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Essentials of Social Inequality and Health Disparities

PUBH 5201 - Essentials of Social Inequality and Health Disparities

This course introduces students to (a) the extent of health disparities across the US population, (b) how social inequality contributes to health disparities, and (c) why attention to social inequality is essential to the effective practice of clinical medicine and dental medicine. The course examines how society’s social, economic, political and cultural institutions are structured and why they perpetuate the unequal distribution of opportunities that systematically limit the life chances and experiences of individuals. A range of social determinants (race/racism, poverty, income inequality, education, environmental conditions, social capital, social cohesion, social mobility, safety/security, criminal justice system) are considered that may influence health, either directly or as pathways for other determinants. PUBH 5201 addresses the function of public health assessment. PUBH 5201 provides students with a conceptual basis for the complementary course, PUBH 5202 Eliminating Social Inequality and Health Disparities.

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PUBH 5202 - Eliminating Social Inequality and Health Disparities

This course examines the evidence for structural, community, and individual-level interventions to reduce the impact of inequity on health and health care utilization. The course focuses on identifying and implementing multi-level interventions that may reduce inequities by altering the social, economic, and other structural aspects of the environment. It will also address challenges of implementation and ways to reduce potential barriers. The course builds on the conceptual basis of PUBH 5201, Essentials of Social Inequality and Health Disparities, although no prerequisite is required.

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PUBH 5400 - Introduction to Public Health

Provides an introduction to the discipline, its scientific foundations, and its relationship to other fields including clinical medicine. The basic concepts and skills necessary for a practitioner of public health are explained. Students gain a better appreciation of epidemiology to guide public health interventions and the development of public health policy.

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PUBH 5401 - Principles of Epidemiology

Introduction to epidemiological concepts and methods as applied to public health research, community diagnosis, prevention, health planning and evaluation studies. Intensive use of exercises in descriptive and analytic epidemiology based on current investigations.

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PUBH 5402 - Introduction to Biostatistics

An introductory presentation of the fundamentals of biostatistical theory and application, aimed at developing competence in the use of statistics, probability distributions, hypothesis testing, inference and estimation as applied to the most commonly used techniques in parametric and nonparametric statistical methods. Critical appraisal of research reported in journal articles serves as an application of learned techniques.

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PUBH 5403 - Health Administration

Examination of past, present, and proposed approaches to the organization and management of health care services. Emphasis is on the role and functioning of the manager and the evolution of health care policy and trends as they affect managerial roles.

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PUBH 5404 - Environmental Health

Explores the policy, political and public health implications of such issues as air pollution, drinking water, exposure to hazardous chemicals, indoor air pollution, food protection, lead poisoning, housing, international issues, etc. Provides the student with some basic technical information and familiarity with terms for a better understanding of policy and political decisions and health effects of environmental exposures.

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PUBH 5405 - Social and Behavioral Foundations of Public Health

An introductory survey emphasizing basic social science concepts in the analysis of public health including orientations toward health, disease and health care, the origins and distribution of health care resources, and the role of social movements and research in improving public health.

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PUBH 5406 - Law and Public Health

An introduction to the American legal system as it relates to health care and public health. Sessions present important applications of law to health including the powers of state governments, public health at the federal level, hospital, physician and HMO liability, emergency care and medical research, mental health law, reproductive health and the right to privacy, the right to refuse treatment and end of life issues, privacy and confidentiality in health care, infectious disease law and disability discrimination, and public health policy and advocacy.

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PUBH 5407 - Practicum in Public Health

Under faculty guidance, students undertake an organized set of activities that responds to an identified need of a public health agency or health-related organization. The activities may involve the policy development, planning, implementation, administration or evaluation of public health services, or a combination of such activities. Students should be appropriately advanced before initiating the practicum.

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PUBH 5408 - Introduction to Epidemiology & Biostatistics I

This is the first of a two-course sequence introducing students to concepts and methods of epidemiology, biostatistics and public health research. Topics include nature of variability, common probability distributions, causal reasoning, control of bias and confounding, descriptive and analytic design of observational and experimental studies, principles of disease screening and clinical efficacy.

