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Washington
(H24N).
In the current issue of the Morbidity and Mortality Report
from the Centers for Disease Control, the nationally respected center
took time to recognize 10 significant public health achievements
in the United States in the 20th century.
According
to the CDC, public health in the United States invented itself largely
in the 20th century.
A
collection of do-good public policy notions, public health policy,
its institutions, laws and standards were set out in the 1900s in
response to some pointed and broadly threatening medical and health
issues.

At
the turn of the century infectious diseases associated with poor
hygiene and sanitation (typhoid), diseases arising from inadequate
nutrition (pellagra and goiter), poor maternal and infant health,
and diseases or injuries associated with unsafe workplaces or hazardous
occupations represented principal threats to the U.S. population,
according to the CDC.
Key
responses were the introduction of vaccinations and antibiotics,
and aggressive health education programs.
But,
as the director of the CDC pointed out, with the decrease in the
incidence of these diseases, chronic diseases such as cancer and
cardiovascular problems saw a marked increase.
The
CDC used as an example of the critical role of public health policy
and administration the outbreak of poliomyelitis among children
vaccinated in the mid l950s, and public health’s response.
The
national polio surveillance program was able to identify that these
polio cases were linked to a particular brand of vaccine that had
been contaminated with live poliovirus.
The
national program to vaccinate against polio was able to continue,
according to the CDC report, by using different verifiable polio
vaccines made by other manufacturers.
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