Here's a plain-English breakdown of every page in this CDC "Introduction to Public Health" slide deck:
Page 1 — Title Slide
The cover slide. It's from the CDC's "Public Health 101 Series" and is titled Introduction to Public Health. It notes that the slide set is public domain and can be freely used or customized.
Page 2 — Course Topics
A table of contents listing the 6 topics the course will cover:
- Definition & Key Terms
- History of Public Health
- A Public Health Approach
- Core Functions & Essential Services
- Stakeholder Roles
- Determining & Influencing the Public's Health
Page 3 — Learning Objectives
What you should be able to do after completing the course — things like defining public health, naming historical events, understanding core functions, identifying stakeholders, and knowing what shapes population health.
Page 4 — Topic 1 Section Header
Just a divider slide introducing Topic 1: Public Health Definition and Key Terms, illustrated with a photo of a dictionary.
Page 5 — Public Health Defined
Gives the classic 1920 definition by CEA Winslow: public health is "the science and art of preventing disease, prolonging life, and promoting health through the organized efforts and informed choices of society, organizations, communities, and individuals." Think of it as health for everyone, not just one patient at a time.
Page 6 — The Mission of Public Health
Two quotes reinforce the mission:
- Institute of Medicine: "Fulfilling society's interest in assuring conditions in which people can be healthy."
- World Health Organization: "Public health aims to provide maximum benefit for the largest number of people."
The key idea: public health is about populations, not individuals.
Page 7 — Public Health Key Terms
Defines three important vocabulary words:
- Clinical care — treating and managing illness in individuals (a.k.a. health care)
- Determinant — any factor that contributes to a health trait or outcome
- Epidemic/Outbreak — when a disease occurs more than expected in a community; "epidemic" implies a wider geographic spread
- Health outcome — the result of a medical condition affecting length or quality of life
Page 8 — Knowledge Check #1
Quiz: "Public health aims to provide ___ with the right to be healthy."
Answer: A. Groups of people (not just individuals)
Page 9 — Knowledge Check #2
Quiz: "A disease occurrence in excess of what's expected is called a ___."
Answer: C. Epidemic or outbreak
Page 10 — Topic 2 Section Header
Divider slide introducing Topic 2: The History of Public Health.
Page 11 — Sanitation and Environmental Health (History)
A timeline of environmental health milestones:
- 500 BCE — Ancient Greeks and Romans built aqueducts and practiced community sanitation
- 1840s — The UK passed the Public Health Act of 1848 in response to filthy urban conditions
- 1970 — The US founded the Environmental Protection Agency (EPA)
Page 12 — Pandemics (History)
Three major global disease events:
- Influenza (1918) — 500 million infected worldwide in the "Spanish flu" pandemic
- Polio — Vaccine introduced in 1955; global eradication effort launched in 1988
- HIV — 34 million people living with HIV; new infections declined 20% since 2001
Page 13 — Preparedness for Disaster Response (History)
Public health's role in crises:
- Biologic Warfare — Plague was weaponized during the medieval Siege of Kaffa
- September 2001 (9/11) — Public health surveillance was conducted after the attacks
- Hurricane Katrina — Emergency services, surveillance, and disease treatment were all deployed
Page 14 — Prevention Through Policy (History)
How laws and policies have advanced public health over time:
- Book of Leviticus — One of the world's earliest written health codes (diet, hygiene rules)
- Tobacco Laws — Bans on smoking in public places
- Obesity — Food labeling laws and campaigns promoting physical activity
Page 15 — Knowledge Check #3
Quiz: Which events were pandemics?
Correct answers: B. Influenza and C. Polio (both spread globally). Hurricane Katrina was a disaster, not a pandemic. The Siege of Kaffa was biological warfare.
Page 16 — Topic 3 Section Header
Divider slide introducing Topic 3: A Public Health Approach.
Page 17 — A Public Health Approach (The 4-Step Model)
Public health tackles problems using a 4-step cycle:
- Surveillance → "What is the problem?" (collect data)
- Risk Factor Identification → "What is the cause?"
