L1: General Introduction to Community Medicine Flashcards
Def of Health according to WHO
Physical Health
All body systems properly functioning without any disease
Mental Health
A balance between individual & his environment with ability to:
- Adjust within himself & others.
- Cope with stress.
Social Health
Ability of person to:
- Live & react in harmony.
- Adjust within family & community.
- Be an active member of a community
Spectrum of Health
Ideal Health
Conforms to WHO definition of health.
Positive Health & Negative (marginal) health
ln-apparent disease (pre-clinical)
Apparent disease
Death
End of health spectrum.
what are Determinants of health?
Determinants of health on individual level
Determinants of health on individual level (Related to Host)
Determinants of health on individual level (Related to Host)
- Heredity, genetic factors
Errors of metabolism, MR & certain tumors.
Determinants of health on individual level (Related to Host)
- SES
- Education, occupation & income
Determinants of health on individual level (Related to Host)
- Age
- Infectious diseases among children.
- Chronic diseases among elderly
Determinants of health on individual level (Related to Host)
- sex
- CHD more among males.
- while gall bladder stones more among females.
Determinants of health on individual level (Related to Host)
- Nutritional status
- Under nutrition → deficiency diseases.
- Over nutrition → obesity.
- Malnutrition interacts with infection & may activate a dormant TB infection.
Determinants of health on individual level (Related to Host)
- Physiologic state
Vulnerable groups (pregnant, lactating mothers & growing children) are more susceptible to some health hazards.
Determinants of health on individual level (Related to Host)
- Immunity
- Innate immunity as intact skin → protect against many infections.
- Immunity after clinical or sub-clinical infection → prevent disease 2nd attack.
Determinants of health on individual level (Related to Host)
- Lifestyle
Beliefs, culture & habits e.g., smoking.
Determinants of health on individual level (Related to Agent)
Determinants of health on individual level (Related to Environment)
Determinants of health on Family level
Determinants of health on community/national level
Iceberg Phenomenon of diseases & its blocks
from iceberg phenomena and pyramid of disease, we can see that:
Def of Epidemeology
Who is the father of modern epidemiology?
John snow
Essential Public Health Functions
Community medicine
Preventive Medicine
Community medicine & preventive medicine are all related & part of public health. All have more or less a similar definition & follow same lines.
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Patterns of curative care
- Emergency
- Episodic
- Continuous
- Terminal
Emergency Care
- The right for every individual in the country, anywhere, all the time.
- Include both medical & surgical conditions.
Episodic Care
- For patients with acute conditions in which they seek medical care for episodes of disease (e.g., diarrhea, tonsillitis, fevers..etc.)
Contimous Care
- For patients with chronic diseases who need to be under continuous care (e.g. D.M, cancer, heart disease).
Terminal Care
- For patients in final stage of disease expected to die.
- Requires expensive forms of hospital care.
Comparison between clinical medicine & community medicine