What Are Public Health Services (zoon4publichealth)
What Are Public Health Services
Public health services are a set of essential services and programs provided by the government and other organizations to promote and protect the health and well-being of the population within a specific geographic area or community. These services are aimed at preventing diseases, promoting healthy behaviors, ensuring access to healthcare, and responding to public health emergencies. Public health services are critical for maintaining a healthy society and reducing the burden of preventable illnesses.
Some common components
and examples of public health services include:
Disease Prevention and Control:
Public health agencies
work to prevent the spread of infectious diseases and control outbreaks. This
may involve vaccination campaigns, surveillance systems to monitor disease
trends, contact tracing, and providing guidance on infection prevention
measures.
Disease prevention and
control are essential public health strategies aimed at reducing the incidence,
spread, and impact of various illnesses on individuals and communities. These
efforts involve a combination of proactive measures to prevent the onset of
diseases and reactive measures to control their spread when outbreaks occur.
Disease
Prevention:
Disease prevention
focuses on actions taken to prevent the occurrence of diseases in the first
place. This can be achieved through various means:
a. Vaccination: Immunization with vaccines helps the body develop immunity against specific diseases, preventing infection and reducing the risk of outbreaks.
b. Health Education: Educating the public about healthy behaviors, hygiene practices, and lifestyle choices that can lower the risk of contracting certain diseases.
c. Environmental Interventions: Ensuring clean water, proper sanitation, and safe food practices to reduce the transmission of infectious agents.
d. Lifestyle Modifications: Encouraging individuals to adopt healthy habits, such as regular exercise, a balanced diet, and avoiding tobacco and excessive alcohol consumption.
e. Screening and Early Detection: Identifying diseases at early stages through regular screenings can lead to timely treatment and better outcomes.
Disease
Control:
Disease control involves
measures to limit the spread of diseases, particularly when outbreaks occur:
a. Contact Tracing:
Identifying and monitoring individuals who have been in contact with infected
individuals to prevent further transmission.
b. Isolation and Quarantine: Isolating confirmed cases and quarantining those who have been exposed to prevent further spread.
c. Treatment and Management: Providing appropriate medical care and support to affected individuals to minimize the severity and impact of the disease.
d. Surveillance and Monitoring: Constantly monitoring disease trends to detect outbreaks early and implement control measures promptly.
e. Vector Control: Controlling disease-carrying vectors, such as mosquitoes in the case of malaria or dengue, to limit transmission.
Efforts in disease
prevention and control vary depending on the type of disease, its mode of
transmission, and its impact on public health. Governments, healthcare
organizations, and communities work together to implement these strategies effectively.
It's worth noting that in
the context of global health, disease prevention and control are critical
components in managing infectious diseases, including pandemics like COVID-19.
By emphasizing prevention and implementing effective control measures, the
burden of disease can be significantly reduced, saving lives and promoting
overall well-being.
Health Education and Promotion:
Public health
organizations conduct educational programs to raise awareness about healthy
behaviors and lifestyle choices. They may provide information on topics such as
nutrition, physical activity, tobacco and alcohol use, and sexual health.
Health Education and
Promotion is a field focused on empowering individuals and communities to adopt
healthy behaviors, make informed decisions about their health, and improve
their overall well-being. It involves the dissemination of information and the
implementation of strategies aimed at promoting healthy lifestyles, preventing
diseases, and enhancing the quality of life for individuals and populations.
Key components of Health Education and Promotion:
Health Information
Dissemination: Health educators provide accurate and up-to-date information on
various health topics, such as nutrition, physical activity, mental health,
sexual health, disease prevention, and more. They use various communication
channels, including workshops, presentations, brochures, social media, and
websites, to reach diverse audiences.
Behavior Change: The
ultimate goal of health education and promotion is to bring about positive
behavior change. Health educators use evidence-based strategies and theories to
motivate individuals to adopt healthier habits, such as quitting smoking,
exercising regularly, maintaining a balanced diet, and getting regular
check-ups.
Community Engagement: Health education often involves working with communities to identify their unique health needs and challenges. By engaging with community members, health educators can tailor their programs to address specific issues and create a more significant impact.
Advocacy: Health educators may engage in advocacy efforts to promote health-related policies and changes in the community or society at large. This can involve collaborating with policymakers, healthcare organizations, and community leaders to implement measures that support public health initiatives.
