A Beginners Guide to the Industrial Revolution

A Beginner's Guide to the Industrial Revolution The Industrial Revolution refers to a period of massive economic, technological, social, and cultural change which affected humans to such an extent that its often compared to the change from hunter-gathering to farming. At its simplest, a mainly agriculture-based world economy using manual labor was transformed into one of industry and manufacturing by machines. The precise dates are a subject for debate and vary by historian, but the 1760/80s to the 1830/40s are most common, with the developments beginning in Britain and then spreading to the rest of the world, including the United States. The Industrial Revolutions The term industrial revolution was used to describe the period before the 1830s, but modern historians increasingly call this period the first industrial revolution. This period was characterized by developments in textiles, iron, and steam (led by Britain) to differentiate it from a second revolution of the 1850s onwards, characterized by steel, electrics, and automobiles (led by the U.S. and Germany). What Changed Industrially and Economically The invention of steam power, which replaced horses and water, was used to power factories and transportation and allowed for deeper mining.The improvement of iron-making techniques allowing for vastly higher production levels and better material.The textile industry was transformed by new machines (such as the Spinning Jenny) and factories, allowing for much higher production at a lower cost.Better machine tools allowed for more and better machines.Developments in metallurgy and chemical production affected many industries.New and quicker transport networks were created thanks to first canals and then railways, allowing products and materials to be moved cheaper and more efficiently.The banking industry developed to meet the needs of entrepreneurs, providing finance opportunities that allowed the industries to expand.  The use of coal (and coal production) soared. Coal eventually replaced wood. As you can see, an awful lot of industries changed dramatically, but historians have to carefully untangle how each affected the other as everything triggered changes in the others, which triggered more changes in return. What Changed Socially and Culturally Rapid urbanization led to dense, cramped housing and living conditions, which spread disease, created vast new city-dwelling populations, and a new sort of social order that helped to establish a new way of life: New city and factory cultures affecting family and peer groups.Debates and laws regarding child labor, public health, and working conditions.Anti-technology groups, such as the Luddites. Causes of the Industrial Revolution The end of feudalism changed economic relationships (with feudalism used as a useful catch-all term and not a claim that there was classic-style feudalism in Europe at this point). More causes of the Industrial Revolution include: A higher population because of less disease and lower infant mortality, which allowed for a larger industrial workforce.The agricultural revolution freed people from the soil, allowing (or driving) them into cities and manufacturing, creating a larger industrial workforce.Proportionally large amounts of spare capital for investment.Inventions and the scientific revolution, allowing for new technology.Colonial trade networks.The presence of all the required resources located close together, which is why Britain was the first country to experience the industrial revolution.A general culture of hard work, taking risks, and developing ideas. Debates Evolution, not revolution? Historians such as J. Clapham and N. Craft have argued that there was a gradual evolution in industrial sectors, rather than a sudden revolution.How the revolution worked. Historians are still trying to pry apart the heavily interwoven developments, with some arguing that there were parallel developments in many industries and others arguing that some industries, usually cotton, surged and stimulated the others.Britain in the 18th century. The debate still rages over both why the industrial revolution began when it did and why it began in Britain.

