Case Studies Disease Flashcards

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1
Q

Rosy periwinkle - origins

A

Native to Madagascar
Requires a warm tropical climate
Came to attention of scientists in the late 50s finding it had 2 alkaline, vincristine and vinblastine which have been developed for treatment of cancers

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2
Q

Rosy periwinkle - selling

A

Rely on commercial cultivation with sales of vc and Vb worth hundreds of millions of dollars to Eli Lilly with few profit going back to Madagascar - biopiracy

Deprives lidcs of valuable international trade, potential exports and value added

Hinders economic growth and progress in tackling poverty and inequality

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3
Q

Haiti - cholera

A

Magnitude 7 earthquake
Displacement of people to unsanitary areas - in Port au Prince half the population has no access to toilets

Drinking water became contaminated and people got cholera - 2014 - 720,000 cases of cholera reported 8700 deaths

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4
Q

Haiti - British Red Cross

A

British Red Cross response programme 2010-12

Delivered clean water to 300,000 people living in camps in Port au Prince

Built 1300 lactrines

Provided medical supplies to main hospital in saint Marc

Treated 18700 cases in la piste camp

Raised awareness among local people on how to avoid infection and of symptoms

Local media used to educate people

2011 - 35,000 new cases
2014 -2200
However still leading cause of infant mortality

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5
Q

Social economic and cultural cause of cancer uk

A

Obesity, poor diet, lack of exercise, smoking and alcoholic abuse - since 1970s - risen 23% for men 43% for women

Sunbathing/sunbeds - skin cancer - opportunities have increased growing wealth and the advent of affordable package holidays

Change in diet - bowel cancer - preference for meat and dairy due to more wealth, packages food and fast food - less wealth, alcohol - wealth
Smoking - nearly 1/5 of all cases or cancer diagnoses each year are smoking related

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6
Q

Socio economic impacts of cancer uk

A

2 million people in uk living with cancer today - costs £15 billion a year due to early deaths, patients taking time off work, treatment on the nhs and the cost of unpaid care, social isolation and anxiety resulting from loss of income

Social deprivation and cancer - deprivation increases the likelihood of smoking, alcohol consumption and obesity
Glasgow has highest rates of cancer and over half the population live in wards which are among the 20% most deprived in the uk

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7
Q

Cancer uk survival rates

A

Deprivation gap - 14.2% more women in the most affluent group survive balder cancer compared with their most deprived counterparts

Explained by pre-existing health status and speed of diagnosis

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8
Q

Govt mitigation strategies - uk cancer

A

Direct
Investment in advanced medical technology (more precise forms of radiotherapy)
Mass screening for breast cervical and bowel
Cancer research - improving understanding of disease, developing new drugs and treatments
Skin cancer has a year on year rise of 3% - legislation to control the commercial use of sunbeds with age limits and staff training

Indirect
Emphasise changes in lifestyle
Education and health campaigns

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9
Q

International agencies mitigation strategies - uk cancer

A

International agency for research on cancer (part of WHO)
Conducts lab research into causes of disease

Cancer UK - researches the prevention, diagnosis and treatment of cancer

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10
Q

Incidence and patterns of malaria - Ethiopia

A

Endemic in 75% of Ethiopia’s land area

Kills around 70000 peope a year

Highest risk - lowlands - transmission rates peak after rainy season between June and November- 3/4 of country

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11
Q

Environmental causes of malaria

A

Thrives in warm humid climates where temperatures and humidity are high throughout year

Absence in highlands - low average temperatures - slow
development of mosquitoes

Parasites are becoming drug resistant

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12
Q

Human causes of malaria

A

Every esr at harvest and panting time large scale seasonal population movements rose place between highlands and agricultural lowlands - coincides with rainy seasons

Irrigation projects in gambella with the construction of canals micro dams and ponds and the cultivation of rice have expanded the breeding habituated for mosquitoes

Urbanisation - flooded excavations, garbage dumps, discarded containers provide breeding sites

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13
Q

Socio economic impacts of malaria

A

70000 people killed per year

Cause absenteeism from work, slowing economic growth and reinforcing the cycle of poverty

Last production in sub Saharan Africa due to malaria is estimated to be $12 billion a year

Abscess 40% of Ethiopia’s national health expenditure

Damages tourism

Damages food security - high land overpopulation therefore it’s poor farming resources have been over exploited resulting in land dregradation

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14
Q

Strategies to control malaria

A

2011 - five year plan (govt) - partnership with unicef world bank who ngos and donor countries

Direct - to eradicate mosquitoes by destroying breeding sites

Indirect - bed nets, education and early diagnosis and treatment

2008-13 - grants of $20-43 million a year

Prevalence of disease fell from 4.6% of population in 2005 to 0.8% in 2011

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15
Q

Bangladesh river flooding

A

August 2007

Heavy moss on rainfall - 9 million people living in Ganges displaces

Increased transmission of water borne diseases already accounting for 1/4 of deaths in Bangladesh

Climate change threatens more flooding in future due to rise in sea level and more rapid melting of snow and ice in the Himalayas

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16
Q

Bangladesh - diseases

A

Diarrhoea 70,000 people, typhoid and hepatitis as drinking water and food became contaminated by bacterial present in floodwaters

Also due to low elevation of delta, high humidity and temperature and proximity of large numbers of people close to aquatic environments

17
Q

Bangalsjesh socio economic factors

A

Exceptionally high rurally populations 1000 persons per km cubed
High levels of poverty - world bank 40% of Bangladeshis survive in less than $1.25 per day
Lack of access to adequate sanitation
Displacement of nearly 14 million people caused by floods

100,000 hospital admissions

18
Q

Emergency aid Bangladesh

A

Govt - food aid to poorest families

UNICEF -
Drugs, saline solution

19
Q

Long term solving Bangladesh

A

Water purification tablets

93,000 wells repaired