Targeted Interventions:
Health education and promotion strategies can be targeted at specific
populations, such as children, adolescents, seniors, ethnic minorities, or
individuals with certain health conditions. Tailoring interventions to suit the
needs and cultural backgrounds of different groups enhances their
effectiveness.
Evaluation and Research:
Assessing the impact of health education programs is essential to measure their
effectiveness. Health educators use various evaluation methods to determine
whether their initiatives have achieved the desired outcomes and make
data-driven improvements for future interventions.
Overall, health education
and promotion play a crucial role in creating healthier communities, reducing
the burden of preventable diseases, and promoting the overall well-being of
individuals. It is an interdisciplinary field that involves collaboration among
health educators, public health professionals, healthcare providers,
policymakers, and community members to achieve positive health outcomes.
Access to Healthcare:
Ensuring equitable access
to healthcare services is a fundamental aspect of public health. This can
involve initiatives to improve healthcare infrastructure, healthcare affordability,
and reducing healthcare disparities among different population groups.
Access to healthcare
refers to the ability of individuals to obtain the necessary medical services
and treatments when needed. It encompasses a broad range of factors that may
impact an individual's ability to receive healthcare services, including
financial, geographic, cultural, and social barriers. Adequate access to
healthcare is considered a fundamental human right and is crucial for maintaining
and improving public health.
Key factors affecting
access to healthcare include:
Financial Barriers: The
cost of healthcare services, including health insurance premiums, co-pays,
deductibles, and out-of-pocket expenses, can pose significant challenges for
many people. Those without insurance coverage or with limited financial
resources may find it difficult to access necessary medical care.
Geographic Barriers: The
physical location of healthcare facilities can be a barrier, particularly in
rural or remote areas where hospitals or clinics may be scarce. Lack of public
transportation can also hinder access to healthcare for individuals who live
far from medical centers.
Healthcare
Infrastructure: The availability and quality of healthcare facilities, medical
professionals, and equipment play a vital role in access to healthcare.
Insufficient or understaffed clinics, hospitals, and medical practices can
limit the availability of services.
Cultural and Linguistic
Barriers: Differences in language and cultural practices can lead to
miscommunication and misunderstanding between healthcare providers and
patients, affecting the quality of care provided.
Health Literacy: Individuals
with low health literacy may struggle to understand medical information, follow
treatment plans, or navigate the healthcare system effectively.
Discrimination and Bias:
Discrimination based on factors such as race, ethnicity, gender, sexual
orientation, or socioeconomic status can lead to unequal treatment and reduced
access to healthcare services for marginalized populations.
Policy and Legal Factors:
Healthcare policies, regulations, and laws can influence access to healthcare.
For example, certain groups might face legal barriers that prevent them from
accessing certain medical services.
Emergency Care: Access to
emergency medical services is crucial, as timely response and treatment can be
life-saving. However, in some areas, emergency care may be limited or not
easily accessible.
Long Waiting Times: In
some healthcare systems, long waiting times for appointments or procedures can
delay necessary care.
Efforts to improve access
to healthcare often involve a combination of policy changes, increased funding,
expanded insurance coverage, investment in healthcare infrastructure, and
initiatives to address social determinants of health. Providing equitable
access to healthcare for all individuals is a complex challenge that requires
collaboration between governments, healthcare providers, communities, and other
stakeholders.
Environmental Health:
Public health services
address issues related to environmental hazards that can impact health, such as
air and water quality monitoring, waste management, and sanitation.
Environmental health is a
branch of public health that focuses on understanding how environmental factors
can affect human health and well-being. It involves studying the interactions
between people and their environment and assessing the impact of various
environmental hazards on human health. These hazards can arise from both
natural and human-made sources.
Key areas of concern in environmental health include:
Air Quality: The quality
of the air we breathe is crucial for our health. Environmental health
professionals study air pollutants such as particulate matter, ozone, nitrogen
dioxide, sulfur dioxide, and carbon monoxide, which can originate from
industrial processes, transportation, and natural sources like wildfires. Poor
air quality can lead to respiratory issues and other health problems.
Water Quality: Access to
clean and safe drinking water is essential for maintaining good health.
Environmental health experts monitor water sources for pollutants, pathogens,
and other contaminants that could cause waterborne diseases.
