Discussion | Externalities in Public Health Maintaining an international presence for a public health organization is a complex operation due to the difference in systems around the globe. By having national branches oversee local operation it can allow for the international organization to evaluate the need for each nation and develop a strategic plan to combat the issue such as drowning. Many of the key informants stated that income levels for individuals in their rural areas are lower than urban averages and state rates (Barnidge 2013). Negative externalities that can occur on an international level that would affect the public health organizations operations is: lack of qualitative data, consistent change in leadership personnel, reduced operating budget to address the entire globe. Drowning affects people all across the globe, but due to the environment, resources, etc. of each country specific strategies are needed to reduce the current rates. Managing t
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