what is health essay

Essay on Health for Students and Children

500+ words essay on health.

Essay on Health: Health was earlier said to be the ability of the body functioning well. However, as time evolved, the definition of health also evolved. It cannot be stressed enough that health is the primary thing after which everything else follows. When you maintain good health , everything else falls into place.

Similarly, maintaining good health is dependent on a lot of factors. It ranges from the air you breathe to the type of people you choose to spend your time with. Health has a lot of components that carry equal importance. If even one of them is missing, a person cannot be completely healthy.

Constituents of Good Health

First, we have our physical health. This means being fit physically and in the absence of any kind of disease or illness . When you have good physical health, you will have a longer life span. One may maintain their physical health by having a balanced diet . Do not miss out on the essential nutrients; take each of them in appropriate quantities.

Secondly, you must exercise daily. It may be for ten minutes only but never miss it. It will help your body maintain physical fitness. Moreover, do not consume junk food all the time. Do not smoke or drink as it has serious harmful consequences. Lastly, try to take adequate sleep regularly instead of using your phone.

Next, we talk about our mental health . Mental health refers to the psychological and emotional well-being of a person. The mental health of a person impacts their feelings and way of handling situations. We must maintain our mental health by being positive and meditating.

Subsequently, social health and cognitive health are equally important for the overall well-being of a person. A person can maintain their social health when they effectively communicate well with others. Moreover, when a person us friendly and attends social gatherings, he will definitely have good social health. Similarly, our cognitive health refers to performing mental processes effectively. To do that well, one must always eat healthily and play brain games like Chess, puzzles and more to sharpen the brain.

Get the huge list of more than 500 Essay Topics and Ideas

Physical Health Alone is Not Everything

There is this stigma that surrounds mental health. People do not take mental illnesses seriously. To be completely fit, one must also be mentally fit. When people completely discredit mental illnesses, it creates a negative impact.

For instance, you never tell a person with cancer to get over it and that it’s all in their head in comparison to someone dealing with depression . Similarly, we should treat mental health the same as physical health.

Parents always take care of their children’s physical needs. They feed them with nutritious foods and always dress up their wounds immediately. However, they fail to notice the deteriorating mental health of their child. Mostly so, because they do not give it that much importance. It is due to a lack of awareness amongst people. Even amongst adults, you never know what a person is going through mentally.

Thus, we need to be able to recognize the signs of mental illnesses . A laughing person does not equal a happy person. We must not consider mental illnesses as a taboo and give it the attention it deserves to save people’s lives.

Customize your course in 30 seconds

Which class are you in.

• Travelling Essay
• Picnic Essay
• Our Country Essay
• My Parents Essay
• Essay on Favourite Personality
• Essay on Memorable Day of My Life
• Essay on Knowledge is Power
• Essay on Gurpurab
• Essay on My Favourite Season
• Essay on Types of Sports

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Download the App

Home — Essay Samples — Nursing & Health — Childhood Obesity — Importance Of Good Health

Importance of Good Health

• Categories: Childhood Obesity

About this sample

Words: 649 |

Published: Mar 14, 2024

Words: 649 | Page: 1 | 4 min read

Cite this Essay

Let us write you an essay from scratch

• 450+ experts on 30 subjects ready to help
• Custom essay delivered in as few as 3 hours

Get high-quality help

Dr. Karlyna PhD

Verified writer

• Expert in: Nursing & Health

+ 120 experts online

By clicking “Check Writers’ Offers”, you agree to our terms of service and privacy policy . We’ll occasionally send you promo and account related email

No need to pay just yet!

Related Essays

2 pages / 746 words

5 pages / 2799 words

2 pages / 955 words

1 pages / 358 words

Remember! This is just a sample.

You can get your custom paper by one of our expert writers.

121 writers online

Still can’t find what you need?

Browse our vast selection of original essay samples, each expertly formatted and styled

Related Essays on Childhood Obesity

Obesity in children in the US and Canada is on the rise, and never ending because new parents or parents with experience, either way tend to ignore what is happening with their child. A study at UCSF tells us that “A child with [...]

Centers for Disease Control and Prevention. (2021). Childhood Obesity Facts. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK436791/pdf/Bookshelf_NBK436791.pdf

Childhood obesity is a growing epidemic that has raised significant concerns among health professionals, parents, and policymakers alike. With the rise of sedentary lifestyles, increased consumption of processed foods, and lack [...]

Ducat, S. (2007). Child obesity policy brief. Journal of Health Policy, 29.Pretlow, R. (2010). Overweight: What kids say: What's really causing the childhood obesity epidemic. North Charleston: CreateSpace.Satter, E. (2005). [...]

It is well known today that the obesity epidemic is claiming more and more victims each day. The Centers for Disease Control and Prevention writes “that nearly 1 in 5 school age children and young people (6 to 19 years) in the [...]

It is, indeed disheartening that a large proportion of people the world over is becoming obese. This is a serious socio-economic problem, and it is largely attributed to the modern lifestyle. Although, the majority of parents [...]

Related Topics

By clicking “Send”, you agree to our Terms of service and Privacy statement . We will occasionally send you account related emails.

Where do you want us to send this sample?

By clicking “Continue”, you agree to our terms of service and privacy policy.

Be careful. This essay is not unique

This essay was donated by a student and is likely to have been used and submitted before

Download this Sample

Free samples may contain mistakes and not unique parts

Sorry, we could not paraphrase this essay. Our professional writers can rewrite it and get you a unique paper.

Please check your inbox.

We can write you a custom essay that will follow your exact instructions and meet the deadlines. Let's fix your grades together!

Get Your Personalized Essay in 3 Hours or Less!

We use cookies to personalyze your web-site experience. By continuing we’ll assume you board with our cookie policy .

• Instructions Followed To The Letter
• Deadlines Met At Every Stage
• Unique And Plagiarism Free

Essays About Health: Top 5 Examples and 7 Prompts

Almost everyone would agree that health is the most important thing in life. Check out our guide on writing essays about health.

The concept of health is simple. It is the condition where you are well and free from disease or illness. When we are healthy, we are happier, more productive, and able to live a full life. There are many types of health, each helping us to survive and excel in different areas of our life, including physical, mental, spiritual, and emotional health.

In the same ways, there are different ways to stay healthy, such as exercise, socialization, and self-care. These areas of health may not all be equally important, but each of them plays a vital role in making us the best versions of ourselves we can be. You might also find our medical words list helpful.

5 Top Essay Examples

1. essay on how to keep healthy by diwakar sharma, 2. what it’s like living with depression: a personal essay by nadine dirks, 3. the advantages of eating healthy food by lindsay boyers.

• 4.  A Helping Hand: An Essay On The Importance Of Mental Health Parity by Sydney Waltner

5. ​​Stop Trying to be Happy: Improving Your Emotional Health by Jacquelynn Lyon

7 prompts for essays about health, 1. what is the most important type of health, 2. do television and video games negatively impact mental , 3. freedom and public health, 4. how can you live a healthier life, 5. what causes depression, 6. mental health and eating disorders, 7. is “spiritual health” really necessary.

“I think there is no use in earning money in such a way that denies our health. Money is not important than health as it cannot return health and fitness back once we are ill. Thus health is always preferred over money as good health keeps us happy and free from various health issues. If we are healthy we can earn whole life but can’t earn if the health gets deteriorated.”

Sharma discusses the importance of health and ways to stay healthy, including eating nutritious food, drinking water, keeping a good sleep schedule, and exercising. In addition, he notes that it is essential to prioritize your health; do not work too hard or chase money to the extent that it affects your health negatively. You can also check out these articles about cancer .

“I was pleasantly surprised when—after around three weeks—I started feeling results. My intense feeling of overwhelming sadness and hopelessness slowly started to lift and the fears I had about not feeling like myself dissipated. I had worried I would feel less like myself on fluoxetine, but instead for the first time, in a long time—I felt more like myself and able to function throughout the day. Receiving treatment and building healthy coping mechanisms has allowed me to continue to function, even when a depressive episode hits.”

Depression is one of the first things people think of concerning mental health. In her essay, Dirks reflects on her experiences with depression, recalling her feelings of hopelessness and sadness, putting her in a dull, lethargic mood. However, she got help by going to a doctor and starting medication and therapy. Dirks also lists down a few symptoms of depression, warning readers to get help if they are experiencing a number of them.

“A healthful diet is just as good for your brain as the rest of your body. Unhealthy foods are linked to a range of neurological problems. Certain nutrient deficiencies increasing the risk of depression. Other nutrients, like potassium, actually involved in brain cell function. A varied, healthful diet keeps your brain functioning properly, and it can promote good mental health as well.”

Boyers discusses some benefits of healthy eating, such as weight control, reduced risk of diabetes and cancer, and better brain function- an unhealthy diet is linked to neurological problems. She gives readers tips on what they should and should not eat in huge quantities, saying to avoid sugary foods and drinks while eating lean meat, fruits, vegetables, and whole grains. You might also be interested in these essays about nursing and essays about obesity .

4.   A Helping Hand: An Essay On The Importance Of Mental Health Parity by Sydney Waltner

“For three years I was one of those people hiding my illness. I was quietly suffering from depression and an eating disorder. My whole day revolved around my eating disorder and hiding it from everyone. This caused a lot of sadness, anger, and loneliness. I not only hid it from others, but I also tried to hide it from myself. I tried to convince myself that nothing was wrong because I did not fully understand what was happening.  I did not know what was making me hurt myself and why I could not stop.”

Waltner writes her essay about the importance of mental health and how it can also affect one’s physical health. She recalls her experiences with hiding her depression and eating disorder; they led to her immense suffering, but her parents discovered her illness before it was too late. She is grateful for how her life is now and encourages others to break the stigma around mental health issues and speak up if something is wrong with them. 

“Beautiful people, smart people, funny people, leaders, lawyers, engineers, professional clowns, everyone you’ve ever looked up to — they have suffered in their lives, and probably will continue to suffer at some point.”

The obsession with making yourself happy will forever have you either not valuing the present or will lead to despair when you do find it — and it’s still not enough. This cycle of self-abuse, dissatisfaction, and emotional isolation can paralyze us, hinder our actions, and mar our self-perception.

Lyon reflects on something she discovered in her first year of college: that it’s fine if you’re not always happy. She says that society’s pressure for everyone to be positive and happy 100% of the time is detrimental to many people’s emotional and mental health. As a result, she gives readers tips on being happy in a “healthier” way: happiness should not be forced, and you should not constantly compare yourself to others. 

There are many types of health, each playing an essential role in helping us live well. If you were to pick one, which do you believe is the most important? You can choose mental well-being, physical well-being, or spiritual well-being. Use your personal experiences in defending your choice; be sure to support your stance with sufficient details. 

For a strong argumentative essay, write about the correlation between “screen time” or video games and television with mental health. Are they that bad for people’s mental health? Perhaps they are good for the mental health of some people. Research this topic and support your response with credible sources- there is no wrong answer as long as it is well-defended. For an interesting piece, conduct interviews to gather information.

Due to the COVID-19 pandemic, many argue that some freedoms must be given up for the greater good. These include mask mandates, vaccine mandates, and stay-at-home orders. Write about whether or not public health should be prioritized over “individual liberty” and why. If so, to what extent? Answer this question in your own words for a compelling argument.

Like many of our cited essay examples above, you can write your essay on how to stay healthy. Give your readers some mental, physical, or social guidelines for being healthier, and explain why they are important. You can even do a more well-rounded guide; give a few tips for each type of health if you wish. 

As stated previously, a prevalent health issue is depression, which can stem from various factors. Look into the different causes of depression and explain how they lead to depression. In this essay, you can share your research on social factors, economic factors, and health conditions that can make a person more susceptible to depression. As this is a medical-related topic, use credible sources for your research. 

Many believe there is a correlation between mental health and obesity, anorexia, and bulimia—research how mental health issues can cause these issues or vice versa, depending on what you find. In your essay, explain the link between mental health issues and eating disorders and how they can affect each other.

A type of health commonly listed is spiritual health, which many religious people value. Should it be classified as something different? Many believe the components of “spiritual health” already fall under mental, social, emotional, and social health, so there is no need to classify it as something different. Reflect on this issue and discuss your stance. 

For help with this topic, read our guide explaining “what is persuasive writing ?”

If you’re stuck picking an essay topic, check out our guide on how to write essays about depression .

Martin is an avid writer specializing in editing and proofreading. He also enjoys literary analysis and writing about food and travel.

View all posts

How to build a better health system: 8 expert essays

We need to focus on keeping people healthy, not just treating them when they're sick Image:  REUTERS/Rupak De Chowdhuri

.chakra .wef-1c7l3mo{-webkit-transition:all 0.15s ease-out;transition:all 0.15s ease-out;cursor:pointer;-webkit-text-decoration:none;text-decoration:none;outline:none;color:inherit;}.chakra .wef-1c7l3mo:hover,.chakra .wef-1c7l3mo[data-hover]{-webkit-text-decoration:underline;text-decoration:underline;}.chakra .wef-1c7l3mo:focus,.chakra .wef-1c7l3mo[data-focus]{box-shadow:0 0 0 3px rgba(168,203,251,0.5);} Global Future Council on Health and Healthcare

Introduction

By Francesca Colombo , Head, Health Division, Organisation for Economic Co-operation and Development (OECD) and Helen E. Clark , Prime Minister of New Zealand (1999-2008), The Helen Clark Foundation

Our healthy future cannot be achieved without putting the health and wellbeing of populations at the centre of public policy.

Ill health worsens an individual’s economic prospects throughout the lifecycle. For young infants and children, ill health affects their capacity to acumulate human capital; for adults, ill health lowers quality of life and labour market outcomes, and disadvantage compounds over the course of a lifetime.

And, yet, with all the robust evidence available that good health is beneficial to economies and societies, it is striking to see how health systems across the globe struggled to maximise the health of populations even before the COVID-19 pandemic – a crisis that has further exposed the stresses and weaknesses of our health systems. These must be addressed to make populations healthier and more resilient to future shocks.

Each one of us, at least once in our lives, is likely to have been frustrated with care that was inflexible, impersonal and bureaucratic. At the system level, these individual experiences add up to poor safety, poor care coordination and inefficiencies – costing millions of lives and enormous expense to societies.

This state of affairs contributes to slowing down the progress towards achieving the sustainable development goals to which all societies, regardless of their level of economic development, have committed.

Many of the conditions that can make change possible are in place. For example, ample evidence exists that investing in public health and primary prevention delivers significant health and economic dividends. Likewise, digital technology has made many services and products across different sectors safe, fast and seamless. There is no reason why, with the right policies, this should not happen in health systems as well. Think, for example, of the opportunities to bring high quality and specialised care to previously underserved populations. COVID-19 has accelerated the development and use of digital health technologies. There are opportunities to further nurture their use to improve public health and disease surveillance, clinical care, research and innovation.

To encourage reform towards health systems that are more resilient, better centred around what people need and sustainable over time, the Global Future Council on Health and Health Care has developed a series of stories illustrating why change must happen, and why this is eminently possible today. While the COVID-19 crisis is severally challenging health systems today, our healthy future is – with the right investments – within reach.

1. Five changes for sustainable health systems that put people first

The COVID-19 crisis has affected more than 188 countries and regions worldwide, causing large-scale loss of life and severe human suffering. The crisis poses a major threat to the global economy, with drops in activity, employment, and consumption worse than those seen during the 2008 financial crisis . COVID-19 has also exposed weaknesses in our health systems that must be addressed. How?

For a start, greater investment in population health would make people, particularly vulnerable population groups, more resilient to health risks. The health and socio-economic consequences of the virus are felt more acutely among disadvantaged populations, stretching a social fabric already challenged by high levels of inequalities. The crisis demonstrates the consequences of poor investment in addressing wider social determinants of health, including poverty, low education and unhealthy lifestyles. Despite much talk of the importance of health promotion, even across the richer OECD countries barely 3% of total health spending is devoted to prevention . Building resilience for populations also requires a greater focus on solidarity and redistribution in social protection systems to address underlying structural inequalities and poverty.

Beyond creating greater resilience in populations, health systems must be strengthened.

High-quality universal health coverage (UHC) is paramount. High levels of household out-of-pocket payments for health goods and services deter people from seeking early diagnosis and treatment at the very moment they need it most. Facing the COVID-19 crisis, many countries have strengthened access to health care, including coverage for diagnostic testing. Yet others do not have strong UHC arrangements. The pandemic reinforced the importance of commitments made in international fora, such as the 2019 High-Level Meeting on Universal Health Coverage , that well-functioning health systems require a deliberate focus on high-quality UHC. Such systems protect people from health threats, impoverishing health spending, and unexpected surges in demand for care.

Second, primary and elder care must be reinforced. COVID-19 presents a double threat for people with chronic conditions. Not only are they at greater risk of severe complications and death due to COVID-19; but also the crisis creates unintended health harm if they forgo usual care, whether because of disruption in services, fear of infections, or worries about burdening the health system. Strong primary health care maintains care continuity for these groups. With some 94% of deaths caused by COVID-19 among people aged over 60 in high-income countries, the elder care sector is also particularly vulnerable, calling for efforts to enhance control of infections, support and protect care workers and better coordinate medical and social care for frail elderly.

Third, the crisis demonstrates the importance of equipping health systems with both reserve capacity and agility. There is an historic underinvestment in the health workforce, with estimated global shortages of 18 million health professionals worldwide , mostly in low- and middle-income countries. Beyond sheer numbers, rigid health labour markets make it difficult to respond rapidly to demand and supply shocks. One way to address this is by creating a “reserve army” of health professionals that can be quickly mobilised. Some countries have allowed medical students in their last year of training to start working immediately, fast-tracked licenses and provided exceptional training. Others have mobilised pharmacists and care assistants. Storing a reserve capacity of supplies such as personal protection equipment, and maintaining care beds that can be quickly transformed into critical care beds, is similarly important.

Fourth, stronger health data systems are needed. The crisis has accelerated innovative digital solutions and uses of digital data, smartphone applications to monitor quarantine, robotic devices, and artificial intelligence to track the virus and predict where it may appear next. Access to telemedicine has been made easier. Yet more can be done to leverage standardised national electronic health records to extract routine data for real-time disease surveillance, clinical trials, and health system management. Barriers to full deployment of telemedicine, the lack of real-time data, of interoperable clinical record data, of data linkage capability and sharing within health and with other sectors remain to be addressed.

Fifth, an effective vaccine and successful vaccination of populations around the globe will provide the only real exit strategy. Success is not guaranteed and there are many policy issues yet to be resolved. International cooperation is vital. Multilateral commitments to pay for successful candidates would give manufacturers certainty so that they can scale production and have vaccine doses ready as quickly as possible following marketing authorisation, but could also help ensure that vaccines go first to where they are most effective in ending the pandemic. Whilst leaders face political pressure to put the health of their citizens first, it is more effective to allocate vaccines based on need. More support is needed for multilateral access mechanisms that contain licensing commitments and ensure that intellectual property is no barrier to access, commitments to technology transfer for local production, and allocation of scarce doses based on need.

The pandemic offers huge opportunities to learn lessons for health system preparedness and resilience. Greater focus on anticipating responses, solidarity within and across countries, agility in managing responses, and renewed efforts for collaborative actions will be a better normal for the future.

OECD Economic Outlook 2020 , Volume 2020 Issue 1, No. 107, OECD Publishing, Paris

OECD Employment Outlook 2020 : Worker Security and the COVID-19 Crisis, OECD Publishing, Paris

OECD Health at a Glance 2019, OECD Publishing, Paris

https://www.un.org/pga/73/wp-content/uploads/sites/53/2019/07/FINAL-draft-UHC-Political-Declaration.pdf

OECD (2020), Who Cares? Attracting and Retaining Care Workers for the Elderly, OECD Health Policy Studies, OECD Publishing, Paris

Working for Health and Growth: investing in the health workforce . Report of the High-Level Commission on Health Employment and Economic Growth, Geneva.

Colombo F., Oderkirk J., Slawomirski L. (2020) Health Information Systems, Electronic Medical Records, and Big Data in Global Healthcare: Progress and Challenges in OECD Countries . In: Haring R., Kickbusch I., Ganten D., Moeti M. (eds) Handbook of Global Health. Springer, Cham.

2. Improving population health and building healthy societies in times of COVID-19

By Helena Legido-Quigley , Associate Professor, London School of Hygiene and Tropical Medicine

The COVID-19 pandemic has been a stark reminder of the fragility of population health worldwide; at time of writing, more than 1 million people have died from the disease. The pandemic has already made evident that those suffering most from COVID-19 belong to disadvantaged populations and marginalised communities. Deep-rooted inequalities have contributed adversely to the health status of different populations within and between countries. Besides the direct and indirect health impacts of COVID-19 and the decimation of health systems, restrictions on population movement and lockdowns introduced to combat the pandemic are expected to have economic and social consequences on an unprecedented scale .

