Global Health Flashcards

1
Q

Define global health:

A

An area for study, research, and practice that places a priority on improving health and achieving health equity for all people worldwide

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2
Q

What are communicable diseases?

A

Any disease that passes between people or animals - i.e. transmissible or infectious

e. g. COVID-19 (viruses spread faster due to global transport links etc)
eg. Polio Global Eradication Initiative

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3
Q

What is the issue with communicable disease in modern society?

A

Interconnected world
Faster spread of disease
New rules placed in one country = major impacts on others

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4
Q

What does this mean for controlling communicable diseases e.g. in a pandemic?

A

Therefore cannot control disease by solely acting on a national level

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5
Q

Why is COVID different from e.g. polio?

A

COVID = hitting home front of the WEST = more financially secure countries with higher incomes, more resources etc.

Polio mainly in third world countries

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6
Q

What are some non-communicable disease that global health needs to address?

A

e.g. mental health
Influenced by many large corporates e.g. fb, mcD, ig, etc.

Polio Global Eradication Initiative

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7
Q

How is global health currently regulated?

A

WHO - world health organisation

Specialised agency of the UN

Intergovernmental organisation aiming to uphold international peace and security

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8
Q

What are the aims of the WHO?

A

Attainment of all peoples at the highest possible level of health

Info from all countries passed onto WHO, this info is collated and organised appropriately

Appropriate measures taken

Governance
WHO – aim is ‘the attainment by all peoples of the highest possible level of health’
International Health Regulations – describes role of national governments too
Is able to declare a ‘Public Health Emergency of International Concern’

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9
Q

How can countries be grouped together?

A

Wealth

Infrastructure

Standard of Living

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10
Q

Whats the Human Development Index (or HDI)?

What is it comprised of?

A

Approach used by the United Nations (UN) to quantifying development (in general) and is a composite continuous value between 0.001 and 0.999 (usually provided to three decimal places).

HDI comprises 3 measures of development:
Knowledge - based on education and literacy
Healthy life - life expectancy
Standard of Living - income adjusted for local circumstances - based on Purchasing Power Parity (PPP)

Group countries into Very High, High, Medium, and Low
Used when drawing statistical comparisons

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11
Q

After each country is given an HDI value, how can they be grouped?

A

Very high = Norway, Ireland and Switzerland

High = Seychelles, Trinidad and Tobago and Albania

Medium = Kyrgyzstan, Morocco and Guyana

Low = Mauritania, Benin and Uganda

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12
Q

Why is the HDI so useful?

A

HDI is used widely when drawing statistical comparisons.

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13
Q

What is also used, other than HDI?

A

HIC - high income country
LMIC - low and middle income countries

These are more objective

Delineates between settings based on an objective measure of wealth

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14
Q

What is meant by the global south?

A

Refers to countries where income tends to be low and economies are recently industrialising

Geographically = are around the tropics

Many of these countries have a colonial history

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15
Q

What is meant by the terms:

Third World =

Less economically developed countries =

Emerging markets =

A

Third World = In the era of the Cold War, countries that were aligned with NATO were deemed first world. Countries aligned with the USSR were considered second world. This term was originally intended to denote non-aligned national state actors

Less economically developed countries = A term that has been vaguely used to categorise countries on then basis of their gross national income (GNI). This term has now been removed from routine use by the World Bank

Emerging markets = An economic term suggesting that a country is about to engage with global markets. This term remains commonly used in business with pharmaceutical companies often using it to describe multiple countries where business opportunities are ancipated

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16
Q

What is WASH?

A

Water, sanitation and hygiene

Water - safe water for drinking, washing, and domestic activities ( 30% of world lacks)

  • Fundamental human right (UN)
  • Water that does not have a significant threat to health over a lifetime of consumption
  • Infectious disease: water-borne, water-washed, water-based, water-related, diseased caused by poor sanitation

Sanitation - safe removal of waste (toilets and waste disposal) - (60% of world lacks)

Hygiene - health promotion activities that encourage protective healthy behaviour practices

Benefits greater together than implemented separately

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17
Q

What are some examples of globally prevalent WASH-related diseases?

A
Diarrhoea
Malaria
Schistosomiasis
Trachoma
Intestinal helminths
Japanese encephalitis
Hep A
Other types of poisoning
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18
Q

Why is diarrhoea an issue?

A

Leading cause of mortality and morbidity in children under 5 - in low-middle income supply

Associated with lack of WASH

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19
Q

How does WASH improve diarrhoea?

A

Improved water supply = improvement of 6-25%

Improved sanitation = improvement of 32%

20
Q

What are hygiene interventions?

A

Hand washing
Hygiene promotion

= lead to decrease is diarrhoea by 45%

21
Q

What is a fundamental human right in WASH?

A

Right of access to safe drinking water and sanitation by UN

22
Q

What is safe drinking water?

A

Water that does not set a significant risk to health over a lifetime of consumption - each person required 50-100L of clean, safe water / day to cook, clean, drink and bathe

23
Q

How does poor quality drinking water impact people?

A

Health
Livelihood
Education and employment opportunities - lead to wider economic and political challenges

24
Q

What are the 5 water-related infectious diseases?

