Health Protection Flashcards

1
Q

What 3 things does health protection include?

A
  1. Preventing + controlling infectious diseases
  2. Reducing the adverse effects of chemical, microbiological and radiological hazards e.g. pollution
  3. Preparing for potential or emerging threats e.g. bombs + terrorist attacks
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2
Q

Give examples of diseases that have emerged/re-emerged despite modernisations in society

A
TB
HIV
MRSA
C. difficile
Ebola
Swine flu
Zika virus
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3
Q

What kind of factors may encourage the emergence of these diseases?

A
  1. Societal events - war, migration
  2. Human behaviour - travel, diet
  3. Health care - new devices, transplants, immunosuppression
  4. Environmental change - deforestation, climate change
  5. Microbiological adaptation
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4
Q

Give examples of tools for control and investigation of these diseases

A
  1. Education about control e.g. washing hands
  2. Immunisation
  3. Surveillance + epidemiology - descriptive, analytical studies, mapping
  4. Environmental change e.g. improving hygiene in public places
  5. Law
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5
Q

When should medical practitioners notify Public Health England?

A
  • Notifiable disease
  • Infection that could harm human health
  • Patient is contaminated with chemicals or radiation that could harm human health
  • Patient has died by something that could have presented harm to human health
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6
Q

Define: outbreak

A

Two or more linked cases of a disease (time/place) or a single case of a rare disease

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7
Q

Define: epidemic

A

Serious outbreak in a single community, population or region

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8
Q

Define: pandemic

A

Epidemic spreading around the world affecting 100,000s people across many countries

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9
Q

Define: seasonal influenza

A

Every year - flu jab

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10
Q

Define: pandemic influenza

A

Change (mutation) in a flu virus to produce a new virus that can be transmitted easily between humans

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11
Q

Describe: managing the early staging of a pandemic

A
  1. Containment phase - identification + treatment of cases, contact tracing (family/airline passengers), large scale prophylaxis for the contacts
  2. Treatment phase - treat cases only, self diagnosis, national flu pandemic service
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12
Q

What is health economics?

A

It is the discipline of economics applied to health - it assumes resources are scarce and is about benefits + evaluating services.

It is concerned with how choices in health care should be made between competing needs for resources.

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13
Q

What are the 4 key concepts used in health economics uses?

A
  1. Opportunity cost - value of benefit which could be obtained from a resource
  2. Efficiency - maximising benefit for the resources used
    2a) Technical efficiency - meeting a given objective at least cost
    2b) Allocative efficiency - production that matches consumer demand
  3. Marginal analysis - comparing the benefit from the next step (marginal benefit) with the cost of taking the next step (marginal cost)
  4. Equity - fairness or justice of the distributions of costs and benefits
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14
Q

What are the Millennium Development Goals (to be achieved by 2015)

A
  1. Eradicate extreme poverty and hunger
  2. Achieve universal primary education
  3. Promote gender equality and empower women
  4. Reduce child mortality
  5. Improve maternal health
  6. Combat HIV/AIDS, malaria + other diseases
  7. Ensure environmental sustainability e.g. clean water
  8. Develop a global partnership for development
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15
Q

What are the features of international health?

A
  • Focus of specific diseases and conditions
  • Often in other countries - stresses more the differences between countries + the commonalities
  • One-way flow of ideas for development
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16
Q

What are the features of global health?

A
  • Focus on people across the whole planet rather than concerns of particular nations
  • Recognises that health is determined by problems, issues, concerns that transcend national boundaries
17
Q

Define: communicable disease

A

Any disease that is transmitted directly or indirectly to a person/from an infected person or animal through an intermediate animal, host, vector

18
Q

Why are communicable diseases a global health issue?

A

They do not recognise international boundaries
They can emerge anywhere on the globe + spread quickly to other regions e.g. Severe Acute Respiratory Syndrome (SARS), bird flu, swine flu

19
Q

Define: incubation period

A

Point in time when person acquires infection to when person shows symptoms of disease

20
Q

Define: latent period

A

Point in time when person acquires infection until it becomes infectious

21
Q

Describe: health transition

A

Urbanisation/improve medical technology –> infectious disease mortality declines –> fertility declines –> population ages –> chronic + non-communicable diseases emerge

22
Q

What part is the demographic transition?

A

Urbanisation/improve medical technology –> infectious disease mortality declines –> fertility declines

23
Q

What part is the epidemiologic transition?

A

Population ages –> chronic + non-communicable diseases emerge

24
Q

What are the 3 fundamental objectives of health systems?

A
  1. Improving health of population they serve
  2. Responding to people’s expectation
  3. Providing financial protection against the costs of ill-health
25
Q

What are the 6 building blocks of the health system?

A
  1. Service delivery
  2. Financing
  3. Medical products + technologies
  4. Health information system
  5. Leadership + governance
  6. Health workforce
26
Q

What are the 5 primary methods of funding health care systems?

A
  1. Direct or out-of-pocket payments
  2. General taxation
  3. Social health insurance
  4. Voluntary or private health insurance
  5. Donations or community health insurance
27
Q

Give examples of worrying trends of healthcare systems

A
  • Health systems that focus disproportionately on a narrow offer of specialised curative care e.g. new fancy drug to treat rare disease
  • Health systems that are focused on short term results rather than long-term prevention
  • Health systems where a hands-off approach to governance has allowed unregulated commercialisation of health to flourish
28
Q

What is information governance?

A

How individuals and institutions ensure that personal information is dealt with legally, securely, efficiently + effectively to deliver best patient care.