Population health – and addressing the consequences of COVID-19 – is about improving the physical and mental health outcomes and wellbeing of populations locally, regionally and nationally, while reducing health inequalities.¹ Moreover, there is an increasing recognition that societal and environmental factors, such as climate change and food insecurity, can also influence population health outcomes.

The experiences of Maria, David, and Ruben – as told by Spanish public broadcaster RTVE – exemplify the real challenges that people living in densely populated urban areas have faced when being exposed to COVID-19.¹

Maria is a Mexican migrant who has just returned from Connecticut to the Bronx. Her partner Jorge died in Connecticut from COVID-19. She now has no income and is looking for an apartment for herself and her three children. When Jorge became ill, she took him to the hospital, but they would not admit him and he was sent away to be cared for by Maria at home with their children. When an ambulance eventually took him to hospital, it was too late. He died that same night, alone in hospital. She thinks he had diabetes, but he was never diagnosed. They only had enough income to pay the basic bills. Maria is depressed, she is alone, but she knows she must carry on for her children. Her 10-year old child says that if he could help her, he would work. After three months, she finds an apartment.

David works as a hairdresser and takes an overcrowded train every day from Leganés to Chamberi in the centre of Madrid. He lives in a small flat in San Nicasio, one of the poorest working-class areas of Madrid with one of the largest ageing populations in Spain. The apartments are very small, making it difficult to be in confinement, and all of David’s neighbours know somebody who has been a victim of COVID-19. His father was also a hairdresser. David's father was not feeling well; he was taken to hospital by ambulance, and he died three days later. David was not able to say goodbye to his father. Unemployment has increased in that area; small local shops are losing their customers, and many more people are expecting to lose their jobs.

Ruben lives in Iztapalapa in Mexico City with three children, a daughter-in-law and five grandchildren. Their small apartment has few amenities, and no running water during the evening. At three o’clock every morning, he walks 45 minutes with his mobile stall to sell fruit juices near the hospital. His daily earnings keep the family. He goes to the central market to buy fruit, taking a packed dirty bus. He thinks the city's central market was contaminated at the beginning of the pandemic, but it could not be closed as it is the main source of food in the country. He has no health insurance, and he knows that as a diabetic he is at risk, but medication for his condition is too expensive. He has no alternative but to go to work every day: "We die of hunger or we die of COVID."

These real stories highlight the issues that must be addressed to reduce persistent health inequalities and achieve health outcomes focusing on population health. The examples of Maria, David and Ruben show the terrible outcomes COVID-19 has had for people living in poverty and social deprivation, older people, and those with co-morbidities and/or pre-existing health conditions. All three live in densely populated urban areas with poor housing, and have to travel long distances in overcrowded transport. Maria’s loss of income has had consequences for her housing security and access to healthcare and health insurance, which will most likely lead to worse health conditions for her and her children. Furthermore, all three experienced high levels of stress, which is magnified in the cases of Maria and David who were unable to be present when their loved ones died.

The COVID-19 pandemic has made it evident that to improve the health of the population and build healthy societies, there is a need to shift the focus from illness to health and wellness in order to address the social, political and commercial determinants of health; to promote healthy behaviours and lifestyles; and to foster universal health coverage.² Citizens all over the world are demanding that health systems be strengthened and for governments to protect the most vulnerable. A better future could be possible with leadership that is able to carefully consider the long-term health, economic and social policies that are needed.

In order to design and implement population health-friendly policies, there are three prerequisites. First, there is a need to improve understanding of the factors that influence health inequalities and the interconnections between the economic, social and health impacts. Second, broader policies should be considered not only within the health sector, but also in other sectors such as education, employment, transport and infrastructure, agriculture, water and sanitation. Third, the proposed policies need to be designed through involving the community, addressing the health of vulnerable groups, and fostering inter-sectoral action and partnerships.

Finally, within the UN's Agenda 2030 , Sustainable Development Goal (SDG) 3 sets out a forward-looking strategy for health whose main goal is to attain healthier lives and wellbeing. The 17 interdependent SDGs offer an opportunity to contribute to healthier, fairer and more equitable societies from which both communities and the environment can benefit.

The stories of Maria, David and Ruben are real stories featured in the Documentary: The impact of COVID19 in urban outskirts, Directed by Jose A Guardiola. Available here. Permission has been granted to narrate these stories.

Buck, D., Baylis, A., Dougall, D. and Robertson, R. (2018). A vision for population health: Towards a healthier future . [online] London: The King's Fund. [Accessed 20 Sept. 2020]

Wilton Park. (2020). Healthy societies, healthy populations (WP1734). Wiston House, Steyning. Retrieved from https://www.wiltonpark.org.uk/event/wp1734/ Cohen B. E. (2006). Population health as a framework for public health practice: a Canadian perspective. American journal of public health , 96 (9), 1574–1576.

3. Imagine a 'well-care' system that invests in keeping people healthy

By Maliha Hashmi , Executive Director, Health and Well-Being and Biotech, NEOM, and Jan Kimpen , Global Chief Medical Officer, Philips

Imagine a patient named Emily. Emily is aged 32 and I’m her doctor.

Emily was 65lb (29kg) above her ideal body weight, pre-diabetic and had high cholesterol. My initial visit with Emily was taken up with counselling on lifestyle changes, mainly diet and exercise; typical advice from one’s doctor in a time-pressured 15-minute visit. I had no other additional resources, incentives or systems to support me or Emily to help her turn her lifestyle around.

I saw Emily eight months later, not in my office, but in the hospital emergency room. Her husband accompanied her – she was vomiting, very weak and confused. She was admitted to the intensive care unit, connected to an insulin drip to lower her blood sugar, and diagnosed with type 2 diabetes. I talked to Emily then, emphasizing that the new medications for diabetes would only control the sugars, but she still had time to reverse things if she changed her lifestyle. She received further counselling from a nutritionist.

Over the years, Emily continued to gain weight, necessitating higher doses of her diabetes medication. More emergency room visits for high blood sugars ensued, she developed infections of her skin and feet, and ultimately, she developed kidney disease because of the uncontrolled diabetes. Ten years after I met Emily, she is 78lb (35kg) above her ideal body weight; she is blind and cannot feel her feet due to nerve damage from the high blood sugars; and she will soon need dialysis for her failing kidneys. Emily’s deteriorating health has carried a high financial cost both for herself and the healthcare system. We have prevented her from dying and extended her life with our interventions, but each interaction with the medical system has come at significant cost – and those costs will only rise. But we have also failed Emily by allowing her diabetes to progress. We know how to prevent this, but neither the right investments nor incentives are in place.

Emily could have been a real patient of mine. Her sad story will be familiar to all doctors caring for chronically ill patients. Unfortunately, patients like Emily are neglected by health systems across the world today. The burden of chronic disease is increasing at alarming rates. Across the OECD nearly 33% of those over 15 years live with one or more chronic condition, rising to 60% for over-65s. Approximately 50% of chronic disease deaths are attributed to cardiovascular disease (CVD). In the coming decades, obesity, will claim 92 million lives in the OECD while obesity-related diseases will cut life expectancy by three years by 2050.

These diseases can be largely prevented by primary prevention, an approach that emphasizes vaccinations, lifestyle behaviour modification and the regulation of unhealthy substances. Preventative interventions have been efficacious. For obesity, countries have effectively employed public awareness campaigns, health professionals training, and encouragement of dietary change (for example, limits on unhealthy foods, taxes and nutrition labelling).⁴,⁵ Other interventions, such as workplace health-promotion programmes, while showing some promise, still need to demonstrate their efficacy.

The COVID-19 crisis provides the ultimate incentive to double down on the prevention of chronic disease. Most people dying from COVID-19 have one or more chronic disease, including obesity, CVD, diabetes or respiratory problems – diseases that are preventable with a healthy lifestyle. COVID-19 has highlighted structural weaknesses in our health systems such as the neglect of prevention and primary care.

While the utility of primary prevention is understood and supported by a growing evidence base, its implementation has been thwarted by chronic underinvestment, indicating a lack of societal and governmental prioritization. On average, OECD countries only invest 2.8% of health spending on public health and prevention. The underlying drivers include decreased allocation to prevention research, lack of awareness in populations, the belief that long-run prevention may be more costly than treatment, and a lack of commitment by and incentives for healthcare professionals. Furthermore, public health is often viewed in a silo separate from the overall health system rather than a foundational component.

Health benefits aside, increasing investment in primary prevention presents a strong economic imperative. For example, obesity contributes to the treatment costs of many other diseases: 70% of diabetes costs, 23% for CVD and 9% for cancers. Economic losses further extend to absenteeism and decreased productivity.

Fee-for-service models that remunerate physicians based on the number of sick patients they see, regardless the quality and outcome, dominate healthcare systems worldwide. Primary prevention mandates a payment system that reimburses healthcare professionals and patients for preventive actions. Ministries of health and governmental leaders need to challenge skepticism around preventive interventions, realign incentives towards preventive actions and those that promote healthy choices by people. Primary prevention will eventually reduce the burden of chronic diseases on the healthcare system.

As I reflect back on Emily and her life, I wonder what our healthcare system could have done differently. What if our healthcare system was a well-care system instead of a sick-care system? Imagine a different scenario: Emily, a 32 year old pre-diabetic, had access to a nutritionist, an exercise coach or health coach and nurse who followed her closely at the time of her first visit with me. Imagine if Emily joined group exercise classes, learned where to find healthy foods and how to cook them, and had access to spaces in which to exercise and be active. Imagine Emily being better educated about her diabetes and empowered in her healthcare and staying healthy. In reality, it is much more complicated than this, but if our healthcare systems began to incentivize and invest in prevention and even rewarded Emily for weight loss and healthy behavioural changes, the outcome might have been different. Imagine Emily losing weight and continuing to be an active and contributing member of society. Imagine if we invested in keeping people healthy rather than waiting for people to get sick, and then treating them. Imagine a well-care system.

Anderson, G. (2011). Responding to the growing cost and prevalence of people with multiple chronic conditions . Retrieved from OECD.

Institute for Health Metrics and Evaluation. GBD Data Visualizations. Retrieved here.

OECD (2019), The Heavy Burden of Obesity: The Economics of Prevention, OECD Health Policy Studies, OECD Publishing, Paris.

OECD. (2017). Obesity Update . Retrieved here.

Malik, V. S., Willett, W. C., & Hu, F. B. (2013). Global obesity: trends, risk factors and policy implications. Nature Reviews Endocrinology , 9 (1), 13-27.

Lang, J., Cluff, L., Payne, J., Matson-Koffman, D., & Hampton, J. (2017). The centers for disease control and prevention: findings from the national healthy worksite program. Journal of occupational and environmental medicine , 59 (7), 631.

Gmeinder, M., Morgan, D., & Mueller, M. (2017). How much do OECD countries spend on prevention? Retrieved from OECD.

Jordan RE, Adab P, Cheng KK. Covid-19: risk factors for severe disease and death. BMJ. 2020;368:m1198.

Richardson, A. K. (2012). Investing in public health: barriers and possible solutions. Journal of Public Health , 34 (3), 322-327.

Yong, P. L., Saunders, R. S., & Olsen, L. (2010). Missed Prevention Opportunities The healthcare imperative: lowering costs and improving outcomes: workshop series summary (Vol. 852): National Academies Press Washington, DC.

OECD. (2019). The Heavy Burden of Obesity: The Economics of Prevention. Retrieved here .

McDaid, D., F. Sassi and S. Merkur (Eds.) (2015a), “Promoting Health, Preventing Disease: The Economic Case ”, Open University Press, New York.

OECD. (2019). The Heavy Burden of Obesity: The Economics of Prevention. Retrieved from OECD.

4. Why e arly detection and diagnosis is critical

By Paul Murray , Head of Life and Health Products, Swiss Re, and André Goy , Chairman and Executive Director & Chief of Lymphoma, John Theurer Cancer Center, Hackensack University Medical Center

Although healthcare systems around the world follow a common and simple principle and goal – that is, access to affordable high-quality healthcare – they vary significantly, and it is becoming increasingly costly to provide this access, due to ageing populations, the increasing burden of chronic diseases and the price of new innovations.

Governments are challenged by how best to provide care to their populations and make their systems sustainable. Neither universal health, single payer systems, hybrid systems, nor the variety of systems used throughout the US have yet provided a solution. However, systems that are ranked higher in numerous studies, such as a 2017 report by the Commonwealth Fund , typically include strong prevention care and early-detection programmes. This alone does not guarantee a good outcome as measured by either high or healthy life expectancy. But there should be no doubt that prevention and early detection can contribute to a more sustainable system by reducing the risk of serious diseases or disorders, and that investing in and operationalizing earlier detection and diagnosis of key conditions can lead to better patient outcomes and lower long-term costs.

To discuss early detection in a constructive manner it makes sense to describe its activities and scope. Early detection includes pre-symptomatic screening and treatment immediately or shortly after first symptoms are diagnosed. Programmes may include searching for a specific disease (for example, HIV/AIDS or breast cancer), or be more ubiquitous. Prevention, which is not the focus of this blog, can be interpreted as any activities undertaken to avoid diseases, such as information programmes, education, immunization or health monitoring.

Expenditures for prevention and early detection vary by country and typically range between 1-5% of total health expenditures.¹ During the 2008 global financial crisis, many countries reduced preventive spending. In the past few years, however, a number of countries have introduced reforms to strengthen and promote prevention and early detection. Possibly the most prominent example in recent years was the introduction of the Affordable Care Act in the US, which placed a special focus on providing a wide range of preventive and screening services. It lists 63 distinct services that must be covered without any copayment, co-insurance or having to pay a deductible.

Whilst logic dictates that investment in early detection should be encouraged, there are a few hurdles and challenges that need to be overcome and considered. We set out a few key criteria and requirements for an efficient early detection program:

1. Accessibility The healthcare system needs to provide access to a balanced distribution of physicians, both geographically (such as accessibility in rural areas), and by specialty. Patients should be able to access the system promptly without excessive waiting times for diagnoses or elective treatments. This helps mitigate conditions or diseases that are already quite advanced or have been incubating for months or even years before a clinical diagnosis. Access to physicians varies significantly across the globe from below one to more than 60 physicians per 10,000 people.² One important innovation for mitigating access deficiencies is telehealth. This should give individuals easier access to health-related services, not only in cases of sickness but also to supplement primary care.

2. Early symptoms and initial diagnosis Inaccurate or delayed initial diagnoses present a risk to the health of patients, can lead to inappropriate or unnecessary testing and treatment, and represents a significant share of total health expenditures. A medical second opinion service, especially for serious medical diagnoses, which can occur remotely, can help improve healthcare outcomes. Moreover, studies show that early and correct diagnosis opens up a greater range of curative treatment options and can reduce costs (e.g. for colon cancer, stage-four treatment costs are a multiple of stage-one treatment costs).³

3. New technology New early detection technologies can improve the ability to identify symptoms and diseases early: i. Advances in medical monitoring devices and wearable health technology, such as ECG and blood pressure monitors and biosensors, enable patients to take control of their own health and physical condition. This is an important trend that is expected to positively contribute to early detection, for example in atrial fibrillation and Alzheimers’ disease. ii. Diagnostic tools, using new biomarkers such as liquid biopsies or volatile organic compounds, together with the implementation of machine learning, can play an increasing role in areas such as oncology or infectious diseases.⁴

4. Regulation and Intervention Government regulation and intervention will be necessary to set ranges of normality, to prohibit or discourage overdiagnosis and to reduce incentives for providers to overtreat patients or to follow patients' inappropriate requests. In some countries, such as the US, there has been some success through capitation models and value-based care. Governments might also need to intervene to de-risk the innovation paradigm, such that private providers of capital feel able to invest more in the development of new detection technologies, in addition to proven business models in novel therapeutics.

OECD Health Working Papers No. 101 "How much do OECD countries spend on prevention" , 2017

World Health Organization; Global Health Observatory (GHO) data; https://www.who.int/gho/health_workforce/physicians_density/en/

Saving lives, averting costs; A report for Cancer Research UK, by Incisive Health, September 2014

Liquid Biopsy: Market Drivers And Obstacles; by Divyaa Ravishankar, Frost & Sullivan, January 21, 2019

Liquid Biopsies Become Cheap and Easy with New Microfluidic Device; February 26, 2019

How America’s 5 Top Hospitals are Using Machine Learning Today; by Kumba Sennaar, February 19, 2019

5. The business case for private investment in healthcare for all

Pascal Fröhlicher, Primary Care Innovation Scholar, Harvard Medical School, and Ian Wijaya, Managing Director in Lazard’s Global Healthcare Group

Faith, a mother of two, has just lost another customer. Some households where she is employed to clean, in a small town in South Africa, have little understanding of her medical needs. As a type 2 diabetes patient, this Zimbabwean woman visits the public clinic regularly, sometimes on short notice. At her last visit, after spending hours in a queue, she was finally told that the doctor could not see her. To avoid losing another day of work, she went to the local general practitioner to get her script, paying more than three daily wages for consultation and medication. Sadly, this fictional person reflects a reality for many people in middle-income countries.

Achieving universal health coverage by 2030, a key UN Sustainable Development Goal (SDG), is at risk. The World Bank has identified a $176 billion funding gap , increasing every year due to the growing needs of an ageing population, with the health burden shifting towards non-communicable diseases (NCDs), now the major cause of death in emerging markets . Traditional sources of healthcare funding struggle to increase budgets sufficiently to cover this gap and only about 4% of private health care investments focus on diseases that primarily affect low- and middle-income countries.

In middle-income countries, private investors often focus on extending established businesses, including developing private hospital capacity, targeting consumers already benefiting from quality healthcare. As a result, an insufficient amount of private capital is invested in strengthening healthcare systems for everyone.

Why is this the case? We discussed with senior health executives investing in Lower and Middle Income Countries (LMIC) and the following reasons emerged:

• Small market size . Scaling innovations in healthcare requires dealing with country-specific regulatory frameworks and competing interest groups, resulting in high market entry cost.
• Talent . Several LMICs are losing nurses and doctors but also business and finance professionals to European and North American markets due to the lack of local opportunities and a significant difference in salaries.
• Untested business models with relatively low gross margins. Providing healthcare requires innovative business models where consumers’ willingness to pay often needs to be demonstrated over a significant period of time. Additionally, relatively low gross margins drive the need for scale to leverage administrative costs, which increases risk.
• Government Relations. The main buyer of health-related products and services is government; yet the relationship between public and private sectors often lacks trust, creating barriers to successful collaboration. Add to that significant political risk, as contracts can be cancelled by incoming administrations after elections. Many countries also lack comprehensive technology strategies to successfully manage technological innovation.
• Complexity of donor funding. A significant portion of healthcare is funded by private donors, whose priorities might not always be congruent with the health priorities of the government.

Notwithstanding these barriers, healthcare, specifically in middle-income settings, could present an attractive value proposition for private investors:

• Economic growth rates . A growing middle class is expanding the potential market for healthcare products and services.
• Alignment of incentives . A high ratio of out-of-pocket payments for healthcare services is often associated with low quality. However, innovative business models can turn out of pocket payments into the basis for a customer-centric value proposition, as the provider is required to compete for a share of disposable income.
• Emergence of National Health Insurance Schemes . South Africa, Ghana, Nigeria and others are building national health insurance schemes, increasing a population’s ability to fund healthcare services and products .
• Increased prevalence of NCDs. Given the increasing incidence of chronic diseases and the potential of using technology to address these diseases, new business opportunities for private investment exist.

Based on the context above, several areas in healthcare delivery can present compelling opportunities for private companies.

• Aggregation of existing players.
• Leveraging primary care infrastructure. Retail companies can leverage their real estate, infrastructure and supply chains to deploy primary care services at greater scale than is currently the case.
• Telemedicine . Telecommunications providers can leverage their existing infrastructure and customer base to provide payment mechanisms and telehealth services at scale. As seen during the COVID-19 pandemic, investment in telemedicine can ensure that patients receive timely and continuous care in spite of restrictions and lockdowns.
• Cost effective diagnostics . Diagnostic tools operated by frontline workers and combined with the expertise of specialists can provide timely and efficient care.

To fully realize these opportunities, government must incentivise innovation, provide clear regulatory frameworks and, most importantly, ensure that health priorities are adequately addressed.

Venture capital and private equity firms as well as large international corporations can identify the most commercially viable solutions and scale them into new markets. The ubiquity of NCDs and the requirement to reduce costs globally provides innovators with the opportunity to scale their tested solutions from LMICs to higher income environments.

