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Situasi Malaria Di Kabupaten Lebak, Fauzul Hayat, Nia Kurniatillah Jun 2009

Situasi Malaria Di Kabupaten Lebak, Fauzul Hayat, Nia Kurniatillah

Kesmas

Pada periode 2002-2006, di Kabupaten Lebak, API tergolong Middle Case Incidence (MCI), dengan nilai rata-rata (2.87%) dan berada pada kisaran 2.04-4.51%. Dari 35 wilayah kerja puskesmas terdapat enam wilayah endemis yang meliputi puskesmas Malimping, Binuangeun, Bayah, Cihara, Panggarangan dan Cilograng. Ada wilayah kerja puskesmas yang dilaporkan dengan klasifikasi MCI. Penderita positif malaria cenderung meningkat secara fluktuatif dengan puncak yang tidak jelas, kasus positif malaria tertingi ditemukan pada bulan Februari, Maret, Mei, Juli dan Desember. Tingkat infeksi malaria yang tinggi pada kelompok populasi ditentukan berdasarkan proporsi sediaan darah positif malaria dari sediaan darah yang diperiksa dengan angka SPR 006 rata-rata 12.64%, …


Download The Full Pdf Of The Issue- Health Policy Newsletter, Vol. 22, Issue 1, March 2009 Jun 2009

Download The Full Pdf Of The Issue- Health Policy Newsletter, Vol. 22, Issue 1, March 2009

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Bewell.Com-The Value Of Social Media In Health Communication Jun 2009

Bewell.Com-The Value Of Social Media In Health Communication

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


A Study Of Bus Stop Accessibility: Public Health Students Working In Partnership With The Center For Independent Living, Ellen D.S. López, Susan F. Fesperman, Staci H. Graff, Stephanie Schropp, Sarah T. Catalanotto, Allysha C. Robinson, Zaynab I. Major Jun 2009

A Study Of Bus Stop Accessibility: Public Health Students Working In Partnership With The Center For Independent Living, Ellen D.S. López, Susan F. Fesperman, Staci H. Graff, Stephanie Schropp, Sarah T. Catalanotto, Allysha C. Robinson, Zaynab I. Major

Florida Public Health Review

Over 54 million U.S. citizens report living with at least one disability. The Americans with Disabilities Act stipulates legislation that prohibits the discrimination of persons on the basis of disability. Rather than riding the bus in areas that offer a fixed-route bus system, individuals with disabilities often rely on expensive and limited paratransit services, or on family and friends. It has been proposed that with improvements in bus accessibility, riders with disabilities could use the fixed-route system more often and increase their options for independence and community participation. During their 2008 spring semester, participants in the University of Florida College …


Cancer Information-Seeking Experiences: The Implications Of Hispanic Ethnicity And Spanish Language, Robin C. Vanderpool, Julie Kornfeld, Lila Finney Rutten, Linda Squiers Jun 2009

Cancer Information-Seeking Experiences: The Implications Of Hispanic Ethnicity And Spanish Language, Robin C. Vanderpool, Julie Kornfeld, Lila Finney Rutten, Linda Squiers

Health, Behavior & Society Faculty Publications

BACKGROUND: Strategies to support cancer information-seeking among Hispanics are needed.

METHODS: We analyzed data from the 2005 Health Information National Trends Survey (HINTS) to explore cancer information-seeking experiences among respondents according to ethnicity and language of interview.

RESULTS: Over 80% of Spanish-speaking Hispanics had never looked for cancer information. Compared to English-speaking respondents, Spanish-speaking Hispanics who sought cancer information indicated their search took a lot of effort (67%), was hard to understand (54%), and frustrating (42%). Spanish-speaking Hispanics noted minimal confidence in obtaining cancer information.

