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

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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.

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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

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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 three measures of development:
Knowledge - based on education and literacy
Healthy life - life expectancy
Standard of Living - income adjusted for local circumstances (purchasing power parity, PPP)

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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

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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

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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

Sanitation - safe removal of waste (toilets and waste disposal)

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
Schistosomias
Tachoma
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

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
Q

What is Sustainable Development Goal (SDG)?

A

Package of 17 goals launched by UN
To be achieved by 2030

Each goal is dependent on the other goals

26
Q

What are the 17 SDH universal goals?

A

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
Q

What is maternal death?

A

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
Q

Why is maternal mortality important in global health?

A

Indicators of a country’s health and wellbeing - almost 300,000 women die each year from maternity related causes

29
Q

What is the maternal mortality ratio (MMR)?

A

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.

30
Q

Using the UNICEF website above, what is the MMR in Norway?

A

Very low - <100

2

31
Q

What is the MMR in the United Kingdom?

A

Very low - <100

7

32
Q

What is the MMR in Sierra Leone?

A

Extremely high - >1000

1120

33
Q

Why is MMR important?

A

Important indicator of human and social progress

Measure of how accessible, responsive and effective a health system is

34
Q

What affects MMR?

A

Income
Privatised healthcare
Health system inequalities

35
Q

What is the modern world called in planetary health and sustainability?

A

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
Q

Human consumption and needs exceeds planetary capacity, what is this leading to?

A

Improvements of humans
But decrease in natural ecosystem functioning
Also HUGE driver of burden of disease today

37
Q

What is planetary health?

A

Recognising our coexistence as human beings with the world around us

38
Q

What is one health?

A

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

39
Q

What is AMR (antimicrobial resistance)?

A

Where antibiotics, antivirals, antifungals and antiparasitics become less effective overtime as pathogens evolve

40
Q

What are the risks, impacts and consequences of AMR?

A
Poor treatment options in the future
Risks of future pandemics
Longer hospitalisations
Increased mortality 
Greater infection rates
41
Q

What can we do about AMR?

A

More controlled prescribing in hospitals
Lessened use in farming
Discovering more antimicrobials

42
Q

Issues with AMR solutions?

A

Interdependent around the world, everyone globally needs to follow these = unlikely

43
Q

How might climate change in the tropics influence human health in London?

A

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