Personal health is probably of interest to all citizens of the neighborhood but the collective health of the neighborhood is of vital interest. The amusing saying about "your end of the boat is sinking!" may be directly related to personal and public health. We are all healthy or not, together. At least each person's personal health and well-being affects the quality of life experienced by others within the neighborhood.
Human health objectives are among the most difficult of objectives to develop. All states are required to have them. Many programs are guided by them. Many programs have functionless ones. We believe the following objectives are appropriate for a Town and to the extent possible, we plan to participate in achieving them, at least within the neighborhood. Actions need to be personal, family or group based, and by neighborhoods such as Airport Acres, and the Town and related health officials and medical facilities. In a few of the objectives, specific disease or health problems of great public health concern are listed. As in no other area, linkages in achieving health system objectives with the other sets of objectives are crucial (e.g., rescue, transportation, safety, fire, solid wastes, education). We realize we are only "in one end of the boat."
We plan to utilize the most recent advice of the U.S. Surgeon General.
We plan to develop several committees and interest groups related to one or more groups of these health-related objectives.
- To maximize the number of vital family units
- To maximize the number of students judged to be amply supported financially.
- To maximize an index of desirable time between birth events.
- To maximize the life expectancy of the population of the community.
- To minimize in the community population the probabilities of occurrence of genetic phenomena judged by a panel of experts to be abnormal or unhealthy.
- To minimize premature births.
- To maximize the nutritional regime for pre-natal mothers.
- To maximize the number of wanted children born to vital families.
- To minimize the birth of abnormal, retarded, handicapped, defective, or diseased (genetic or otherwise) children.
- To minimize infant mortality.
- To minimize the ratio of mortality-of-aged people to mortality-of-infants.
- To maximize accuracy of citizens' perception of disease incidence, rate of spread, intensity of effects, risks, and reversibility.
- To achieve enhanced citizen satisfaction from knowledge of the absence of detectable disease.
- To minimize disease susceptibility of all age classes and sexes.
- To achieve the earliest possible diagnosis of disease.
- To minimize the duration of all disease.
- To maximize the speed, accuracy, and reliability of diagnosis.
- To reduce the mean duration and intensity of effect of the major infectious and communicable diseases.
- To minimize the probability of disability resulting from disease.
- To minimize the number of citizens unable to obtain legal employment due to physical disability.
- To equip the largest number of disabled people with devices allowing the greatest amount and range of action per dollar invested in equipment.
- To minimize the number of people requiring high quality long-term care and support during illness or disability.
- To stabilize or reduce morbidity rates in the major infectious and communicable diseases.
- To maximize recovery rates, minimize relapses and recurrences, and minimize second-disease occurrence within 365 days after recovery.
- To provide treatment for all pathogenic states at the lowest costs sufficient to enable body structure and the processes to recover to within 90 percent or greater of the pre-disease efficiency.
- To maximize allocation of resources toward treating diseases for which the probable differences in the patient between treatment and non-treatment are greatest.
- To maximize the rate of treating diseases for which the probability of altering the cause of the disease is least probable.
- To maximize the ratio of the actual population health to a conceptual optimum population health.
- To minimize tuberculosis.
- To minimize the total and mean dental caries per age-weighted person in the population.
- To maximize the accessibility of the most effective known generic drugs or medicines for the lowest costs.
- To maximize the number of post-treatment mental patients returning to a normal home environment.
- To minimize both treatment time and recovery time for mental patients.
- To minimize return of discharged citizen patients to mental hospitals.
- To maximize citizen satisfactions and direct benefits experienced from the knowledge of having physical and mental health, equal to or above the 1975 norm, from completing disease- and accident-free years, and from achieving levels of an individual, complex, health-status index.
- To minimize the incidence of alcoholism.
- To minimize the incidence of drug addiction.
- To minimize the duration of alcoholism and addiction.
- To stabilize or reduce rates of occurrence of major accidents.
- To minimize health problems associated with natural disaster, military operations, or significant socio-political change.
- To minimize the time from trauma to treatment.
- To minimize the number of institutionalized elderly citizens.
- To minimize the occurrence and probability of highway, industrial, and home accidents.
- To provide within three hours, emergency response to 90 percent of the needs of ten or more people experiencing (or likely to experience) major natural catastrophe.
- To minimize chronic poisoning.
- To minimize acute poisoning.
- To minimize in foods sold within the community, pathogens, tetratogens, carcinogens, toxicants and other substances known to be or highly probable to be detrimental to health.
- To minimize heavy metal accumulations in citizens of the community.
- To minimize the key indices of the effects of air pollution on citizens.
- To minimize key indices of noise pollution effects on citizens.
- To minimize the volume of solid waste disposal.
- To reduce the probability of disease transmission associated with sewage and garbage.
- To maximize the use of ideal solid waste disposal spaces.
- To reduce pathogens in ground water and other waste supplies, both public and private.
- To reduce the probability of disease or dysfunction resulting from drinking water.
- To prevent settlement and development where ample supplies of high quality water are unavailable.
- To minimize human exposure to microwave, nuclear, x-ray, and other harmful radiation.
- To minimize disease and dysfunction resulting from eating in public or semi-public places.
- To maximize the number of habitations that are disease vector-free over most of the year.
- To maximize a set of indices expressive of the nutritional status of the population.
- To minimize the variance among communities in the nutritional indices for the population.
- To maximize acceptability of health care programs and treatment by citizens and members of the medical community.
- To recruit, provide educational opportunities for, and maintain performance competency of doctors and other medical workers at or above the 1990 level.
- To maximize the diversity of and fail-safeness of biomedical technology available within six hours for every citizen.
- To maintain at least one program or treatment alternative where benefit- to-cost ratios are equal to or do not exceed five percent of the primary program or treatment.
- To minimize undesirable secondary consequences, externalities, and counter-intuitive aspects of programs and treatments.
- To develop the needed legal codes and atmosphere within which these health objectives can be achieved.
- To minimize the time between publishing of research results in reviewed medical and health journals and justified application to citizens of the community.
We plan to work or coordinate activities with The Virginia Department of Mental health, Mental Retardation, and Substance Abuse Services, 109 Govenor Street, Richmond, VA 23219 (PO Box 1797 Richmond, VA 23214) (804-786-3921) ond/or the New River Community Services Board, 700 University City Blvd, Blacksburg, VA (540-961-8300).