Global Health Priorities and Brain Worms Flashcards
Alma ata declaration 1978
involves WHO and governments
definition of health as a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity
commonest cause of death
IHD
YLL
years of life lost
DALY
disability adjusted life year
YLL + YLD
= 1 lost year of healthy life lost
YLD
no incident cases * disability weight * avg duration of case
Top cause of % Dalys lost
neonatal disorders
- IHD
- stroke
QALY
Quality adjusted life years
includes both quantity and quality of life lived
a year in a state of ‘‘perfect health’’ is worth one QALY
what guides how much money we spend on different disease etc.
QALY / $$$
How many stool samples for ?parasites?
3
because the eggs in tapeworms are released episodically
can vegetarians get human cysticercosis?
yes
from ingestion of human faeces rather than pork
it’s the eggs not the worms
they won’t get the tapeworm but they can get cysticercosis
Management of neurocysterisosis
giver steroids with praziquantel/amtiparasitic medication
symptomatic cysticercosis usually results from parasite degeneration in the brain
%TB cases due to HIV
What % people complete their TB treatment?
56-85%
commonest cause of people not completing TB treatment
loss of FU
death
