Disease Prevention and Control [Iris Transes] Flashcards

1
Q

❖ Interrupting or slowing the progress of the disorder or reducing the disability (World Health Organization, 2004).
❖ Reducing the likelihood that a disease or disorder will affect an individual.

A

Prevention and Control

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2
Q

immunization, intake of vitamins, healthy lifestyle, etc.

A

■ Prevent the occurrence

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3
Q

to stop the progress and implement medication.

A

■ Arrest progress

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4
Q

rehabilitation/physical therapy.
o Completely eradicate disease.

A

■ Reduce consequences

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5
Q

policies at the local state, and federal level affect individual and population health.

A
  1. Policy Making
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6
Q

reflect the social factors and physical conditions of the environment in which people are born, live, learn, play, work and age.

A
  1. Social Factors (Physical or Social Determinants)
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7
Q

Both access to health services and the quality of health services can impact health.

A
  1. Health Services
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8
Q

Determinants of health fall under several broad categories

A
  1. Policy Making
  2. Social Factors
  3. Health Services
  4. Individual Behavior
  5. Biology and Genetics
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9
Q

❖ The extent of the area or subject matter that something deals with or to which it is relevant.

A

Scope of Prevention and Control

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10
Q

chemoprophylaxis, immunization, and health education.

A

❖ Individual

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11
Q

provision of safe water/proper excreta disposal, health projects and programs

A

❖ Community-wide

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12
Q

cases of disease no longer exist but one or more factors important in its occurrence still persist (e.g., Polio because of the perception of some people or region)

A
  1. Elimination
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13
Q

cases of disease and the agent of disease have been eliminate; transmission of the causative agent have stopped in an irreversible manner (e.g., Smallpox).

A
  1. Eradication
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14
Q

course a disease takes in individual people from its pathological onset (“inception”) until its eventual resolution through complete recovery or death.

A

o Natural History of Disease

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15
Q

under epidemiological triad (Host, agent, environment)

A

o Disease Causation Model

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16
Q

States that an external agent can cause diseases on a susceptible host where there is a conducive environment.

A

o Disease Causation Model

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17
Q

❖ Successful ________depends upon

A

prevention

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18
Q

_______ of causation

A

❖ Knowledge

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19
Q

properties that stimulates the growth or process.

A

❖ Dynamics of transmission

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20
Q

Hazard + Behavior

A

o Risk

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21
Q

■ Identify the hazard
■ Characterization of risk

A

o Hazard

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22
Q

❖ Availability of _______or early detection and treatment measures

A

prophylactic

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23
Q

❖ An organization for applying these measures to ________persons or groups.

A

appropriate

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24
Q

❖ Continuous evaluation of and __________of procedures applied.

A

development

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25
❖ Process begins with the appropriate exposure to or accumulation of factors sufficient for the disease process to begin in a susceptible host. ❖ Individual becomes more prone to develop a disease brought about by various factors due to a higher rate of exposure from the pathogen.
Stage of Susceptibility
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o Proportion of exposed individuals who are infected. o In this stage, the patient is still asymptomatic. o Determining how many among the exposed should isolate or quarantine in order to limit the exposure of a disease.
Infectivity
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o Proportion of infected individuals who develop clinically apparent disease. o There are clinical manifestations or symptoms present.
Pathogenicity
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o Proportion of clinically apparent cases that are severe or fatal. o Potential of a particular agent in terms of counteracting the activity of the body.
Virulence
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❖ Extending from the time of exposure to onset of disease symptoms. ❖ Pathologic changes already developed in this stage. ❖ The patient is still asymptomatic in this stage.
Stage of Subclinical Disease
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❖ The onset of symptoms. ❖ Validate the existence of an abnormality in the body. ❖ Determine severity and natural history. ❖ Most diagnoses are made in this stage.
Stage of Clinical Disease
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❖ Some diseases or not all disease progress into clinical diseases. ❖ Range as to the effect of disease process in an individual from mild, severe, or fatal (recovery, disability, or death).
Spectrum of disease
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❖ Process either ends in recovery disability or death. ❖ Stage whether the patient recuperates from the condition or it will worsen. ❖ Recovery or loss
Stage of Recovery, Disability, or Death
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❖ Biological factors and behavioral factors ❖ Environmental factors ❖ Immunologic factors ❖ Nutritional factors ❖ Genetic factors ❖ Services, social factors, and spiritual factors
Preventable Causes of Disease
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Human capable of developing disease/an organism, usually human or animal, that harbors the disease.
o Host
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Biological organisms capable of causing disease/the cause of the disease
o Agent
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The favorable surroundings and conditions external to the human or animal that cause or allow the disease or allow disease transmission.
o Environment
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can be physical, animal, insect; They need a reservoir for survival.
■ Reservoir
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❖ Host goes into change of infection from clinically inapparent symptoms to clinically apparent disease.
Gradient of Infection
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❖ Source or “habitat”
Reservoir
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o Most common for infectious diseases o Person-to-person
1. Human Reservoir
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A person identified as having the particular disease; apparent infection.
■ Case (Symptomatic)
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Inapparent infection
■ Carrier (Asymptomatic)
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o Animals that are infected by pathogens o Humans as incidental hosts o Zoonosis
2. Animal Reservoir
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o From soil and other inanimate matter o Can be a form of parasitic infection (e.g., Tetanus).
3. Environmental Reservoir
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❖ In epidemiology, trends over time influence diseases and health conditions.
o Secular trends
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changes in health conditions over a few years.
Cyclical Fluctuations
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– changes in health conditions within the period of a year or less.
Seasonal Fluctuations
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❖ Cause of disease consists of a constellation of component that act in concert to produce disease.
Sufficient Component Disease Model (For Non-communicable)
49
disease cannot develop in its absence (e.g., if a is absent, b cannot occur)
o Necessary Cause
50
cause is termed sufficient when it inevitably produces or initiates a disease
o Sufficient Cause
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contribution to sufficient cause; necessary for the completion of sufficient cause.
o Component Cause
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❖ Identify populations at high risk ❖ Assess exposure ❖ Causal mechanism
Strategies of Prevention Risk Assessment
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❖ Combination of program elements of strategies designed to produce behavior changes or improve health status among individuals or an entire population o Apply intervention o Evaluate intervention o Modify intervention
Intervention
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❖ Health promotion, control exposure, genetic testing and psychosocial support and early detection (screening).
Apply Intervention
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Evaluate Intervention
❖ Measure change in risk and monitor incidence/prevalence, stage of diagnosis, and use of healthier lifestyle and prevention practices.
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❖ Based on evaluation results ❖ Based on new scientific findings
Modify Intervention Strategies
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Underlying causation. conditions
Primordial
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Pre-pathogenesis Prevent occurrence (reduce incidence)
Primary
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Early stage of disease Arrest the progress (reduce prevalence)
Secondary
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Late stage of disease (treatment and rehabilitation) Prevent complication and consequences (reduce case fertility rate)
Tertiary