2023-05-05 03:30:00
Plato makes his disciple Hippocrates say: “Is there a more precious good for man than his health?” The answer is no, which explains the presence of doctors in all cultures and civilizations and the prominent role they have assumed and must assume in society for the good of all citizens.
Louis René Villermé (Paris, 1782-1863)
With the founding of the Societé Royale de Medecine (1778), considered the first State agency in health matters, the physician and economist Louis René Villermé was entrusted with the mission of studying health with social and geographical analysis.
He discovered the influence of socio-economic factors and poverty on health and mortality at the beginning of French industrialization.
President of the Academy of Moral and Political Sciences, he is the author of pioneering books on the social approach to health such as:
- Study of the physical and moral state of the workers employed in the manufacture of cotton, wool and silk.
- Memory on the size of men in France.
- On the possibility of measuring the causes that modify the social elements.
Louis René Villermé was a defender of the hygienic reform of factories and prisons. He was one of the founders of social epidemiology.
In view of the evidence, he considered that in order to fight diseases it is necessary to intervene in social practices and also change individual behaviors.
One of the works of Louis René Villermé.
The hygienist movement, founded in the 19th century, has this principle: “Hygiene associated with philosophy and legislation should exert a great influence on the human spirit, enlightening the moralist and concurring in the noble occupation of reducing the number of social diseases “.
The discoveries of Louis Pasteur in the 19th century on asepsis and vaccines provide a foundation for hygiene and prophylaxis or prevention.
Epidemiology detects the factors that cause or favor major pathologies. The 20th century is that of preventive medicine and screening.
- There is a need for information and education to advance in medical care and benefit the population, as well as appropriate centers and institutions.
- It is observed that the construction of health centers, gyms and libraries fail to fulfill their function if they do not know how to stimulate the desire to use them properly.
- Causes that protect from the disease are observed:
- Belonging to a family with a warm environment.
- Live in a rewarding work environment.
- Feeling of being protected once morest disease.
Medico-social thought
5 main objectives derived from epidemiological studies are imposed:
- Reduce male mortality, influencing the consumption of alcohol and other drugs, tobacco, eating habits
- Reduce adolescent mortality (suicides, traffic accidents and violence)
- Reduce inequalities by facilitating health for citizens and school and family education. To combat poverty, the first thing is education.
- Rationalize care so that it is sustainable and can reach all citizens, with comprehensive human and scientific assistance.
- Outline a health perspective for the immediate future where the
5. Draw a health perspective for the immediate future where Epidemiology, Preventive Medicine, Biology should be integrated, the Pharmacology and Chemo-prevention.
In health policies should collaborate:
Today’s science must be the search for valuable knowledge by morally acceptable means. Health value should prevail first.
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