It implementing Dental insurance no waiting period interventions at all levels of the pyramid that's what's going to achieve the maximum possible sustained public health benefit and a point to emphasize here too is that there are trade-offs you know .
We have to sometimes give up resources in one area in order to have a larger impact in another well let's take a look at some examples in each level of intervention so the pyramid illustrates the impact of different types of public health interventions and again.
Working our way from the top to the bottom counseling and education in clinical settings public health settings they are regarded by some as the essence of public health action you know I went to school and .
I actually majored in you know health education and promotion when I got my master's to be in public health but being at CDC I've learned a lot about how all of those other areas including the area at the bottom really.
all have make a substantial impact in interventions but that's again not counseling and education they're not as effective as we would like but that being said there are times when counseling and education are the only forms of intervention .
That are available or inappropriate and when they're applied consistently and repeatedly they can have a positive impact so moving to clinical interventions ongoing medical care for health condition is an example for example in .
The case of cardiovascular disease these interventions can have a considerable effect but we're also limited by a lack of access to certain patients who need that type of care and a lack of adherence to medical instructions and you .
know taking prescriptions as prescribed in the real world so again that medical care has its limitations so the very middle of the pyramid looking at the intervention level of preventive medicine let's talk about vaccinations as.
an example vaccinations prevent . million deaths among children around the world every year so in this case a single dose or instance of an intervention can have a lifelong so this is an example of .
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