative impact on the physical and mental health of the study group. The impact of distance learning on physical and mental health is gender independent. Teachers more often negatively assessed their physical and mental health compared to the studies in previous years. Daily physical activity of the subjects decreased, and most of them increased their body weight. Less than 3% of the surveyed teachers during the blockade felt happy and full of life.
EN
Regular moderate-intensity exercise (e.g. brisk walking) provides health benefits. In the present study, we compared the physiological and metabolic responses of playing the Nintendo Wii Sports tennis, baseball and boxing with self-paced brisk treadmill walking. Ten young-adults (21±1 years; 73.9±12.0 kg; 1.76±0.06 m) played each sport for 10 min with a 5 min rest interval or, in a separate session, walked briskly (6.1±0.6 km·h-1) with an equivalent time order wearing the Cosmed K4b2 metabolic system. In a bout of 10 min, the average values during Nintendo Wii boxing for physiological (i.e. minute ventilation, oxygen uptake and heart rate) and metabolic (i.e. energy expenditure, fat oxidation, carbohydrate oxidation and respiratory exchange ratio) responses were equal to brisk treadmill walking but lower for Nintendo Wii tennis and baseball (P<0.05). It was concluded that the physiological and metabolic responses of Nintendo Wii boxing would allow this game activity to be a viable part of a programme of structured exercise in young-adults to gain health benefits.
EN
Cigarette smoking is the cause of more premature deaths than traffic accidents, AIDS, other drugs, alcohol, homicide and suicide taken jointly. Eliminating smoking would curb the cost of reduced employee productivity, smokers’ treatment and premature mortality. It would seem, therefore, that it is in the interest of the society, employers and addicted individuals to free the world from smoking. At the same time, Poland is among the largest tobacco producers in Europe, and the sale of tobacco products is a source of significant state budget revenues. Health, social and economic losses resulting from the harms of smoking are contrasted with the potential economic and budgetary losses, and the inevitability of the emergence of a shadow economy if tobacco products were to be delegalized. Current social, medical and legal measures aimed at the reduction of tobacco consumption do not have the desired effect and require a radical change in approach. It is not nicotine that kills smokers, but tar created in the process of burning tobacco leaves. Replacing highly harmful tobacco smoking with nicotine delivery products, which are safer by an order of magnitude, is presently the most viable way to improve public health and the quality of life of people addicted to nicotine.
EN
This paper reflects on a practitioner-grounded metaphor – the mosaic – as a means to think the relationship between health and the environment in two policy initiatives, a walking and a conservation group. These were both part of Thames Chase Community Forest, a UK-based nature program to combat ill-health, poverty and social exclusion for those on the fringe of large urban conurbations. Using multiple research methods, the paper questions the simple, literal, equal-but-separate notions of the two pre-set policy parameters to show how the solidarity that mattered could not be fixed in advance. It was a mosaic-in-the-making, that came to life along the way, within the shifting ground of patterned regularities, people and happenings that often escape the net of rapid approaches to ethnographic policy research. Such reflections might usefully offer fresh soundings for policy-makers to contemplate, not merely a blueprint to be followed.
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