Health and Disease KQ1 and KQ2 Flashcards

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1
Q

Definition of Health

A
  • State of complete physical, mental and social well-being, not just absence of disease or infirmity
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2
Q

Indicators of heath

A

1) Infant Mortality Rate (IMR)
2) Life expectancy

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3
Q

IoH: IMR

A
  • Number of infants that die before reaching one year old per 1000 live births in a year
  • DCs have lower IMR than LDCs (Good SOL, Access to HC, Clean drinking water, hygienic env)
  • More developed a country, lower the IMR

e.g. DC: SG, IMR of 1.5 (2021)
- LDC: Argentina, Lower IMR <14
- LDC: Afghanistan, High IMR >74

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4
Q

IoH: Life expectancy

A
  • Average number of years from the time of birth that a person can expect to live
  • DCs Higher LE of around 80 (Australia, Japan)
  • LDCs lower LE of around 65,
  • LDCs such as Afghanistan LE lower than 50
  • Due to lack of nutritious foods, proper hygiene, sanitation etc
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5
Q

Why health Differs between DCs and LDCs

A

> Social Factors
1) Diet
2) Lifestyle Choices
3) Education

> Economic Factors
1) Poverty and Affluence
2) Investment in healthcare and access to health services

> Environmental Factors
1) Living Conditions
2) Access to safe drinking water
3) Proper sanitation

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6
Q

SF: Diet

A
  • Food and drinks people consume

> Malnutrition
- Poor diets result in malnutrition
- Body does not get sufficient nutrients to maintain healthy body function
- Life-threatening

> Overconsumption
- Excess nutrients stored as fats, leading to obesity
- Increases risk of diabetes and heart disease

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7
Q

SF: Healthy Lifestyle choices

A
  • Habits, Attitudes, activities, values
  • Healthy LS reduces burden of diseases and maintains high QOL

> Balanced diet
- Stronger immune system, increased energy, healthier organ and tissue function, better body development

> Physical activity
- Improved cardio-vascular health ( < incidence of CHD by 57%)
- Stronger resistance against diseases
- Improved sleep and mental well-being

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8
Q

SF: Unhealthy lifestyle choices + examples

A

> Smoking
- Cardiovascular and lung diseases
- Mouth, lung and organ cancers

> Excessive drinking
- Chronic illnesses, liver failure, hypertension
- Impaired thinking leading to risky behaviour (i.e. Sex, drugs)

e.g. WHO study, 2012
- 6% deaths worldwide due to lack of physical activity
- More prevalent in DCs due to ability to hire help

  • Smoking larger problem in LDCs
  • 80% of world´s 1 billion smokers from LDCs
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9
Q

SF: Education

A
  • Process of teaching and learning
  • Increased education = more informed about living healthy lifestyle
  • Increased education = better job prospects = Increased disposable income = greater access to quality medical treatment, food and living conditions
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10
Q

SF: Womens education + example

A
  • More informed of nutrition and healthcare
  • Healthy mothers able to care and provide for children more effectively
  • IMR decreases

e.g. India,
- Infants born to mothers >11 years formal education 60% less likely to die within first month of birth

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11
Q

SF: Childrens Education

A
  • Increased education = likely to learn health and nutrition
  • Improved diet + lifestyle

> DCs
- More likely to stay in school and complete education
- Schooling compulsory
- More resources = higher quality education
- More skilled labour to teach

> LDCs
- Cannot afford schooling
- Start working from young age
- Schools scare and under-equipped

e.g. 50% of school dropouts from SSA, 2.1% from NA and Western europe

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12
Q

EconF: Poverty + example

A

> Poverty
- No money nor material resources
- Due to poor education, unemployment, job insecurity

  • Limits PP = unable to afford HC
  • More likely to be exposed to health risks
  • Poor housing, poor nutrition

e.g. 12.7% of world population living under extreme poverty line (<$USD1.90 per day)

e.g. UK
- Avg lifespan between poor and wealthy differ by 28 years

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13
Q

Health implications of children living in POVERTY

A
  • Prone to nutrition related diseases

> Marasmus: deficiency in macronutrients body requires to function (carbohydrates, protein and fats)

