Public health nurses help make prevention actually happen

run in this year's big health care reform, I find it encouraging that the debate has widened rather than narrowed. Are important to discuss not only politicians, such as the reform of our health care system, they also discussed how actions can affect the lives of people within and outside the care system to help us healthier. Therefore, the terms "prevention" and "public health" is finally more and more familiar, even to the public, as a recent poll showed that voters rank as a top priority of preventing health care reform. But if you really health care reform legislation ending shift of the paradigm of how we think about health and health care to start when we see that policy to emphasize prevention as much as the disease, then we will also need to find out who was to be under the this new paradigm. In all the discussions on the proposed ideas for the payment and delivery of health care, there is very little discussed, such as health and the health care workforce need to be adjusted with these changes. When we arise from the health reform debate with more emphasis on prevention and public health, I think we are an undeniable need for a strong and well-vorbereiteten public health workers to help prevent diseases face, react and manage pandemics and natural disasters. And as public health nurses make up a quarter of employees in public health, they are of crucial importance for the implementation of health reform initiative that prevention priority and aims to improve the health of the population. Public health nurses focus on the health of the population, working with communities and the people who live in them. They promote the health of mother and child, prevent and combat the spread of tuberculosis and sexually transmitted diseases, and investigate food-borne diseases and other diseases. Open shelters and provide for the physical and mental health of the residents' basic needs. You implement mass vaccination clinics and will be asked to provide community based care and services during an emergency. They provide education for patients, such as chronic diseases, how to prevent diabetes and obesity. School-based nurses enable children with chronic diseases to success in the mainstream school to achieve. They are experts working both teachers and family members. The actions of the New York City nurse to the detection of the firstten confirmed cases of swine flu resulted in the city. But after the merger of State and Territorial Directors of Nursing (ASTDN), there is a severe shortage of health care. The number of public health nurses, based on the population has fallen dramatically in recent decades. The current shortage is complex. Bureaucratic recruitment procedures, inadequate wages, inadequate number of graduates of Baccalaureate Nursing and the aging population of nurses are einll contributing factors. State budget cuts also contribute to this deficiency. For example, in Georgia, the cuts are so serious that public health nurses will be on leave in order to reduce costs. Consequently, they have fought in order to provide essential public health, especially for the poor and underserved. These budget cuts also have an impact on staff in state and local health boards. The swine flu incident spurred revealed in the media reporting that budget cuts have many local health departments have exhausted the resources. Public health nurses to be dismissed, and departments are not to fill vacant positions. Public health nurses will be needed to help in areas that provide recurrent natural disasters and for the patients in case of pandemics orTerror attacks will deal. Failure to remedy the deficiencies in health care reform initiatives are truly a missed opportunity would be. We can not ignore the important contributions of public health nurses already in our country, the public health. And develop, as policy makers health reform legislation with the aim of improving quality, access, cost control and the promotion of prevention, we should examine what additional contributions of public health workers - specifically, public health nurses - offers to improve our population's health