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<li><a href="#preface" id="toc-preface" class="nav-link active" data-scroll-target="#preface">Preface</a>
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<li><a href="#citations" id="toc-citations" class="nav-link" data-scroll-target="#citations">citations</a></li>
<li><a href="#tikz" id="toc-tikz" class="nav-link" data-scroll-target="#tikz">tikz</a></li>
<li><a href="#julia-code" id="toc-julia-code" class="nav-link" data-scroll-target="#julia-code">julia code</a></li>
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<h1 class="title d-none d-lg-block">Leading Population Health Improvement</h1>
<p class="subtitle lead">Reflections and tips from public health practice</p>
</div>
<div class="quarto-title-meta">
<div>
<div class="quarto-title-meta-heading">Author</div>
<div class="quarto-title-meta-contents">
<p>Tomás Aragón, MD, DrPH </p>
</div>
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<div class="quarto-title-meta-heading">Published</div>
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<p class="date">Invalid Date</p>
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<section id="preface" class="level1 unnumbered">
<h1 class="unnumbered">Preface</h1>
<!--
::: {.cell hash='index_cache/html/setup_924d56e91c01520d3cf0f0ab9ba72403'}
:::
-->
<p>Since January 2021 to the present, I have served as the state public health officer and director of the California Department of Public Health. From January 2011 to December 2020, I was the health officer of the City and County of San Francisco and director of the Population Health Division at the San Francisco Department of Public Health. From 2003 to 2010, I directed a public health infectious disease emergency preparedness and response center focused on research and training at the University of California, Berkeley School of Public Health. I spent several years studying and preparing others to respond to pandemics from an infectious respiratory pathogen. During this time I developed an interest in complex decision making under uncertainty and time constraints.</p>
<p>The lean DNA encodes for the following elements:</p>
<ol type="1">
<li>Respect for people (staff, community, client, patient)</li>
<li>Continuous improvement (incremental and breakthrough)</li>
<li>Scientific thinking, problem solving, and innovation</li>
<li>Elimination of waste and undesired variability</li>
<li>Being agile, adaptive, and responsive to meet challenges</li>
</ol>
<p>Tomás Aragón, MD, DrPH<br>
State Public Health Officer and Director<br>
California Department of Public Health<br>
Sacramento, California, USA</p>
<p>Clinical Assistant Professor<br>
School of Public Health<br>
University of California, Berkeley, USA</p>
<p></p>
<section id="testing-markdown-ignore-below" class="level2">
<h2 class="anchored" data-anchor-id="testing-markdown-ignore-below">Testing markdown (ignore below)</h2>
<section id="citations" class="level3">
<h3 class="anchored" data-anchor-id="citations">citations</h3>
<p>Here are some citations <span class="citation" data-cites="Aragon1998_BODI-Report Aragon2003_pmid12911836 Aragon2003_pmid14581921">[<a href="references.html#ref-Aragon1998_BODI-Report" role="doc-biblioref">1</a>–<a href="references.html#ref-Aragon2003_pmid14581921" role="doc-biblioref">3</a>]</span>.</p>
</section>
<section id="tikz" class="level3">
<h3 class="anchored" data-anchor-id="tikz">tikz</h3>
<div id="fig-test" class="quarto-figure quarto-figure-center anchored">
<figure class="figure">
<p><img src="images/TBoW_FIG-6-1.png" class="img-fluid figure-img" style="width:60.0%"></p>
<p></p><figcaption class="figure-caption">Figure 1: tikz figure caption</figcaption><p></p>
</figure>
</div>
</section>
<section id="julia-code" class="level3">
<h3 class="anchored" data-anchor-id="julia-code">julia code</h3>
<p>Plot function pair (x(u), y(u)). See <a href="#fig-parametric">Figure <span>2</span></a> for an example.</p>
<div class="cell" data-hash="index_cache/html/fig-parametric_38c1570d45010b613da8f6c8b5301aee">
<details>
<summary>Code</summary>
<div class="sourceCode cell-code" id="cb1"><pre class="sourceCode julia code-with-copy"><code class="sourceCode julia"><span id="cb1-1"><a href="#cb1-1" aria-hidden="true" tabindex="-1"></a><span class="im">using</span> <span class="bu">Plots</span></span>
<span id="cb1-2"><a href="#cb1-2" aria-hidden="true" tabindex="-1"></a></span>