Successful investment exits in LMICs and other private sector success stories will attract more private capital. Governments that enable and support private investment in their healthcare systems would, with appropriate governance and guidance, generate benefits to their populations and economies. The economic value of healthy populations has been proven repeatedly , and in the face of COVID-19, private sector investment can promote innovation and the development of responsible, sustainable solutions.

Faith – the diabetic mother we introduced at the beginning of this article - could keep her client. As a stable patient, she could measure her glucose level at home and enter the results in an app on her phone, part of her monthly diabetes programme with the company that runs the health centre. She visits the nurse-led facility at the local taxi stand on her way to work when her app suggests it. The nurse in charge of the centre treats Faith efficiently, and, if necessary, communicates with a primary care physician or even a specialist through the telemedicine functionality of her electronic health system.

Improving LMIC health systems is not only a business opportunity, but a moral imperative for public and private leaders. With the appropriate technology and political will, this can become a reality.

6. How could COVID-19 change the way we pay for health services?

John E. Ataguba, Associate Professor and Director, University of Cape Town and Matthew Guilford, Co-Founder and Chief Executive Officer, Common Health

The emergence of the new severe acute respiratory syndrome coronavirus (SARS-Cov-2), causing the coronavirus disease 2019 (COVID-19), has challenged both developing and developed countries.

Countries have approached the management of infections differently. Many people are curious to understand their health system’s performance on COVID-19, both at the national level and compared to international peers. Alongside limited resources for health, many developing countries may have weak health systems that can make it challenging to respond adequately to the pandemic.

Even before COVID-19, high rates of out-of-pocket spending on health meant that every year, 800 million people faced catastrophic healthcare costs ,100 million families were pushed into poverty, and millions more simply avoided care for critical conditions because they could not afford to pay for it.

The pandemic and its economic fallout have caused household incomes to decline at the same time as healthcare risks are rising. In some countries with insurance schemes, and especially for private health insurance, the following questions have arisen: How large is the co-payment for a COVID-19 test? If my doctor’s office is closed, will the telemedicine consultation be covered by my insurance? Will my coronavirus care be paid for regardless of how I contracted the virus? These and other doubts can prevent people from seeking medical care in some countries.

In Nigeria, like many other countries in Africa, the government bears the costs associated with testing and treating COVID-19 irrespective of the individual’s insurance status. In the public health sector, where COVID-19 cases are treated, health workers are paid monthly salaries while budgets are allocated to health facilities for other services. Hospitals continue to receive budget allocations to finance all health services including the management and treatment of COVID-19. That implies that funds allocated to address other health needs are reduced and that in turn could affect the availability and quality of health services.

Although health workers providing care for COVID-19 patients in isolation and treatment centres in Nigeria are paid salaries that are augmented with a special incentive package, the degree of impact on the quality improvement of services remains unclear. The traditional and historical allocation of budgets does not always address the needs of the whole population and could result in poor health services and under-provision of health services for COVID-19 patients.

In some countries, the reliance on out-of-pocket funding is hardly better for private providers, who encounter brand risks, operational difficulties, and – in extreme cases – the risk of creating “debtor prisons” as they seek to collect payment from patients. Ironically, despite the huge demand for medical services to diagnose and treat COVID-19, large healthcare institutions and individual healthcare practitioners alike are facing financial distress.

Dependence on a steady stream of fee-for-service payments for outpatient consultations and elective procedures is leading to pay cuts for doctors in India , forfeited Eid bonuses for nurses in Indonesia , and hospital bankruptcies in the United States . In a recent McKinsey & Company survey, 77% of physicians reported that their business would suffer in 2020 , and 46% were concerned about their practice surviving the coronavirus pandemic.

COVID-19 is exposing how fee-for-service, historical budget allocation and out-of-pocket financing methods can hinder the performance of the health system. Some providers and health systems that deployed “value-based” models prior to the pandemic have reported that these approaches have improved financial resilience during COVID-19 and may support better results for patients. Nevertheless, these types of innovations do not represent the dominant payment model in any country.

How health service providers are paid has implications for whether service users can get needed health services in a timely fashion, and at an appropriate quality and an affordable cost. By shifting from fee-for-service reimbursements to fixed "capitation" and performance-based payments, these models incentivize providers to improve quality and coordination while also guaranteeing a baseline income level, even during times of disruption.

Health service providers could be paid either in the form of salaries, a fee for services they provide, by capitation (whether adjusted or straightforward), through global budgets, or by using a case-based payment system (for example, the diagnostics-related groups), among others. Because there are different incentives to consider when adopting any of the methods, they could be combined to achieve a specific goal. For example, in some countries, health workers are paid salaries , and some specific services are paid on a fee-for-service basis.

Ideally, health services could be purchased strategically , incorporating aspects of provider performance in transferring funds to providers and accounting for the health needs of the population they serve.

In this regard, strategic purchasing for health has been advocated and should be highlighted as crucial with the emergence of the COVID-19 pandemic. There is a need to ensure value in the way health providers are paid, inter alia to increase efficiency, ensure equity, and improve access to needed health services. Value-based payment methods, although not new in many countries, provide an avenue to encourage long-term value for money, better quality, and strategic purchasing for health, helping to build a healthier, more resilient world.

7. L essons in integrated care from the COVID-19 pandemic

Sarah Ziegler, Postdoctoral Researcher, Department of Epidemiology and Biostatistics, University of Zurich, and Ninie Wang, Founder & CEO, Pinetree Care Group.

Since the start of the COVID-19 pandemic, people suffering non-communicable diseases (NCDs) have been at higher risk of becoming severely ill or dying. In Italy, 96.2% of people who died of COVID-19 lived with two or more chronic conditions.

Beyond the pandemic, cardiovascular disease, cancer, respiratory disease and diabetes are the leading burden of disease, with 41 million annual deaths. People with multimorbidity - a number of different conditions - often experience difficulties in accessing timely and coordinated healthcare, made worse when health systems are busy fighting against the pandemic.

Here is what happened in China with Lee, aged 62, who has been living with Chronic Obstructive Pulmonary Disease (COPD) for the past five years.

Before the pandemic, Lee’s care manager coordinated a multi-disciplinary team of physicians, nurses, pulmonary rehabilitation therapists, psychologists and social workers to put together a personalized care plan for her. Following the care plan, Lee stopped smoking and paid special attention to her diet, sleep and physical exercises, as well as sticking to her medication and follow-up visits. She participated in a weekly community-based physical activity program to meet other COPD patients, including short walks and exchange experiences. A mobile care team supported her with weekly cleaning and grocery shopping.

Together with her family, Lee had follow-up visits to ensure her care plan reflected her recovery and to modify the plan if needed. These integrated care services brought pieces of care together, centered around Lee’s needs, and provided a continuum of care that helped keep Lee in the community with a good quality of life for as long as possible.

Since the COVID-19 outbreak, such NCD services have been disrupted by lockdowns, the cancellation of elective care and the fear of visiting care service . These factors particularly affected people living with NCDs like Lee. As such, Lee was not able to follow her care plan anymore. The mobile care team was unable to visit her weekly as they were deployed to provide COVID-19 relief. Lee couldn’t participate in her community-based program, follow up on her daily activities, or see her family or psychologists. This negatively affected Lee’s COPD management and led to poor management of her physical activity and healthy diet.

The pandemic highlights the need for a flexible and reliable integrated care system to enable healthcare delivery to all people no matter where they live, uzilizing approaches such as telemedicine and effective triaging to overcome care disruptions.

Lee’s care manager created short videos to assist her family through each step of her care and called daily to check in on the implementation of the plan and answer questions. Lee received tele-consultations, and was invited to the weekly webcast series that supported COPD patient communities. When her uncle passed away because of pneumonia complications from COVID-19 in early April, Lee’s care manager arranged a palliative care provider to support the family through the difficult time of bereavement and provided food and supplies during quarantine. Lee could even continue with her physical activity program with an online training coach. There were a total of 38 exercise videos for strengthening and stretching arms, legs and trunk, which she could complete at different levels of difficulty and with different numbers of repetitions.

Lee’s case demonstrates that early detection, prevention, and management of NCDs play a crucial role in a global pandemic response. It shows how we need to shift away from health systems designed around single diseases towards health systems designed for the multidimensional needs of individuals. As part of the pandemic responses, addressing and managing risks related to NCDs and prevention of their complications are critical to improve outcomes for vulnerable people like Lee.

How to design and deliver successful integrated care

The challenge for the successful transformation of healthcare is to tailor care system-wide to population needs. A 2016 WHO Framework on integrated people-centered health services developed a set of five general strategies for countries to progress towards people-centered and sustainable health systems, calling for a fundamental transformation not only in the way health services are delivered, but also in the way they are financed and managed . These strategies call for countries to:

• Engage and empower people / communities: an integrated care system must mobilize everyone to work together using all available resources, especially when continuity of essential health and community services for NCDs are at risk of being undermined.
• Strengthen governance and accountability, so that integration emphasizes rather than weakens leadership in every part of the system, and ensure that NCDs are included in national COVID-19 plans and future essential health services.
• Reorient the model of care to put the needs and perspectives of each person / family at the center of care planning and outcome measurement, rather than institutions.
• Coordinate services within and across sectors, for example, integrate inter-disciplinary medical care with social care, addressing wider socio-economic, environmental and behavioral determinants of health.
• Create an enabling environment, with clear objectives, supportive financing, regulations and insurance coverage for integrated care, including the development and use of systemic digital health care solutions.

Whether due to an unexpected pandemic or a gradual increase in the burden of NCDs, each person could face many health threats across the life-course.

Only systems that dynamically assess each person’s complex health needs and address them through a timely, well-coordinated and tailored mix of health and social care services will be able to deliver desired health outcomes over the longer term, ensuring an uninterrupted good quality of life for Lee and many others like her.

• Wang B, Li R, Lu Z, Huang Y. Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis. Aging (Albany NY) 2020;12: 6049–57.
• WHO. Noncommunicable diseases in emergencies. Geneva: World Health Organization, 2016.
• WHO. COVID-19 significantly impacts health services for noncommunicable diseases. June 2020.
• Kluge HHP, Wickramasinghe K, Rippin HL, et al. Prevention and control of non-communicalbe diseases in the COVID-19 response. The Lancet. 2020. 395:1678-1680
• WHO. Framework on integrated people-centred health services. Geneva: World Health Organization, 2016.

8 . Why access to healthcare alone will not save lives

Donald Berwick, President Emeritus and Senior Fellow, Institute for Healthcare Improvement; Nicola Bedlington, Special Adviser, European Patient Forum; and David Duong, Director, Program in Global Primary Care and Social Change, Harvard Medical School.

Joyce lies next to 10 other women in bare single beds in the post-partum recovery room at a rural hospital in Uganda. Just an hour ago, Joyce gave birth to a healthy baby boy. She is now struggling with abdominal pain. A nurse walks by, and Joyce tries to call out, but the nurse was too busy to attend to her; she was the only nurse looking after 20 patients.

Another hour passes, and Joyce is shaking and sweating profusely. Joyce’s husband runs into the corridor to find a nurse to come and evaluate her. The nurse notices Joyce’s critical condition - a high fever and a low blood pressure - and she quickly calls the doctor. The medical team rushes Joyce to the intensive care unit. Joyce has a very severe blood stream infection. It takes another hour before antibiotics are started - too late. Joyce dies, leaving behind a newborn son and a husband. Joyce, like many before her, falls victim to a pervasive global threat: poor quality of care.

Adopted by United Nations (UN) in 2015, the Sustainable Development Goals (SDG) are a universal call to action to end poverty, protect the planet and ensure that all enjoy peace and prosperity by 2030. SDG 3 aims to ensure healthy lives and promote wellbeing for all. The 2019 UN General Assembly High Level Meeting on Universal Health Coverage (UHC) reaffirmed the need for the highest level of political commitment to health care for all.

However, progress towards UHC, often measured in terms of access, not outcomes, does not guarantee better health, as we can see from Joyce’s tragedy. This is also evident with the COVID-19 response. The rapidly evolving nature of the COVID-19 pandemic has highlighted long-term structural inefficiencies and inequities in health systems and societies trying to mitigate the contagion and loss of life.

Systems are straining under significant pressure to ensure standards of care for both COVID-19 patients and other patients that run the risk of not receiving timely and appropriate care. Although poor quality of care has been a long-standing issue, it is imperative now more than ever that systems implement high-quality services as part of their efforts toward UHC.

Poor quality healthcare remains a challenge for countries at all levels of economic development: 10% of hospitalized patients acquire an infection during their hospitalization in low-and-middle income countries (LMIC), whereas 7% do in high-income countries. Poor quality healthcare disproportionally affects the poor and those in LMICs. Of the approximately 8.6 million deaths per year in 137 LMICs, 3.6 million are people who did not access the health system, whereas 5 million are people who sought and had access to services but received poor-quality care.

Joyce’s story is all too familiar; poor quality of care results in deaths from treatable diseases and conditions. Although the causes of death are often multifactorial, deaths and increased morbidity from treatable conditions are often a reflection of defects in the quality of care.

The large number of deaths and avoidable complications are also accompanied by substantial economic costs. In 2015 alone, 130 LMICs faced US $6 trillion in economic losses. Although there is concern that implementing quality measures may be a costly endeavor, it is clear that the economic toll associated with a lack of quality of care is far more troublesome and further stunts the socio-economic development of LMICs, made apparent with the COVID-19 pandemic.

Poor-quality care not only leads to adverse outcomes in terms of high morbidity and mortality, but it also impacts patient experience and patient confidence in health systems. Less than one-quarter of people in LMICs and approximately half of people in high-income countries believe that their health systems work well.

A lack of application and availability of evidenced-based guidelines is one key driver of poor-quality care. The rapidly changing landscape of medical knowledge and guidelines requires healthcare workers to have immediate access to current clinical resources. Despite our "information age", health providers are not accessing clinical guidelines or do not have access to the latest practical, lifesaving information.

Getting information to health workers in the places where it is most needed is a delivery challenge. Indeed, adherence to clinical practice guidelines in eight LMICs was below 50%, and in OECD countries, despite being a part of national guidelines, 19-53% of women aged 50-69 years did not receive mammography screening.4 The evidence in LMICs and HICs suggest that application of evidence-based guidelines lead to reduction in mortality and improved health outcomes.

Equally, the failure to change and continually improve the processes in health systems that support the workforce takes a high toll on quality of care. During the initial wave of the COVID-19 pandemic, countries such as Taiwan, Hong Kong, Singapore and Vietnam, which adapted and improved their health systems after the SARS and H1N1 outbreaks, were able to rapidly mobilize a large-scale quarantine and contact tracing strategy, supported with effective and coordinated mass communication.

These countries not only mitigated the economic and mortality damage, but also prevented their health systems and workforce from enduring extreme burden and inability to maintain critical medical supplies. In all nations, investing in healthcare organizations to enable them to become true “learning health care systems,” aiming at continual quality improvement, would yield major population health and health system gains.

The COVID-19 pandemic underscores the importance for health systems to be learning systems. Once the dust settles, we need to focus, collectively, on learning from this experience and adapting our health systems to be more resilient for the next one. This implies a need for commitment to and investment in global health cooperation, improvement in health care leadership, and change management.

With strong political and financial commitment to UHC, and its demonstrable effect in addressing crises such as COVID-19, for the first time, the world has a viable chance of UHC becoming a reality. However, without an equally strong political, managerial, and financial commitment to continually improving, high-quality health services, UHC will remain an empty promise.

1. United Nations General Assembly. Political declaration of the high-level meeting on universal health coverage. New York, NY2019.

2. Marmot M, Allen J, Boyce T, Goldblatt P, Morrison J. Health equity in England: the Marmot review 10 years on. Institute of Health Equity;2020.

3. National Academies of Sciences, Engineering, and Medicine: Committee on Improving the Quality of Health Care Globally. Crossing the global quality chasm: Improving health care worldwide. Washington, DC: National Academies Press;2018.

4. World Health Organization, Organization for Economic Co-operation and Development, World Bank Group. Delivering quality health services: a global imperative for universal health coverage. World Health Organization; 2018.

5. Kruk ME, Gage AD, Arsenault C, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet Global Health. 2018;6(11):e1196-e1252.

6. Ricci-Cabello I, Violán C, Foguet-Boreu Q, Mounce LT, Valderas JM. Impact of multi-morbidity on quality of healthcare and its implications for health policy, research and clinical practice. A scoping review. European Journal of General Practice. 2015;21(3):192-202.

7. Valtis YK, Rosenberg J, Bhandari S, et al. Evidence-based medicine for all: what we can learn from a programme providing free access to an online clinical resource to health workers in resource-limited settings. BMJ global health. 2016;1(1).

8. Institute of Medicine. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America . Washington, DC: National Academies Press 2012.

English Compositions

Short Essay on Health [100, 200, 400 Words] With PDF

In today’s lesson, I will discuss how you can write short essays on Health within different word limits. All the essays will be written here with a simplistic approach for a better understanding of all students. 

Short Essay on Health in 100 Words

Health is an important aspect of one’s life. A person is considered healthy when he or she is free from illness or injury. Health can be categorised as physical health, mental health, emotional health, social health, et cetera. However, all these categories are interrelated.

While low physical activity can impact overall mental health, mental stress can adversely affect heart health and poor emotional health can deteriorate one’s quality of life. Being in good health enables a person to function optimally and live their life happily.

Some of the basic rules for maintaining good health include going to bed and waking up on time, exercising regularly, eating healthily and drinking at least eight glasses of water daily. 

Short Essay on Health in 200 Words

Health is one of the most important aspects of one’s life. One can be a billionaire but if he is not in good health, he can not enjoy the luxuries that money can buy. Thus, health is considered as the real wealth. Health can be categorised as physical health, mental health, emotional health, social health, et cetera.

However, all these categories are interrelated and impact each other. For example, not exercising regularly can make a person irritable and cause mental health problems, while chronic stress can lead to health diseases and diabetes. Poor emotional and psychological health can also make people withdrawn and impact their overall health. 

Being in good health enables a person to function optimally and live their life happily. When one feels healthy and is not troubled by pain or discomfort in the body, he can be more active, participate in various activities and be more present in the daily happenings. Being mentally in good health is also very important as suffering from anxiety, depression and other issues can severely deteriorate one’s quality of life.

One can easily improve his health by making some changes in his lifestyle. Some of the basic rules for maintaining good health include going to bed and waking up on time, exercising regularly, eating healthily and drinking a lot of water. 

Short Essay on Health in 400 Words

Health is a key aspect of one’s life. A person is considered healthy when he is free from all illness and injury and can conduct his life well. One can be a billionaire but if he is not in good health, he can not enjoy the luxuries that money can buy. Thus, health is considered as the real wealth and being in good health is very important. Health can be categorised as physical health, mental health, emotional health, social health, et cetera.

Everyone can be healthy but good health does not come without the necessary discipline and care. Going to bed and waking up on time, exercising regularly, avoiding junk food, eating healthily, drinking a lot of water and getting some sunlight are a few good habits that can improve one’s health. However, it cannot be achieved in a day. One needs to change their lifestyle and practice healthy habits daily. 

Sometimes, one’s external environment can also be the reason for their poor health. Living in shabby conditions, breathing in heavily polluted air, consuming unhygienic food and contaminated water can more often than not, result in bacterial, fungal and viral diseases. Hence, cleanliness is an important factor if one wants to be healthy. One should also take care of their diet and include greens and other nutritious food, limit their caffeine intake, stop smoking and drinking as well as follow the basic health protocols. 

Good health is necessary if one wants to achieve their goal in life. One cannot study well or work hard when they are not feeling at ease or are suffering from pain. Adopting a healthy lifestyle makes us healthy and boosts our energy as well as immunity. Thus, good health is the key to enjoying a good life. 

In this session above, I have mentioned everything that could be necessary to write short essays on Health. Through the simple words and sentences, I hope now you have understood the entire context. If you still have any doubts regarding this session, kindly let me know through some quick comments. If you want to read more such essays on various important topics, keep browsing our website. 

Join our Telegram channel to get the latest updates on our upcoming sessions. Thank you. 

An official website of the United States government

The .gov means it's official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

• Publications
• Account settings
• Browse Titles

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.

Institute of Medicine (US) Committee on Using Performance Monitoring to Improve Community Health; Durch JS, Bailey LA, Stoto MA, editors. Improving Health in the Community: A Role for Performance Monitoring. Washington (DC): National Academies Press (US); 1997.

Improving Health in the Community: A Role for Performance Monitoring.