Social problem facing the contemporary US

Social problem facing the contemporary US Introduction The US is a first world country with visible developments in the communal realms. It is recognizable as a developed country with minimal flaws. Nevertheless, in recent years numerous negative things have been associated with such an entity.Advertising We will write a custom essay sample on Social problem facing the contemporary US specifically for you for only $16.05 $11/page Learn More They include war, crimes, poverty, racism and discrimination, which affect them socially and economically. Mooney, Knox Schacht (2010) thus define a social problem as any social condition that has a negative impact on the society and the environment. A variety of social problems faces the American citizens in the contemporary society. These include crime, war, inaccessibility to better care, poverty, unemployment, bigotry and inequity, illegal immigrations and inadequate shelter. These are examples of social problems, which affect such a populace thus the need f or the government to address them swiftly lest they exude negative impact on subsequent generations. This paper mainly focuses on the health care issues affecting the contemporary American society with a definite focus on African Americans, elderly and related special groups. Healthcare The sole social problem facing the contemporary United States during this century pertains to healthcare. For example, obesity, cancer, diabetes and sexual abuses are prevalent. Mooney, Knox Schacht (2010) reviewed studies that indicated that in every three women in a relationship at least one has been battered, forced into sexual activity or abused in numerous ways. Unfortunately, persons they know normally initiates such acts. Despite the notion that battering is one of the major causes of hurt, and disability among the African-American women, most healthcare centers are not able to recognize this incident as a healthcare issue. Furthermore, the rate at which the African-American citizens are invo lved in drug abuse especially smoking leads to an increase in the death rate of the population due to heart diseases, strokes and cancer. According to Patel and Rushefsky (2008), federal courts passed a ruling on the medical care civil rights act in 1994, which was to offer health care services to all patients regardless of race, division or the social economic status of an individual. Unfortunately, this problem is yet to be substantially analyzed. Analysis of the problem Although several persons have ignored such a concern, it is evident that for an individual to comprehend the current health care crisis of the African American population, one must understand the legacy of the experience of the slavery. This is together with the role of racism in the provision of diverse facets of care (Patel and Rushefsky, 2008). Former Senator Bradley once said that the slavery experienced by the African American population was and still is the American’s first sin since racism persists a s the unresolved dilemma.Advertising Looking for essay on social sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More With reference to the most recent research, it is evident that most medical services offered by the American government consciously or subconsciously discriminate the African American. For instance, a report by the â€Å"U.S. Department of human health services† indicates that, the ethnic minorities are treated differently as compared to the whites due to either racial bias or cultural misunderstanding (Patel and Rushefsky, 2008). Another factor that has contributed to the poor medical services to the African American in America incorporates their beliefs and ethics. Such aspects have a great impact on their lifestyle, health care maintenance and education. For instance, the blacks are always regarded lower thus, the services they obtain from the care sector is of lower standard as compared to the service s given to the whites. Such intolerance and bigotry has further lead to the continuous increase of the medical care costs with time. Furthermore, the idea of insuring an employee by an employer has its limitations. This is attributable to the fact that companies with many employees can insure them medically, while those companies with few employees, covering their employees’ medical cover fail to acquire the appropriate resources. By doing the latter, the company is ultimately giving the employees an extra burden of paying their own medical bills including the family members. This often culminates as a costly affair. Apart from the working class, there are the elderly people in the society who require care services. However, the fee of management is often elevated since they require additional services like nursing homes and drug prescriptions, which are costly while the young require hospital services only (Patel and Rushefsky 2008). Sociological theory as a basis for explan ation Sociological theory can be termed as a set of solid ideas and information that allow for the systematization of social world basing on established notions. These theories change with time depending on changes arising in the social world. An example of a sociological theory that explains the health care of the Americans is the rebellion theory, which indicates that the society shuns approved goals and agreements. Dillon (2007) indicates that this notion would question the economy of the health care and the social inequality. Despite having good intentions to the society by trying to provide good health care, the social, political and economic interests always ends up interfering with their goal. This occurs when the stipulated strategies that scrutinize the performance of the health care services is not applied effectively leading to low outcome performance of the hospital services, insurance companies, pharmaceutical drug companies. Furthermore, doctors’ together with n urses’ professional jobs, corporate and small business employers, federal and states government and medical malpractice lawyers are included.Advertising We will write a custom essay sample on Social problem facing the contemporary US specifically for you for only $16.05 $11/page Learn More In addition, Marxist’s sociological theory claims that class is a very important factor that determines the access of an African American to health services, privileges and power in America. This situation affects the blacks despite that both the whites and the blacks are subject to similar conditions (Dillon 2010). Conclusion In spite the care problems facing the country, several strategies are employed to improve delivery of care. There is a continuous improvement of the standard of services offered by the medical health care organization and the insurance companies. Electronic system is being set up to examine and assess the medical care services. Additio nally, appropriate policies and guidelines governing the use of health care resources effectively must be set. The government should reduce costs associated with health care to advance accessibility by citizens. By doing this, the health care crisis will have negligible unenthusiastic force on the societal realms. References Dillon, M., (2010). Introduction to sociological theory: theorist, concepts, and their  applicability to the twenty- first century, Malden, MA: Wiley- Blackwell. Mooney, L.A., Knox, D., and Schacht, C., (2010). Understanding social problems, seventh Edition, Belmont, CA: Wadsworth. Patel, K., Rushefsky, M. E. (2008). Health care in America: separate and unequal,  New York, M.E. Sharpe, Inc.