Food Safety: Ensuring
that the food supply is safe from contaminants, pathogens, and harmful
chemicals is a fundamental aspect of environmental health. Monitoring food
production, storage, and distribution systems helps prevent foodborne
illnesses.
Hazardous Substances and
Chemicals: Many chemicals and substances used in industry, agriculture, and
everyday products can be hazardous to human health. Environmental health
professionals evaluate and manage exposure to toxic substances, such as lead,
asbestos, pesticides, and industrial chemicals.
Vector Control:
Environmental health measures involve controlling disease-carrying organisms,
such as mosquitoes, ticks, and rodents, to prevent the spread of vector-borne
diseases like malaria, dengue fever, and Lyme disease.
Climate Change and
Health: The impact of climate change on human health is a growing concern.
Rising temperatures, extreme weather events, and changes in disease patterns
can all affect human health and well-being.
Waste Management: Proper
waste management is crucial to prevent pollution and its associated health
risks. This includes handling hazardous waste, recycling, and promoting
sustainable waste disposal practices.
Noise Pollution: Exposure
to high levels of noise pollution can have adverse effects on physical and
mental health, leading to stress, sleep disturbances, and other health issues.
Environmental health
professionals use scientific research, data analysis, policy development, and
community outreach to address these issues and protect human health. Their work
often involves collaboration with government agencies, non-governmental
organizations, community groups, and other stakeholders to implement effective
environmental health programs and policies. By safeguarding the environment and
mitigating health hazards, the field of environmental health plays a crucial
role in promoting overall well-being and public health.
Maternal
and Child Health:
Programs designed to
support the health of expectant mothers and infants, including prenatal care,
childbirth education, and postnatal support.
Maternal and Child Health
(MCH) is a specialized field of public health that focuses on the health and
well-being of pregnant women, mothers, and children. The primary goal of
maternal and child health programs is to promote healthy pregnancies, safe
deliveries, and optimal child development to ensure a healthy start in life for
both mothers and their children. This area of public health encompasses a wide
range of services and interventions aimed at reducing maternal and child
mortality and improving overall health outcomes.
Key components of Maternal and Child Health include:
Prenatal Care: Providing
regular medical check-ups, screenings, and education for pregnant women to
ensure a healthy pregnancy and reduce the risk of complications during
childbirth.
Safe Delivery and
Postnatal Care: Ensuring access to skilled birth attendants and facilities for
safe deliveries, as well as postnatal care for both the mother and newborn.
Immunization: Promoting
and facilitating vaccination programs to protect children against preventable
diseases and reduce infant mortality.
Nutrition: Addressing
maternal and child malnutrition through education, access to nutritious foods,
and supplementation to support healthy growth and development.
Family Planning:
Providing access to family planning services and education to empower women to
make informed decisions about their reproductive health and family size.
Child Development:
Promoting early childhood development through stimulation, early education, and
responsive caregiving to support cognitive, emotional, and physical growth.
Preventive Health
Services: Offering preventive services, such as screening for common health
issues, to detect and address potential health problems early on.
Health Education:
Conducting health education campaigns to raise awareness about important health
topics related to pregnancy, childbirth, and child-rearing.
Advocacy and Policy:
Working with governments and stakeholders to develop policies and programs that
prioritize maternal and child health and address related issues like gender
disparities and access to healthcare.
Maternal and child health
programs are crucial in improving overall health outcomes for families and
communities. They play a vital role in reducing maternal and child mortality,
promoting healthy growth and development, and breaking the cycle of poor health
from one generation to the next. By investing in maternal and child health
initiatives, societies can achieve significant improvements in the well-being
of their populations and create a healthier future for generations to come.
Chronic Disease Prevention:
Public health services
aim to prevent and manage chronic diseases like diabetes, heart disease, and
obesity through lifestyle interventions and early detection programs.
Chronic disease
prevention refers to the proactive measures and strategies aimed at reducing
the incidence, prevalence, and impact of long-term health conditions that
persist over an extended period or even a lifetime. Chronic diseases are
typically non-communicable diseases (NCDs) that develop slowly, have complex
causes, and often require ongoing medical management and lifestyle adjustments.