• Hardcopy Version at National Academies Press

2 Understanding Health and Its Determinants

W hat is health? Multiple definitions of health exist, ranging from a precise biomedical or physical definition such as the absence of negative biologic circumstances (altered DNA, abnormal physiologic states, abnormal anatomy, disease, disability, or death) to the broad definition of the World Health Organization: "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity" (WHO, 1994). The former definition offers the advantages of easy measurement and relatively clarity of the causal connections between the medical and public health care systems and the measured outcomes. The latter definition views health more broadly but risks assigning to the "health" system full responsibility for the economic and social welfare of members of society. Neither definition explicitly takes account of how individuals experience disease. Individuals can feel ill in the absence of disease and vary dramatically in their responses to a disease. Indeed, what matters to individuals is not simply the absence of disease, disability, or death, but also their responses to symptoms or diagnoses; their capacity to participate in work, family, and community; and their sense of well-being in many spheres (e.g., physical, psychosocial, spiritual).

• A Broader Definition of Health

The successful implementation of initiatives to improve community health requires an understanding of the complex and diverse processes that produce health in communities. For both individuals and populations, health can be seen to depend not only on medical care, but also on other factors including individual behavior and genetic makeup, and social and economic conditions. The committee has adopted a broad definition of health, echoing a WHO (1986) health promotion perspective, that acknowledges multiple possible goals for the health system and underscores the important contributions to health that occur outside the formal medical care and public health systems. The committee definition allows improvement efforts to target not only the reduction of disease, disability, or death, but also an improvement in individuals' response to and perceptions of their illnesses; their functional capacity both now and in the future; and their overall sense of physical, emotional, and social well-being. The value of a broad measure thus rests in part upon the value attached to it by the population. Working within a definition of health that explicitly relies, in some measure, on community values is particularly important in a context of decision making for the allocation of limited resources.

Committee definition of health: Health is a state of well-being and the capability to function in the face of changing circumstances. Health is, therefore, a positive concept emphasizing social and personal resources as well as physical capabilities. Improving health is a shared responsibility of health care providers, public health officials, and a variety of other actors in the community who can contribute to the well-being of individuals and populations.

As Syme (1996) notes, viewing health as a biomedical construct has limited our ability to integrate processes that produce health and to address the underlying causes of disease. Death, disability, and disease incidence—ascertained by using traditional biologic or epidemiologic measures—are all important and valid indicators of the health of a population. A broader definition, however, allows efforts to measure community health to go beyond traditional public health measures, incorporating measures of functional status and general health perceptions. Communities embarking on health improvement initiatives should consider carefully their definition of health and ground their work in an evidence-based conceptual model of the determinants of health. Three arguments supporting such action are discussed below.

The origins of good health are multiple and cross-sectorial . Origins of good health include factors such as genetic makeup, environmental conditions, nutrition and exercise, access to health care, social support systems, and many others. Some of the factors, such as genetic makeup, are nearly impossible to alter whereas others are amenable to change. In addition, some of the factors influence a variety of health outcomes (e.g., on a population basis, dietary habits and education are known to influence multiple health outcomes). Careful consideration of what is known about the determinants of health highlights the tension between factors that are easily measurable now (e.g., hospitalization rates) and factors that may be equally or more important in the long run (e.g., teenagers' perception of their future) but are much more difficult to measure and monitor. Grounding community health improvement in a broad model of the determinants of health can remind communities to consider multiple and cross-sectorial influences when selecting health issues to target and when designing possible interventions.

A focus on the origins of health emphasizes the need for cross-sectorial assumptions of responsibilities . For various stakeholders to be accountable, the roles of those stakeholders in producing illness or health must be defined. A broad conceptual model of the determinants of health includes the full spectrum of possible influences on health. Such a model provides a valuable framework for communities to use as they consider the roles (and potential contributions) of the various stakeholders and thus each stakeholder's responsibility for health improvement in the community.

A focus on the origins of health creates multiple options for intervention . A conceptual model of the determinants of health can serve as the starting point for communities to identify what is known about issues they wish to address. Options for intervening can reflect the unique characteristics of the community vis-à-vis available resources, cultural norms, and target populations. Performance measures can then be developed as the basis for strategic actions.

The rationale for adopting a broad definition of health lies not only in its value to the population served by the health system and its usefulness in identifying measures of the origins of health. A broad definition of health also is appropriate for the changing nature of the "health care system," reflects the interconnectedness of health and social systems, and is consistent with current scientific evidence about how health is produced in communities (Aguirre-Molina, 1996; Warden, 1996).

Changing Nature of the "Health Care System"

Many Americans view health as a simple biomedical construct in which health is determined by the provision of health care (Lamarche, 1995). This perspective on health developed during this century, beginning in the 1930s with well-baby clinics and services for "crippled children" and expanding in the 1950s with national investments in biomedical research facilities such as the National Institutes of Health and construction and funding of hospitals through the Hill-Burton program (Guyer, 1990). With advances in medical science and increases in the number of hospitals, policymakers and health care providers became concerned about differential access to health care resources, especially for underserved and hard-to-reach populations. Poverty and geography were viewed as barriers to health care and thus to good health.

Beginning in the 1960s, programs designed to improve access to health services were created, including Medicare and Medicaid. These programs markedly reduced financial barriers for the poor and elderly, and they also ensured a supply of well-trained physicians by providing funds for medical school and residency training programs.

The biomedical model of health has fostered the development of a personal health care system centered around technologically advanced hospitals and highly trained medical specialists. However, the high cost of maintaining these resources is the subject of current public debate. In addition, questions have been raised about the overall contribution of the biomedical model to improvements in health status. Although important, health care has probably been overemphasized as a determinant of health. Of the 30-year increase in the life expectancy achieved this century, only 5 years can be attributed to health care services (Bunker et al., 1995).

The roles of the public sector in managing the health care system and in providing clinical and personal preventive care services as well as public health services are undergoing dramatic changes. Historically, public health departments have provided population-based services and, together with public hospitals and community health centers, have delivered clinical and personal preventive services to poor and uninsured populations. For many public health departments located in the South and in large metropolitan areas, the delivery of clinical and personal preventive services is a primary focus. In the late 1980s, however, the activities of public health departments were reexamined, and the Institute of Medicine (IOM, 1988) recommended a focus on three core functions—assessment, policy development, and assurance. In this framework, the direct provision of clinical and personal preventive services is only a small portion of the assurance function of public health departments. In many states, this transition is in progress. Public hospitals and community health clinics, however, remain important providers of these services.

Currently, most local public health departments do not play a significant role in assuring the quality of personal health care services that they do not purchase or provide. the quality assurance roles of state agencies have also been limited. Private-sector organizations, however, have developed complex and sophisticated quality assurance systems, often more in response to market forces than to demands of the public sector. As more public health departments become involved in quality assurance activities, providers and health plans can be expected to experience the influence of more public-sector demands via standard setting and licensure requirements as well as market forces.

The recent surge in the growth of managed care organizations has taken place in an environment that seeks to continue the delivery of high-quality clinical and personal preventive health services while constraining the costs of care. Managed care organizations are viewed as more capable of responding to the demands of third-party payers for performance and accountability than are clinicians practicing independently. Market forces, which spurred the recent growth of managed care organizations, have influenced the structure of the health care system (Rodwin, 1996). The experience of the Pacific Business Group on Health illustrates the changing relationships in the health system vis-à-vis new roles for purchasers and providers (see Box 2-1 ).

THE PACIFIC BUSINESS GROUP ON HEALTH. The experience of the Pacific Business Group on Health, a private-sector employer purchasing coalition based in the San Francisco Bay Area, demonstrates how "purchasers can shift the focus of the health care system (more...)

Interconnectedness of Health and Social Systems

It has long been recognized that the health of a community has a tremendous impact on the function of its social systems and that the condition of the social and economic systems has a significant impact on the health of all who live in a community (Patrick and Wickizer, 1995). For example, a healthy workforce is more productive, a healthy student body can master lessons more readily, and a healthy population is better able to make progress toward societal goals. Working conditions, economic well-being, school environments, the safety of neighborhoods, the educational level of residents, and a variety of other social conditions have a profound impact on health. Only recently, however, has substantial attention been devoted to understanding and acting upon the interdependence of health and social systems (Ashton and Seymour, 1988).

Health is a growing concern of employers, community-based organizations, schools, faith organizations, the media, local governmental bodies, and community residents, even though their roles are not viewed as part of the traditional domain of "health activities." As communities try to address their health issues in a comprehensive manner, all parties will have to sort out their roles and responsibilities. By reaching out to new partners in the community, traditional partners in health can ensure that all relevant sectors are engaged in efforts to improve health. A recent IOM report on primary care (IOM, 1996) also emphasizes the need for better collaboration among the diverse groups that can influence health. The Health Care and Community Services Project in Escondido, California, illustrates this kind of collaboration among diverse groups and the interconnectedness of health and social systems (see Box 2-2 ).

ESCONDIDO HEALTH CARE AND COMMUNITY SERVICES PROJECT. The Escondido Health Care and Community Services Project aims to reduce the harmful effects of alcohol and other drug use in the community of Escondido, California (population, 120,000; county population, (more...)

• A Model of the Determinants of Health

A resurgence of interest in broader definitions of health and its determinants is, in part, a response to the growing realization that investments in clinical care and personal preventive health services were not leading to commensurate gains in the health of populations (Evans and Stoddart, 1994). In the early 1970s, an ecologic or systems theory approach to understanding health and its determinants generated a multidimensional perspective. Some grouped the factors influencing health into four principal forces: (1) environment, (2) heredity, (3) lifestyles, and (4) health care services (Blum, 1981). A Canadian government white paper, often referred to as the Lalonde Report (Lalonde, 1974), brought wider attention to this "force-field" paradigm.

Initial responses tended to focus on individual behavior as the target of both responsibility and clinical and policy interventions. In the United States as well, the broadened emphasis on health promotion was aimed primarily at modifications of individual behavior that could be, and often were, undertaken as clinical and community interventions (USDHHS, 1991).

Responding, in part, to this focus on individuals largely to the exclusion of the communities in which they live. Evans and Stoddart (1994) proposed an expanded version of this model, illustrated in Figure 2-1 , that identifies both the major influences on health and well-being and the dynamic relationships among them. In developing a model that is consistent with current knowledge about the determinants of health, they identified nine components of interest:

A model of the determinants of health. Source: Reprinted from R.G. Evans and G.L. Stoddart, 1990, Producing Health, Consuming Health Care, Social Science and Medicine 31:1347–1363, with permission from Elsevier Science Ltd, Kidlington, UK.

social environment,

physical environment,

genetic endowment,

individual response (behavior and biology),

health care,

health and function,

well-being, and

prosperity.

Unlike a biomedical model that views health as the absence of disease, this dynamic framework includes functional capacity and well-being as health outcomes of interest. It also presents the behavioral and biologic responses of individuals as factors that influence health but are themselves influenced by social, physical, and genetic factors that are beyond the control of the individual. The model emphasizes general factors that affect many diseases or the health of large segments of the population, rather than specific factors accounting for small changes in health at the individual level. It takes a multidisciplinary approach, uniting biomedical sciences, public health, psychology, statistics and epidemiology, economics, sociology, education, and other disciplines. Social, environmental, economic, and genetic factors are seen as contributing to differences in health status and, therefore, as presenting opportunities to intervene. It is important to note, as Evans and Stoddart (1994) have done, that each component of the model represents complex sets of factors that can be examined in greater detail (see Evans et al., 1994).

The committee found the model proposed by Evans and Stoddart—which is referred to in this report as the field model —broad enough to encompass its vision. Although not yet widely tested, the model has been adapted for health policy and community planning in several Canadian provinces (Roos et al., 1995). Several features of the model were important to the committee. The model

• emphasizes the importance of considering the origins of health and the underlying causes of disease in individuals and populations;
• encourages explicit hypothesizing about the production of health in the community;
• underscores the interdisciplinary and multisectorial efforts often required to achieve health improvement in communities;
• makes explicit the possible trade-offs and benefits that occur across sectors; and
• encourages communities to identify possible performance and outcome measures from all of the categories.

In selecting indicators for performance monitoring, the determinants of health approach is useful in expanding the potential universe of indicators that should be considered. In addition to these practical reasons for adopting a model of the determinants of health such as that proposed by Evans and Stoddart, the field model provides an accurate representation of the complex contributions of physical environment, social environment, individual behavior, genetics, and health services to the well-being of communities.

Components of the Field Model: Some Examples

The components of the field model were discussed at the committee's second workshop. 1 the material below has been drawn from the summary of that workshop (see Appendix D ).

Social Environment and Prosperity

Among the elements of the social environment that have been linked to health are family structure, the educational system, social networks, social class, work setting, and level of prosperity.

Family structure, for example, is known to affect children's physical and mental health. On average, children in single-parent families do not do as well on measures of development, performance, and mental health as children in two-parent families. Children's relationships with their parents, social support, nurturance, and sense of self-efficacy have been shown to be related to their mental and physical health and even to their future economic productivity (Schor and Menaghan, 1995).

Education has an effect on health status separate from its influence on income. Years of formal education are strongly related to age-adjusted mortality in countries as disparate as Hungary, Norway, and England and Wales (Valkonen, 1989). Although most research is based on years of formal schooling, evidence suggests a broader relationship that includes the preschool period. An assessment at age 19 of participants in the Perry Pre-school Study, which randomized children into a Head Start-like program, showed that participation in the preschool program was correlated with better school performance, attending college, and avoiding involvement with the criminal justice system (Weikart, 1989). Critical periods for education, particularly at young ages, may prove to be important in determining health. In addition, studies show that maternal educational attainment is a key determinant of child welfare and survival (Zill and Brim, 1983).

"Social networks" is a term that refers to an individual's integration into a self-defined community and the degree of connectedness to other individuals and to institutions. There is a strong inverse correlation between the number and frequency of close contacts and mortality from all causes, with odds ratios of 2:1 or higher and a clear "dose-response" relationship (Berkman and Syme, 1979). Other aspects of physical and mental functioning also appear to be influenced by the quantity and quality of social connections (Seaman, 1996). Although it is possible to see the impact of social networks on health, the pathways responsible for those effects are not yet known.

Social class is another well-described determinant of health, independent of income. Major studies have been done in Britain, where social class is defined more explicitly than in the United States. In the Whitehall study of British civil servants, Marmot and colleagues (1987) demonstrated a clear relationship between social class (based on job classification) and mortality. The relationship persists throughout the social hierarchy and is unchanged after adjusting for income and smoking. The effect of social class may raise uncomfortable issues in the United States but is important to consider in dealing with issues of health and equity.

The health effects of work-related factors are seen in studies of job decision latitude, autonomy, and cardiovascular mortality (Karasek and Theorell, 1990). Involuntary unemployment negatively affects both mental and physical health. Economic prosperity is also correlated with better health. Throughout history, the poor have, on average, died at younger ages than the rich. The relationship between prosperity and health holds across the economic spectrum. For every decile, quintile, or quartile of income, from lowest to highest, there is a decline in overall age-adjusted mortality. In international comparisons by the Organization for Economic Cooperation and Development, the difference in income between the highest and lowest deciles of income shows a stronger relationship with overall mortality rates than does median income (Wilkinson, 1992, 1994).

Physical Environment

The physical environment has long been recognized as an important determinant of health. The public health movement of 1840–1870 emphasized environmental changes as a successful strategy for reducing the epidemic rates of infectious diseases, which flourished in the overcrowded housing with poor sanitation in industrial cities in Europe and North America (Ashton and Seymour, 1988).

The physical environment affects health and disease in diverse ways. Examples include exposures to toxic substances, which can produce disorders such as lung disease or cancers; safety at home and work, which influences injury rates; the design of vehicles and roadways, which can alter crash survival rates; poor housing conditions and overcrowding, which can increase the likelihood of violence, transmission of infectious diseases, and mental health problems; and urban-rural differences in cancer rates.

Genetic Endowment

The contribution of genetic makeup to the health of an individual is a new and emerging area of scientific inquiry. As scientific knowledge about genetics increases, this component of the field model is likely to become increasingly important.

For the most part, genetic factors are currently understood as contributing to a greater or lesser risk for health outcomes, rather than determining them with certainty. One area of particular interest is the link seen between genetics and behavior. Studies of twins separated at birth demonstrate a high concordance rate in alcoholism, schizophrenia, and affective disorders (Baird, 1994). Even so-called voluntary behaviors such as smoking and eating habits may be subject to genetic predispositions (e.g., Carmelli et al., 1992; de Castro, 1993; Falciglia and Norton, 1994). Health behaviors are complex, and the influences that determine them are likely to be extremely complex.

Genetic factors also interact with social and environmental factors to influence health and disease. It will be important to understand these interactions to learn why certain individuals with similar environmental exposures develop diseases whereas others do not (e.g., why most smokers do not develop lung cancer).

In the field model framework, behavior is seen as a response to other factors and can be treated as an intermediate determinant of health. Rather than a voluntary act only amenable to direct intervention, behavior is shaped by multiple forces, particularly the social and physical environments and genetic endowment. At the same time, behavior change remains a goal. Behaviors related to health care, such as adherence to treatment regimens, are influenced by these forces as are behaviors directly influencing health, such as smoking.

Health Care

Health care is an essential determinant of health. In the United States, however, its contribution has probably been over-emphasized. As noted above, about 5 years of the 30-year increase in life expectancy achieved in this century can be attributed to health care (Bunker et al., 1995). The greatest share of this gain can be attributed to diagnosis and treatment of coronary heart disease, which contributes 1 to 2 of these additional years of life.

Linking the Determinants

The committee was impressed by several implications of the field model's theoretical perspective. First, the model clearly reinforces the interrelatedness of many factors. Health outcomes are the product of complex interactions of factors rather than of individual factors operating in isolation. Indeed, these interactions are probably as important as the actions of any single factor. Currently incomplete, however, are descriptions of mechanisms underlying the linkages among the various determinants and full characterizations of the interactions among factors. The committee encourages the continued research needed to gain a better understanding of these mechanisms.

Second, not all of the determinants, viewed as causes, act simultaneously. The effects of some determinants, in fact, may be necessary antecedents to others, and some may have their primary influence by modifying the effects of others. Some may also differ in their relationship to health according to when they are present in the life cycle. Evidence suggests that there are certain times in the human life cycle that are critical for future health and well-being. During infancy and early childhood, crucial neurologic, cognitive, and psychosocial patterns are established (Carnegie Task Force on Meeting the Needs of Young Children, 1994; Entwisle, 1995). Experiences in childhood and adolescence may also have a critical influence on adult health risk factors such as weight and smoking (Dietz, 1994; IOM, 1994).

Another Perspective

Patrick and Wickizer (1995) have extended the field model framework by focusing on factors in the social and physical environments that operate at the community rather than the individual level. These two components are seen as affected by cultural, political, policy, and economic systems. In turn, they influence elements such as community response, activation, and social support, and ultimately community outcomes including social behaviors, community health, and quality of life. For example, establishing a smoke-free workplace policy exerts an influence on exposure to tobacco smoke separate from the smoking practices of individuals. This perspective points both to the influence of community-level factors and to the opportunities for community-level interventions.

• Interventions to Improve Health

Many factors can influence the impact of interventions to improve health. It is possible to target various determinants of health to produce change at an individual level, a community level, or both. All aspects of each broad determinant of health are not equally amenable to intervention, however. For example, the social environment of isolated senior citizens can be improved by increasing contact with others, but their genetic makeup is not amenable to change.

Time frames for measuring health changes vary widely, from days to decades. Some successful interventions will produce observable results within a year or two, but others may be followed by long latency periods before significant changes in health status can be observed. The impact of an intervention may also be influenced by when it reaches an individual because, as noted above, there appear to be "critical periods" in human development. Certain interventions in childhood may have long-delayed yet long-lasting results. In addition, the population effects of interventions are also important to consider. Small changes at the individual level may have important ramifications when applied to a whole community (Rose, 1992).

The traditional targets for intervention have been specific diseases or behaviors, and categorical funding streams for both research and the delivery of services encourage this approach. The field model of the determinants of health encourages consideration of a wider array of targets. For example, if adolescents' sense of well-being can be improved by reducing their feelings of alienation and hopelessness, can unintended pregnancies, alcohol and other drug use, crime, and the school dropout rate all be reduced? A multidimensional approach would be required, focusing on education, social and community involvement, family preservation, and improved social networks for teens and their parents. Community-level interventions might include after-school programs, athletics (e.g., midnight basketball), and church-based programs.

Whether focused on individuals or the community as a whole, health improvement efforts should be targeted at specific causal pathways or should employ interventions that have been proven effective. There is an obvious tension between what is now known and what we need to know to improve health. For example, the biologic pathways through which poverty or low social class influence health have not been adequately elucidated. A tension also exists between what is now measurable with valid and reliable indicators and what is not measurable, but may be important.