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PUBH 5409 - Introduction to Epidemiology & Biostataistics II

This continuation of a two-course sequence on basic epidemiology, biostatistics and public health research addresses hypothesis generation, data collection methods, point and confidence interval estimation, inference testing, correlation/regression analysis, multivariable interaction, effect modification, power and meta-analysis. Evaluation of study designs, research methods and statistical procedures in clinical and public health literature will be stressed.

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PUBH 5410 - Fundamentals of Strategic Planning

Fundamentals of strategic planning for public and non-profit organizations emphasizing the development of mission and vision statements, stakeholder analysis, scanning of internal and external environments; formulation and implementation of goals and objectives, definition of strategic issues,program planning, and evaluation. Introduction to related concepts in long range planning and group decision making. A group strategic planning project caps the course.

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PUBH 5412 - Health Regulation

Focus is on the relationship between law and health care. Regulation of practice, practitioners and facilities. Legal aspects of alternative delivery systems including managed care. Legal and ethical dimensions of the health care provider-client relationship also are addressed.

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PUBH 5414 - Health Economics

An introduction to economic theory and various applications of economics in the analysis of the U.S. health care system.

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PUBH 5416 - Principles of Quality Improvement

Quality improvement (QI) is the art and science of improving quality of care by continuously making small improvements in key steps or processes. Because systems of care are inherently complex, people need tools and methods to recognize and prioritize what changes are necessary and to know how to implement and evaluate such changes. Several basic principles or concepts underlie QI efforts, such as variation, leadership, systems thinking, and the psychology of motivation. This course will describe critical principles and concepts important to QI and will illustrate their practical application to health care settings.

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PUBH 5419 - Public Health Agencies

Takes organization and management theory into practice. The focus is on governmental and non-profit agency management and administration. Emphasis is on developing and defending budgets, personnel management, working within the political context, with the community and with multiple agencies.

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PUBH 5430 - Public Health Informatics

An overview of the basic information skills required to clarify a health-related information need and identify and use appropriate information resources to select materials that answer that need. The course will include discussions of health-related networks and information resources, demonstrations of their appropriate use, class exercises and a semester project. Enrollment limited to 12.

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PUBH 5431 - Public Health Research Methods

Introduction to conceptualization, methods, and analysis in public health research including: formulation of research questions and hypotheses, development of research and analytic models, use of qualitative (interviewing and observation) and quantitative (seconday and survey data) data collection methods, and qualitative and quantitative data analysis leading to the formulation of research projects.

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PUBH 5432 - SAS Programming and Data Management

Focuses on SAS programming to introduce the most commonly used features of the language, including data definition, modification and organization; data manipulation and selection; data display and basic data analysis using descriptive statistics. Students also learn to create datasets using data entry or importing from other programs.

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PUBH 5433 - Health Program Evaluation

Methods of evaluating the implementation and impact of health programs. Topics include: specification of program objectives and components, experimental and quasi-experimental evaluation designs, collection and analysis of program data, and the dissemination and application of evaluation results.

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PUBH 5434 - Topics in Intermediate Biostatistics

An introduction to the interplay of experimental design and data analysis. Begins with a review of statistical estimation and testing. Topics include analysis of variance, linear regression, and power analysis. Applications are emphasized through the demonstration and use of statistical software.

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PUBH 5435 - Statistical Methods in Epidemiology

An introduction to the statistical methods most commonly used in analyzing data from epidemiological studies. The course begins with a review of basic epidemiology and statistics. Subsequently, the focus is on contingency table methods and logistic regression with emphasis on dose-response relationships, interaction and confounding. Computer software for data analysis is demonstrated.

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PUBH 5436 - Intermediate Epidemiology

This course will go into depth on some of the major design and implementation issues in epidemiology and biomedical research. By the conclusion of the course, the student should have a better appreciation of the importance and complexities of epidemiological investigation.

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PUBH 5437 - Epidemiological Research Appraisal

A research seminar on uses, strengths and limitations of epidemiological methodology. Major studies in infectious disease, chronic disease and health care epidemiology are critically analyzed. The goal is to promote sound judgment of the scientific validity of epidemiological evidence.