Examples of chronic diseases include:
Cardiovascular diseases
(e.g., heart disease, stroke)
Diabetes (Type 1 and Type
2)
Chronic respiratory
diseases (e.g., chronic obstructive pulmonary disease - COPD)
Cancer
Obesity
Hypertension (high blood
pressure)
Chronic kidney disease
Arthritis
Osteoporosis
Alzheimer's disease and
other forms of dementia
Chronic diseases are a
significant global health challenge, contributing to a substantial burden of
morbidity, mortality, and healthcare costs. However, many chronic diseases are
preventable or their onset can be delayed through various preventive measures.
Some key approaches to chronic disease prevention include:
Healthy Lifestyle
Promotion: Encouraging individuals to adopt healthy behaviors, such as regular
physical activity, balanced nutrition, maintaining a healthy weight, and
avoiding tobacco and excessive alcohol consumption.
Screening and Early
Detection: Regular screenings can help identify risk factors and early signs of
chronic diseases, allowing for early intervention and management.
Vaccination: Immunization
against infectious diseases (e.g., flu, hepatitis B) can prevent some chronic
conditions associated with those infections.
Environmental and
Occupational Safety: Reducing exposure to environmental toxins, pollution, and
occupational hazards can help prevent certain chronic diseases.
Health Education and
Awareness: Raising public awareness about chronic disease risk factors,
symptoms, and prevention strategies can empower individuals to make healthier
choices.
Access to Healthcare:
Ensuring equitable access to healthcare services, including preventive care and
chronic disease management, is crucial in reducing the impact of chronic
diseases.
Public Policy and
Regulation: Implementing policies and regulations that promote healthier
environments and behaviors, such as restricting tobacco advertising, promoting
healthy food options, and encouraging physical activity in schools and
workplaces.
Chronic Disease
Management Programs: Developing and implementing comprehensive programs to
manage chronic conditions effectively, focusing on early diagnosis, medication
adherence, and lifestyle modifications.
Adopting a multi-faceted and integrated approach to chronic disease prevention is essential, involving
individuals, communities, healthcare providers, policymakers, and public health
organizations. By addressing risk factors and promoting healthy behaviors, we
can reduce the burden of chronic diseases and improve overall population
health.
Emergency Preparedness and Response:
Public health agencies
develop plans and coordinate responses to natural disasters, disease outbreaks,
and other emergencies to protect public health.
Emergency preparedness and
response refer to the measures taken by individuals, communities,
organizations, and governments to effectively handle and mitigate the impact of
disasters, crises, or emergencies. This encompasses a wide range of potential
incidents, including natural disasters (e.g., hurricanes, earthquakes, floods),
human-made disasters (e.g., industrial accidents, terrorism), public health
emergencies (e.g., pandemics, outbreaks), and other crises that may arise
unexpectedly.
Key Elements of Emergency Preparedness:
Risk Assessment:
Identifying potential hazards and assessing their impact and likelihood of
occurrence in a given area is crucial in emergency preparedness. Understanding
the risks helps in developing appropriate response plans.
Emergency Planning:
Creating detailed plans and procedures for responding to specific emergencies
is vital. This involves defining roles and responsibilities, establishing
communication protocols, and setting up evacuation routes.
Training and Drills:
Regular training of personnel and conducting emergency drills enable
individuals and organizations to practice their response procedures, identify
gaps, and improve their overall preparedness.
Resource Management:
Ensuring access to adequate resources such as food, water, medical supplies,
and shelter is essential for effective response during and after emergencies.
Public Awareness and
Education: Educating the public about potential hazards, emergency procedures,
and preparedness measures enhances community resilience and empowers individuals
to take appropriate actions during emergencies.
Coordination and
Collaboration: Effective emergency preparedness and response require close
collaboration between various stakeholders, including government agencies,
non-governmental organizations, private sector entities, and community groups.
Key Elements of Emergency Response:
Communication:
Establishing clear and reliable communication channels between responders and
affected communities is critical for disseminating information, providing
guidance, and coordinating efforts.
Search and Rescue:
Rapidly locating and rescuing individuals who may be trapped or injured during
an emergency is a primary focus of response efforts.
Medical Assistance:
Providing immediate medical care to the injured and addressing public health
concerns, especially in pandemics or disease outbreaks, is crucial to saving
lives.
Evacuation and
Sheltering: Safely evacuating people from affected areas and providing shelter
for those displaced are essential response activities.
Damage Assessment: Evaluating the extent of the damage and impact on infrastructure, utilities, and essential services helps prioritize response action.