The multidimensional approach may be unfamiliar to health professionals because it is new and relies on partnerships with people from fields beyond those traditionally encompassed by a medical model. It is, however, consistent with the field model and may provide expanded opportunities for performance monitoring and improving the community's health.

• Implications for Communities

An examination of the field model points to the importance of considering both individual- and community-level data. Performance monitoring should include measures of inputs, process, and outcomes for health and health improvement activities. It may prove useful to monitor some key determinants, regardless of whether they are amenable to change at the local level, so that communities can understand the range of important factors. In addition, qualitative data may contribute important information about community needs. For example, information on social support, perceived barriers to service utilization, and attitudes toward the community and its resources are all relevant to performance monitoring and can be obtained from community surveys.

Performance monitoring provides an opportunity for a community to define and articulate expectations for organizations' contributions to the population's health. Although organizations might disagree with the appropriateness of the expectations, a useful dialogue may ensue. Communities may want to focus special attention on expectations regarding managed care organizations (MCOs) and the business sector. MCOs, for example, have generally defined "community" as their enrollees and not considered the entire community or public health as their area of concern. A community expectation that the health of the entire local population is part of an MCO's corporate and social responsibility could lead to their broader involvement in public health activities. Businesses, including MCOs, that have strong ties with a city or region may have a history of interest in local health issues. As corporations expand to multiple regions, however, they may require added encouragement to become involved and accountable in the local communities where they have a presence.

• Conclusions

Contributing to the interest in health improvement and performance monitoring is a wider recognition that health embraces well-being as well as the absence of illness. For both individuals and populations, health can be seen to depend not only on medical care but also on other factors, including individual behavior and genetic makeup, and social and economic conditions for individuals and communities. The field model, as described by Evans and Stoddart (1994), presents these multiple determinants of health in a dynamic relationship. The model's feedback loops link social environment, physical environment, genetic endowment, an individual's behavioral and biologic responses, health care, disease, health and function, well-being, and prosperity. The committee found this model to be an effective basis for its work.

This multidimensional perspective reinforces the value of public health's traditional emphasis on a population-based approach to health issues. It also provides a basis for looking to segments of the community beyond those traditionally associated with health to address factors affecting health and well-being. Some of the additional parties who can be brought to the table as interested stakeholders and accountable partners include, among many others, schools, employers, community-based organizations, the media, foundations, and public safety agencies. A performance monitoring program can promote the articulation of roles and responsibilities among these participants.

The committee has concluded that entities engaged in performance monitoring for community health improvement should

• adopt a broad definition of health;
• adopt a comprehensive and conceptual model of the way in which health is produced within the community; the field model, as elaborated by Evans and Stoddart, is a good starting point; and
• develop a concrete and specific hypothesis of how the multiple sectors of the community and individual stakeholders in each sector can contribute to the solution of a health problem.

In addition, federal agencies and foundations should provide support for further research on the determinants of health to clarify pathways, to develop reliable and valid measures useful for performance monitoring related to these pathways, and to identify community programs and clinical and public health interventions that are successful in addressing the underlying causes of ill health in communities.

• Aguirre-Molina, M. 1996. Community-Based Approaches for the Prevention of Alcohol, Tobacco, and Other Drug Use . Annual Review of Public Health 17:337–358. [ PubMed : 8724231 ]
• Ashton, J., and Seymour, H. 1988. The New Public Health: The Liverpool Experience . Philadelphia: Open University Press.
• Baird, P.A. 1994. The Role of Genetics in Population Health . In Why Are Some People Healthy and Others Not? The Determinants of Health of Populations . R.G. Evans, editor; , M.L. Barer, editor; , and T.R. Marmor, editor. , eds. New York: Aldine de Gruyter.
• Berkman, L.F., and Syme, S.L. 1979. Social Networks, Host Resistance, and Mortality: A Nine Year Follow-up Study of Alameda County Residents . American Journal of Epidemiology 109:186–204. [ PubMed : 425958 ]
• Blum, H. 1981. Planning for Health: Generics for the Eighties . 2nd ed. New York: Human Sciences Press.
• Bunker, J.P., Frazier, H.S., and Mosteller, F. 1995. The Role of Medical Care in Determining Health: Creating an Inventory of Benefits . In Society and Health . B.C. Amick., editor; , S. Levine, editor; , A.R. Tarlov, editor; , and D.C. Walsh, editor. , eds. New York: Oxford University Press.
• Carmelli, D., Swan, G.E., Robinette, D., and Fabsitz, R. 1992. Genetic Influence on Smoking: A Study of Male Twins . New England Journal of Medicine 327:829–833. [ PubMed : 1508241 ]
• Carnegie Task Force on Meeting the Needs of Young Children. 1994. Starting Points: Meeting the Needs of Our Youngest Children . New York: Carnegie Corporation.
• de Castro, J.M. 1993. Genetic Influences on Daily Intake and Meal Patterns of Humans . Physiology and Behavior 53:777–782. [ PubMed : 8511185 ]
• Dietz, W.H. 1994. Critical Periods in Childhood for the Development of Obesity . American Journal of Clinical Nutrition 59:955–959. [ PubMed : 8172099 ]
• Entwisle, D.R. 1995. The Role of Schools in Sustaining Early Childhood Program Benefits . The Future of Children 5(3):133–144.
• Evans, R.G., and Stoddart, G.L. 1994. Producing Health, Consuming Health Care . In Why Are Some People Healthy and Others Not? The Determinants of Health of Populations . R.G. Evans, editor; , M.L. Barer, editor; , and T.R. Marmor, editor. , eds. New York: Aldine De Gruyter.
• Evans, R.G., Barer, M.L., and Marmor, T.R., editor. , eds. 1994. Why Are Some People Healthy and Others Not? The Determinants of Health of Populations . New York: Aldine De Gruyter.
• Falciglia, G.A., and Norton, P.A. 1994. Evidence for a Genetic Influence on Preference for Some Foods . Journal of the American Dietetic Association 94(2):154–158. [ PubMed : 8300990 ]
• Guyer, B. 1990. The Evolution and Future Role of Title V . In Children in a Changing Health System: Assessments and Proposals for Reform . M. Schlesinger, editor; and L. Eisenberg, editor. , eds. Baltimore: Johns Hopkins University Press.
• IOM (Institute of Medicine). 1988. The Future of Public Health . Washington, D.C.: National Academy Press. [ PubMed : 25032306 ]
• IOM. 1994. Growing Up Tobacco Free: Preventing Nicotine Addiction in Children and Youths . B.S. Lynch, editor; and R.J. Bonnie, editor. , eds. Washington, D.C.: National Academy Press. [ PubMed : 25144107 ]
• IOM. 1996. Primary Care: America's Health in a New Era . M.S. Donaldson, editor; , K.D. Yordy, editor; , K.N. Lohr, editor; , and N.A. Vanselow, editor. , eds. Washington, D.C.: National Academy Press. [ PubMed : 25121221 ]
• Karasek, R.A., and Theorell, T. 1990. Healthy Work: Stress, Productivity and the Reconstruction of Working Life . New York: Basic Books.
• Lalonde, M. 1974. A New Perspective on the Health of Canadians . Ottawa: Health and Welfare, Canada.
• Lamarche, P.A. 1995. Our Health Paradigm in Peril . Public Health Reports 110:556–560. [ PMC free article : PMC1381629 ] [ PubMed : 7480609 ]
• Marmot, M.G., Kogevinas, M., and Elston, M.A. 1987. Social/Economic Status and Disease . Annual Review of Public Health 8:111–135. [ PubMed : 3555518 ]
• Patrick, D.L., and Wickizer, T.M. 1995. Community and Health . In Society and Health . B.C. Amick., editor; , S. Levine, editor; , A.R. Tarlov, editor; , and D.C. Walsh, editor. , eds. New York: Oxford University Press.
• Rodwin, M.A. 1996. Managed Care and the Elusive Quest for Accountable Health Care . Widener Law Symposium Journal 1(1):65–87.
• Roos, N.P., Black, C.D., Frohlich, N., et al. 1995. A Population-Based Health Information System . Medical Care 33(12):DS13–20. [ PubMed : 7500666 ]
• Rose, G. 1992. The Strategy of Preventive Medicine . New York: Oxford University Press.
• Schauffler, H.H., and Rodriguez, T. 1996. Exercising Purchasing Power for Preventive Care . Health Affairs 15(1):73–85. [ PubMed : 8920570 ]
• Schor, E.L., and Menaghan, E. 1995. Family Pathways to Child Health . In Society and Health . B.C. Amick, editor; , S. Levine, editor; , A.L. Tarlov, editor; , and D.C. Walsh, editor. , eds. New York: Oxford University Press.
• Seeman, T.E. 1996. Social Ties and Health: The Benefits of Social Integration . Annals of Epidemiology 6:442–451. [ PubMed : 8915476 ]
• Syme, S.L. 1996. Rethinking Disease: Where Do We Go from Here? Annals of Epidemiology 6:463–468. [ PubMed : 8915479 ]
• USDHHS (U.S. Department of Health and Human Services). 1991. Healthy People 2000: National Health Promotion and Disease Prevention Objectives . DHHS Pub. No. (PHS) 91-50212. Washington, D.C.: Office of the Assistant Secretary for Health.
• Valkonen, T. 1989. Adult Mortality and Level of Education: A Comparison of Six Countries . In Health Inequalities in European Countries . J. Fox, editor. , ed. Aldershot, England: Gower.
• Warden, G. 1996. Key Factors in the Transition to IHCOs (Integrated Health Care Organizations) . Frontiers of Health Services Management 12(4)53–56. [ PubMed : 10156173 ]
• Weikart, D.P. 1989. Early Childhood Education and Primary Prevention . Prevention in Human Services 6(2):285–306.
• WHO (World Health Organization). 1986. A Discussion Document on the Concept and Principles of Health Promotion . Health Promotion 1(1):73–78. [ PubMed : 10286854 ]
• WHO. 1994. Constitution of the World Health Organization . Basic Documents, 40th ed. Geneva: WHO.
• Wilkinson, R.G. 1992. Income Distribution and Life Expectancy . British Medical Journal 304(6820):165–168. [ PMC free article : PMC1881178 ] [ PubMed : 1637372 ]
• Wilkinson, R.G. 1994. The Epidemiological Transition: From Material Scarcity to Social Disadvantage? Daedalus 123(4):61–77. [ PubMed : 11639364 ]
• Zill, N. II, and Brim, O.G., Jr. 1983. Development of Childhood Social Indicators . In Children, Families, and Government: Perspectives on American Social Policy . E.F. Zigler, editor; , S.L. Kagan, editor; , and E. Klugman, editor. , eds. New York: Cambridge University Press.

The workshop discussion was based on a presentation by Jonathan Fielding.

• Cite this Page Institute of Medicine (US) Committee on Using Performance Monitoring to Improve Community Health; Durch JS, Bailey LA, Stoto MA, editors. Improving Health in the Community: A Role for Performance Monitoring. Washington (DC): National Academies Press (US); 1997. 2, Understanding Health and Its Determinants.
• PDF version of this title (2.3M)

In this Page

Related information.

• PMC PubMed Central citations
• PubMed Links to PubMed

Recent Activity

• Understanding Health and Its Determinants - Improving Health in the Community Understanding Health and Its Determinants - Improving Health in the Community

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

Connect with NLM

National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894

Web Policies FOIA HHS Vulnerability Disclosure

Help Accessibility Careers

• Dissertation
• PowerPoint Presentation
• Book Report/Review
• Research Proposal
• Math Problems
• Proofreading
• Movie Review
• Cover Letter Writing
• Personal Statement
• Nursing Paper
• Argumentative Essay
• Research Paper
• Discussion Board Post

90+ Strong Health Essay Topics And How To Handle Them

Table of Contents

You can write about healthy lifestyle, rehabilitation after traumas, childcare, common or rare diseases, global advances in health and medicine, environmental health issues, and more.

How to deal with essay on health?

Your essay will be the most impressive if you choose a topic that is familiar to you or you can write about something you have experience with. It will be easier for you to do a health essay paper and build a convincing argument. Another approach is choosing a topic which is not familiar to you but in which you are interested in. It would be a great opportunity for you to educate yourself.

If you pick an interesting essay topic idea which is too broad to cover in your essay, you should do additional keyword research and look for some specific aspects of this topic to narrow it.

Keep in mind that you should look for a narrow topic which has enough available resources that you can use for researching it.

Before you start writing, make sure you have found enough evidence and examples to support your argument. A good idea is to create a working outline or a mind map for your essay that will guide your writing and help you stay focused on your key points.

First, create a strong thesis statement and think about several main points to support it.

If you are looking for health topics to write about and are not sure what to write about, here we have gathered a lot of exciting ideas that you won’t find on any other essay writing services.

Feel free to use them as inspiration own topic ideas or for writing your essays.

Health topics to write about

• How Can We Help Children Maintain a Healthy Body Weight?
• Ethical and Legal Issues of Surrogate Pregnancy.
• How Dangerous are Long-term Consequences of Anorexia?
• Principles of Preventing Medical Errors in Hospitals.
• How Can Doctors Promote Healthy Lifestyle?
• Why is Homeopathy a Pseudo-Science?
• What Are Side Effects of Blood Transfusion?
• Types of Eating Disorders.
• Can a Vegan Diet Be Healthy?
• The Best Strategies to Maintain Healthy Body Weight.
• Psychological Issues of Breast Cancer.
• Importance of Organ Donation after Death.
• Can Cloning Help Save Lives?
• Ethics in Human Experimentation.
• Symptoms of Heart Attacks in Women.
• Is It Possible to Cure Diabetes in the Future?

Interesting health topics to write about

• What is the Difference Between Western Medicine and Alternative Medicine?
• Health Consequences of Eating Disorders.
• Bioprinting as the Future of Organ Transplants.
• Use of Stem Cell Technologies for Cancer Treatment.
• Ethical and Social Issues of Cosmetic Surgery.
• How Does Advertising Influence Healthy Food Choices?
• Role of Nutrition Education in Promoting Healthy Diets.
• Fast Food Consumption and Obesity.
• How Can Exercise Help Senior Improve Strength and Balance?
• Advantages and Disadvantages of Weight Loss Surgery.
• Obesity as a Medical and Social Problem.
• Strategies for Heart Disease Prevention.
• How Long Can Humans Actually Live?
• Pros and Cons of Clinical Trials.
• Alternative Ways to Treat Depression.
• Is There a Cure for HIV or AIDS?

Controversial health essay topics

• Is There a Link Between Sugary Drinks and Cancer?
• Health Consequences of Caffeine.
• Can Little Kid Food Habits Signal Autism?
• Should Euthanasia Be Legalized?
• Pros and Cons of Medical Marijuana.
• Is Alternative Medicine Dangerous?
• Is Doing Sports always Healthy?
• Which Diet Is Better: Low-Fat or Low-Carb?
• Discuss Measures for Prevention of Communicable Diseases.
• Social Determinants That Influence People’s Well-being.
• Are Doctors Responsible for the Opioid Epidemic?
• Is Religion a Mental Disorder?
• Is Nuclear Waste Really Dangerous for People?
• Is a No-Carb Diet Safe?
• Are We Too Dependent on Antibiotics?
• Are Natural Medicines a Good Alternative to Pharmaceutical?
• Can Blockchain Help Improve the Trust in the Accuracy of Clinical Trials Data?

Mental health argumentative essay topics

• Influence of Environmental Factors on Mental Health.
• Drug Misuse and Mental Disorders.
• Social Effects of Mental Disorders.
• Alcohol Addiction and Psychiatric Disorders.
• Symptoms, Causes, and Treatment of Teen Depression.
• How to Protect Your Mental Health from Social Media Dangers.
• Effects of Social Isolation and Loneliness on Severe Mental Disorders.
• Negative Effects of Total Isolation on Physical and Mental Health.
• Mental Health Benefits Associated with Physical Activity.
• Association between Exercise and Mood.
• Mental Health Problems of Homeless People.
• Stress as a Risk Factor for Mental Disorders.
• Effect of Disposer to Violence on Mental Disorders.
• Common Mental Disorders in the USA.
• Depression and Anxiety Disorders among Adults.
• Cognitive-Behavioral Therapy for Anxiety Disorders.
• Economic Burden of Depression and Anxiety Disorders.
• Influence of Anxiety Disorders on the Quality of Life.

Health care essay topics

• Advantages and Challenges of E-health Technology.
• Application of Big Data to the Medical Care System.
• Risk Connected with Untested Methods of Alternative Medicine.
• Controversial Issues in the US Medical Care System.
• Telemedicine and Other Disruptive Innovations in Health Care System.
• How Can We Achieve Health Equity?
• Impact of Racism on the Well-Being of the Nation.
• School-based Health Care and Educational Success of Children.
• Role of School-based Health Care in Preventing Dropout.
• What Can Be Done to Curb Rising Suicide Rates?
• Do Adults and Senior Still Need Vaccines?
• What Human Rights Issues Have an Impact on Public Health?
• What Measures Should Be Taken to Prevent Heat-related Deaths?
• Discuss Healthy Housing Standards.
• What Are Common Strategies for Prevention of Chronic Diseases?

Health essay topics for high school students

• Can Computers Displace Doctors?
• Can People Become Immortal?
• Can Happiness Cure Diseases?
• How to Prevent Teen Pregnancy?
• The Biggest Health Challenges Facing Youth.
• Importance of Balanced Diet for Teenagers.
• Does Being Healthy Make You Happy?
• Why Is Exercise Important to Teenagers?
• Why Is Obesity Becoming an Epidemic?
• How to Become a Healthy Person.
• Importance of Healthy Lifestyle for Teens.
• Negative Impact of Smoking Teenagers.
• How Does Stress Affect Teenagers?
• Why Do Teenagers Experiment with Drugs?
• How to Develop Healthy Eating Habits.

Need a health essay overnight? Here’s a deal! Buy argumentative essay help by choosing any topic from our list and handing it to our writers. Complete confidentiality and the brilliant result are guaranteed.

Hidden Truth About Ghostwriting (Might Be Shocking)

Psychology essay topics.

7 Essay Writing Challenges And How To Handle Them

• - Google Chrome

Intended for healthcare professionals

• Access provided by Google Indexer
• My email alerts
• BMA member login
• Username * Password * Forgot your log in details? Need to activate BMA Member Log In Log in via OpenAthens Log in via your institution

Search form

• Advanced search
• Search responses
• Search blogs
• News & Views
• How should we define...

How should we define health?

• Related content
• Peer review
• Machteld Huber , senior researcher 1 ,
• J André Knottnerus , president, Scientific Council for Government Policy 2 ,
• Lawrence Green , editor in chief, Oxford Bibliographies Online—public health 3 ,
• Henriëtte van der Horst , head 4 ,
• Alejandro R Jadad , professor 5 ,
• Daan Kromhout , vice president, Health Council of the Netherlands 6 ,
• Brian Leonard , professor 7 ,
• Kate Lorig , professor 8 ,
• Maria Isabel Loureiro , coordinator for health promotion and protection 9 ,
• Jos W M van der Meer , professor 10 ,
• Paul Schnabel , director 11 ,
• Richard Smith , director 12 ,
• Chris van Weel , head 13 ,
• Henk Smid , director 14
• 1 Louis Bolk Institute, Department of Healthcare and Nutrition, Hoofdstraat 24, NL-3972 LA Driebergen, Netherlands
• 2 Department of General Practice, Maastricht University, Scientific Council for Government Policy, Postbus 20004, NL-2500 EA The Hague, Netherlands
• 3 Department of Epidemiology and Biostatistics, School of Medicine, University of California at San Francisco, USA
• 4 Department of General Practice, VU Medical Center, Amsterdam, Netherlands
• 5 Centre for Global eHealth Innovation, Toronto General Hospital, Toronto, Canada
• 6 Department of Public Health Research, Wageningen University, The Hague, Netherlands
• 7 Pharmacology Department, National University of Ireland, Galway, Ireland
• 8 Stanford Patient Education Research Center, Palo Alto, CA, USA
• 9 National School of Public Health/New University of Lisbon, Portugal
• 10 General Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
• 11 Netherlands Institute for Social Research, The Hague, Netherlands
• 12 UnitedHealth Chronic Disease Initiative, London, UK
• 13 Department of Primary and Community Care, Radboud University Nijmegen Medical Centre
• 14 Netherlands Organisation for Health Research and Development, The Hague, Netherlands
• Correspondence to: M Huber m.huber{at}louisbolk.nl
• Accepted 15 June 2011

The WHO definition of health as complete wellbeing is no longer fit for purpose given the rise of chronic disease. Machteld Huber and colleagues propose changing the emphasis towards the ability to adapt and self manage in the face of social, physical, and emotional challenges

The current WHO definition of health, formulated in 1948, describes health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” 1 At that time this formulation was groundbreaking because of its breadth and ambition. It overcame the negative definition of health as absence of disease and included the physical, mental, and social domains. Although the definition has been criticised over the past 60 years, it has never been adapted. Criticism is now intensifying, 2 3 4 5 and as populations age and the pattern of illnesses changes the definition may even be counterproductive. The paper summarises the limitations of the WHO definition and describes the proposals for making it more useful that were developed at a conference of international health experts held in the Netherlands. 6

Limitations of WHO definition

Most criticism of the WHO definition concerns the absoluteness of the word “complete” in relation to wellbeing. The first problem is that it unintentionally contributes to the medicalisation of society. The requirement for complete health “would leave most of us unhealthy most of the time.” 4 It therefore supports the tendencies of the medical technology and drug industries, in association with professional organisations, to redefine diseases, expanding the scope of the healthcare system. New screening technologies detect abnormalities at levels that might never cause illness and pharmaceutical companies produce drugs for “conditions” not previously defined as health problems. Thresholds for intervention tend to be lowered—for example, with blood pressure, lipids, and sugar. The persistent emphasis on complete physical wellbeing could lead to large groups of people becoming eligible for screening or for expensive interventions even when only one person might benefit, and it might result in higher levels of medical dependency and risk.