Current Events in Public Health LeadershipLeadership Perspective Assignment

Current Events in Public Health LeadershipLeadership Perspective - Assignment Example Sebelius acknowledged that the eight-week period of the health care insurance marketplace roll-out was the lowest point in her work as secretary of Health and Human Services. This is not surprising because the failure has severe political impact on both the Obama administration and the policy itself. Such failure already eclipsed the positive outcomes of the policy, which already enrolled up to 7.1 million Americans (NBC 2013). More importantly, however, it reflected the brand of Sebelius leadership particularly in managing a complex project that could indicate an inadequacy to take the lead in the area of public health. The insurance marketplace roll out required health care enrolment online. A website, HealthCare.gov, was created in order to serve as the primary destination for Americans to buy insurance. Upon its launch, however, it encountered severe connectivity issues, server downtimes and serious inability on the part of users to use the website productively, frustrating many Americans in the process. One could say that Sebelius is not the developer of the website and did not create its code. However, the event demonstrated how she was able to handle one of the most critical programs not just of the health department but also of the incumbent administration. The outcome reflected her performance as a leader of health department. Her leadership style appears to be largely political in nature and this is not surprising because she was a political appointee and was the Kansas governor previously. This goes against the necessity to appoint leaders of public health that have the capacity to understand and, therefore, deal with the complexities and scale of problems and issues in public health. Koh and Jacobson (2009) stressed that public health problems entail special challenges that require long-term solutions and the cooperation of numerous stakeholders (p. 199). Sebelius failed in this respect.

Landscape design details, structural details or architectural facets, Essay

Landscape design details, structural details or architectural facets, visual rhetoric and overall set-up. (These are just some key words) - Essay Example In short, in the modern world, a pure portion of nature free from the effects of modernization qualifies to be called paradise. This has led to [landscape] architects to shout out calls to redeem nature from the increasing globalization. This is because architecture has the potential of redeeming several paradises. Evident in Solnit’s essay â€Å"Thirty-Nine Steps across the Border and Back† are multiple definitions of a paradise in the modern world. In evaluating her writings about the elusive paradise, this study will analyze scenery inside the Vizcaya Museum in Miami. The architectural setup of the Vizcaya Museum in Miami matches Solnit’s idea of paradise in which case paradise is created by secluding unique portions of nature and setting them away from human interference. In the chosen scenery, the central object visible is a sunken water body enclosed within concrete walls that rise about half a meter above ground level. The concrete walls indicate old age and have columns on the left side that end up in a vase-like top used as holders where plants with dense leaves like cactus grow. To the left of the water body is a row of mature trees that have evidently attained maturity. Their branches hang over the water catchment below. The overhanging branches are adorned with a type of running plant with tiny leaves that form dense clusters on the old branches. To the left of the trees is a pavement meant for visitors to walk on. To the left of the pavement is a neatly-trimmed hedge of dense green bushes. To the right of the water body is a neatly-kept lawn with low-lying trimmed grass. In the lawn are younger trees that are neatly trimmed to be cylindrical with flat tops. Today’s version of paradise in definition would be a place that is most striking and contrasts largely with the environment that we interact with daily. It may encompass material elements such as the water body and lawn in the photo above. It may