Mental Health Services:
Addressing mental health
issues and promoting mental well-being are crucial components of public health.
This may include access to counseling, support groups, and educational
campaigns to reduce stigma.
Mental health services
refer to the range of professional and community-based resources available to
support individuals dealing with mental health challenges or conditions. These
services aim to promote mental well-being, provide treatment for mental illnesses,
and offer support for individuals and their families. Access to mental health
services is crucial to ensure early identification, intervention, and ongoing
care for those experiencing mental health issues.
Types of Mental Health Services:
Counseling/Psychotherapy:
These services involve talking with a mental health professional, such as a
psychologist, counselor, or therapist, to address emotional difficulties,
behavioral issues, and relationship problems.
Psychiatric Evaluation
and Medication Management: Psychiatrists, medical doctors specialized in mental
health, can diagnose mental illnesses and prescribe medications to manage
symptoms.
Support Groups: These are
organized gatherings where people with similar mental health challenges come
together to share experiences, coping strategies, and emotional support.
Crisis Intervention:
Services provided during emergencies to assess and stabilize individuals
experiencing acute mental health crises or suicidal thoughts.
Inpatient Mental Health
Facilities: Hospital-based units that provide intensive treatment and
supervision for individuals with severe mental health conditions.
Outpatient Mental Health
Clinics: Facilities that offer scheduled appointments for therapy, medication
management, and other mental health interventions without the need for
hospitalization.
Community Mental Health
Centers: Public or nonprofit agencies that provide a variety of mental health
services, including therapy, case management, and psychiatric services.
Telehealth Services:
Online platforms and virtual consultations with mental health professionals,
making it more accessible for remote or underserved populations.
Residential Treatment
Centers: Facilities offering longer-term care and treatment for individuals
with complex mental health needs.
Peer Support Programs:
Support from individuals who have lived experience with mental health
challenges, offering understanding, empathy, and encouragement.
Preventive Services:
Programs and resources aimed at promoting mental wellness and preventing the
onset of mental health problems.
Importance of Mental
Health Services:
Early Intervention:
Timely access to mental health services can prevent the escalation of mental
health conditions and reduce the impact of symptoms on an individual's life.
Improved Quality of Life:
Effective mental health services can lead to improved coping skills, better
relationships, and an overall better quality of life for those seeking help.
Reduction in Stigma:
Promoting mental health services helps reduce the stigma associated with mental
illnesses, encouraging more people to seek help without shame or fear of
judgment.
Enhanced Productivity:
Mental health services can help individuals manage their conditions and
function better in their personal and professional lives.
Public Health Impact:
Addressing mental health issues can have broader societal benefits, reducing
the burden on healthcare systems, and improving community well-being.
Promoting mental health
and ensuring access to adequate mental health services is essential for
building a mentally healthier and more resilient society.
Epidemiological Research:
Public health
professionals conduct research and gather data to understand the patterns of
diseases and health-related issues in the population. This data is then used to
inform policies and interventions.
Epidemiological
research is a branch of public health and medical science that focuses on
studying the patterns, causes, and effects of health and disease conditions in
populations. It aims to identify risk factors, understand disease dynamics, and
develop strategies to prevent and control the spread of diseases.
Epidemiological research plays a crucial role in shaping public health policies
and practices.
Key
Components of Epidemiological Research:
Study
Design: Epidemiological studies can be observational or experimental in nature.
Observational studies include cohort studies, case-control studies, and
cross-sectional studies, while experimental studies involve randomized
controlled trials (RCTs). The choice of study design depends on the research
question and the availability of resources.
Population
and Sample: Epidemiological research involves studying populations, which can
be as small as a group of individuals in a specific community or as large as
entire countries. Researchers often work with a representative sample of the
population to draw conclusions about the entire group.
Variables:
Epidemiological research investigates both exposure and outcome variables.
Exposure variables refer to factors that individuals are exposed to (e.g., risk
factors, environmental exposures), while outcome variables refer to the health
outcomes of interest (e.g., disease incidence, mortality).
Data
Collection: Epidemiologists collect data through various methods, such as
surveys, medical records review, interviews, physical examinations, and
laboratory tests. Data collection methods should be standardized and reliable
to ensure the accuracy of results.
