CHAPTER 2:2 - 3 Flashcards
the occurrence and distribution of health such as disease, death, deformities or disabilities on human population.
Epidemiology
Concerned with the study of probable factors that influence the development of these health conditions.
Used to analyze the different factors that contribute to disease development.
Epidemiology
inanimate or living organism that cause disease, they may be biologic, chemical, physical, mechanical or nutritive; its characteristics can be described in terms of virulence, toxicity, intensity, impact or deficiency/excess.
Agent
any organism that harbors and provides nourishment for another organism.
Host
Host characteristics can be described in terms of their susceptibility or resistance against effects of a particular agent and may be influenced by the demographic and biologic factors along w/ personal habits.
What is “immunologic experience” called
Specific resistance
results from intact skin and mucous membrane, good hygiene, reflexes like coughing.
Non-specific resistance
represents the immunity and susceptibility levels of individuals comprising the population.
Herd immunity
Ratio as to how many midwives are needed within a community
1:5,000
the sum total of all external conditions and influences that affects life and development of an individual organism.
Environment
Refers to the physical, biologic and sociological environments.
Ratio as to how many nurses are needed within a community
1:20,000
3 models that explain the Multiple Causation Theory or the Ecologic Concept of Disease
a. Wheel
b. Web
c. Ecological Triad
Multiple Causation Theory or the Ecologic Concept of Disease
- gives emphasis on the role of the genetic make-up of the host(inner core).
- the middle core represents the host’s characteristics like sex, age and behaviors.
- the outer core represents the biologic, physical and social environment.
Wheel Model
Multiple Causation Theory or the Ecologic Concept of Disease
developed to further the understanding of the dynamic interrelations among various personal and environmental factors.
Ecological Triad
Web Model:
Web of Causation:
- phenotype
- behaviour
- environment
- workplace
- unknown factors
- genes
- microbes
Multiple Causation Theory or the Ecologic Concept of Disease
Depicts the intricate interrelationships of the various socio-demographic characteristics and behaviors of the host as well as the numerous environmental factors.
Web Model
The Epidemiologic Triangle consists of three component:
- Host
- Agent
- Environment
Three components of the environment:
- Physical environment
- Biological environment
- Socio-economic environment
component of the environment:
composed of the inanimate surrounding such as the geophysical condition of the climate.
Physical environment
component of the environment:
makes up the living things around us such as plants and animal life.
Biological environment
component of the environment:
may be in the form of level of economic development of the community, presence of social disruptions and the like.
Socio-economic environment
The model implies that each must be analyzed and understood for comprehensions and prediction of patterns of a disease.
The Epidemiologic Triangle
A change in any of the component will alter an existing equilibrium to increase or decrease the frequency of the disease.
Stages in the Natural Life History of Disease:
- Pre-pathogenesis or susceptibility
- Pathogenesis
Stage in the Natural Life History of Disease:
disease has not developed but factors that favor its occurrence are present
Pre-pathogenesis or susceptibility
Three substages of Pathogenesis:
- Pre-symptomatic disease or early pathogenesis
- Discernible lesion
- Advance disease
Stage in the Natural Life History of Disease:
disease has developed
Pathogenesis
substage of Pathogenesis:
individual has no symptoms that indicate presence of illness but in fact, pathogenic changes has begun.
Pre-symptomatic disease or early pathogenesis
substage of Pathogenesis:
changes may be detectable through sophisticated laboratory tests; early signs and symptoms of disease are developing.
Discernible lesion
substage of Pathogenesis:
anatomical or functional changes have produced recognizable signs and symptoms.
Advance disease
Levels of Disease Prevention
- Primary Prevention
- Secondary Prevention
- Tertiary Prevention