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Saint Louis University






Division of Environmental and Occupational Health

Research

Global Health Strategy: Understanding and Shaping Opinion of the Public Health Establishment

Funded by the Association of Schools of Public Health (ASPH)
Principal Investigator: Kwesi Dugbatey, MD, Ph.D., M.P.H.
Co-Investigator: William True, Ph.D.
Co-Investigator: R. Gregory Evans, Ph.D.
Co-Investigator: Jeffrey Mayer, Ph.D.

This study is aimed, first, at soliciting and collating current views from the US public health establishment on global health and understanding the impact of health conditions of communities beyond US borders, a relatively new perspective that has gained prominence in the post cold war era of globalization. Second, the study will use information from the first step as input for messages that will help institutionalize the teaching and practice of global health in the US. The overarching goal is to bring about a change in orientation across the public health establishment in the US towards the need to embrace public health practice as a global enterprise, that is, that the health of communities is of a global concern and that it is in the vital interest of the US to assume a leadership role in this enterprise.

The following reasons underscore the pressing need for the public health establishment in the US to fully appreciate the effects of globalization on public health here in the US as well as globally. The following are also the reasons why, in reshaping opinions and perceptions on public health education and practice, the US should assume a leading role by example:

  • Polls show that most Americans view globalization as a growing interconnectedness of the world, "that we've become a more global society, economically and politically, so decisions being made here affect other areas, and other governments' decisions affect us."
  • Americans' attitudes towards US involvement with other countries are illustrated by comments such as these: "the world is so interconnected today that, in the long run, helping Third World countries to develop is in the economic interest of the US."
  • As an economic development paradigm, globalization is gaining prominence and has a high potential of impacting human health and well-being in various ways.
    With generally positive feelings about globalization nationally, it is in the vital interest of the US to assume a leadership role in operationalizing globalization in the best ways possible.
  • As a nation of immigrants, there is an increase of new Americans with increased health problems.
  • Resources, human and otherwise, will have to be appraised at all levels of government to adequately handle the health and social problems relating to increased migration.
Schools of Public, in particular, will have to revamp their curricula relating to international health to embrace more appropriately the increasing environmental health problems and stifling poverty in developing countries as well as in some urban centers in the US.

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