CONCLUSIONS: Language and cultural differences must be considered in the design, implementation, and dissemination of …


Attitudes And Beliefs That Predict Taiwanese Older Adults' Intentions To Attend Strength And Balance Training Programs, Shih-Fan Lin Jun 2009

Attitudes And Beliefs That Predict Taiwanese Older Adults' Intentions To Attend Strength And Balance Training Programs, Shih-Fan Lin

Loma Linda University Electronic Theses, Dissertations & Projects

The rate of participation in the strength and balance training (SBT) program, an effective fall prevention intervention, is very low among older adults. To increase older adults' participations in SBT programs, this study involved an observational and cross-sectional study design to understand factors that affect Taiwanese older adults' intention to attend SBT programs utilizing the theory of planned behavior. Questionnaires that measured constructs of the theory of planned behavior (attitude, subjective norm, perceived behavioral control, and behavioral, normative, and control beliefs) were collected from 221 community-dwelling Taiwanese elderly women between the age of 55 and 94. Simple correlations and multiple …


Tuberculosis In San Bernardino County, 1993-2004 : Lifestyle And Environmental Factors, Anuj Bhatia Jun 2009

Tuberculosis In San Bernardino County, 1993-2004 : Lifestyle And Environmental Factors, Anuj Bhatia

Loma Linda University Electronic Theses, Dissertations & Projects

An observational retrospective study was conducted for tuberculosis (TB) cases between San Bernardino County (SBC), Riverside County, and the state of California from 1996 to 2004. A univariate comparison between San Bernardino County and California indicated a higher proportion of U.S. born cases in SBC. Additionally, it was found that San Bernardino had a higher proportion of non-injection drug using TB cases, compared with California in 1996. Further comparisons were made along country of birth between TB cases in San Bernardino County from 1993 to 2004. Notable differences were observed for injection drug use, non injection drug use, alcohol abuse, …


Detecting, Preventing, And Treating Sexually Transmitted Diseases Among Adolescent Arrestees: An Unmet Public Health Need, Steven Belenko, Richard Dembo, Matthew Rollie, Kristina Childs, Christopher Salvatore Jun 2009

Detecting, Preventing, And Treating Sexually Transmitted Diseases Among Adolescent Arrestees: An Unmet Public Health Need, Steven Belenko, Richard Dembo, Matthew Rollie, Kristina Childs, Christopher Salvatore

Department of Justice Studies Faculty Scholarship and Creative Works

Studies of detained and incarcerated adolescent offenders in the United States indicate that these juveniles have an elevated risk of sexually transmitted diseases (STDs). However, many more arrestees enter the “front end” of the juvenile justice system that is detained or incarcerated, and research into the STD risk profiles and service needs of this larger group is lacking. An expansion of STD testing (including of asymptomatic youths), prevention, and treatment is needed, as is improved knowledge about gender- and race-specific services. A pilot program in Florida has shown that juvenile justice and public health systems can collaborate to implement STD …


The Treatment Action Campaign's First Decade: Success Achieved?, Jung Cho May 2009

The Treatment Action Campaign's First Decade: Success Achieved?, Jung Cho

Honors Scholar Theses

South Africa is known to have the largest HIV epidemic in the world with 5.7 million people currently living with HIV, according to UNAIDS. In light of the crisis, South Africa's Treatment Action Campaign (TAC) has led the social movement for increased treatment access for people living with HIV through lobbying the government, multinational pharmaceutical companies, and grassroots campaigning. Since it's founding a decade ago, TAC has been highly acclaimed both regionally and internationally for its success. In order to determine the success of this social movement organization, social movement theories, such as mobilization potential, external political opportunity structure, and …


To Vaccinate, Or Not? Health Care Providers And The Hpv Controversy, Nicole Elizabeth Hanbury May 2009

To Vaccinate, Or Not? Health Care Providers And The Hpv Controversy, Nicole Elizabeth Hanbury

Honors Scholar Theses

Gardasil® – the vaccine was first thought to be a medical breakthrough in the fight against cancer, but it quickly became plagued with controversy. Despite wide media coverage, little attention has been paid to today’s health care professionals who are ultimately responsible for prescribing the vaccine, and who may be the most knowledgeable about it. The present study seeks to expand on previous literature by investigating health care providers’ current beliefs and practices with the human papillomavirus (HPV) immunization. It is essential that more recent research be performed in order to encompass current views of the vaccine, post FDA-approval.

Data …


Reducing Stillbirths: Behavioural And Nutritional Interventions Before And During Pregnancy., Mohammad Yawar Yakoob, Esme V Menezes, Tanya Soomro, Rachel A Haws, Gary L Darmstadt, Zulfiqar Ahmed Bhutta May 2009

Reducing Stillbirths: Behavioural And Nutritional Interventions Before And During Pregnancy., Mohammad Yawar Yakoob, Esme V Menezes, Tanya Soomro, Rachel A Haws, Gary L Darmstadt, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background:The vast majority of global stillbirths occur in low- and middle-income countries, and in many settings, the majority of stillbirths occur antenatally, prior to the onset of labour. Poor nutritional status, lack of antenatal care and a number of behaviours increase women's risk of stillbirth in many resource-poor settings. Interventions to reduce these risks could reduce the resulting burden of stillbirths, but the evidence for the impact of such interventions has not yet been comprehensively evaluated.