- Intervention Evaluation → "What works?"
- Implementation → "How do you do it?"
This moves from identifying a problem all the way to a real-world response.
Page 18 — Public Health Core Sciences
Shows a circular diagram of the 5 sciences that support public health:
- Epidemiology (study of disease patterns)
- Surveillance (ongoing data collection)
- Informatics (data systems & technology)
- Laboratory (testing and analysis)
- Prevention Effectiveness (cost-benefit analysis of interventions)
Page 19 — Cholera: A Public Health Approach (Background)
Sets up a real-world case study. In the early 1800s, cholera killed tens of thousands in London. At the time, people wrongly blamed "bad air" from rotting matter.
Page 20 — John Snow, Physician
Introduces Dr. John Snow, considered the father of modern epidemiology. He investigated where cholera cases were actually coming from rather than accepting the "bad air" theory.
Page 21 — Epidemiology: What is the Problem?
Shows Snow's famous map of London (1854) with dots marking each cholera death. The deaths clearly clustered in one neighborhood — this was step 1: identifying the problem.
Page 22 — Risk Factor Identification: What is the Cause?
Snow overlaid water pump locations onto his death map. The cluster of deaths centered directly on one pump on Broad Street — this was the source. Step 2: finding the cause.
Page 23 — Intervention Evaluation: What Works?
Snow determined that the solution was to stop people's exposure to the contaminated water — both at that specific pump and across the broader water supply. Step 3: figuring out what intervention would work.
Page 24 — Implementation: How Do You Do It?
Snow convinced the British government that sewage-contaminated water caused cholera. Authorities removed the Broad Street pump handle, stopping the outbreak. Step 4: actually doing it.
Page 25 — Knowledge Check #4
Quiz: "Each public health core science helps us ___ and ___ the public's health."
Answer: Protect and Promote
Page 26 — Knowledge Check #5
Match each public health step to its question:
- Surveillance → What is the problem?
- Risk Factor Identification → What is the cause?
- Intervention Evaluation → What works?
- Implementation → How do you do it?
Page 27 — Topic 4 Section Header
Divider slide introducing Topic 4: Core Functions and Essential Services of Public Health.
Page 28 — Three Core Functions of Public Health
Per the Institute of Medicine, public health has 3 core functions:
- Assessment — systematically collect and analyze health data
- Policy Development — use scientific evidence to guide decisions and laws
- Assurance — make sure services actually reach people who need them
Page 29 — Ten Essential Public Health Services
These are the 10 specific things public health systems must do (shown as a wheel diagram):
- Monitor health
- Diagnose and investigate
- Inform, educate, empower
- Mobilize community partnerships
- Develop policies
- Enforce laws
- Link to/provide care
- Assure a competent workforce
- Evaluate
- Research
Page 30 — Core Functions at Government Levels
Shows how the 3 core functions play out at different levels of government, using tobacco as an example:
| Level | Assessment | Policy Development | Assurance |
|---|
| Federal | National tobacco surveillance | Smoking ban on planes | Grants for anti-smoking research |
| State | Monitor state tobacco use | Increase tobacco tax | Fund campaigns (Prop 99) |
| Local | Report local tobacco use | County smoking bans | Multilingual quit resources |
Page 31 — Knowledge Check #6
Quiz: Which is NOT a core function?
Answer: C. Authority — The three real ones are Assurance, Assessment, and Policy Development.
Page 32 — Knowledge Check #7
Quiz: Monitoring health and diagnosing disease fall under which core function?
Answer: B. Assessment
Page 33 — Topic 5 Section Header
Divider slide introducing Topic 5: Stakeholder Roles in Public Health.
Page 34 — Partners in the Public Health System
Shows a diagram with 6 partners that all contribute to population health:
- Community
- Clinical Care Delivery System
- Government Public Health Infrastructure
- Employers and Businesses
- Academia
- The Media
All 6 connect to a central goal: ensuring the conditions for population health.
