Using the Intervention ladder, describe an in-school, school-wide intervention at each level of the ladder that you would suggest to prevent overweight/obesity among students.

Please provide responses to items 1-3 below. IMPORTANT Note: Be sure to sufficiently justify and support your responses.
1. Consideration of Personal Liberty (please use at least 3 Resorces for this question)) A key issue in public health ethics is the preservation of personal liberty and autonomous choice, to the extent possible, in the development and implementation of health promotion and disease prevention interventions. Depending upon the particular health issue that public health is addressing, there are typically multiple options that might be used. The Intervention Ladder is a tool that can be utilized to establish the degree to which a particular public health action is more or less intrusive to ones personal liberty. The higher up the ladder that an intervention is situated, the more intrusive it becomes to personal liberty and the more justification public health (government) would need to provide as evidence for implementation.
 
Problem: A school district is working with its local public health department to reduce and control the increase in overweight/obesity among students from elementary through high school. The school board, principals, and public health want to develop a broad set of effective policies and actions that will encourage healthy eating, discourage foods and beverages that contain high amounts of sugar and fat, and promote physical activity. Using the Intervention ladder, describe an in-school, school-wide intervention at each level of the ladder that you would suggest to prevent overweight/obesity among students. As you move up the ladder and your interventions become more restrictive (limit personal liberty and choice) be sure to describe how your actions can be ethically justified. Note: Please check uploaded file named instructions it contains the invention ladder mentioned above
2. Dealing with a Notifiable/Reportable Disease (Use at least 3 resources and also use attached resources to answer this question) You are working as a public health officer in Los Angeles and receive a call from a physician whose patient has come in for treatment of an infection. Testing reveals that she has syphilis, a notifiable/reportable disease. The patient, a high school girl, is pregnant and claims only to have had sex with one person. However, she refuses to provide the name of the boy, says she plans to have an abortion, and begs the physician not to tell her parents who are quite religious and, she says, will kill me if they find out. The physician is not sure what to do and has asked for your assistance. Your task is to consider what possible public health actions should be taken, and the ethical reasons why such actions are preferable to others.
Address the following issues in your response:
1. Should the patient be screened for other diseases, such as HIV, given her STD infection? Why or why not?
2. To what extent should the patient be coerced or persuaded to share the boys name?
3. Can and should the doctor inform the parents of their daughters infection? Of the pregnancy?
4. What are the public health goals in this case?
5. What are the public health risks and harms of concern?
6. What are the ethical conflicts in the situation?
3. Dealing with infectious disease threats (Please use at least 3 resources to answer this question in addition to the attached recourse) Mr. Wong, 42, recently visited the local clinic in Monterey Park, CA with symptoms of active TB, which had developed over the previous week. Mr. Wong, a taxi-car driver in the city has agreed to self-administer the appropriate drug regimen, but has refused to stop working because he has small children at home and his wife cannot work. Mr. Wong is a Chinese immigrant and has said that he wonders whether Chinese herbal remedies might be better to take than the drug regimen prescribed at the local clinic.
1. What are the public health goals in this case?
2. What are the public health risks and harms of concern?
3. What are the ethical conflicts in the situation?
4. How do you address Mr. Wongs potential preference for traditional Chinese medicine?

 

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