Methods:

This second paper of a systematic review of interventions that could plausibly impact stillbirth rates covers 12 different interventions relating to behavioural …


Metro-Urbam Mental Health In Developing Countries: From Origin To Outcome: An Indian Experience, Amresh Srivastava May 2009

Metro-Urbam Mental Health In Developing Countries: From Origin To Outcome: An Indian Experience, Amresh Srivastava

Data and Test Instruments

Metro-Urban Mental health in developing countries: from origins to outcome: an Indian experience Amresh Shrivastava: MD,DPM,MRCPsych, Executive Director: Mental Health Resource Foundation, and Prerana Charitable Trust, Mumbai, India. Assistant professor, Department of Psychiatry, University of Western Ontario, London, Ontario, Canada Address of presenting author E Mail: [email protected] 467, Sunset Drive, Regional Mental Health care, St.Thomas, Ontario, Canada, N5H 3V9 Phone: 519-631-8510 x 49252, fax 519-631-2512. and 519-641-3833 The life of the mentally ill in large metropolitan areas is presumed to be more Challenging. The impact of urbanization on service utilization and outcome is not clearly known. The present paper discusses …


Women, Birth Control Pills, And Thrombophilia: An Analysis Of Risk Communication, Kerry Gomer May 2009

Women, Birth Control Pills, And Thrombophilia: An Analysis Of Risk Communication, Kerry Gomer

All Theses

The Surgeon General recently issued a call to action to reduce the incidents of blood clots, which can cause pulmonary embolism, deep vein thrombosis, and stroke. This research study was conducted to assess what risk information is available to women regarding thrombosis (blood clots) and thrombophilia (clotting disorders) in combination with birth control pills, what women know about this issue, and how to increase this awareness. A media analysis showed that very little information is available to women about thrombosis and thrombophilia with regard to birth control pills. It also demonstrated that the information that is available is often inadequate …


Cooking With A Chef: A Culinary Nutrition Intervention For College Aged Students, Andrew Warmin May 2009

Cooking With A Chef: A Culinary Nutrition Intervention For College Aged Students, Andrew Warmin

All Theses

The primary objective of this study is to provide evidence that a culinary nutrition intervention is appropriate for, and of value to college students. A secondary objective is to provide evidence that the nutrition component of a culinary nutrition course can be delivered online through an interactive presentation. The study initially involved a review of literature highlighting the nutrition habits of college students, the strengths and weakness of existing cooking and nutrition classes, and other factors relating to the college student's health. Based on this literature review it was determined that a culinary nutrition course is an appropriate way to …


An Evaluation Of Methicillin Resistant Staphylococcus Aureus Survival On Five Environmental Surfaces Under Two Different Humidities, With And Without The Addition Of Bovine Serum Albumin, Courtney Ann Coughenour May 2009

An Evaluation Of Methicillin Resistant Staphylococcus Aureus Survival On Five Environmental Surfaces Under Two Different Humidities, With And Without The Addition Of Bovine Serum Albumin, Courtney Ann Coughenour

UNLV Theses, Dissertations, Professional Papers, and Capstones

The spread of antibiotic resistant bacteria is a major public health concern, as they result in greater healthcare costs and increased morbidity and mortality rates. Methicillin resistant Staphylococcus aureus (MRSA) is one organism of particular concern, with the number of infections increasing in epidemic proportion. Bacterial surface contamination with MRSA is significant, as it may serve as a reservoir for transmission and have negative health implications. The purpose of this study was to evaluate survival of MRSA on five environmental surface materials; glass, wood, vinyl, plastic, and cloth. The effect of relative humidity (RH) and bovine serum albumin (BSA) were …


Weight Perception And The Use Of Unhealthy Weight Loss Tactics Among Adults In The United States: A Cross-Sectional Study Of Nhanes Data, 2000-2006., Laura King May 2009