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PUBH 5438 - Investigation of Disease Outbreaks

Provides students with the basic skills and perspectives necessary to investigate acute disease outbreaks. The emphasis is on the use of epidemiology to investigate outbreaks of infectious diseases, guide public health interventions, and develop public health policy. Students will participate in an outbreak investigation conducted by the state health department.

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PUBH 5439 - Epidemiology of Cancer

An introductory survey of how basic and epidemiological research inform cancer control and prevention. It is geared towards, but not limited to, matriculated MPH students, public health professionals, health care providers, and epidemiologists. No prior knowledge of cancer pathology is required.

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PUBH 5440 - Public Health Issues in Genetics

The Human Genome Project and other research initiatives are providing us with new opportunities to screen, diagnose and provide novel interventions for a range of genetically determined diseases. The goal of this course is to provide sufficient understanding of inheritance patterns and genetics technology to appreciate the associated public health issues.

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PUBH 5450 - Public Health Practice

Discussion of initiatives to define the practice of public health, including the Institute of Medicine (IOM) Report on the Future of Public Health and the Public Health Service’s “essential functions” of public health. Includes review of expenditures studies and estimates of actual public health infrastructure resource needs, as well as discussion of appropriate future roles for public health.

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PUBH 5451 - Maternal and Child Health Policy and Programs

This introductory course will examine maternal and child health (MCH) programs and policy from the past to the present. Children’s rights, advocacy and MCH history will be discussed to provide a foundation to understanding the philosophy and importance of MCH. The health and development of children will be addressed starting with families and working through each of the developmental cycles: maternal and infant health, preschool, school age, and adolescent health. Topics that are cross- cutting across the MCH spectrum such as health disparities, women’s health and international health will also be discussed.

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PUBH 5452 - Injury and Violence Prevention

Injury and violence are major preventable public health problems with predictable patterns. The purpose of this course is to familiarize the student with the epidemiological literature of intentional and unintentional injuries. The course is designed to focus on the knowledge and skills required to design, implement, and evaluate scientifically sound community injury prevention and control programs.

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PUBH 5453 - Chronic Disease Control

Chronic diseases are examined from clinical, epidemiological and program planning perspectives. Diseases examined include: selected neoplastic diseases, cardiovascular diseases, chronic obstructive pulmonary diseases, cerebrovascular disease and diabetes. The role of public health agencies, for profit and non-profit entities in research, education, and risk reduction activities also are covered.

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PUBH 5454 - Infectious Disease Control

Overview of microbiology. Agent-host environment relationship in causation and control of infectious diseases. Epidemiological patterns of major infectious diseases, with emphasis on sexually transmitted diseases, respiratory conditions and nonsocomial infections.

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PUBH 5455 - Health Education

Methods for planning, presenting, and evaluating health education programs in communities, schools and worksites. Includes use of the Precede Model, setting of goals and objectives, behavior modification theory, group processes, teaching techniques and activities for developing and presenting workshops or courses.

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PUBH 5460 - Health and Human Rights

Explores the many ways in which human health and well-being are related to human rights. Human rights are a field of international law which includes major treaties, treaty bodies, and adjudicatory mechanisms. This course will review the ways in which human rights instruments and jurisprudence have addressed health and issues related to health. Students will also study a wide range of substantive public health issues that have a human rights dimension, and consider the ways that human rights are used as advocacy tools to improve the structural environment that shapes the public’s health.

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PUBH 5461 - Healthcare Law and Ethics

An analysis and evaluation of the legal rights of patients and providers in the health care process. Specific topics may include: nature of rights, consent to treatment, contraception, abortion, sterilization, involuntary commitment, and allocation of limited medical resources.

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PUBH 5462 - International Health

Examines primary health care as a model suited to the health needs of developing nations. Provides a broader understanding of the genesis of illness in developing countries and analyzes the kind of care required to have an impact on these illnesses.