<span id="cb1-3"><a href="#cb1-3" aria-hidden="true" tabindex="-1"></a><span class="fu">plot</span>(sin, </span>
<span id="cb1-4"><a href="#cb1-4" aria-hidden="true" tabindex="-1"></a> <span class="fu">x->sin</span>(<span class="fl">2</span>x), </span>
<span id="cb1-5"><a href="#cb1-5" aria-hidden="true" tabindex="-1"></a> <span class="fl">0</span>, </span>
<span id="cb1-6"><a href="#cb1-6" aria-hidden="true" tabindex="-1"></a> <span class="fl">2</span>π, </span>
<span id="cb1-7"><a href="#cb1-7" aria-hidden="true" tabindex="-1"></a> leg<span class="op">=</span><span class="cn">false</span>, </span>
<span id="cb1-8"><a href="#cb1-8" aria-hidden="true" tabindex="-1"></a> fill<span class="op">=</span>(<span class="fl">0</span>,<span class="op">:</span>lavender))</span></code><button title="Copy to Clipboard" class="code-copy-button"><i class="bi"></i></button></pre></div>
</details>
<div class="cell-output-display">
<div id="fig-parametric" class="quarto-figure quarto-figure-center anchored">
<figure class="figure">
<p><img src="index_files/figure-html/fig-parametric-J1.png" class="img-fluid figure-img"></p>
<p></p><figcaption class="figure-caption">Figure 2: Parametric Plots</figcaption><p></p>
</figure>
</div>
</div>
</div>
<p>By default Julia cells will automatically print the value of their last statement (as with the example above where the call to <code>plot()</code> resulted in plot output). If you want to display multiple plots (or other types of output) from a single cell you should call the <code>display()</code> function explicitly. For example, here we output two plots side-by-side with sub-captions:</p>
<div>
<details>
<summary>Code</summary>
<div class="sourceCode cell-code" id="cb2"><pre class="sourceCode julia code-with-copy"><code class="sourceCode julia"><span id="cb2-1"><a href="#cb2-1" aria-hidden="true" tabindex="-1"></a><span class="im">using</span> <span class="bu">Plots</span></span>
<span id="cb2-2"><a href="#cb2-2" aria-hidden="true" tabindex="-1"></a></span>
<span id="cb2-3"><a href="#cb2-3" aria-hidden="true" tabindex="-1"></a><span class="fu">display</span>(<span class="fu">plot</span>(sin, x <span class="op">-></span> <span class="fu">sin</span>(<span class="fl">2</span>x), <span class="fl">0</span>, <span class="fl">2</span>))</span>
<span id="cb2-4"><a href="#cb2-4" aria-hidden="true" tabindex="-1"></a><span class="fu">display</span>(<span class="fu">plot</span>(x <span class="op">-></span> <span class="fu">sin</span>(<span class="fl">4</span>x), y <span class="op">-></span> <span class="fu">sin</span>(<span class="fl">5</span>y), <span class="fl">0</span>, <span class="fl">2</span>))</span></code><button title="Copy to Clipboard" class="code-copy-button"><i class="bi"></i></button></pre></div>
</details>
<div id="fig-plots" class="cell quarto-layout-panel" data-hash="index_cache/html/fig-plots_f2461b3e425b361dacc94021e360f349">
<figure class="figure">
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<div id="ref-Aragon1998_BODI-Report" class="csl-entry" role="doc-biblioentry">
<div class="csl-left-margin">1. </div><div class="csl-right-inline">Aragón T, Reiter R, Katcher B. San francisco burden of disease & injury study: Mortality analysis 1990-1995 [Internet]. San Francisco Department of Public Health; 1998. Available from: <a href="http://bit.ly/SFDPH1998-BODI-Report">http://bit.ly/SFDPH1998-BODI-Report</a></div>
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<div id="ref-Aragon2003_pmid12911836" class="csl-entry" role="doc-biblioentry">
<div class="csl-left-margin">2. </div><div class="csl-right-inline">Aragón TJ, Ulrich S, Fernyak S, Rutherford GW. <a href="https://doi.org/10.1186/1471-2458-3-26">Risks of serious complications and death from smallpox vaccination: A systematic review of the united states experience, 1963-1968.</a> BMC public health. 2003 Aug;3:26. </div>
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<div id="ref-Aragon2003_pmid14581921" class="csl-entry" role="doc-biblioentry">
<div class="csl-left-margin">3. </div><div class="csl-right-inline">Aragón TJ, Fernyak SE. <a href="https://doi.org/10.1016/S0196064403008114">The risks and benefits of pre-event smallpox vaccination: Where you stand depends on where you sit.</a> Annals of emergency medicine. 2003 Nov;42:681–4. </div>
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