Page 35 — Nongovernmental Organization Examples
A table of NGO types that contribute to public health:
| Type | Example |
|---|
| Professional membership orgs | American Public Health Association |
| Disease-specific associations | American Cancer Society |
| Citizen health advocacy groups | Americans for Nonsmokers' Rights |
| Health-focused foundations | Bill & Melinda Gates Foundation |
Page 36 — Health Care vs. Public Health
Side-by-side comparison of the two systems:
| Public Health | Health Care |
|---|
| Population focus | Individual patient focus |
| Prevention emphasis | Diagnosis & treatment emphasis |
| Public sector | Private sector |
| Public health ethic | Personal service ethic |
They're different but work together.
Page 37 — Other Partners in Public Health
Details on 4 additional partner sectors:
- Media — spreads health information, drives public discourse, social media campaigns
- Employers/Businesses — provide health insurance, wellness programs, healthy workplaces
- Government Agencies — city planning, education, "health in all policies"
- Academia — education, training, research, public service
Page 38 — Knowledge Check #8
Match stakeholder to role:
- Media → Vehicle for public discourse
- Government → Health in all policies
- Academia → Education and training
- Employers → Wellness initiatives and benefits
Page 39 — Topic 6 Section Header
Divider slide introducing Topic 6: Determining and Influencing the Public's Health.
Page 40 — Health Determinants
Lists the 4 main things that determine whether a population is healthy:
- Genes and biology (inherited traits)
- Health behaviors (smoking, diet, exercise)
- Social/societal characteristics (income, education, environment)
- Health services/medical care (access to doctors and treatment)
Page 41 — What Determines the Health of a Population? (Pie Chart)
A pie chart showing the relative contribution of each determinant. The biggest slice is social/societal characteristics (things like poverty, education, housing) — bigger than medical care alone. This is why public health looks beyond just doctors and hospitals.
Page 42 — Health Impact Pyramid (Structure)
Introduces the Frieden Health Impact Pyramid — a 5-level framework from bottom to top:
- Socioeconomic Factors (biggest impact, least individual effort)
- Making Healthy Decisions the Default (e.g., laws that make the healthy choice easy)
- Preventive Medicine (vaccines, screenings)
- Medical Care (treating disease)
- Counseling and Education (least impact, most individual effort required)
The bottom of the pyramid has the greatest public health impact because it affects everyone automatically.
Page 43 — Health Impact Pyramid (With Examples)
Adds real examples to each level:
- Counseling/Education → Tobacco warning labels, quit-smoking promotion
- Medical Care → Treatment of heart disease
- Preventive Medicine → Vaccinations, cholesterol screening
- Healthy Default → Seatbelt laws, smoking restrictions
- Socioeconomic → Poverty reduction, education access
Page 44 — Knowledge Check #9
Quiz: List the 4 determinants of health.
Answers: Genes and biology / Health behaviors / Social/societal characteristics / Health services or medical care
Page 45 — Knowledge Check #10
Quiz about the pyramid direction:
- Moving down the pyramid → public health impact grows greater
- Moving up the pyramid → individual effort required increases
Page 46 — Public Health Core Sciences (Repeated)
The same diagram from page 18 reappears as a summary visual of the 5 core sciences supporting public health.
Page 47 — Course Summary
Mirrors the learning objectives from page 3, confirming what was covered: purpose of public health, key terms, history, core functions, stakeholder roles, health determinants, and the health impact pyramid.
Page 48 — Questions?
A simple open-questions slide for discussion.
Page 49 — Resources and Additional Reading (Part 1)
A reference list of sources used in the course — CDC, Institute of Medicine, WHO, and academic journal articles.
Page 50 — Resources and Additional Reading (Part 2)
Continues the reference list with more sources.
Page 51 — Disclaimers
Standard CDC legal disclaimers: links to non-federal sites are not endorsements; trade names are for identification only; findings represent the authors, not necessarily the CDC's official position.
Page 52 — Contact / Closing Slide
CDC contact information (1-800-CDC-INFO) and website (cdc.gov), with the producing division listed: Center for Surveillance, Epidemiology, and Laboratory Services / Division of Scientific Education and Professional Development.