Data
Analysis: Researchers use statistical techniques to analyze the data collected
during the study. This analysis helps identify associations between exposure
and outcome variables and assesses the strength of these associations.
Bias
and Confounding: Epidemiologists must address potential biases and confounding
factors that could influence study results. Bias refers to errors introduced by
study design or data collection methods, while confounding factors are
variables that may distort the association between the exposure and outcome of
interest.
Interpretation
of Results: Epidemiological research aims to draw valid conclusions from the
data and understand the implications of the findings for public health.
Researchers should consider the limitations of the study and the potential
impact on public health policies and interventions.
Applications
of Epidemiological Research:
Disease
Surveillance: Epidemiologists monitor the occurrence and distribution of
diseases to detect outbreaks and assess trends in disease incidence over time.
Risk
Factor Identification: Epidemiological research helps identify risk factors
associated with specific diseases, allowing for the development of preventive
strategies.
Public
Health Interventions: The findings of epidemiological studies inform the design
and implementation of public health interventions, such as vaccination programs
and health education campaigns.
Health
Policy: Epidemiological research influences health policies by providing
evidence for decision-making and resource allocation.
Environmental
Health: Epidemiologists study the impact of environmental exposures on human
health, such as air pollution, water contamination, and occupational hazards.
Overall,
epidemiological research is essential for understanding the health of
populations and guiding evidence-based public health practices and policies.
Health Policy and Advocacy:
Public health services
may advocate for policies and regulations that promote health, such as tobacco
control laws, food safety regulations, and restrictions on harmful substances.
Health policy and
advocacy play crucial roles in shaping the healthcare landscape of a country or
region. They involve the development, implementation, and promotion of policies
and initiatives that aim to improve the overall health and well-being of
individuals and communities. Here's a closer look at both concepts:
Health Policy:
Health policy refers to a
set of principles, decisions, and actions taken by governments, organizations,
and other stakeholders to address health-related challenges and achieve
specific health goals. It involves analyzing health data, considering
evidence-based practices, and crafting strategies to improve health outcomes and
healthcare services.
Key aspects of health
policy include:
a. Access to Healthcare:
Ensuring that all individuals have equitable access to quality healthcare
services, regardless of their socioeconomic status or geographical location.
b. Health Financing:
Determining how healthcare will be funded, whether through public funds,
private insurance, or a combination of both.
c. Healthcare Delivery:
Establishing mechanisms for delivering healthcare services effectively and
efficiently, such as through hospitals, clinics, or community health centers.
d. Health Promotion and
Disease Prevention: Implementing initiatives to encourage healthy behaviors and
prevent diseases, including public health campaigns and vaccination programs.
e. Health Technology and
Innovation: Evaluating and incorporating new medical technologies and practices
to enhance healthcare delivery.
f. Health Equity:
Addressing disparities in health outcomes among different populations and
working to reduce health inequalities.
Health Advocacy:
Health advocacy involves
individuals or organizations working to influence decision-makers and
policymakers to adopt or change health-related policies in the best interests
of the public's health. Advocates may represent patients, healthcare providers,
public health organizations, or other stakeholders.
Key aspects of health
advocacy include:
a. Raising Awareness:
Advocates strive to inform the public and policymakers about health issues,
their impact, and potential solutions.
b. Lobbying: Engaging
with legislators and government officials to promote specific health policies
or legislation.
c. Grassroots
Mobilization: Building public support and engaging communities in advocating
for health-related changes.
d. Coalition Building:
Collaborating with various stakeholders, including healthcare professionals,
patient groups, and nonprofits, to amplify their collective voice.
e. Policy Analysis:
Evaluating existing health policies and proposing evidence-based improvements.
f. Holding
Decision-makers Accountable: Advocates may monitor the implementation of health
policies and push for accountability if they are not effectively executed.
Overall, health policy
and advocacy are interconnected and work together to improve healthcare systems,
promote better health outcomes, and advance the well-being of individuals and
communities. By advocating for evidence-based policies and initiatives, health
advocates can influence positive changes in healthcare that benefit society as
a whole.
These are just a few
examples of the broad range of public health services that work together to
protect and improve the health of communities and populations. Public health is
a collaborative effort involving government agencies, healthcare providers,
community organizations, and individuals working together to achieve better
health outcomes for everyone.
for more:
The Division of Public Health Services (PHS)
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