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The co,d ill could be treated and cured in an institution, making continuing public support unnecessary. Some 32 public institutions were established due to Dix's efforts. Although the practice of moral treatment proved to be less successful than hoped, the nineteenth-century social reform movement established the principle of article source responsibility for the indigent mentally ill.

Grob, ; Really. nc obamacare will and Sharfstein, New ideas about causes of disease and about social responsibility stimulated the development of public health agencies and institutions. As environmental cold medicine high blood pressure social causes of diseases were identified, social action appeared to be an effective way to control diseases. When health was no longer simply an individual responsibility, it became necessary to form public boards, agencies, and institutions to protect the health of citizens.

Sanitary and social reform provided the medicin for the formation of public health organizations. Public health agencies and institutions started at the local and state levels in the United States. Federal activities in here were limited to the Cold medicine high blood pressure Hospital Service, a system of public hospitals for the care of merchant seamen.

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