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PUBH 5463 - Comparative Health Systems

An analysis of national health systems in relation to their socio-economic, political, cultural, and epidemiologic contexts. The examination of alternative approaches to organizing scarce health care resources serves as an integrating theme.

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PUBH 5465 - Occupational Health

Recognition and prevention of occupational disease and injuries, including social and political aspects and policy issues such as OSHA and Workers’ Compensation laws. Overview of some of the major occupational disease issues. Approaches of industrial hygiene, ergonomics, and occupational epidemiology to understanding and preventing occupational health hazards.

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PUBH 5466 - Industrial Hygiene

The skills required to recognize, evaluate and control occupational hazards. Review of hazards associated with a variety of work processes and jobs. Students learn how to take an occupational history, to research the hazards associated with an industry, and to conduct a plant walk-through. Control methods, such as ventilation and personal protective equipment, are evaluated.

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PUBH 5467 - Occupational and Environmental Disease

Clinical introduction to occupational disease, including diagnostic strategies and patient management techniques. Review of the diseases of primary target organs, including the range of syndromes from that organ, appropriate diagnostic techniques, and treatment options.

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PUBH 5468 - Occupational and Environmental Epidemiology

Topics include the history of occupational epidemiology, causal models, occupational exposure classification systems, environmental epidemiology, cohort mortality studies, cross-sectional surveys, case-control studies, ecologic studies, and statistical and methodological issues in research design and their solutions.

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PUBH 5472 - Disability and Public Health

Examines both developmental and acquired disabilities from a public health perspective. Public health issues of cognitive and physical disability, including: prevention, diagnostic and definitional considerations, epidemiological and statistical controversies, legal and ethical aspects, treatment considerations and research concerns.

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PUBH 5473 - Women, Public Health and Reproduction

The history of reproduction and public health issues in the U.S.; underlying ethical issues in modern reproductive health care and key components of opposing views; major financial, social and emotional considerations in policy making and the increasing role that reproductive health plays in public health as a whole.

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PUBH 5474 - Urban Health

Comprehensive overview of historical forces and social factors related to the health status of African-Americans, Hispanics, and other minority groups in American society. Although much of the course content examines current minority health issues, the use of theory and research to identify underlying causes and to suggest practical strategies/interventions for addressing these problems is a major focus.

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PUBH 5475 - Public Health and Policy in an Aging Society

This course examines the demographics of aging; organization, financing and delivery of health services for older adults; formal and informal caregiving; retirement and housing policy; and end of life care. Policy and ethical aspects of these topics will be explored. The course will be research-oriented, integrating empirical evidence to illustrate central concepts. Familiarity with basic principles of research design, including ability to critically read and synthesize scientific literature, is important.

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PUBH 5476 - Community Mental Health

Overview of mental illness, substance abuse and related conditions, including epidemiological patterns and interventions. Chronic mental patients, the homeless mentally ill and other special groups. The community mental health movement and role of government. Regulations and mental health law.

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PUBH 5477 - Food, Health and Politics

This course will provide a comprehensive overview of the factors that influence how our food is grown; what foods are available, affordable, and advertised; and the ensuing public health implications. We will examine the history of food production in America, the development of public and private food assistance programs, the fast food movement, and food marketing. Students will explore the political, social, economic and enviromental factors that impact food availability and consumption, and discuss the implications of these factors on health outcomes, such as obesity, hunger, chronic diseases, and health disparities.

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PUBH 5495 - Independent Study in Public Health

An individual course for those wishing to pursue special topics in the public health sciences under faculty supervision.

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PUBH 5497 - Graduate Seminar in Public Health

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PUBH 5498 - Field Experience in Public Health Systems

Under direction by field preceptors, students will participate in an intensive service-learning experience wherein they will examine a timely public health issue from the perspective of health indicators/disease surveillance; policy development; planning, implementation, or evaluation of public health services; essential public health functions; and operational issues of a large complex public health agency/organization.