The second problem is that since 1948 the demography of populations and the nature of disease have changed considerably. In 1948 acute diseases presented the main burden of illness and chronic diseases led to early death. In that context WHO articulated a helpful ambition. Disease patterns have changed, with public health measures such as improved nutrition, hygiene, and sanitation and more powerful healthcare interventions. The number of people living with chronic diseases for decades is increasing worldwide; even in the slums of India the mortality pattern is increasingly burdened by chronic diseases. 7

Ageing with chronic illnesses has become the norm, and chronic diseases account for most of the expenditures of the healthcare system, putting pressure on its sustainability. In this context the WHO definition becomes counterproductive as it declares people with chronic diseases and disabilities definitively ill. It minimises the role of the human capacity to cope autonomously with life’s ever changing physical, emotional, and social challenges and to function with fulfilment and a feeling of wellbeing with a chronic disease or disability.

The third problem is the operationalisation of the definition. WHO has developed several systems to classify diseases and describe aspects of health, disability, functioning, and quality of life. Yet because of the reference to a complete state, the definition remains “impracticable, because ‘complete’ is neither operational nor measurable.” 3 4

Need for reformulation

Various proposals have been made for adapting the definition of health. The best known is the Ottawa Charter, 8 which emphasises social and personal resources as well as physical capacity. However, WHO has taken up none of these proposals.

Nevertheless, the limitations of the current definition are increasingly affecting health policy. For example, in prevention programmes and healthcare the definition of health determines the outcome measures: health gain in survival years may be less relevant than societal participation, and an increase in coping capacity may be more relevant and realistic than complete recovery.

Redefining health is an ambitious and complex goal; many aspects need to be considered, many stakeholders consulted, and many cultures reflected, and it must also take into account future scientific and technological advances. The discussion of experts at the Dutch conference, however, led to broad support for moving from the present static formulation towards a more dynamic one based on the resilience or capacity to cope and maintain and restore one’s integrity, equilibrium, and sense of wellbeing. 6 The preferred view on health was “the ability to adapt and to self manage.”

Participants questioned whether a new formulation should be called a definition, because this implied set boundaries and trying to arrive at a precise meaning. They preferred that the definition should be replaced by a concept or conceptual framework of health. A general concept, according to sociologist Blumer, 9 represents a characterisation of a generally agreed direction in which to look, as reference. But operational definitions are also needed for practical life such as measurement purposes.

The first step towards using the concept of “health, as the ability to adapt and to self manage” is to identify and characterise it for the three domains of health: physical, mental, and social. The following examples attempt to illustrate this.

Physical health

In the physical domain a healthy organism is capable of “allostasis”—the maintenance of physiological homoeostasis through changing circumstances. 10 When confronted with physiological stress, a healthy organism is able to mount a protective response, to reduce the potential for harm, and restore an (adapted) equilibrium. If this physiological coping strategy is not successful, damage (or “allostatic load”) remains, which may finally result in illness. 11

Mental health

In the mental domain Antonovsky describes the “sense of coherence” as a factor that contributes to a successful capacity to cope, recover from strong psychological stress, and prevent post-traumatic stress disorders. 12 13 The sense of coherence includes the subjective faculties enhancing the comprehensibility, manageability, and meaningfulness of a difficult situation. A strengthened capability to adapt and to manage yourself often improves subjective wellbeing and may result in a positive interaction between mind and body—for example, patients with chronic fatigue syndrome treated with cognitive behavioural therapy reported positive effects on symptoms and wellbeing. This was accompanied by an increase in brain grey matter volume, although the causal relation and direction of this association are still unclear. 14

Social health

Several dimensions of health can be identified in the social domain, including people’s capacity to fulfil their potential and obligations, the ability to manage their life with some degree of independence despite a medical condition, and the ability to participate in social activities including work. Health in this domain can be regarded as a dynamic balance between opportunities and limitations, shifting through life and affected by external conditions such as social and environmental challenges. By successfully adapting to an illness, people are able to work or to participate in social activities and feel healthy despite limitations. This is shown in evaluations of the Stanford chronic disease self management programme: extensively monitored patients with chronic illnesses, who learnt to manage their life better and to cope with their disease, reported improved self rated health, less distress, less fatigue, more energy, and fewer perceived disabilities and limitations in social activities after the training. Healthcare costs also fell. 15 16

If people are able to develop successful strategies for coping, (age related) impaired functioning does not strongly change the perceived quality of life, a phenomenon known as the disability paradox. 17

Measuring health

The general concept of health is useful for management and policies, and it can also support doctors in their daily communication with patients because it focuses on empowerment of the patient (for example, by changing a lifestyle), which the doctor can explain instead of just removing symptoms by a drug. However, operational definitions are needed for measurement purposes, research, and evaluating interventions.

Measurement might be helped by constructing health frames that systematise different operational needs—for example, differentiating between the health status of individuals and populations and between objective and subjective indicators of health. The measurement instruments should relate to health as the ability to adapt and to self manage. Good first operational tools include the existing methods for assessing functional status and measuring quality of life and sense of wellbeing. WHO has developed several classification systems measuring gradations of health. 18 These assess aspects like disability, functioning, and perceived quality of life and wellbeing.

In primary care, the Dartmouth Cooperative Group (COOP)/Wonca (the world organisation of family doctors) assessment of functional status, validated for different social and cultural settings, has been developed to obtain insight into the perceived health of individuals. The COOP/Wonca Functional Health Assessment Charts present six different dimensions of health, each supported by cartoon-like drawings. 19 20 Each measures the ability to perform daily life activities on a 1 to 5 scale.

Such instruments offer valuable information about a variety of aspects, from functioning to the experienced quality of life. Yet there are few instruments for measuring aspects of health like the individual’s capacity to cope and to adapt, or to measure the strength of a person’s physiological resilience. A new formulation about health could stimulate research on this.

Just as environmental scientists describe the health of the earth as the capacity of a complex system to maintain a stable environment within a relatively narrow range, 21 we propose the formulation of health as the ability to adapt and to self manage . This could be a starting point for a similarly fresh, 21st century way of conceptualising human health with a set of dynamic features and dimensions that can be measured. Discussion about this should continue and involve other stakeholders, including patients and lay members of the public.

Cite this as: BMJ 2011;343:d4163

We thank Jennie Popay, Atie Schipaanboord, Eert Schoten, and Rudy Westendorp for their thoughts.

Contributors and sources: This paper builds on a two day invitational conference in the Netherlands on defining health, organised by the Health Council of the Netherlands ( Gezondheidsraad ) and the Netherlands Organisation for Health Research and Development ( ZonMw ). At the conference a multidisciplinary group of 38 international experts discussed the topic and were guided by a review of the literature. MH organised the conference and drafted the report and this article. LG, HvdH, ARJ, DK, BL, KL, MIL, JvdM, PS, RS, and CvW contributed as speakers. HS hosted the conference with JAK, who chaired it. All authors contributed to the article. JAK is guarantor.

Competing interests: All authors have completed the ICJME unified disclosure form at www.icmje.org/coi_disclosure.pdf (available on request from the corresponding author) and declare no support from any organisation for the submitted work; no financial relationships with any organisation that might have an interest in the submitted work in the previous three years; and no other relationships or activities that could appear to have influenced the submitted work.

Provenance and peer review: Not commissioned; externally peer reviewed.

• ↵ WHO. Constitution of the World Health Organization. 2006. www.who.int/governance/eb/who_constitution_en.pdf .
• ↵ What is health? The ability to adapt [editorial]. Lancet 2009 ; 373 : 781 . OpenUrl CrossRef PubMed Web of Science
• ↵ Jadad AR, O’Grady L. How should health be defined. BMJ 2008 ;337;a2900.
• ↵ Smith R. The end of disease and the beginning of health. BMJ Group Blogs 2008. http://blogs.bmj.com/bmj/2008/07/08/richard-smith-the-end-of-disease-and-the-beginning-of-health/ .
• ↵ Larson JS. The conceptualization of health. Med Care Res Rev 1999 ;56;123-36.
• ↵ Health Council of the Netherlands. Publication A10/04. www.gezondheidsraad.nl/sites/default/files/bijlage%20A1004_1.pdf .
• ↵ Kanungo S, Tsuzuki A, Deen JL, Lopez AL, Rajendran K, Manna B, et al. Use of verbal autopsy to determine mortality patterns in an urban slum in Kolkate, India. Bull World Health Organ 2010 ; 88 : 667 -74. OpenUrl CrossRef PubMed Web of Science
• ↵ Ottawa Charter for Health Promotion. www.who.int/hpr/NPH/docs/ottawa_charter_hp.pdf .
• ↵ Blumer H. Symbolic interactionism: perspective and method. Prentice Hall, 1969.
• ↵ Schulkin J. Allostasis, homeostasis, and the costs of physiological adaptation. Cambridge University Press, 2004.
• ↵ McEwen BS. Interacting mediators of allostasis and allostatic load: towards an understanding of resilience in aging. Metabolism 2003 ; 52 (suppl 2): 10 -6. OpenUrl CrossRef PubMed Web of Science
• ↵ Antonovsky A. Health, stress and coping. Jossey-Bass, 1979.
• ↵ Antonovsky A. The sense of coherence as a determinant of health. In: Matarazzo J, ed. Behavioural health: a handbook of health enhancement and disease prevention. John Wiley, 1984:114–29.
• ↵ De Lange FP, Koers A, Kalkman JS, Bleijenberg G, Hagoort P, Van der Meer JWM, et al. Increase in prefrontal cortical volume following cognitive behavioural therapy in patients with chronic fatigue syndrome. Brain 2008 ; 131 : 2172 -80. OpenUrl Abstract / FREE Full Text
• ↵ Lorig KR, Sobel DS, Stewart AL, Brown BW, Bandura A, Ritter P, et al. Evidence suggesting that a chronic disease self management program can improve health status while reducing utilization and costs: a randomized trial. Med Care 1999 ; 37 : 5 -14. OpenUrl CrossRef PubMed Web of Science
• ↵ Lorig KR, Ritter PL, González VM. Hispanic chronic disease self management: a randomized community-based outcome trial. Nurs Res 2003 ; 52 : 361 -9. OpenUrl CrossRef PubMed Web of Science
• ↵ Von Faber M, Bootsma-van der Wiel A, van Exel E, Gussekloo J, Lagaay AM, van Dongen E, et al. Successful aging in the oldest old: who can be characterized as successfully aged? Arch Intern Med 2001 ; 161 : 2694 -700. OpenUrl CrossRef PubMed Web of Science
• ↵ WHO. WHO family of international classifications. www.who.int/classifications .
• ↵ Van Weel C, König-Zahn C, Touw-Otten FWMM, van Duijn NP, Meyboom-de Jong B. Measuring functional health status with the COOP/Wonca charts. Northern Centre for Health Care Research, University of Groningen, 1995. www.globalfamilydoctor.com/research/research.asp?refurl=r#R4 .
• ↵ Nelson E, Wasson J, Kirk J, Keller A, Clark D, Dittrich A, et al. Assessment of function in routine clinical practice: description of the COOP Chart method and preliminary findings. J Chron Dis 1987 ; 40 (suppl 1): 55S -63S. OpenUrl CrossRef Web of Science
• ↵ Rockström J, Steffen W, Noone K, Persson Å, Chapin AS, Lambin EF, et al. A safe operating space for humanity. Nature 2009 ; 461 : 472 -5. OpenUrl CrossRef PubMed Web of Science

45,000+ students realised their study abroad dream with us. Take the first step today

Meet top uk universities from the comfort of your home, here’s your new year gift, one app for all your, study abroad needs, start your journey, track your progress, grow with the community and so much more.

Verification Code

An OTP has been sent to your registered mobile no. Please verify

Thanks for your comment !

Our team will review it before it's shown to our readers.

• School Education /

Essay on Health is Wealth: 200, 300 and 400 Words

• Updated on  
• May 2, 2024

Essay on Health is Wealth: The saying “health is wealth” rings true for all of us. Material possessions lose their lustre when you are unwell. Good health allows us to experience life fully, with energy for work, relationships, and enjoyment. While money can buy medical care, it cannot buy true health and happiness. By prioritising healthy habits like balanced meals and exercise, you invest in your greatest asset – your well-being.

Table of Contents

• 1 Essay on Health is Wealth in 200 Words
• 2 Essay on Health is Wealth in 300 Words
• 3.1 Physical Well-Being
• 3.2 Mental Health
• 3.3 Economic success
• 3.4 Life Quality
• 4 11+ Quotes on Health and Well Being

Quick Read: How to Calculate Percentage in ICSE Board Class 10?

Essay on Health is Wealth in 200 Words

‘The most important wealth in the world is our health. Today, everyone is running after a materialistic life, ignoring true happiness and their well-being. In this chaotic and digital world, the phrase “health is wealth” holds great importance. It reminds us that having good health is the foundation on which a fulfilling life is built. 

Speaking of the advantages of having good health, it allows us to enjoy life to the fullest. Without having a healthy mind and body the whole process becomes elusive. 

Moreover, success and productivity depend on being in excellent health. It enables people to achieve their goals, work productively, and give back to society. An unwell person frequently encounters obstacles that prevent them from realising their hopes and dreams.

Keeping one’s health is also an investment in the future. Regular exercise and a healthy diet are two preventative healthcare practices that can assist in avoiding the need for future, expensive medical treatments. It is important to take a responsible approach to protecting one’s general well-being as well as one’s financial wealth.

Finally,” health is wealth” emphasises the importance of well-being in our lives. It reminds us that the priceless gift of health cannot be replaced by any amount of material prosperity. One must put their health first and treasure it beyond everything else if one wants to live a truly wealthy and fulfilling life.

Quick Read: Essay on Best Friend

Essay on Health is Wealth in 300 Words

Health is riches, after all. This proverb, which emphasises the critical necessity of health in one’s life, is full of timeless wisdom. It is simple to ignore the priceless gem that good health represents in a world that is focused on material prosperity and material interests.

First and foremost, being healthy helps people to live happy and fruitful lives. It serves as the cornerstone on which all other accomplishments are constructed. When someone is in good health, they have the vigour, strength, and stamina to achieve their aspirations, objectives, and ambitions. Poor health, on the other hand, can be a formidable obstacle that restricts one’s potential and prospects.

Additionally, having good health results in a higher quality of life. Healthy people require fewer medical procedures and are less in pain and suffering. They can enjoy life’s simple pleasures like spending time with loved ones, going outside, and eating good food without worrying about their diet.

The state of one’s health is crucial to their mental well-being. Mental health and physical well-being are tightly related. An emotionally stable and resilient state of mind is frequently a byproduct of physical health. The importance of health in one’s entire well-being is further highlighted by the fact that poor health can result in stress, worry, and depression.

The economic effects of health are another important factor. People who are in good health tend to be more productive at work, which increases earnings and improves financial security. On the other hand, health issues can cause medical expenses and decreased earning potential, which can have a considerable influence on one’s financial security.

The term “health is wealth” embodies a profound truth, to sum it up. The most valuable asset a person can have is good health because it supports all other facets of life. It enables people to live fulfilling lives, pursue their aspirations, and maintain their mental and emotional health. As a result, we must give our health priority and make the necessary investments because it is the only type of wealth that will never be exceeded or replaced by worldly belongings.

Quick Read: Trees are Our Best Friend Essay

Essay on Health is Wealth in 400 Words 

The proverb “Health is Wealth” maintains a special place in our lives. It emphasises how important good health is as the cornerstone of a successful and joyful life. The genuine meaning of riches is frequently missed in today’s fast-paced society when success is frequently gauged in monetary terms. This essay explores the deep significance of this adage and shows how true it is that the best asset anyone can have is their health.

Here are all the benefits one gets:

Physical Well-Being

Being physically healthy is the same as being in good health. Our bodies perform at their peak when we are healthy, enabling us to go about our daily lives with vigour and enthusiasm. A productive existence is built on a foundation of physical fitness. It makes it possible for us to work effectively, pursue our objectives, and fully appreciate life. Even the most plentiful wealth becomes meaningless in the absence of health.

Mental Health

 In addition to physical health, mental health is a critical element of our entire prosperity. Ageless wisdom is having a good mind and a healthy body. Our cognitive functioning, emotional stability, and resiliency in the face of difficulties are all influenced by our mental health. Material prosperity can become a cause of stress and unhappiness in the absence of mental wellness.

Economic success

Economic success is directly correlated with good health. People may actively participate in the workforce and make more money when they are healthy. Healthier populations are also less financially burdened by healthcare expenses, releasing funds for other basic requirements. As a result, investing in healthcare is an investment in the prosperity of a country.

Life Quality

The genuine wealth of life is found in its excellence. A person in good health can enjoy life’s joys, go on trips, engage in hobbies, and spend time with loved ones. No amount of money can replace the richness that these experiences bring to life. Healthy people are better able to live fulfilling and pleasurable lives.

To conclude, the motto “Health is Wealth” perfectly describes what a prosperous life entails. While having material possessions is necessary for comfort and security, how we use and enjoy our wealth is ultimately influenced by our health. Given that health is the foundation upon which all other types of wealth are formed, investing in it should be a top priority. One must understand that health is the ultimate treasure that neither money nor anything else can ever fully replace or imitate to truly understand its worth. Therefore, let us never lose sight of the fact that our health is the most priceless asset we have when pursuing success and happiness.

Also Read: Essay on Health and Fitness for Students

11+ Quotes on Health and Well Being

Here are popular quotes on health and well-being:

• “Take care of your body. It’s the only place you have to live.” – Jim Rohn
• “Health is a state of complete harmony of the body, mind and spirit.” – B.K.S. Iyengar (Yoga teacher)
• “Early to bed and early to rise makes a man healthy, wealthy and wise.” – Benjamin Franklin (Polymath)
• “Let food be thy medicine and medicine be thy food.” – Hippocrates (Ancient Greek physician)
• “A sound mind in a sound body.” – Juvenal (Roman satirist)
• “You don’t have to be great to start, but you have to start to be great.” – Zig Ziglar (Motivational speaker)
• “Your body hears everything your mind says.” – Naomi Judd (Singer)
• “The first wealth is health.” – Ralph Waldo Emerson (American philosopher)
• “The groundwork for all happiness is health.” – Leigh Hunt (British writer)
• “To keep the body in good health is a duty… otherwise, we shall not be able to keep the mind strong and clear.” – Gautam Buddha (Spiritual leader)
• “The more you praise and celebrate your life, the more there is in life to celebrate.” – Oprah Winfrey (Talk show host)
• “Peace is the result, not of the absence of conflict, but of the ability to handle it.” – Roosevelt (American President)

Explore other Essay topics for school students here:

Wealth and health are vital, but many people believe that health is ultimately more crucial. This is because it is challenging to gain from riches without being in excellent health.

A healthy person has an improved social life and a sound mental condition, which refers to a person’s emotional and psychological state and is just as important for health as physical fitness.

A person with poor mental health has a higher chance of chronic physical conditions. If you are physically fit and active, your neural functioning is enhanced which can be beneficial for your academic, social and personal environment.

For more information on such informative topics for your school, visit our essay writing page and follow Leverage Edu ! 

