Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #103435

Brian Katcher, PharmD, Community Health Education Section, San Francisco Department of Public Health, 30 Van Ness Avenue, Suite 2300, San Francisco, CA 94102, 415-581-2405, Brian.S.Katcher@sfdph.org

We are developing a website that aims to link what is known about the determinants of health (evidence from the scientific literature) to an objective analysis of San Francisco's health (in Years of Life Lost by specific cause). It is being developed as a resource to support the San Francisco Department of Public Health's Prevention Strategic Plan, 2004 - 2008. It could easily be adapted for other health jurisdictions. The determinants page of this site, which can be regarded as the home page for the entire site, has links to many of the major determinants of health. These are organized within the following categories: (1) Social/Environmental/Political ; (2) Behavioral/Individual (Lifestyle); or (3) Clinical/Physiological. Each determinant (eg, physical inactivity or hypertension or overweight/obesity) has its own "home page" with the same set of links on the right-hand side of all its pages: overview; contribution to overall burden of disease; downstream (health consequences); upstream (causes); what can be done?; web resources; and MEDLINE strategies. Wherever possible, there are links to expert guidelines, consensus statements, reviews from the CDC's Community Guide to Preventive Services, and other key resources. In his classic paper, "Sick Individuals and Sick Populations," Geoffrey Rose makes the point that the "high risk" approach to prevention, carried out in clinical settings, and the "population approach," which seeks to control the causes of incidence, are complementary. This spirit of multiple approaches is reflected in this site.

Learning Objectives: