Class 8- Noncommunicable Disease and Political Ecology Flashcards

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1
Q

Noncommunicable diseases

A
  • Noncommunicable diseases cannot be transferred from one person to another
    • Degenerative diseases
      • Diseases of old age, e.g., heart disease, stroke, cancer
    • Some diseases or conditions are not always related to aging
      • e.g., asthma, obesity, diabetes
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2
Q

Shifting Burden of Disease

A
  • Global shift in disease burden
    • Changes in global economy
    • Changes in fertility
    • Demographic transition
    • Epidemiological transition
      • Worldwide, noncommunicable diseases are now the main cause of death
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3
Q

Etiology of Noncommunicable Diseases

A
  • Complex etiology
    • Multifactorial, many causes
  • Exposure
  • Latency period
  • Difficulties for health geographers
    • Often, related to aggregation, as well as uncertainty in exposure
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4
Q

Noncommunicable Disease: Difficulties for health geographers

A
  • Difficulties for health geographers
    • We often only possess where the disease was diagnosed
      • …not where the exposure occurred
      • …or when the exposure occurred
      • …or the magnitude or length of exposure
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5
Q

What is Political Ecology

A
  • How higher level socioeconomic or political structures (and processes) create the context in which individuals or local cultures interact with their environment
    • Often, deals with who has “power” and how it affects or marginalizes those who do not have “power”
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6
Q

Political Ecology scale

A
  • Political ecology often concentrates on ideas of scale
    • How do policies made for the entire country disproportionately affect some communities or some population groups?
    • For example, globalization and the expansion of the western diet
      • Nutrition and scale
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7
Q

Political Ecology: Critical Geography

A
  • Power differentials also characterize everyday interactions related to health
    • e.g., between patient and doctor, and people can be “othered”
      • Systematically marginalized by society on the basis of their health
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8
Q

Political Ecology: Health disparities

A
  • Access, exposure, behavior
    • Cycle of poverty
      • Housing and environment
      • Access to economic opportunity
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9
Q

Political Ecology: Gender

A
  • Fertility policy
    • Governments may have social or economic reasons to enact or change fertility policy
  • Reproductive policy
    • Promote contraceptive technologies
    • Control the fertility of certain groups within a society
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10
Q

Race

A
  • Considering race as a “social” rather than a “biological” construct
    • Often, bound tightly with ideas about socioeconomic status and poverty
    • Difficult to sort out the effects of various “insults” on health
      • How do we decipher what is racial, cultural, socioeconomic… when all of them are often so tightly bound?
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11
Q

Modes of Infectious disease transmission

A
  • Direct transmission
    • From host to host via some form of contact (non-vectored)
      • E.g., tuberculosis, influenza, and gonorrhea
  • Indirect transmission
    • From host to host via a vector
      • E.g., Lyme disease, malaria, Schistosomiasis
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12
Q

Modes of Non-vectored Diseases Transmission

A
  • Modes of transmission
    • Skin or sexual contact
      • E.g., HIV/AIDS, syphilis, impetigo
    • Environmental contact
      • Airborne
        • E.g, influenza, tuberculosis
      • Water or food
        • E.g., cholera
      • Soil
        • E.g., tetanus
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13
Q

Mode of Tranmission/Geographic Analysis

A
  • Mode of disease transmission is a critical factor in geographic analysis and/or modeling applications
    • What questions to ask? Which data to include?
      • Social processes
      • Physical/Environmental processes
      • Travel behavior and interaction
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14
Q

Pathogenicity

A

How likely is the disease to develop in an infected person

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15
Q

Virulence

A

How dangerous is the disease

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16
Q

Secondary attack rate

A

Likeliness of passing the disease from one person to another

17
Q

Basic Reproduction Number (R0)

A

Average number of secondary infections produced by a single person in a completely susceptible population

18
Q

Susceptible

A

Person who can be infected

19
Q

Immune

A

Person who can no longer be infected due to immune response to having the disease or via vaccination

20
Q

Infectious

A

Person actively able to pass the infection

21
Q

Tranmission requirements

A
  • Non-vectored disease transmission requires contact (or proximity) between people in both time and space
    • Important parameters
      • Distance
        • Separation among people
      • Density
        • People / area, which affects the likelihood of people coming into contact with each other
      • Other parameters
        • Susceptibility
        • Agent survival (in the environment)
        • Social/cultural behavior
22
Q

Herding of humans

A
  • In general, we live and work in groups
    • At many different scales!
      • Think cities (macro) and households (micro), schools, workplace, home
        • All places in which humans that are distributed (residentially) gather into a “smaller” place
    • Herding provides an opportunity for interaction
      • Changes in distance and density among people
23
Q

Poverty

A
  • Many diseases and conditions occur more frequently in the poor than the affluent
    • “Poor” is a relative term
      • Consider the differences worldwide
    • Access, exposure, behavior all contribute!
24
Q

Poverty: Understanding the process

A
  • Cycle of poverty
    • Access to economic opportunity
  • Housing and environment
    • Remember environmental justice?
    • Healthy landscapes
      • Lack of access to primary care
      • Lack of access to healthy food
      • Violence, despair, and unhealthy social environments