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Full-Text Articles in Medicine and Health Sciences

History Of Deer Herd Reduction For Tick Control On Maine’S Offshore Islands, Susan P. Elias, Benjamin B. Stone, Peter W. Rand, Charles B. Lubelczyk, Robert P. Smith Md Jan 2021

History Of Deer Herd Reduction For Tick Control On Maine’S Offshore Islands, Susan P. Elias, Benjamin B. Stone, Peter W. Rand, Charles B. Lubelczyk, Robert P. Smith Md

Maine Policy Review

The incidence of Lyme disease in Maine is associated with high abundance of blacklegged (deer) ticks, which in turn has been partly attributed to local overabundance of white-tailed deer. With evidence from Monhegan Island that the complete removal of deer reduced ticks and risk of contracting Lyme disease, nine other offshore communities initiated efforts to cull deer. We reviewed and summarized available histories of deer management on Maine’s offshore islands. Concern about Lyme disease provided the overarching impetus for deer culls. Culls mostly occurred on islands that have no regular firearms hunting season, island communities have been challenged to control …


Population Health Improvement: It’S Up To The Community—Not The Healthcare System, Ron Deprez, Rick Thomas Jan 2016

Population Health Improvement: It’S Up To The Community—Not The Healthcare System, Ron Deprez, Rick Thomas

Maine Policy Review

Despite the growing interest in population health on the part of health professionals, policy analysts, and government agencies, there is no widely accepted definition of the term nor agreement on how to apply the concept in health improvement planning. In this article, Ron Deprez and Rick Thomas clarify the definition, attributes, and applications of population health, tracing its history and evolution to its current form and assess the roles of communities and health systems in advancing a population health approach.


Poor Nutrition Amidst Plenty, Dora Anne Mills Jan 2011

Poor Nutrition Amidst Plenty, Dora Anne Mills

Maine Policy Review

Hunger and food insecurity is on the rise in Maine as are increases in obesity, heart disease, and diabetes, all linked to food choices. Old and young, immigrant and native, rural and urban—Mainers are experiencing a food emergency made graver by the economic recession and rising health costs. Dora Anne Mills writes about “poor nutrition amidst plenty,” its causes, consequences, and the programs and policies that address it


Early Childhood Health, Dora Anne Mills Jan 2009

Early Childhood Health, Dora Anne Mills

Maine Policy Review

Dr. Dora Anne Mills presents a panoramic portrait of early childhood health in Maine, describing the ways in which poverty, health insurance, preg­nancy, early growth and development, infectious and chronic diseases, oral health, environmental health, injury, mental health and physical activity and nutrition affect children. She notes policy successes in these areas and describes some of the challenges that remain and the new challenges that are arising.


Improving The Health Of Maine, One Employee At A Time, Jerry Whalen Jan 2008

Improving The Health Of Maine, One Employee At A Time, Jerry Whalen

Maine Policy Review

In this commentary, Jerry Whalen, an officer in Eastern Maine Healthcare Systems, discusses employee wellness programs and the importance of focusing on the workplace. He notes that managers and senior executives have a key role to play in ensuring success of employee wellness programs


Obesity In Maine: A Policy Approach, Dora Anne Mills Jan 2004

Obesity In Maine: A Policy Approach, Dora Anne Mills

Maine Policy Review

Compared to earlier generations, Americans are eating more, making poorer nutritional choices, and are less physically active. The result is an “obesity epidemic” facing Maine and the nation. Dora Anne Mills, director of Maine’s Bureau of Health, summarizes the extent, impact, and causes of obesity, and presents policy solutions suggested in public health and medical literature. Because the factors behind the obesity epidemic are so interwoven in the fabric of society, policymakers, businesses and individuals must consider a variety of solutions on the personal, local, state and national levels. Mills warns if we do not act soon and systematically, “our …


Top 10 Health Issues Faced By Maine People, Dora Anne Mills Jan 2003

Top 10 Health Issues Faced By Maine People, Dora Anne Mills

Maine Policy Review

In this article Maine’s Bureau of Health Director, Dr. Dora Anne Mills, outlines the top 10 health issues facing Mainers today. As Mills points out, many chronic health issues would be greatly alleviated if people ate less and better, exercised more, and didn’t smoke. Despite the role of self determination in affecting these behaviors, Mills argues that all can be influenced through more proactive policies at the local, state, and national levels, and changes to our surrounding environments. Only when neighborhoods, schools, workplaces, and communities are structured in ways that promote healthy lifestyles will there be real changes in the …


Chronic Disease: The Epidemic Of The Twentieth Century, Dora Anne Mills Jan 2000

Chronic Disease: The Epidemic Of The Twentieth Century, Dora Anne Mills

Maine Policy Review

One hundred years ago, the leading causes of death were infectious diseases such as tuberculosis, influenza and pneumonia. Of equal concern were water-borne diseases such as cholera and typhoid. Yet today, as a result of public health measures to clean up drinking water and provide immunizations, and by improvements in medical care, such diseases have been eradicated. As Dora Anne Mills points out, as we begin a new century, we have much to celebrate but still more to consider. Today, we face an epidemic unlike any found in 1900. One hundred years ago only one-in-six people died of a chronic …