Policy Issues in US Healthcare

Policy Issues in US Healthcare Jessie E Salters   POLICY/ADVOCACY PROJECT The Georgia Public Policy Foundation is a 501(c) (3) non-profit, nonpartisan research institute. The Foundations mission is to improve the lives of Georgians through public policies that enhance economic opportunity and freedom. The Foundation is state orientated, independent, and without particular interest towards any political group. Georgias Public Policy Foundation conducts scholarly research and analysis of state public policy issues and work to educate citizens, policy makers and the media. Several events throughout the state are hosted each year to discuss issues relating to public policy issues that affect Georgians. The present policy issue of significance that this agency is actively seeking to address is health care spending. According to the Georgia Public Policy Foundation, (georgiapolicy.org/2016/08/guide-issues-health-care) the government office of accountability non health care spending accounts for the consistent overall percentage of our Gross Domestic Product (GDP) over time, however health spending increases at an overwhelming rate. Funds that are spent on Social Security, defense, domestic programs, etc., excluding interest expense left unattended causes unsustainable federal deficit spending. This type of spending overshadows other budget interests pertaining to education and transportation thus causing health care spending to strain Georgias families budgets. Health care is very complex and has many challenges to try and address as a whole. The Georgia Public Policy Foundations plan to address the issue is by focusing their attention on what they consider to be policy issues that are misrepresentative of our health care system. The Foundation is addressing the federal tax policy, the Emergency Medical Treatment and Active Labor Act (EMTALA) and coverage for pre-existing conditions.   The Foundation proposed to tighten gaps within the federal tax policy by redefining refundable tax credits to allow unused credits to reimburse safety net providers. This is assumed to be the most impartial way to improve access to health care and provide individuals with alternative ways to purchase health care insurance. The uncompensated care issues caused by the Emergency Medical Treatment and Active Labor Act would be alleviated by use of the tax credits. The tax credits would assist in the transparency between employers provided insurance vs. commercially purchased insurance. To prevent take-over by employer insurance the tax credits would only be offered to employees that dont have employer insurance. Pre-existing conditions would be address by replacing costly regulations with high-risk pools. This is beneficial to individuals who are considered to be medically uninsurable based on certain health conditions or reasons.   The Georgia Public Policy Foundations expected response as a result of their advocacy efforts would be a sound health policy with the characteristics being Patient Centered, Security for the Sickest, Equitable Tax Treatment, Personal Responsibility, Access for All, and Transparency. In reverence to the above current policy issue the article by Alan R. Weil, Coverage Expansion, Accountable Care, and More. Health Affairs 36, no.1 (2017):7 doi: 10.1377/hlthaff.2016.1607 expressed concerns that are associated with the above policy issues. This article identified health care as a primary talking point during the election year. The Affordable Care Act was considered to make Health Care accessible and affordable for all. However, health care coverage expansion, accountable care, and disparities are issues associated with the Georgia Public Policy Foundation. Health care premiums continued to sky rocket in 2016. The health care market is difficult to measure since insurance premiums continued to change from year to year and underwriting has a significant effect on prices. Premium increases are based on the prices of product offered and not products people actually buy. Health Affairs, (2016.1607) reported disparities in California that showed individuals switched their insurance plans to the plan of lowest cost. This in turn caused a rise in the amount of money paid by enrollees, more than individuals that were only searching for insurance. Reports indicated a third of individuals did not received insurance discounts due to the lack of knowledge or because of obtaining the insurance out of the Affordable Care Act Marketplace. Medicare Shared Savings Programs used data that was from two years of services provided by accountable care organizations (ACOs) that indicated racial and ethnic disparities.   New payment procedures are needed to ensure a positive quality of healthcare is provided and accessible. Cost and health care quality in the Alternative Quality Contract (AQC) was compared among enrollees in regions of Massachusetts with lower and higher socioeconomic status which found disparities in process measures but not in outcome measures. Medicare subsidies are not equal to the quality and improvements as in the Alternative Quality Contract. The information contain in this article illustrate and support the need for advocacy in implementing consumer driven health care reforms. This article describes how difficult it is to achieve health care at the local, state and federal levels due to systematic and controversial differences that are prevalent and are affecting our health care system. The need for continued advocacy at all levels is vital to succeeding at revitalizing our health care system. REFERENCES Alan R. Weil, Coverage Expansion, Accountable Care, And More: Health Affairs 36, no. 1 (2017): 7 doi: 10. 1377/hlthaff.2016.1607 Guide to the Issues: Health Care: Retrieved From; http://www.georgiapolicy.org/2016/08/guide-issues-health-care/