> Kwashiorkor: insufficient protein or essential nutrients in diet

  • Usually unvaccinated
  • Lack access to vaccines
  • Vaccines stimulate immune system to develop resistance against specific diseases
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14
Q

EconF: Affluence + Example

A
  • Abundant supply of money, property and material goods
  • Provides greater access to food
  • Better quality HC
  • Less likely to contract diseases, treatment more available

e.g. Higher income individuals choose to eat healthier and engage in more physical activity

e.g. Also more likely to overconsume high amounts of non-staple foods, leading to health problems

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15
Q

EconF: Investment in HC

A
  • Resources devoted by govt, businesses and individuals for addressing HC needs of a population
  • Build and maintain medical infra
  • Train, hire staff
  • Purchase medicine and equipment
  • Increases availability of HS ( more doctors, beds, equipment)

e.g. Singapore
- Invest in manpower = able to provide 24hr HS
- Invest in skill = specialist doctors and nurses
- Invest in hospitals and equipment = inpatient/outpatient facilities

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16
Q

EconF: Access to HS

A
  • Depends on:
    1) Capacity of hospitals
    2) Number of HC professionals
    3) Amount of medicine, equipment
  • Doctor-Patient ratio (no. docs to 10,000 patients)
  • Bed-Patient ratio (no. beds to 10,000 patients)
  • Reflect amount of investment by govt

e.g. SG, 18 docs, 13 beds per 10,000 patients
Bangladesh, 3 docs, 4 beds per 10,000 patients

> Affordability and costs
- LDCs inadequate HC infra due to lack of resources / inappropriate use of funds
- Cost of HS increases, people cannot afford
- DCs have insurance to settle, affordable and accessible

> Private sector (Higher quality, specialised)
- Phamaceutical companies
- Private hospitals
- More resources than govt hospitals

17
Q

EnvF: Living conditions

A

> UN-HABITAT guidelines
1) Durable, permanent housing protected against extreme climate conditions
2) Sufficient living space (<4 people sharing one room)
3) Easy access to safe drinking water (sufficient & affordable)
4) Access to adequate sanitation in form of toilet shared by reasonable amounts of people

  • Poor living conditions in slums w/ poorly secured structures, poor ventilation and overcrowding
  • Poor health and high incidence of disease
  • Pests and animals carrying diseases, increasing probability of contracting diseases
18
Q

DC VS LDC living condition

A

> Mumbai slums
- Temporary homes
- Tanker truck only supply of water
- One toilet shared by many families
- Housed on illegally settled land

> Singapore
- Permanent houses
- 1-2 people per room
- Piped water
- One or more toilet per family
- Housed on bought/leased land

19
Q

EnvF: Access to safe drinking water + Examples

A
  • Defined by WHO as:
    1) Water sourced <1km away from place of use
    2) At least 20liters per person per day
  • Unsafe drinking water spreads water-borne diseases
  • Cholera, heavy metal poisoning etc
  • Unsafe water STORAGE grows bacteria and breeds mosquitoes

e.g. 89% world population have access to safe drinking water
- 99% in DCs have access
- 86% in LDCs have access

  • Requires investment to construct piping and water treatment facilities
  • People pushed to drink unclean water from unsafe sources
20
Q

EnvF: Proper sanitation

A

> Good sanitation
- Sanitation facilities for safe storage, treatment and disposal of garbage
- Access to proper sanitation reduces risk of exposure to disease-carrying bacteria
- Sanitation keeps population of pests under control

> Poor sanitation
- Dumping or leaking of sewer into water bodies may pollute water, leading to spread of water-borne diseases
-Problem for both DCs and LDCs

e.g. 1990, 49% world population had access to proper sanitation
- 2020, 54% of world population had access to proper sanitation

