Early History:

Early History: Trial and Error (lay-referral network) Medical lore passed down from

generation to generation Throughout history people have

always turned to some type of medicine man or physician for counsel

Ancient Cultures: Good hygiene practices Paved streets, drains, sewer systems Code of Hammurabi Before science enabled us to

determine pathogenic causes of disease, spiritual explanations and leadership prevailed

Greeks: Balance of physical, mental, and

spiritual Hippocrates and the “atomic theory” (p.43) Recorded observations between disease and geography, living conditions,climate, and diet

Romans: Conquered the Greeks, but

retained their medical knowledge Exceptional builders of water and

sewage systems Attention to where they located

towns and drainage Advanced study of human

anatomy and surgery

Middle Ages: In order for people to be protected,

they built fortresses around their property and animals

Overcrowding and sanitation Little emphasis on cleanliness in

early Christianity Disease was caused by sin or

disobeying God Time of great epidemics – bubonic

plague

Renaissance: Beginning of change Disease and plague still rampant Bloodletting popular “water casting” Barbers performed surgery and

dentistry Hygiene of royalty

Renaissance cont. Printing press invented so classical

writing could be reproduced OK to study the human body and

anatomy advanced Leeuwenhoek discovered the

microscope John Graunt made advancement in epi “health boards” began to be

developed in communities

Age of Enlightenment: Disease and plagues still raged Miasmas theory of disease took

hold Mind and body were dependent on

one another Edward Jenner discovered vaccine

procedure for smallpox

1800’s (Bacterial period of public Health) First half of the century diseases

continued to rage 1842 Edwin Chadwick’s report 1849 John Snow and the Broad Street pump Louis Pasteur – Germ theory of disease Joseph Lister – antiseptic method

Health Education & Promotion in the United

States Early colonial schools 1647 – “Old Deluder” law By mid 1800’s schools were tax

supported and attendance was required

1850 –first mandate to teach physiology and hygiene in all public schools

1850 - Shattuck Report

1873 – APHA started 1874-1890 Women’s Crusade,

later called the Women’s Christian Temperance Union

1890’s - medical inspections began 1901- Thomas Wood

1914 - Demonstration projects began 1914 – WWI, 1st large scale measure

of health status of Americans 1920’s-1930’s many studies designed

to clarify the role of health education Great Depression, 1929-1941 WWII, 1939-1945

1950 – Health Education was emerging as integral part of elementary, secondary, & college curriculum

1970’s:The Era of Prevention

1971 – Coalition of National Health Organizations formed

1974 – LaLonde Report Health Field Concept

1974 – CDC was established 1979 – Healthy People: The Surgeon

General’s Report on Health Promotion and Disease Prevention was published

1980’s Promoting Health & Preventing Disease:

Objectives for the Nation Initial Role Delineation study for Health

Education Examination of professional preparation

programs and professional competencies

First Certified Health Education Specialists (CHES) recognized

1990’s National Health Education Standards

published Responsibilities/competencies for

entry-level Health Educators published

SOC designation for Health Educators Competencies Update Project (CUP)

2000’s Unified Code of Ethics Report of Joint Committee on Health

Education & Promotion Terminology Promotion of CHES Revised national HE competencies (3

levels) based on CUP Outcome-Based Education & Practice