Need and Everyday Life Essay

Doing skills in everyday life allows us to meet our individual needs We can maintain support for our clients in their life by discussing their needs with them and how they wont to tackle them. I work in a unit for severe learning disabilities and we discuss with parents and the client what they would like to achieve Through the days we work with the clients for them to be able to fulfil their needs and activities. Working alongside them allows them to be able to complete their tasks themselves; this takes a more person centred approach. The clients also feel a sense of pride in what they have achieved and satisfaction. We could do the tasks for the clients and take away their choice it could lead to the clients having behaviour problems, also in the long term they will lose skills they have will not be able to learn or regain skills. 1. 2 Analyse reasons why individuals may need support to maintain, regain or develop skills for everyday life You may find that in different stages of life people will have different problems that affect skills for everyday life One of the clients I work with has autism and shows different variants during different times of the year At Christmas time his behaviour turned quite aggressive and everyday tasks took a lot long and needed a lot more support. He also needed the support to understand how the behaviour is not socially accepted. He attends college on a regular basis but as his social skills is quite limited because of his condition and during these times he requires more support from carers to be able to cope in the situation and carry on with the course he enjoys. As he is doing this on a regular basis and getting to know the people support is beginning to get less We also have to remind him about hygiene on a regular basis and are encouraging him to wash his own clothes and prepare his own food giving him the opportunity to live partially independently. At Christmas this skills were lost through his behaviour and he needed continual support to relearn them We also have clients that have physical disabilities as well as learning disabilities; to be able to develop skills for everyday life they require support. A lot go swimming and have learnt to swim but to be able to do this activity they need the support of carers to take them there and change them. 1. 3 Explain how maintaining, regaining or developing skills can benefit individuals In doing this it will help with the wellbeing of the individual. Physical wellbeing will mean the client is feed, are clean and tidy and this will lower the risk of infection making them healthy and happy. They will gain Psychological wellbeing which will give them increased confidence and will think better of themselves They gain emotional wellbeing; they will be happy and not have periods of depression Social wellbeing is something else that will be found they will be able to feel part of a community and belong By assisting in everyday tasks we are able to create a environment were the client has is happy and therefore promote wellbeing. 2. 3 Analyse possible sources of conflict that may arise When planning and ways to resolve them In our setting we share decision making with the individual and try to get them and their family included in the care and care planning. We do get problems sometimes however in the clients wishes and preferences. We have had an occurrence were an individual wanted to take apart appliances and put them back together again, this was dangerous to him and others around him, we did have to remove the appliances for his own safety. How ever since we have built up better relationships with him and learnt to understand his needs. He now goes to college on a course that allows him to do this. You may get individuals that want an activity that is not on their care plan or you might try to carry out something that the client does not want, these could result to a risk to the individual and others as the above example did. The best way to resolve this is by developing trusting relationships, mutual respect and negotiating other ways of doing things as we did with the college course. 3. 3 Describe actions to take if an individual becomes Distressed or unable to continue We do find that some of our clients become distressed during activities due to the nature of their problems. We can take a number of actions if this does occur We can offer reassurance to the person, communicating is important explaining that you understand and that they are safe. Praise their achievements in the task they are completing. We also have people on hand that can advise or assist in these situations. They one thing we always do is make sure the client is safe. We can also suggest to stop the activity with the client and take them away from the situation