A

Water-borne = disease spreak wehn people drink / eat in food contaminated water e.g. cholera

Water-washed = infections caused by poor personal hygiene

Water-based = transmitted by aquatic species

Water-related = insect vector diseases

Diseases caused by poor sanitation

25
What is Sustainable Development Goal (SDG)?
Package of 17 goals launched by UN inn 2015 To be achieved by 2030 Each goal is dependent on the other goals Universal for all countries
26
What are the 17 SDH universal goals?
GOAL 1: No Poverty GOAL 2: Zero Hunger GOAL 3: Good Health and Well-being GOAL 4: Quality Education GOAL 5: Gender Equality GOAL 6: Clean Water and Sanitation GOAL 7: Affordable and Clean Energy GOAL 8: Decent Work and Economic Growth GOAL 9: Industry, Innovation and Infrastructure GOAL 10: Reduced Inequality GOAL 11: Sustainable Cities and Communities GOAL 12: Responsible Consumption and Production GOAL 13: Climate Action GOAL 14: Life Below Water GOAL 15: Life on Land GOAL 16: Peace and Justice Strong Institutions GOAL 17: Partnerships to achieve the Goal
27
What is maternal death?
Death of a woman while pregnant or within 42 days of termination of pregnancy - from any cause by the pregnancy or its management but not from accidental or incidental causes
28
Why is maternal mortality important in global health?
Indicators of a country’s health and wellbeing - almost 300,000 women die each year from maternity related causes - – over 95% from LMICs
29
What is the maternal mortality ratio (MMR)?
Maternal mortality ratio is the epidemiological indicator commonly used. It is calculated as the number of deaths divided by the number of live births (in the same period) per 100,000 live births. MMR = Maternal Mortality Ratio (no. of deaths/no. of live births per 100,000 live births) Also a measure of how accessible/responsive/effective a health system is
30
Using the UNICEF website above, what is the MMR in Norway?
Very low - <100 | 2
31
What is the MMR in the United Kingdom?
Very low - <100 | 7
32
What is the MMR in Sierra Leone?
Extremely high - >1000 | 1120
33
Why is MMR important?
Important indicator of human and social progress Measure of how accessible, responsive and effective a health system is The degree to which a health system is responsive to women’s health is a measure of how politically invested a country is in achieving equal health outcomes for men + women
34
What affects MMR?
Income Privatised healthcare Health system inequalities
35
What is the modern world called in planetary health and sustainability?
The Great Acceleration Humans = exponential increase in consumption of: Human consumption Fresh water Proliferation of motor vehicle Production and use of synthetic fertilisers Paper production Plastic production Extraordinary acceleration since 1950s Huge impact across natural ecosystems
36
Human consumption and needs exceeds planetary capacity, what is this leading to?
Improvements of humans But decrease in natural ecosystem functioning Also HUGE driver of burden of disease today Wealthy tend to consume whereas the poor tend to suffer the consequences
37
What is planetary health?
an emerging discipline that recognises our coexistence as human beings with the world around us - Balance between human consumption and planetary sustainability
38
What is one health?
Conceptual paradigm: To improve health and well-being through the prevention of risks and the mitigation of effects of crises that originate at the interface between humans, animals, and their various environments INCLUDES animal health, environmental health and human health animal health - Wild animals, agriculture, aquaculture, companion animals = farmers, vets, food consumers and pet owners Environmental health - vegetation, soil, water = industry, farmers, waste water management Human health - individual, local, global = patients, prescribers, pharma
39
What is AMR (antimicrobial resistance)?
Where antibiotics, antivirals, antifungals and antiparasitics become less effective overtime as pathogens evolve
40
What are the risks, impacts and consequences of AMR?
``` Poor treatment options in the future Risks of future pandemics Longer hospitalisations Increased mortality Greater infection rates ``` Increasing incidence of multi-drug resistant bacteria If nothing is done – may become almost impossible to do routine surgery Will hit those who have the least resources the hardest
41
What can we do about AMR?
More controlled prescribing in hospitals Lessened use in farming Discovering more antimicrobials Large proportion of antibiotics are used in agriculture - reduce this Understand science behind resistance Reduce availability of all antibiotics + introduce more safeguards for broad spectrum Abx
42
Issues with AMR solutions?
Interdependent around the world, everyone globally needs to follow these = unlikely NEED PEOPLE INVOLVEMENT Not just human health - veterinarians, agriculture, business, politicians Global effort
43
How might climate change in the tropics influence human health in London?
Increased average temp - environmental degradation - agricultural failure - crime and disorder - fear of crime - global supply chains - malnutrition - economic migration - infectious disease - pressure on services - increasing health inequalities - structural racism and inequity - political instabilities - armed conflict
44
What is The ‘tragedy of the commons’
an economic analogy that describes how people degrade a common good for personal consumption, in spite of the consequent overall societal loss.
45
Other than humans, who are antibiotics also given to
A large proportion of antibiotic is used in agriculture: in countries including the US they are used to promote animal growth. Although disputed, some figures estimate in the region of 50-80% of antibiotics by volume are given to animals in the US.