21
Q

Variations in types of diseases in DCs and LDCs

A

> DCs
- Degenerative diseases

> LDCs
- Infectious diseases

22
Q

Degenerative diseases

A
  • Health conditions causing gradual breakdown of body tissue and organs
  • Main cause of death in DCs
  • DCs have longer LE, more susceptible to degenerative diseases
  • People in DCs more stressed, due to competitive working conditions
  • Indulge in alcohol, smoke, and unhealthy stress relieving activities, more susceptible to degen diseases
  • Higher disposable income allows people to consume more meat and dairy products
  • Coupled with low levels of physical activity, more susceptible to degen diseases
23
Q

Degen Disease: Cancer

A
  • Uncontrollable growth of cells invading adjacent tissue, affecting tissue/organ function
  • Responsible for >10million deaths in 2020 (17% of all deaths)
  • Higher income countries 2x more people contracting cancer than low income countries
24
Q

Degen disease: Coronary heart disease

A
  • Narrowing of blood vessels supplying blood and oxygen to heart
  • Caused by geneics, diabetes, smoking, lack of physical activity, high blood pressure, obesity
25
Q

Degen Disease; Stroke

A
  • Interruption of blood supply to brain
  • Occurs when blood vessels in brain is blocked or burst
  • Result of diabetes, heart disease, high cholesterol, obesity
26
Q

Degen disease: Alzheimer’s disease

A
  • Affects brain function gradually, difficult to talk, move and remember
  • Cause unknown
27
Q

Infectious diseases

A
  • Main cause of deaths in LDCs
  • Diseases that are communicable or contagious
  • Prevalent in places of poverty, poor diets, insufficient sanitation and healthcare
  • As LDCs become more developed, lifestyle becomes more similar to DCs
  • Leading cause of death shifts from infectious to degenerative
28
Q

Infectious disease: Lower respritory infections (LRIs)

A
  • Infection of lower respritory tract including the windpipe (trachea), bronchus and within the lungs
  • Include pneumonia, influenza, bronchitis
  • Caused by bacterial infection, viral infections, smoking, air pollution, cold and damp conditions, weakened immunity, malnutrition
29
Q

Scales at which diseases occur

A

1) Epidemics
2) Pandemics

30
Q

Epidemics

A
  • Infectious diseases spreads rapidly to many people within a short period of time in a specific region
  • Incidence rate higher than expected
  • Affects many people in a given period, even in areas where infectious diseases are not prevalent
31
Q

Incidence rate VS Prevalence rate

A

> Incidence
- Number of new cases of diseases in particular population over specific time

> Prevalence
- Total number of existing cases of disease in particular population

32
Q

Pandemics

A
  • Infectious disease spreads across large areas
  • Over continents or across globe
33
Q

Expansion diffusion VS relocation diffusion

A

> Expansion
- Outward from source
- Through contact, affected by distances
- Occurs through close contact

> Relocation
- Introduction to location outside geographic range
- Leaps great distances
- Occurs when community migrates from one location to another

34
Q

Epidemic example: Cholera, Haiti, Jan 2010

A

> Cholera
- Bacteria breeds in unclean water, ingested, infects small intestines
- Leads to diarrhoea and vomiting causing dehydration and death

> Haiti EQ, 2010
- Damaged water supply and sanitation infra
- Contaminate and polluted water
- Killed 8000 in 3 years

35
Q

Pandemic example: Spanish Flu, Global, 1918

A
  • Outbreak started in USA army camp
  • Spread to Europe by army troops
  • Spread to Russia, India, China, Africa
  • Killed 50-100million people
36
Q

Emerging VS re-emerging diseases

A

Emerging: Diseases appearing in population for the first time

Re-emerging: Diseases that may have existed in a population or region previously but are rapidly increasing in incidence and geographic range.
- May occur in different form or location

37
Q

How does globalisation lead to rapid spread of diseases

A
  • Efficiency of modern transportation and communications
  • Faster, more efficient air, sea and land transport
  • Tougher to control borders
  • Diseases spread globally