Malvika Chawla

Malvika is a content writer cum news freak who comes with a strong background in Journalism and has worked with renowned news websites such as News 9 and The Financial Express to name a few. When not writing, she can be found bringing life to the canvasses by painting on them.

Leave a Reply Cancel reply

Save my name, email, and website in this browser for the next time I comment.

Contact no. *

Connect With Us

45,000+ students realised their study abroad dream with us. Take the first step today.

Resend OTP in

Need help with?

Study abroad.

UK, Canada, US & More

IELTS, GRE, GMAT & More

Scholarship, Loans & Forex

Country Preference

New Zealand

Which English test are you planning to take?

Which academic test are you planning to take.

Not Sure yet

When are you planning to take the exam?

Already booked my exam slot

Within 2 Months

Want to learn about the test

Which Degree do you wish to pursue?

When do you want to start studying abroad.

January 2024

September 2024

What is your budget to study abroad?

How would you describe this article ?

Please rate this article

We would like to hear more.

Have something on your mind?

Make your study abroad dream a reality in January 2022 with

India's Biggest Virtual University Fair

Essex Direct Admission Day

Why attend .

Don't Miss Out

Talk to our experts

1800-120-456-456

• Health is Wealth Essay

Importance of Working Towards Good Health

Health is God’s gift to us. Health refers to the physical and mental state of a human being. To stay healthy is not an option but a necessity to live a happy life. The basic laws of good health are related to the food we eat, the amount of physical exercise we do, our cleanliness, rest, and relaxation. A healthy person is normally more confident, self-assured, sociable, and energetic. A healthy person views things calmly, and without prejudice.

Introduction

“The Dalai Lama, when asked what surprised him most about humanity, answered "Man! Because he sacrifices his health to make money. Then he sacrifices money to recuperate his health. And then he is so anxious about the future that he does not enjoy the present; the result being that he does not live in the present or the future; he lives as if he is never going to die, and then dies having never really lived.” This signifies that individuals don’t prioritise their mental health to earn money. Some even work 24 hours a day or seven days a week. 

However, you have the option to remain balanced. So, balance work and fitness daily. Always strive to keep a cheerful as well as a concentrated routine. It is necessary to plan ahead of time. In any case, one must maintain a good mental, bodily, and emotional state, and no professional or counsellor can assist you unless you desire to live. The will to live in the moment and make the most of it awakens the ideal strength within you, and you are the only one who can never let yourself fall apart. 

Importance of Maintaining Health

We live in a super-fast age. The Internet has shrunk the world dramatically and people are connected 24x7. Multitasking is the order of the day, as we struggle to fulfill our responsibilities for everyone in life. In this fight, we often forget to spare time for ourselves. The stress levels continue to build up until one day a major collapse may make us realize that in all this hectic activity, we have forgotten to take care of one important thing – our health.  

As we spend days shuttling between hospital and home, putting our body through one test after another, trying to find out what has gone wrong, we are forced to remember that ‘Health is indeed Wealth’.  

In earlier days, life was very simple. People worked for a stipulated time, often walked everywhere, ate more homemade food, did household chores, and enjoyed a healthy balance in life.  

Now people have cars and bikes to commute, so they walk less. With the demand for more working hours, people are awake till late at night and indulge in more junk food than home-cooked food. Modern equipment at home has reduced the labour work and increased dependency on this equipment.  People don’t have enough time to exercise or even get enough sunlight. Nowadays people are living very unhealthy lifestyles.  

Unhealthy living conditions have increased the contraction of people to various diseases like obesity, diabetes, heart attacks, hypertension, etc. This has alarming implications in the near future. So it is very important to focus on our health as much as we focus on our work. Moderation in food habits, daily exercise, and balanced work-life can surely make a big difference to our health and body. When a person stays mentally and physically fit, his actions and decisions are more practical and logical and hence he is more successful in life. Furthermore, good health has a direct impact on our personality.

It's crucial to consider how much self-control you have to keep a healthy lifestyle. Research reveals that changing one's behaviour and daily patterns are quite tough. According to the data, whether a person has a habit of smoking, drinking alcohol, doing drugs, or any other substance, it is extremely difficult to quit. A study found that 80% of smokers who tried to quit failed, with only 46% succeeding.

Importance of Good Health 

A healthy body has all the major components that help in the proper functioning of the body. The essential component is the state of physical health. Your life term extends when you maintain good physical fitness. If you are committed to exercising with a sensible diet, then you can develop a sense of well-being and can even prevent yourself from chronic illness, disability, and premature death.  

Some of the benefits of increased physical activity are as follows. 

It Improves Our Health  

1. It increases the efficiency of the heart and lungs. 

2. A good walk can reduce cholesterol levels.  

3. Good exercise increases muscle strength. 

4. It reduces blood pressure. 

5. It reduces the risk of major illnesses such as diabetes and heart disease.

Improved Sense of Well-being  

1. It helps in developing more energy. 

2. It reduces stress levels. 

3. Quality of sleep improves. 

4. It helps in developing the ability to cope with stress. 

5. It increases mental sharpness. 

Improved Appearances  

1. Weight loss contributes to a good physique.  

2. Toned muscles generate more energy. 

3. Improved posture enhances our appearance. 

Enhanced Social Life  

1. It improves self-image 

2. It increases opportunities to make new friends. 

3. It increases opportunities to share an activity with friends or family members. 

Increased Stamina  

1. Increased productivity. 

2. Increased physical capabilities. 

3. Less frequent injuries. 

4. Improved immunity to minor illnesses. 

Along with physical fitness, a good mental state is also essential for good health. Mental health means the emotional and psychological state of an individual. The best way to maintain good mental health is by staying positive and meditating. 

However, unlike a machine, the body needs rest at regular intervals. A minimum of six to seven hours of sleep is necessary for the body to function optimally. Drinking plenty of water and a balanced diet is also very important for your body.  If you violate the basic laws of good health, like working late hours, ignoring physical exercise, eating junk food, it will lead to various ailments like hypertension, heart attacks, and other deadly diseases. 

What is National Health Day? 

Every year on April 7th, World Health Day is celebrated. The World Health Organization (WHO) hosted the inaugural World Health Day on April 7, 1950, to draw the entire world’s attention to global health. 

Every year, the World Health Organization (WHO) comes up with a new theme for public awareness, such as "Support Nurses and Midwives" in 2020. This supports the situation of COVID-19, where healthcare workers are saving lives day and night without worrying about their health.

The WHO also operates a global health promotion initiative to align equality so that individuals can take control of their lives, "every life matters," and consider their fitness. The government promotes numerous health policies, including food security, workplace quality, and health literacy, in schools, colleges, workplaces, and various community activities. 

Good Health for Children 

Children need to maintain good physical and mental health. With an increase in the pressure of studies and over-indulgence in modern gadgets, children are losing the most precious thing, which is health. These days, they barely play in the playgrounds, they are more inclined towards junk food and spend more time on the screen. These unhealthy activities are slowly sabotaging their health. Parents should concentrate on the physical and mental health of their children, and inculcate good habits for maintaining a healthy lifestyle from a tender age.   

Cleanliness also has a major role to play in maintaining good health. Taking a bath every day, washing hands before eating meals, brushing twice a day, changing clothes regularly, etc. are important habits to maintain good health.  

Society is witnessing gloomy faces as a result of children and their parents' excessive usage of a computer, mobile phone, and the Internet. They are constantly using these technological items, oblivious to the fact that they may harm their health. Teenagers are frequently discovered engrossed in their electronic devices, resulting in mishaps. 

The usage of electronic devices frequently results in anxiety and hostility. Excessive usage of these products has been linked to cancer, vision loss, weight gain, and insomnia. 

Emotional development is another crucial component that should not be disregarded because it determines whether or not a person is healthy. An emotionally healthy person should have a solid sense of logic, realisation, and a realistic outlook. 

Conclusion 

Health is Wealth because if we are not healthy then all our wealth, fame and power can bring no enjoyment. Keeping fit and healthy is indeed not an option but a necessity.  

FAQs on Health is Wealth Essay

1. Why is Health Considered as Wealth?

Health is wealth because it is one of God’s most precious gift to human beings. Good health refers to a balanced and healthy physical and mental state of an individual. If any individual is not healthy, wealth, fame, and power can bring no enjoyment. So health has more value than materialistic things.

2. When is World Health Day Celebrated?

World Health Day is celebrated on 7 th April to raise awareness about health and fitness.

3. How Can You Maintain Good Health?

You can maintain good health by following a balanced and healthy diet. Have a good lifestyle by balancing work and life. You should have a moderate physical fitness regime every day. Go for brisk walks regularly or do other forms of exercise. Also, meditate and be positive to take care of your mental health.

4. Who came up with the phrase "health is wealth"?

If a man begins to live a lifestyle without a plan or unhealthy manner, he will confront numerous difficulties. He'd be depressed on the inside, untidy and filthy on the outside, and emotionally unstable all the time. A person who lives an unhealthy lifestyle will wake up late at night and early in the morning. Not only would this affect their mental condition, but it would also poison their surroundings. 

There would be a lot of wrath and sadness, and they would have fits from time to time.

Why climate change is still the greatest threat to human health

Polluted air and steadily rising temperatures are linked to health effects ranging from increased heart attacks and strokes to the spread of infectious diseases and psychological trauma.

People around the world are witnessing firsthand how climate change can wreak havoc on the planet. Steadily rising average temperatures fuel increasingly intense wildfires, hurricanes, and other disasters that are now impossible to ignore. And while the world has been plunged into a deadly pandemic, scientists are sounding the alarm once more that climate change is still the greatest threat to human health in recorded history .

As recently as August—when wildfires raged in the United States, Europe, and Siberia—World Health Organization Director-General Tedros Adhanom Ghebreyesus said in a statement that “the risks posed by climate change could dwarf those of any single disease.”

On September 5, more than 200 medical journals released an unprecedented joint editorial that urged world leaders to act. “The science is unequivocal,” they write. “A global increase of 1.5°C above the pre-industrial average and the continued loss of biodiversity risk catastrophic harm to health that will be impossible to reverse.”

Despite the acute dangers posed by COVID-19, the authors of the joint op-ed write that world governments “cannot wait for the pandemic to pass to rapidly reduce emissions.” Instead, they argue, everyone must treat climate change with the same urgency as they have COVID-19.

Here’s a look at the ways that climate change can affect your health—including some less obvious but still insidious effects—and why scientists say it’s not too late to avert catastrophe.

Air pollution

Climate change is caused by an increase of carbon dioxide and other greenhouse gases in Earth’s atmosphere, mostly from fossil fuel emissions. But burning fossil fuels can also have direct consequences for human health. That’s because the polluted air contains small particles that can induce stroke and heart attacks by penetrating the lungs and heart and even traveling into the bloodstream. Those particles might harm the organs directly or provoke an inflammatory response from the immune system as it tries to fight them off. Estimates suggest that air pollution causes anywhere between 3.6 million and nine million premature deaths a year.

For Hungry Minds

“The numbers do vary,” says Andy Haines , professor of environmental change and public health at the London School of Hygiene and Tropical Medicine and author of the recently published book Planetary Health . “But they all agree that it’s a big public health burden.”

People over the age of 65 are most susceptible to the harmful effects of air pollution, but many others are at risk too, says Kari Nadeau , director of the Sean N. Parker Center for Allergy and Asthma Research at Stanford University. People who smoke or vape are at increased risk, as are children with asthma.

Air pollution also has consequences for those with allergies. Carbon dioxide increases the acidity of the air, which then pulls more pollen out from plants. For some people, this might just mean that they face annoyingly long bouts of seasonal allergies. But for others, it could be life-threatening.

“For people who already have respiratory disease, boy is that a problem,” Nadeau says. When pollen gets into the respiratory pathway, the body creates mucus to get rid of it, which can then fill up and suffocate the lungs.

Even healthy people can have similar outcomes if pollen levels are especially intense. In 2016, in the Australian state of Victoria, a severe thunderstorm combined with high levels of pollen to induce what The Lancet has described as “the world’s largest and most catastrophic epidemic of thunderstorm asthma.” So many residents suffered asthma attacks that emergency rooms were overwhelmed—and at least 10 people died as a result.

Climate change is also causing wildfires to get worse, and wildfire smoke is especially toxic. As one recent study showed, fires can account for 25 percent of dangerous air pollution in the U.S. Nadeau explains that the smoke contains particles of everything that the fire has consumed along its path—from rubber tires to harmful chemicals. These particles are tiny and can penetrate even deeper into a person’s lungs and organs. ( Here’s how breathing wildfire smoke affects the body .)

Extreme heat

Heat waves are deadly, but researchers at first didn’t see direct links between climate change and the harmful impacts of heat waves and other extreme weather events. Haines says the evidence base has been growing. “We have now got a number of studies which has shown that we can with high confidence attribute health outcomes to climate change,” he says.

Most recently, Haines points to a study published earlier this year in Nature Climate Change that attributes more than a third of heat-related deaths to climate change. As National Geographic reported at the time , the study found that the human toll was even higher in some countries with less access to air conditioning or other factors that render people more vulnerable to heat. ( How climate change is making heat waves even deadlier .)

That’s because the human body was not designed to cope with temperatures above 98.6°F, Nadeau says. Heat can break down muscles. The body does have some ways to deal with the heat—such as sweating. “But when it’s hot outside all the time, you cannot cope with that, and your heart muscles and cells start to literally die and degrade,” she says.

If you’re exposed to extreme heat for too long and are unable to adequately release that heat, the stress can cause a cascade of problems throughout the body. The heart has to work harder to pump blood to the rest of the organs, while sweat leeches the body of necessary minerals such as sodium and potassium. The combination can result in heart attacks and strokes .

Dehydration from heat exposure can also cause serious damage to the kidneys, which rely on water to function properly. For people whose kidneys are already beginning to fail—particularly older adults—Nadeau says that extreme heat can be a death sentence. “This is happening more and more,” she says.

Studies have also drawn links between higher temperatures and preterm birth and other pregnancy complications. It’s unclear why, but Haines says that one hypothesis is that extreme heat reduces blood flow to the fetus.

Food insecurity

One of the less direct—but no less harmful—ways that climate change can affect health is by disrupting the world’s supply of food.

You May Also Like

2024 hurricane season forecasted to be record-breaking year

The U.S. plans to limit PFAS in drinking water. What does that really mean?

Here’s what extreme heat does to the body

Climate change both reduces the amount of food that’s available and makes it less nutritious.   According to an Intergovernmental Panel on Climate Change (IPCC) special report , crop yields have already begun to decline as a result of rising temperatures, changing precipitation patterns, and extreme weather events. Meanwhile, studies have shown that increased carbon dioxide in the atmosphere can leech plants of zinc, iron, and protein—nutrients that humans need to survive.

Malnutrition is linked to a variety of illnesses, including heart disease, cancer, and diabetes. It can also increase the risk of stunting, or impaired growth , in children, which can harm cognitive function.

Climate change also imperils what we eat from the sea. Rising ocean temperatures have led many fish species to migrate toward Earth’s poles in search of cooler waters. Haines says that the resulting decline of fish stocks in subtropic regions “has big implications for nutrition,” because many of those coastal communities depend on fish for a substantial amount of the protein in their diets.

This effect is likely to be particularly harmful for Indigenous communities, says Tiff-Annie Kenny, a professor in the faculty of medicine at Laval University in Quebec who studies climate change and food security in the Canadian Arctic. It’s much more difficult for these communities to find alternative sources of protein, she says, either because it’s not there or because it’s too expensive. “So what are people going to eat instead?” she asks.

Infectious diseases  

As the planet gets hotter, the geographic region where ticks and mosquitoes like to live is getting wider. These animals are well-known vectors of diseases such as the Zika virus, dengue fever, and malaria. As they cross the tropics of Cancer and Capricorn, Nadeau says, mosquitoes and ticks bring more opportunities for these diseases to infect greater swaths of the world.

“It used to be that they stayed in those little sectors near the Equator, but now unfortunately because of the warming of northern Europe and Canada, you can find Zika in places you wouldn’t have expected,” Nadeau says.

In addition, climate conditions such as temperature and humidity can impact the life cycle of mosquitoes. Haines says there’s particularly good evidence showing that, in some regions, climate change has altered these conditions in ways that increase the risk of mosquitos transmitting dengue .

There are also several ways in which climate change is increasing the risk of diseases that can be transmitted through water, such as cholera, typhoid fever, and parasites. Sometimes that’s fairly direct, such as when people interact with dirty floodwaters. But Haines says that drought can have indirect impacts when people, say, can’t wash their hands or are forced to drink from dodgier sources of freshwater.

Mental health

A common result of any climate-linked disaster is the toll on mental health. The distress caused by drastic environmental change is so significant that it has been given its own name— solastalgia .

Nadeau says that the effects on mental health have been apparent in her studies of emergency room visits arising from wildfires in the western U.S. People lose their homes, their jobs, and sometimes their loved ones, and that takes an immediate toll. “What’s the fastest acute issue that develops? It’s psychological,” she says. Extreme weather events such as wildfires and hurricanes cause so much stress and anxiety that they can lead to post-traumatic stress disorder and even suicide in the long run.

Another common factor is that climate change causes disproportionate harm to the world’s most vulnerable people. On September 2, the Environmental Protection Agency (EPA) released an analysis showing that racial and ethnic minority communities are particularly at risk . According to the report, if temperatures rise by 2°C (3.6°F), Black people are 40 percent more likely to live in areas with the highest projected increases in related deaths. Another 34 percent are more likely to live in areas with a rise in childhood asthma.

Further, the effects of climate change don’t occur in isolation. At any given time, a community might face air pollution, food insecurity, disease, and extreme heat all at once. Kenny says that’s particularly devastating in communities where the prevalence of food insecurity and poverty are already high. This situation hasn’t been adequately studied, she says, because “it’s difficult to capture these shocks that climate can bring.”

Why there’s reason for hope

In recent years, scientists and environmental activists have begun to push for more research into the myriad health effects of climate change. “One of the striking things is there’s been a real dearth of funding for climate change and health,” Haines says. “For that reason, some of the evidence we have is still fragmentary.”

Still, hope is not lost. In the Paris Agreement, countries around the world have pledged to limit global warming to below 2°C (3.6°F)—and preferably to 1.5°C (2.7°F)—by cutting their emissions. “When you reduce those emissions, you benefit health as well as the planet,” Haines says.

Meanwhile, scientists and environmental activists have put forward solutions that can help people adapt to the health effects of climate change. These include early heat warnings and dedicated cooling centers, more resilient supply chains, and freeing healthcare facilities from dependence on the electric grid.

Nadeau argues that the COVID-19 pandemic also presents an opportunity for world leaders to think bigger and more strategically. For example, the pandemic has laid bare problems with efficiency and equity that have many countries restructuring their healthcare facilities. In the process, she says, they can look for new ways to reduce waste and emissions, such as getting more hospitals using renewable energy.

“This is in our hands to do,” Nadeau says. “If we don’t do anything, that would be cataclysmic.”

Related Topics

• AIR POLLUTION
• WATER QUALITY
• NATURAL DISASTERS
• PUBLIC HEALTH
• CLIMATE CHANGE

This summer's extreme weather is a sign of things to come

This African lake may literally explode—and millions are at risk

We got rid of BPA in some products—but are the substitutes any safer?

How the additives in your vaccines rev up your immune system

Long COVID can destroy your ability to exercise. Now we know why.

• Environment
• Paid Content
• Photography
• Perpetual Planet

History & Culture

• History & Culture
• Mind, Body, Wonder
• Destination Guide
• Terms of Use
• Privacy Policy
• Your US State Privacy Rights
• Children's Online Privacy Policy
• Interest-Based Ads
• About Nielsen Measurement
• Do Not Sell or Share My Personal Information
• Nat Geo Home
• Attend a Live Event
• Book a Trip
• Inspire Your Kids
• Shop Nat Geo
• Visit the D.C. Museum
• Learn About Our Impact
• Support Our Mission
• Advertise With Us
• Customer Service
• Renew Subscription
• Manage Your Subscription
• Work at Nat Geo
• Sign Up for Our Newsletters
• Contribute to Protect the Planet

Copyright © 1996-2015 National Geographic Society Copyright © 2015-2024 National Geographic Partners, LLC. All rights reserved

• Share full article

Advertisement

Supported by

Guest Essay

The Long-Overlooked Molecule That Will Define a Generation of Science

By Thomas Cech

Dr. Cech is a biochemist and the author of the forthcoming book “The Catalyst: RNA and the Quest to Unlock Life’s Deepest Secrets,” from which this essay is adapted.

From E=mc² to splitting the atom to the invention of the transistor, the first half of the 20th century was dominated by breakthroughs in physics.

