Studiereise HSK 2004

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Presentation Healthy people in a healthy city
Prof. Dr M.C.H. Donker Department Head 27 april
2004
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Legal task GGD Municipal Health Service

• Insight in health of the population, memorandum
  on municipal health policy (every 4 years).
• Monitoring health aspects of administrative
  decisions.
• Prevention programmes health information and
  education.
• Medical environmentological protection.
• Technical hygiene management.
• Public mental health care.
• Combating infectious diseases.
• Youth health care.

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Geographical locations of activities
Rotterdam, Albrandswaard, Barendrecht, Capelle
aan den IJssel, Krimpen aan den IJssel,
Ridderkerk, Bleiswijk, Bergschenhoek and Berkel
en Rodenrijs. Over 800,000 people.

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Organisation - 3 sectors

• General health care.
• Promoting health.
• Youth.
• Support/management
• Operational management sector.
• Staff office for training management.
• Management.

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A selection of the GGDs tasks
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Combating infectious diseases
Infectious diseases(after journeys to distant
places, via the port, via risk groups such as the
homeless, drug users and prostitutes, migrants
who come from certain countries)

• TB screening.
• Source and contact investigation.
• Information about sexually transmitted diseases
  and HIV/aids (telephone number with information
  in 5 languages, prevention projects).
• Telephone number with information for travellers.
• Surgery of the GGD Medical Centre Foreign
  department.

Vaccinations and advice
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Environment and hygiene
Environment

• Research and advice for private individuals for
  example about problems inside homes (damp,
  asbestos, Legionnaires disease), soil pollution
  and air pollution.
• Advice to governments about amongst others
  dealing with disasters.
• Healthy building and living.

Hygiene

• Checking the hygiene of amongst others day-care
  centres, sex clubs and other such institutions.

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Medical advice
Individual medical advice to municipal
departments, for facilities such as a parking
space for a disabled person or making adjustments
to a home.

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Youth health care
4-19 years old (170,000 children, 360
schools)Youth health care centres in Rotterdam
and the surrounding municipalities (4 districts,
15 branches).0-4 years old in Rotterdam GGD
provides subsidy to Homecare (in time probably
integration).

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Youth health care (contd)
Preventive health research (groups 2 and 6,
including RJM Rotterdam Youth Monitor)

• RJM Secondary Education (years 1,3,5),
  conversation with pupils at risk
• Projects (dental care, life skills, support in
  child upbringing, etc.
• Vaccinations for DTP and MMR (9 year olds).

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Rotterdam Youth Monitor
Questionnaire that charts the mental and physical
development and risk factors of the under 19
Aim

• Insight in the health and any (behavioural)
  problems of youth.
• Policy advice to schools, (sub) municipalities.
• Individual conversation with youth at risk.
• Prevention programmes.7 Measuring times 2 x
  0-4 year olds years 2 and 6.
• Secondary education years 1, 3 and 5.

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Care and treatment of addicts and Public Mental
Health Care

GGD prevention, provision of subsidies,
coordination

• Prevention prevent or reduce the damage caused
  by alcohol, drug use, smoking and gambling.
  (Smoking, drinking, drugs and gambling, Be
  aware of what you do).
• Subsidisation of care by amongst others Bouman
  Care and Treatment of Addicts.
• Coordination together with care office of mental
  health care facilities.

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Safety net and advice

Social medical aid to the homeless and people on
the edge of society. GGD coordinates aid and
care in case of odour nuisance and vermin (with
Roteb, Riagg, Police and Animal Protection
Society, etc.). Local care networks
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Preventive activities

Special target groups

• The elderly (for example by public information
  officers for the elderly).- Preventing accidents
  by falling. - Centres for volunteer aid.
• Migrants- For and by method information in
  own language and culture.- Migrant elderly in
  mosques and meeting centres.- Mecca surgery,
  pilgrims to the holy city of Mecca.- Migrant
  care consultants in the GP surgery.

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Ambulance service as of 1 January 2003 separated
from GGD Rotterdam and environs

About 31,000 journeys per year in the work area
of the ambulance service of the GGD Rotterdam and
environs GHOR The GGD cooperates closely with
the Office for Medical Aid in case of Accidents
and Disasters (GHOR), for example Smallpox
Vaccination Plan in cooperation with other
Rijnmond GGDs).
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