Windshield Survey Essay

This windshield survey is a simple observation of a community. It involves collection of data to help define the community, the trend within the community, stability of the community and changes that may define the health of the community. Many dimensions of the community can be observed from a car drive observing the community life, and environment. Common characteristics to be noted are the people walking the street, gathering places in the community, quality of houses, community life rhythm, and geographic boundaries (Stanhope & Lancaster, 2012, p. 409-410). Community is defined widely by (Stanhope & Lancaster, 2012). According to the World Health Organization (WHO) community is a group of people, living in a specific geographical area. They may share a common culture, norms and values. Members of the community gain their social and personal identity by sharing their common beliefs, norms and values which has been developed by the community (Stanhope & Lancaster, 2012, p. 397). Co mmunity health is the meeting of the community collective needs by identification of the community problems, managing the behaviors in the community and between the larger society and community (Stanhope & Lancaster, 2012, p. 401). The community partnerships helps to bring about the changes necessary to fulfill the vision of Healthy People 2020. A foundation is provided by Healthy People 2020 for national health promotion and disease prevention. It is necessary to have community partnerships in order for the lay community members to have vested interest in the community success to improve the community health Stanhope & Lancaster, 2012, p 402). Community as client is the community as the nurse client. The community is only the client when the focus of the nurse is on the common or collective good of the community instead of the health of one individual (Stanhope & Lancaster, 2012, p. 398). The community chosen for this windshield survey is the city I currently reside in, Virginia Beach. It is located in the state of Virginia and a part of the Hampton roads. Hampton Roads consist of seven cities which are Virginia Beach, Norfolk, Chesapeake, Hampton, Newport News, Suffolk and Portsmouth. In my city of Virginia B each I live in the Ocean Front Community. We have a large military community related to the Naval Base Oceana Naval Air Weapon station. Virginia Beach is 249.02 square miles and the persons per square miles are 1,758.9. The population estimate in 2013 is  48,479. Persons under 5 years of age is 6.7%. The percentage of Persons under 18 years of age is 23.1%. Persons 65 years of age or older is 11.8%. Female percentage is 50.9%. The percentage of Whites alone is 68.9%, Blacks are 20.0%, Alaska native and American Indian 0.5%, Asians 6.6%, Native Hawaiian and other pacific Islander is 0.2%, persons with two or more races is 3.9% and Hispanics are 7.5%. Persons residing in the same home greater than a year is 82.2% of the population. High school graduates or person with a higher education makes up 93.6%. The veteran population for 2009-2013 is 61,100. The median value of homes are $267,600 with 2.62 persons per household. The median household income is $65,219. Persons living below the poverty level is 7.9% (United States Cens us Bureau. n.d.). Virginia Beach is located alongside the Atlantic Ocean on the east and the Chesapeake Bay to the north. The average elevation of the city is 12 feet ( VB GeoFacts and Information, n.d.). VB GeoFacts and Information. (n.d.). The homes in the community are mostly two story homes colonial style, or brick and aluminum side homes and one story homes. Homes in the community are well kept with manicured lawns. There are some condominiums and apartments in the area. There is no signs of abandoned buildings in the areas observed for the windshield survey. Virginia Beach is known for its tourism especially in the summer months. Not many pedestrians were noted walking along the street in the community during the current winter month. Joggers were noted early morning and evenings in the ocean front area of the community. Public transportation available in the city of Virginia Beach are buses and taxi cabs. There is no light rail system or train system that provides transportation. There are numerous attractions such as the aquarium, the botanical garden, the boardwalk, ocean breeze Water Park. The re are many open body of water around in the community for fishing besides the Atlantic Ocean. There are two malls located in the community Pembroke mall and Lynnhaven Mall. Many restaurants are available with a healthy choices. Only five fast food restaurants were noted on an 8 mile drive. There was 3 ABC stores noted selling liquor, and 2 Totally Wine stores noted. There are two super Walmart stores, one regular Walmart, and a Walmart Neighborhood. Food Lion and Farm Fresh are the other main grocery stores. Farm fresh provides a fresh salad bar daily. There are many Consumer Value