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PUBH 5499 - Capstone Project in Public Health

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PUBH 5501 - Foundations of Public Health and Disability

This course is an introductory survey of the ways in which disability, both developmental and acquired, are affected by and interact with public health policy and practice. The major goal is to provide a foundational understanding of a comprehensive set of disability issues as related to the core elements of public health. Topics covered include: history of disability, definitional and diagnostic issues of disability, epidemiology, disability law, ethics, interventions, research, underlying social attitudes toward disability and their impact on public health policy and practices, and more. The course is intended for students matriculated in the PHCIDS program. Other students may take the course with instructor permission.

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PUBH 5502 - Epidemiology of Disability

This course extends the concepts and methods of epidemiology to disabilities and their risk factors incidence and prevalence rates. Research design and etiologic factors are emphasized. Students will develop competency in identifying and understanding the historical context of disability epidemiology, and epidemiological terminology of specific disability conditions and methodological concepts. The goal is to provide students a foundation in epidemiological methods and an understanding of the ways disability can provide a useful perspective on epidemiological studies that advance the field of public health. The course is intended for students matriculated in the PHCIDS program. Other students may take the course with instructor permission.

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PUBH 5503 - Disability Law, Policy, Ethics, and Advocacy

The goal of this course is to provide students a legal, conceptual, and practical understanding of people with disabilities, forms of discrimination on the basis of disability, and protections against such discrimination. Students will evaluate and understand policy, principles, and social issues that affect the lives of persons with disabilities and their families. Topics include federal, state, and international laws, policies, advocacy and ethics specific to: health and well-being; discrimination; education, employment; human rights; and more as related to people with disabilities. The course is intended for students matriculated in the PHCIDS program. Other students may take the course with instructor permission.

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PUBH 5504 - Public Health Interventions in Disability

In this course students will examine and analyze disability public health interventions from the perspective of the interplay between society, community, health and wellness, environment, resources, and services systems. Students will learn, through evidence-supported practices and initiatives, how society, health, and environment shape and are shaped by disability; and how full societal participation, reduction of personal obstacles and harm, and preservation of just and safe environments for people with disabilities can be realized. The course is intended for students matriculated in the PHCIDS program. Other students may take the course with instructor permission.

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PUBH 6490 - Public Health Seminar

This student-centered seminar series will meet weekly in both the Fall and Spring semesters of the student’s first 2 years and will introduce the students to a broad range of faculty and outside speakers in public health. The seminar will follow a cycle where students read and discuss papers for an upcoming presenter, the next week the speaker will present and participate in discussion and questions and answers, and the following week there will be a student presentation. During their fourth semester, students will present an overview of the literature supporting their proposed research project. This seminar is common to all students in the doctoral program in public health.

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PUBH 6491 - Advanced Topics in Social and Behavioral Foundations of Public Health

This seminar course will be given in parallel with the MPH survey course, Social and Behavioral Foundations of Public Health (PUBH 405) with the goal of more in-depth exploration of the topics presented in the survey course. The objective is to gain a more advanced understanding of the concepts and theories in the social and behavioral sciences and their ability to explain patterns of health, illness and health care utilization, practices and policies. In conjunction with the survey course, the biopsychosocial paradigm of health and illness will provide the conceptual framework for integrating the societal, interpersonal, and intrapersonal factors that influence the public’s health. To be taken concurrently with PUBH 405.

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PUBH 6492 - Advanced Topics in Health Promotion, Disease and Disability Prevention

An in-depth examination of health promotion and disease and disability prevention policies, programs and strategies. This course will involve continued examination of important national and international issues in health promotion and disease and disability prevention that compliment those raised in GPAH 324. Students will critically analyze the health promotion and disease and disability prevention scientific literature relating to a critical issue of their choice. The format for this critique will be a seminar presentation and a written scientific synthesis. To be taken concurrently with GPAH 324.

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PUBH 6493 - Occupational and Environmental Health: Exposures, Risk and Prevention

Exposure pathways, risk analysis techniques and prevention strategies relevant to both occupational and environmental settings. Lectures reinforced by discussion of case studies presented by students.

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PUBH 6495 - Independent Study of Special Topics in Advanced Public Health Sciences

A doctoral-level independent study course for Ph.D. students who wish to pursue special topics in advanced public health sciences under faculty supervision.

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