prepare an analysis of a  public health case study requiring synthesis of information and  application of critical thinking skills related to the determinants of  health and strategies for controlling communicable and non-communicable  diseases. Please read and critically assess the case study titled, José and Jorge-Identical Twins without Identical Lives in Riegelman, page 119 and prepare a 5-7 page essay (double-spaced)  that answers the questions below. You can be creative about how you  organize this—do not simply answer each question, but provide a  well-crafted essay. Please upload to Blackboard by the start of class on  the due date. Describe how BIG GEMS determinants (see Riegelman, p. 16) contribute  to the different disease patterns of José and Jorge. Be specific and  incorporate applicable course material, as appropriate. (discuss the  effects of at least 5 determinants) Imagine that you are a  public health professional, faced with having to decide to focus limited  resources to improve the health of the population. You have been tasked  with devising population-level initiatives that may reduce the  incidence and impact of the diseases affecting people like José and  Jorge. Select one non-communicable disease AND one communicable  diseaseexperienced by José and/or Jorge and respond to the questions  below:  Clearly identify the non-communicable disease and the communicable disease selected.  Describe the factors  you considered when deciding to focus on these diseases. Discuss  disease impact, feasibility for addressing, cultural or environmental  constraints, costs, etc.  Select at least one strategy to address the non-communicable disease (See Riegelman, Ch. 6: screenings, multiple risk factor interventions, cost-effective treatments, research, etc.) and at least one strategy to address the communicable disease (See  Riegelman, Ch. 7: barrier protections, immunizations, screenings, case  finding, maximizing effective treatment, etc.). Provide rationale for  selecting these strategies and describe in a detailed manner how you would apply them on a population-level to address the circumstances contributing to the development of each disease, such as those experienced by José and Jorge.

The new United States could be an unstable place during the years immediately following the revolutionary war. As you know, the first government under the Articles of Confederation granted more power to the individual states and less power to the federal government, a situation changed by the U.S. Constitution drafted in late 1787. Earlier that year, Shays Rebellion erupted in western Massachusetts. Americans throughout the various states heard the news of this "rebellion" and commented on it in private letters and public newspapers. Among those commenters was Mary Smith Cranch, the sister of Abigail Adams (wife of John Adams). Your primary source analysis has three parts and should be written in three short paragraphs:Paragraph 1: What were the causes of Shays' Rebellion? (You can find this information in American Yawp, Ch. 6, "Shays' Rebellion.")Paragraph 2: What is Mary Smith Cranch's opinion of the rebellion? (See AY, Ch. 6, "Mary Smith Cranch Comments on Politics." Specifically, see her letters to Abigail Adams dated Nov. 26 1786 and February 9, 1787.) Make sure to identify your source material if you quote from it.Paragraph 3: You are the historian, so tell your reader what you find significant about Cranch's expressed opinion and/or her writing of these letters. You might want to take into consider her class position (she's wealthy), her gender, and/or her family's relationship to the American Revolution (after all, she was the sister-in-law of John Adams, who co-authored the Declaration of Independence).