Stores (CVS) with 24 hours pharmacy available. Patient First is chain of urgent care facilities  available within the community. They are open 7 days a week until 10pm. Sentara is the name of the group of hospitals in the community. There is Sentara Princess Anne Hospital and Sentara Virginia Beach General. There are many doctor offices, dentist office and other medical specialties available in the community. The schools average rating is 6 out of 10. Virginia Beach schools have many academic programs such as the Global studies & World language, health sciences Academy, Legal Studies, Technology, Visual & Performing Arts, International Baccalaureate program and mathematics & Science for high school students. Middle school children has advance academic programs available such as the middle years International Baccalaureate program (About Us, n.d). The community provides parks and recreation centers. There are numerous trails for outdoor hiking, sporting leagues for children and adults and fitness and wellness. There are a number of religions noted in the community catholic, united Methodist, southern Baptist and Jewish. Healthy People 2020 Health Indicators The Healthy people 2020 health indicator chosen for this community is the transmission of sexually transmitted diseases. Per Healthy People 2020 there is an estimated 19 million new sexually transmitted disease cases each year in the United States (Healthypeople.gov, n.d). Hampton roads area has a higher average of sexually transmitted disease, this eastern region had the highest rates in the state for gonorrhea, syphilis and chlamydia. State statistics showed in the region there were 2,620 girls’ ages 3 to 19 diagnosed with chlamydia comparing to 528 boys in the same age range. A study completed showed the rate of STD was much higher among blacks girls compared with 20 among the white race and Hispanic girls. The CDC has a difficult time comparing the statistics to Virginia reported figures because the health care providers are not required to report Herpes, Human Papillomavirus (HPV) and trichomoniasis to the local health department. This causes the state numbers to be less than reality. Another barrier that prevents the actual numbers is many people infected with STDs may not exhibit symptoms. Meaning STD is transmitted from one person to the other without realizing transmission of the disease. There is an estimate of 70 to 80 percent of girls with chlamydia with no symptoms. Untreated these STDs causes infertility. HPV is another infection that often does not manifest  symptoms. Virginia has a new law in place requiring sixth grade girls to receive HPV vaccines unless they opt out (Simpson, 2008). Virginia Beach Department of Public of Health clinic provides free, confidential education, counseling and testing for HIV. They provide Nurses and health counselors at their Virginia Beach clinic for clients found to be HIV positive. The clinic operates on a walk in basis for testing. They offer services for the patients to contact other sexual partners that may need testing and treatment (Clinic, n.d.). Virginia Beach does not have a large immigration population with many ethnicities. There are however many resources available to address different cultures within our community. Yearly the city has a Latin festival and reggae festival. I do not encounter many people of differe nt cultures from Latin countries or Caribbean countries in the community. It is mostly whites or blacks, there is very minimal encounters with other races. It can present a problem in the community if there should be a rise in a specific ethnicities from a different parts of the world such as Africa, or Asia. Nurses and other health care providers would definitely need conferences on cultural diversity. The most I have been exposed to diversity is while working as charge nurse for a correctional facility for the Common Wealth of Virginia. Immigration and Customs Enforcement held many immigrants there for a period of time at correctional facility. Aspects of the community that can affect residents’ health were not visible to myself from a windshield point of view. Virginia Beach government website gave more insight on the aspects that affect residents in the community. Three aspects listed are teenage pregnancies, low birth weight babies and child abuse. In conclusion Virginia Beach is a wonderful community. It is not congested, we have large areas that still trees, wild animals and fishing areas. It is a family oriented community in my opinion with many resources within the community to meet the needs of individuals. Crime is at minimal, the people in the community are genuinely polite, and there are many programs in the community provided by the city or YMCA promoting health and wellness. Reference About Us. (n.d.). Retrieved February 8, 2015, from http://www.vbschools.com/root/aboutus.asp CIty of Virginia Beach Community Indicators. (2011, September 1). Retrieved February 8, 2015, from