Weight Perception And The Use Of Unhealthy Weight Loss Tactics Among Adults In The United States: A Cross-Sectional Study Of Nhanes Data, 2000-2006., Laura King

Theses and Dissertations

Introduction: Weight dissatisfaction and misperception are widespread problems in the United States as are unhealthy weight loss practices. These negative body image issues can lead to eating disorders which have serious health and quality of life consequences. Objective: To evaluate the extent to which the prevalence of distorted body image and unhealthy dieting tactics exist in adults in the US and how these are related. Methods: Data from NHANES 2000-20006 on adults aged 20-59 was used. Weight perception was assessed with the physical exam measurements of weight status and the weight history questionnaire item asking if the person considered him …


Predictors Of Hpv Knowledge And Awareness In Rural America, Melanee Dulfon May 2009

Predictors Of Hpv Knowledge And Awareness In Rural America, Melanee Dulfon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prior research has shown that overall awareness of HPV is low among women in America. Yet limited research exists as to the awareness of HPV among rural U.S. women. The goal of this study was to determine the factors that predict women's knowledge and awareness of HPV in rural America. Secondary data was utilized from the National Cancer Institute Health Information National Trends Survey (HINTS) of 2005. The sample consisted of 788 adult women over the age of 18 from rural areas of the U.S. Results indicated younger age, increased education, receipt of a Pap exam in over three years, …


A Culturally-Relevant, Emergent Approach To Exploring The Needs, Strengths, And Priorities Of Tribal Communities In Virginia, Amy Prorock-Ernest May 2009

A Culturally-Relevant, Emergent Approach To Exploring The Needs, Strengths, And Priorities Of Tribal Communities In Virginia, Amy Prorock-Ernest

Theses and Dissertations

Little is known about the health of the indigenous peoples in Virginia. When compared to the total U.S. population, indigenous peoples nationwide disproportionately experience disparities in health status across multiple health indicators. Research shows that these disparities are largely due to the inequitable distribution of social and economic determinants present within indigenous communities. Because the indigenous peoples of Virginia are affected by inequitable social and economic conditions, there is reason to believe that health indicators may mirror that of the indigenous population at-large. Outlined in this paper is a framework for exploring the needs, strengths, and priorities of indigenous communities …


Suicide Associated With Military Service, Margo R. Genderson, Irvin Sam Schonfeld, Mark S. Kaplan, Michael J. Lyons May 2009

Suicide Associated With Military Service, Margo R. Genderson, Irvin Sam Schonfeld, Mark S. Kaplan, Michael J. Lyons

Publications and Research

Suicide rates among soldiers and veterans of Operations Iraqi Freedom and Enduring Freedom (OIF/OEF) have been steadily growing since 2004, with sharp increases observed more recently. Suicides in the Army are a growing concern on Capitol Hill and in the media. Last month, the Senate Armed Services Committee held hearings on the growing incidence of suicides across the armed forces (Federal city digest, 2009, March 18). The Associated Press (AP) underlined the increasing suicide rates among Army personnel (Army reports sharp rise in suicides in January, 2009, Feb. 5). According to the AP, there were 64 suicides in 2004, and …


Improving Folic Acid Consumption In Women At Risk For Neural Tube Defects In Florida, Jessica C. Bishop-Royse, Elizabeth Jensen, Melanie Simmons Apr 2009

Improving Folic Acid Consumption In Women At Risk For Neural Tube Defects In Florida, Jessica C. Bishop-Royse, Elizabeth Jensen, Melanie Simmons

Florida Public Health Review

Two providers who participated in the Florida VitaGrant program, a site providing early childhood services to primarily Mexican Hispanic families (Site A) and a site providing home visiting services to pregnant women and families with infants (Site B), are presented as alternative models for improving folic acid levels in reproductive aged women in Florida. Site A distributed multivitamins and education in the context of health education provided to women in a group setting, once a month. Site B provided the services primarily through home visits of varying frequency. Folic acid knowledge and consumption were measured at program initiation and at …