Then, in the early 1950s, biology began to nudge physics out of the scientific spotlight — and when I say “biology,” what I really mean is DNA. The momentous discovery of the DNA double helix in 1953 more or less ushered in a new era in science that culminated in the Human Genome Project, completed in 2003, which decoded all of our DNA into a biological blueprint of humankind.

DNA has received an immense amount of attention. And while the double helix was certainly groundbreaking in its time, the current generation of scientific history will be defined by a different (and, until recently, lesser-known) molecule — one that I believe will play an even bigger role in furthering our understanding of human life: RNA.

You may remember learning about RNA (ribonucleic acid) back in your high school biology class as the messenger that carries information stored in DNA to instruct the formation of proteins. Such messenger RNA, mRNA for short, recently entered the mainstream conversation thanks to the role they played in the Covid-19 vaccines. But RNA is much more than a messenger, as critical as that function may be.

Other types of RNA, called “noncoding” RNAs, are a tiny biological powerhouse that can help to treat and cure deadly diseases, unlock the potential of the human genome and solve one of the most enduring mysteries of science: explaining the origins of all life on our planet.

Though it is a linchpin of every living thing on Earth, RNA was misunderstood and underappreciated for decades — often dismissed as nothing more than a biochemical backup singer, slaving away in obscurity in the shadows of the diva, DNA. I know that firsthand: I was slaving away in obscurity on its behalf.

In the early 1980s, when I was much younger and most of the promise of RNA was still unimagined, I set up my lab at the University of Colorado, Boulder. After two years of false leads and frustration, my research group discovered that the RNA we’d been studying had catalytic power. This means that the RNA could cut and join biochemical bonds all by itself — the sort of activity that had been thought to be the sole purview of protein enzymes. This gave us a tantalizing glimpse at our deepest origins: If RNA could both hold information and orchestrate the assembly of molecules, it was very likely that the first living things to spring out of the primordial ooze were RNA-based organisms.

That breakthrough at my lab — along with independent observations of RNA catalysis by Sidney Altman at Yale — was recognized with a Nobel Prize in 1989. The attention generated by the prize helped lead to an efflorescence of research that continued to expand our idea of what RNA could do.

In recent years, our understanding of RNA has begun to advance even more rapidly. Since 2000, RNA-related breakthroughs have led to 11 Nobel Prizes. In the same period, the number of scientific journal articles and patents generated annually by RNA research has quadrupled. There are more than 400 RNA-based drugs in development, beyond the ones that are already in use. And in 2022 alone, more than $1 billion in private equity funds was invested in biotechnology start-ups to explore frontiers in RNA research.

What’s driving the RNA age is this molecule’s dazzling versatility. Yes, RNA can store genetic information, just like DNA. As a case in point, many of the viruses (from influenza to Ebola to SARS-CoV-2) that plague us don’t bother with DNA at all; their genes are made of RNA, which suits them perfectly well. But storing information is only the first chapter in RNA’s playbook.

Unlike DNA, RNA plays numerous active roles in living cells. It acts as an enzyme, splicing and dicing other RNA molecules or assembling proteins — the stuff of which all life is built — from amino acid building blocks. It keeps stem cells active and forestalls aging by building out the DNA at the ends of our chromosomes.

RNA discoveries have led to new therapies, such as the use of antisense RNA to help treat children afflicted with the devastating disease spinal muscular atrophy. The mRNA vaccines, which saved millions of lives during the Covid pandemic, are being reformulated to attack other diseases, including some cancers . RNA research may also be helping us rewrite the future; the genetic scissors that give CRISPR its breathtaking power to edit genes are guided to their sites of action by RNAs.

Although most scientists now agree on RNA's bright promise, we are still only beginning to unlock its potential. Consider, for instance, that some 75 percent of the human genome consists of dark matter that is copied into RNAs of unknown function. While some researchers have dismissed this dark matter as junk or noise, I expect it will be the source of even more exciting breakthroughs.

We don’t know yet how many of these possibilities will prove true. But if the past 40 years of research have taught me anything, it is never to underestimate this little molecule. The age of RNA is just getting started.

Thomas Cech is a biochemist at the University of Colorado, Boulder; a recipient of the Nobel Prize in Chemistry in 1989 for his work with RNA; and the author of “The Catalyst: RNA and the Quest to Unlock Life’s Deepest Secrets,” from which this essay is adapted.

The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips . And here’s our email: [email protected] .

Follow the New York Times Opinion section on Facebook , Instagram , TikTok , WhatsApp , X and Threads .

Transforming the understanding and treatment of mental illnesses.

Información en español

Celebrating 75 Years! Learn More >>

• Science News
• Meetings and Events
• Social Media
• Press Resources
• Email Updates
• Innovation Speaker Series

NIH Announces Winners of 2023-2024 High School Mental Health Essay Contest

May 31, 2024 • Institute Update

The National Institutes of Health (NIH) is pleased to announce the winners of the  2024 Speaking Up About Mental Health    essay contest. Out of more than 370 submissions across 33 states, NIH awarded 24 youth (ages 16-18) finalists with gold, silver, bronze, and honorable mention prizes.

Supported by the National Institute of Mental Health, the National Institute on Minority Health and Health Disparities, and the  Eunice Kennedy Shriver  National Institute of Child Health and Human Development, the essay contest invited youth to address mental health and reduce mental health stigma that young people may face when seeking mental health treatment.

The winning essays addressed complicated topics such as stigma, trauma, resilience, equity, anxiety, and more. Teens also wrote about specific ideas for improving well-being, such as broader access to leisure sports, reducing time spent on social media, and normalizing mental health treatment and care.

NIH awarded a total of $15,000 in cash prizes to gold, silver, bronze, and honorable mention recipients. Read the winning essays at  nimhd.nih.gov/EssayContest   .

Gold winners

• Max, California - Tenacity Through Tumultuousness
• Michaela, Maryland - Exposing the Impact of Social Media on Teenage Mental Health: A Journey of Self-Discovery
• Raphael, Hawaii  - Let's CHAT: Mental Health Impact on Teens Living with Speech Challenges

Silver winners

• Aditi, California – Embracing Authenticity
• Anna, New York - Change Our Approach: How Sports Can Play a Role in Mental Health
• Ciniyah, Illinois - The Roots Affect the Fruit: A Personal Journey of Trauma to Triumph
• Kathleen, Maryland - Behind A Perfect Life
• Paige, Texas - Learn to Live and Accept Your Journey
• Rylie, Maryland - Drowning in Plain Sight

Bronze winners

• Argiro, Pennsylvania - Out in the Open: A Conversation about Mental Health
• Dresden, Maryland - Normalize the Care to Destigmatize the Conditions
• Gabriel, New Jersey - Keeping My Head Up: My Experience with Dad's Brain Cancer
• Hailey, Arkansas - Access for Adolescent Athletes
• Jordan, New Jersey - A Weighted Wait
• Kathryne, North Carolina - Embracing Openness: Unveiling Silent Struggles Surrounding Mental Health
• Maya, Maryland - Speaking up for Change
• Rachel, California - Embracing the Journey Towards Mental Health Acceptance
• Savannah, New Jersey - Taking a Step Today, for a Better Tomorrow

Honorable mentions

• Agaana, Maryland – Accountability for Authority: The Responsibilities of Schools
• Gisele, Pennsylvania - Breaking the Silence
• Jillian, Illinois - Navigating Mental Illness in Teens
• Kyle, North Carolina - How the Neglect of Mental Health Within Black Communities Causes Underlying Issues
• Mason, Maryland - Social Media as a Possible Method to Reduce Mental Health Stigma
• Minsung, Georgia - Hope to Bridge the Gap

If you are in crisis and need immediate help, call or text the  988 Suicide & Crisis Lifeline     at  988  (para ayuda en español, llame al 988) to connect with a trained crisis counselor. The Lifeline provides 24-hour, confidential support to anyone in suicidal crisis or emotional distress. The deaf and hard of hearing can contact the Lifeline using their preferred relay service or by dialing 711 and then 988.

June 4, 2024

Winning papers announced for 2024 Population Health Library Research Awards

This award was created in 2017 in partnership with the University of Washington Libraries and is open to undergraduates from all three UW campuses. The projects submitted were completed for either UW course credit or for the Undergraduate Research Program.

The key factors for choosing awardees included the innovativeness of their research hypothesis, the quality of their writing and how well they connected their work to the theme of population health. The following section describes the four awardees, their majors, the titles of their projects and summaries of their projects.

Lindsay Lucenko (Law, Societies, and Justice), "Gender Dynamics in King County Drug Diversion Court: Exploring Experiences and Perspectives"

This research explores the experiences of men and women in the King County Drug Diversion Court, a rehabilitative program for drug-related offenses. Participants undergo a five-phase program with the potential for charge dismissal, but concerns about coercion persist. Participants must maintain sobriety, undergo frequent tests, attend support meetings, communicate with case managers, find employment, and fulfill familial duties.

The study investigates how gender influences these obligations’ fulfillment, especially considering the court’s predominantly male population. Through nine semi-structured interviews, I examined participants’ experiences with the criminal justice system, focusing on gender impacts. Findings reveal nuanced gendered experiences, informing justice system reform. By combining qualitative interviews and existing research, this study sheds light on gender dynamics within the court, contributing to policy and practice for a fairer criminal justice system.

Evelyn Erickson (Chemical Engineering), "Tandem dechlorination and hydrogenolysis of waste PVC plastic into value added chemicals "

Plastic waste is a serious problem with detrimental environmental impacts, within this mixed plastics pose a significant challenge in depolymerization. My project focuses on polyvinyl chloride (PVC), a particularly difficult plastic to break down due to the chlorine atom. Chlorine can poison catalysts and release harmful by products like hydrochloric acid or chlorine gas.

I have been working to dechlorinate PVC and then further break down this waste plastic to form value added products. Once dechlorinated PVC becomes a hydrocarbon and can be treated similar to other waste plastics like polyethylene and polypropylene. This tandem dechlorination and depolymerization occur in a single step through a strong amine base and ruthenium catalyst helping to activate the reaction.

Nede Ovbiebo (Pre-science - Biochemistry), "What are the health outcomes of phytochemical supplements versus fruits and vegetables?"

This research stems from concerns about the efficiency of modern diets, which increasingly rely on supplements rather than natural food sources. I analyzed data and reviewed information to compare the effectiveness of phytochemical supplements and whole fruits and vegetables. The study emphasized that while phytochemicals are used in various therapies, their individual effects cannot be compared to the combined benefits of whole foods based on current scientific developments. I have placed the results in a booklet to be printed and disseminated in the future to enable more people to plan their diets wisely and incorporate phytochemicals flexibly into their daily routines.

Hayden Goldberg (Public Health-Global Health, Biochemistry), "An Evaluation of Agricultural Safety and Health in Pesticide Application Technology"

The use of pesticides in the Pacific Northwest is essential in the process of safeguarding public health, most notably by mitigating pests, protecting our food supply, and aiding in produce distribution. However, long-term exposure to pesticides can result in illness for those handling the substances as well as their families. Newer methods, such as aerial drone spraying involve the use of emerging technologies that are poised to change the landscape of the agricultural industry and health outcomes of farmworkers.

This project will be assessing thoughts regarding adoption of these technologies. Through the creation of an electronic survey, I will be obtaining a variety of responses from individuals involved in the application of pesticides on farms. I will then analyze responses both quantitatively and qualitatively. The main objective of my research project is to capture the attitudes of the pesticide application technologies to inform policy, regulations, and decision-making regarding their uses.

Please visit our funding page to learn more about these awards.

What is population health?

Population health is a broad concept encompassing not only the elimination of diseases and injuries, but also the intersecting and overlapping factors that influence health.

Population Health Twitter

Events calendar, be boundless, connect with us:.

© 2024 University of Washington | Seattle, WA

Select Your Interests

Customize your JAMA Network experience by selecting one or more topics from the list below.

• Academic Medicine
• Acid Base, Electrolytes, Fluids
• Allergy and Clinical Immunology
• American Indian or Alaska Natives
• Anesthesiology
• Anticoagulation
• Art and Images in Psychiatry
• Artificial Intelligence
• Assisted Reproduction
• Bleeding and Transfusion
• Caring for the Critically Ill Patient
• Challenges in Clinical Electrocardiography
• Climate and Health
• Climate Change
• Clinical Challenge
• Clinical Decision Support
• Clinical Implications of Basic Neuroscience
• Clinical Pharmacy and Pharmacology
• Complementary and Alternative Medicine
• Consensus Statements
• Coronavirus (COVID-19)
• Critical Care Medicine
• Cultural Competency
• Dental Medicine
• Dermatology
• Diabetes and Endocrinology
• Diagnostic Test Interpretation
• Drug Development
• Electronic Health Records
• Emergency Medicine
• End of Life, Hospice, Palliative Care
• Environmental Health
• Equity, Diversity, and Inclusion
• Facial Plastic Surgery
• Gastroenterology and Hepatology
• Genetics and Genomics
• Genomics and Precision Health
• Global Health
• Guide to Statistics and Methods
• Hair Disorders
• Health Care Delivery Models
• Health Care Economics, Insurance, Payment
• Health Care Quality
• Health Care Reform
• Health Care Safety
• Health Care Workforce
• Health Disparities
• Health Inequities
• Health Policy
• Health Systems Science
• History of Medicine
• Hypertension
• Images in Neurology
• Implementation Science
• Infectious Diseases
• Innovations in Health Care Delivery
• JAMA Infographic
• Law and Medicine
• Leading Change
• Less is More
• LGBTQIA Medicine
• Lifestyle Behaviors
• Medical Coding
• Medical Devices and Equipment
• Medical Education
• Medical Education and Training
• Medical Journals and Publishing
• Mobile Health and Telemedicine
• Narrative Medicine
• Neuroscience and Psychiatry
• Notable Notes
• Nutrition, Obesity, Exercise
• Obstetrics and Gynecology
• Occupational Health
• Ophthalmology
• Orthopedics
• Otolaryngology
• Pain Medicine
• Palliative Care
• Pathology and Laboratory Medicine
• Patient Care
• Patient Information
• Performance Improvement
• Performance Measures
• Perioperative Care and Consultation
• Pharmacoeconomics
• Pharmacoepidemiology
• Pharmacogenetics
• Pharmacy and Clinical Pharmacology
• Physical Medicine and Rehabilitation
• Physical Therapy
• Physician Leadership
• Population Health
• Primary Care
• Professional Well-being
• Professionalism
• Psychiatry and Behavioral Health
• Public Health
• Pulmonary Medicine
• Regulatory Agencies
• Reproductive Health
• Research, Methods, Statistics
• Resuscitation
• Rheumatology
• Risk Management
• Scientific Discovery and the Future of Medicine
• Shared Decision Making and Communication
• Sleep Medicine
• Sports Medicine
• Stem Cell Transplantation
• Substance Use and Addiction Medicine
• Surgical Innovation
• Surgical Pearls
• Teachable Moment
• Technology and Finance
• The Art of JAMA
• The Arts and Medicine
• The Rational Clinical Examination
• Tobacco and e-Cigarettes
• Translational Medicine
• Trauma and Injury
• Treatment Adherence
• Ultrasonography
• Users' Guide to the Medical Literature
• Vaccination
• Venous Thromboembolism
• Veterans Health
• Women's Health
• Workflow and Process
• Wound Care, Infection, Healing
• Download PDF
• Share X Facebook Email LinkedIn
• Permissions

Integrating Clinical Trials and Practice : A New JAMA Series and Call for Papers

• 1 Executive Editor, JAMA
• Special Communication The Integration of Clinical Trials With the Practice of Medicine Derek C. Angus, MD, MPH; Alison J. Huang, MD, MAS; Roger J. Lewis, MD, PhD; Amy P. Abernethy, MD, PhD; Robert M. Califf, MD; Martin Landray, PhD; Nancy Kass, ScD; Kirsten Bibbins-Domingo, PhD, MD, MAS; JAMA Summit on Clinical Trials Participants; Ali B Abbasi; Kaleab Z Abebe; Amy P Abernethy; Stacey J. Adam; Derek C Angus; Jamy Ard; Rachel A Bender Ignacio ; Scott M Berry; Deepak L. Bhatt; Kirsten Bibbins-Domingo; Robert O. Bonow; Marc Bonten; Sharon A. Brangman; John Brownstein; Melinda J. B. Buntin; Atul J Butte; Robert M. Califf; Marion K Campbell; Anne R. Cappola; Anne C Chiang; Deborah Cook; Steven R Cummings; Gregory Curfman; Laura J Esserman; Lee A Fleisher; Joseph B Franklin; Ralph Gonzalez; Cynthia I Grossman; Tufia C. Haddad; Roy S. Herbst; Adrian F. Hernandez; Diane P Holder; Leora Horn; Grant D. Huang; Alison Huang; Nancy Kass; Rohan Khera; Walter J. Koroshetz; Harlan M. Krumholz; Martin Landray; Roger J. Lewis; Tracy A Lieu; Preeti N. Malani; Christa Lese Martin; Mark McClellan; Mary M. McDermott; Stephanie R. Morain; Susan A Murphy; Stuart G Nicholls; Stephen J Nicholls; Peter J. O'Dwyer; Bhakti K Patel; Eric Peterson; Sheila A. Prindiville; Joseph S. Ross; Kathryn M Rowan; Gordon Rubenfeld; Christopher W. Seymour; Rod S Taylor; Joanne Waldstreicher; Tracy Y. Wang JAMA
• Viewpoint Why Should the FDA Focus on Pragmatic Clinical Research? Ali B. Abbasi, MD; Lesley H. Curtis, PhD; Robert M. Califf, MD JAMA

Randomized clinical trials remain the cornerstone of evidence-based medicine. As a leading medical journal publishing the science that advances the clinical care of patients and the health of the public, JAMA is committed to the publication of clinical trials, as well as promoting the discourse on how clinical trial evidence can best serve the needs of patients and clinicians.

In autumn of 2023, JAMA hosted its inaugural in-person JAMA Summit 1 on the topic of randomized clinical trials and the challenges and opportunities to improve their design and conduct to be most responsive to the needs of clinical practice. The Special Communication published in JAMA, 2 “The Integration of Clinical Trials With the Practice of Medicine: Repairing a House Divided,” was written on behalf of the participants in the JAMA Summit and outlines many of the themes discussed during this provocative 2-day meeting.

A central theme of the JAMA Summit, which is elaborated on in the Special Communication in this issue, is how best to integrate clinical trials with clinical practice. Traditionally, clinical trialists and clinicians have worked independently, and, as the authors of the Special Communication underscore, their separate missions, incentives, and infrastructures have been siloed. The result is inefficiency in the performance of trials and limitations in their scope and impact. The authors offer solutions, including advances in implementation science, novel approaches to statistical analysis of trial data, and integration of trials with the electronic health record as a very rich source of clinical data. The clinical trial and health care delivery disciplines have functioned as a house divided. The authors proffer an approach to bridging the gap.

The future of clinical medicine will be greatly influenced by the data derived from randomized clinical trials, and trials will need to be accomplished more quickly, efficiently, and cheaply than they are today. A recent example is the platform trials 3 that were conducted during the COVID-19 pandemic. 4 - 6 These trials were embedded within clinical care and permitted the study of multiple therapeutic interventions simultaneously, with the results applicable to patient care in short order. The platform trials are exemplary of the types of novel approaches to clinical trials that are needed to realign the house divided.

With this Special Communication and an accompanying Viewpoint, 7 we launch a new series in JAMA— Integrating Clinical Trials and Practice. JAMA invites submissions that explore innovations in clinical trial design, implementation, funding, regulation, education, and application that may bring randomized trial evidence to more effectively address the needs in clinical practice. Our goal is to engage the research community in a significant publishing project to advance clinical trials and better align them with clinical practice. We welcome articles of any type, and we are happy to hear from you with presubmission inquiries. We are eager to chart a new path for randomized clinical trials and the delivery of health care, and we hope you will participate in navigating the road ahead.

Published Online: June 3, 2024. doi:10.1001/jama.2024.10266

Corresponding Author: Greg Curfman, MD, JAMA, Editorial Office, 330 N Wabash Ave, Chicago, IL 60611 ( [email protected] ).

Conflict of Interest Disclosures: None reported.

See More About

Curfman G. Integrating Clinical Trials and Practice : A New JAMA Series and Call for Papers . JAMA. Published online June 03, 2024. doi:10.1001/jama.2024.10266

Manage citations:

© 2024

Artificial Intelligence Resource Center

Cardiology in JAMA : Read the Latest

Browse and subscribe to JAMA Network podcasts!

Others Also Liked

• Register for email alerts with links to free full-text articles
• Access PDFs of free articles
• Manage your interests
• Save searches and receive search alerts