Kelangsungan Penggunaan Kontrasepsi Di Indonesia, Sariana Sistri Apr 2009

Kelangsungan Penggunaan Kontrasepsi Di Indonesia, Sariana Sistri

Kesmas

Indonesia merupakan negara dengan jumlah penduduk terbesar keempat di dunia setelah Republik Rakyat Cina, India dan Amerika Serikat. Pada periode 2000-2002, penduduk Indonesia meningkat 1,25% atau 7,3 juta setiap tahun, sehingga pada tahun 2002 jumlah penduduk Indonesia menjadi sekitar 215 juta jiwa. Berdasarkan data SDKI, Total Fertility Rate (TFR) tahun 1997 (2,8) dan 2003 (2,6), dalam kurun waktu dua dasawarsa. Contraceptive Prevalence Rate (CPR), di Indonesia, pada 1977 (26) meningkatan dua kali lipat pada tahun 1997 (57) Penelitian ini bertujuan untuk mengetahui kelangsungan pemakaian kontrasepsi sejak pertama kali pemakaian pada periode 1997-2002, berikut berbagai faktor yang berhubungan. Desain penelitian yang …


Show Me The Money: The Implications Of Schedule H, Eileen Salinsky Apr 2009

Show Me The Money: The Implications Of Schedule H, Eileen Salinsky

National Health Policy Forum

Responding to policymakers' concerns, the Internal Revenue Service (IRS) implemented significant new hospital community benefit reporting under Schedule H of its revised Form 990, the return used by tax-exempt organizations. This issue brief considers the policy implications of the quantitative and qualitative information that hospitals are now mandated to report through Schedule H, including the costs associated with charity care, bad debt, and the unreimbursed costs of Medicaid and Medicare. The paper examines unresolved issues related to the new reporting requirements, such as controversies regarding the scope of Schedule H, and considers the potential for these reports to influence IRS …


Constructions Of Disease In Mayo Village, Rachel Eades Apr 2009

Constructions Of Disease In Mayo Village, Rachel Eades

Independent Study Project (ISP) Collection

Understanding how individuals and institutions negotiate illness and construct ideas about disease is important to public health efforts across the globe. Countries in sub-Saharan Africa suffer from a variety of health problems that many regions of the world have long since eradicated. Economic hardship, combined with high rates of communicable diseases, food poverty, lack of sanitation, and poor water quality make countries in sub-Saharan Africa some of the poorest and sickest in the world. Tanzania is a prime example. The purpose of this study was to explore how people in one rural, Tanzanian village construct ideas about disease – its …


The Effect Of Obesity On State Health Care Expenditures: An Empirical Analysis, Kristen Collins Apr 2009

The Effect Of Obesity On State Health Care Expenditures: An Empirical Analysis, Kristen Collins

Honors Projects in Economics

The purpose of this study is to examine the effects of obesity rates on per capita state health care expenditures. A two-stage least square regression model is used. In the first stage of the estimation, factors influencing obesity rates are determined. The determinants of obesity rates are outlined throughout the research process. In the second stage, the impact of obesity rates on per capita health expenditures across states is evaluated. The empirical results indicate that obesity rates do indeed have a direct effect on state health care expenditures. After reviewing the project’s results, various solutions are proposed as possible methods …


Revisiting The Regulation Debate: The Effect Of Food Marketing On Childhood Obesity, Nicole E. Hunter Apr 2009

Revisiting The Regulation Debate: The Effect Of Food Marketing On Childhood Obesity, Nicole E. Hunter

The University of New Hampshire Law Review

[Excerpt] “Despite the widespread concern regarding childhood obesity, there is broad divergence of opinion regarding responsibility for the crisis. Whether the government, food industry, or parents are accountable has become the focus of much debate. Public health groups have attempted various strategies to confront childhood obesity, such as litigation, legislation, and government regulation. While many researchers and advocates agree that government should play an affirmative role with respect to childhood obesity, they are very much divided over what that role should be. For example, although none of these acts has become law, eighty-six bills have been proposed regarding obesity since …


Knowledge Of Emergency Contraception Among Women Of Childbearing Age At A Teaching Hospital Of Karachi, Farhana Irfan, Syed Irfan Karim, Saman Hashmi, Sajid Ali, Syed Arif Ali Apr 2009

Knowledge Of Emergency Contraception Among Women Of Childbearing Age At A Teaching Hospital Of Karachi, Farhana Irfan, Syed Irfan Karim, Saman Hashmi, Sajid Ali, Syed Arif Ali

Department of Family Medicine

OBJECTIVES: To assess knowledge and attitudes about Emergency Contraception among women of childbearing age in Karachi, Pakistan.

METHODS: A questionnaire based survey was conducted on 400 married women, attending the family practice clinics at a teaching hospital in Karachi, Pakistan from July to December 2006. Questionnaire was administered to women at the family practice clinic-seeking level of knowledge of emergency contraception (EC) and attitudes towards its use, Ethical requirements of informed consent and confidentiality were ensured Data was entered into Epi data and analyzed in SPSS.RESULTS: Eighty-eight percent of women were not aware of EC. 83% were housewives. Only a …


Inflammatory Biomarkers And Subclinical Atherosclerosis In African-American Women With Systemic Lupus Erythematosus (Sle), Edith M. Williams, Carlos J. Crespo, Joan Dorn Apr 2009

Inflammatory Biomarkers And Subclinical Atherosclerosis In African-American Women With Systemic Lupus Erythematosus (Sle), Edith M. Williams, Carlos J. Crespo, Joan Dorn

Community Health Faculty Publications and Presentations

Women with lupus are at increased risk for developing cardiovascular disease (CVD). Previous studies of atherosclerosis in SLE have not been representative of the minority groups most affected by lupus and its complications. Therefore, a study of 41 lupus cases and 83 controls was conducted to investigate the relationship between carotid atherosclerosis and inflammation in African-American women. Participation consisted of a questionnaire, physical examination, fasting blood draw, and ultrasound of the carotid arteries. There were observed differences between cases and controls with regard to carotid intima media thickness (IMT) and traditional cardiovascular risk factors, although few reached statistical significance. Tumor …


Soil Zinc Content, Groundwater Usage, And Prostate Cancer Incidence In South Carolina, Sara E. Wagner, James B. Burch, Jim Hussey, Tom Temples, Susan Bolick-Aldrich, Catishia Mosley-Broughton, Yuan Liu, James R. Hébert Apr 2009

Soil Zinc Content, Groundwater Usage, And Prostate Cancer Incidence In South Carolina, Sara E. Wagner, James B. Burch, Jim Hussey, Tom Temples, Susan Bolick-Aldrich, Catishia Mosley-Broughton, Yuan Liu, James R. Hébert

Faculty Publications

Background

Prostate cancer (PrCA) incidence in South Carolina (SC) exceeds the national average, particularly among African Americans (AAs). Though data are limited, low environmental zinc exposures and down-regulation of prostatic zinc transporter proteins among AAs may explain, in part, the racial PrCA disparity.

Methods

Age-adjusted PrCA rates were calculated by census tract. Demographic data were obtained from the 1990 census. Hazardous waste site locations and soil zinc concentrations were obtained from existing federal and state databases. A geographic information system and Poisson regression were used to test the hypothesis that census tracts with reduced soil zinc concentrations, elevated groundwater use, …


Tuberculosis Por Los Ojos De La Vida Aymara: La Correlación Entre Estilo De Vida Y Tuberculosis En Los Aymara Del Norte De Chile, Sam Percy Apr 2009

Tuberculosis Por Los Ojos De La Vida Aymara: La Correlación Entre Estilo De Vida Y Tuberculosis En Los Aymara Del Norte De Chile, Sam Percy

Independent Study Project (ISP) Collection

Background: Explanations for disparities in health between groups of people are complex, and based in differences in genetics, environment, access to medical care, socioeconomic, educational, and cultural factors. In short a person’s lifestyle is inextricably related to a person’s health and their propensity to contract disease. Members of the indigenous group Aymara who live in Arica, Chile have 6 times the rate of morbidity from Tuberculosis (TB) as non-Aymara and 9 times the rate of mortality from the disease. This study examined if there was a link between the rate of TB amongst the Aymaran people and the way Aymarans …


Mandatory Measles Vaccination Program: Is There A Place For One In Switzerland?, Anne Rushman Apr 2009

Mandatory Measles Vaccination Program: Is There A Place For One In Switzerland?, Anne Rushman

Independent Study Project (ISP) Collection

The investigation of this topic began as a curiosity from the measles outbreak in the canton of Vaud, Switzerland in early 2009. As I began to gain a deeper knowledge of the subject of measles and measles vaccination in this community I saw the potential it held as a topic to explore my interests in the juncture of public policy and public health. As I approached the topic of measles vaccination from not only a public health perspective but also from that of political and ethical perspective I was able to make an analysis of potential changes in the health …