Non-communicable diseases Flashcards

1
Q

What is characteristic for non-communicable diseases?

A

Not transmitted through infectious agents.
Often chronic or even life long.
Commonly associated with high morbidity and even mortality.
Onset generally occurs in middle age or later.
Often associated with a modern life style.

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2
Q

How large is the percentage of annual deaths in the world due to non-communicable diseases?

A

63 % are due to non-communicable disease.

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3
Q

What are the big four non-communicable diseases?

A

Chronic respiratory disease.
Cardiovascular disease.
Cancer.
Diabetes.

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4
Q

Out of the big four non-communicable diseases, which is the biggest killer?

A

Cardiovascular disease. (Responsible for 46 % of death due to non-communicable diseases.)

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5
Q

In deaths due to non-communicable diseases, how large is the percentage of deaths in low and middle income countries?

A

75 % of deaths due to non-communicable diseases occur in low and middle income countries.

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6
Q

Is the majority of deaths in developing countries due to communicable or non-communicable diseases?

A

Non-communicable diseases.

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7
Q

Which gender is at higher relative risk of dying due to a non-communicable disease?

A

Men.

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8
Q

Has the burden of disease due to non-communicable diseases been increased or reduced the past decades in developing countries?

A

The burden of disease due to non-communicable diseases has been increased.

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9
Q

Based on country income group (low, low-middle, high-middle and high income), in which countries is the mortality rate from cardiovascular disease the highest and the lowest?

A

The mortality rate is the highest in low-middle income countries, and the lowest in high income countries.

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10
Q

What are the principal clinical interventions for cardiovascular disease in low income countries?

A

Hypertension control.
Cholesterol control.
Surgical intervention.
Behavioral change.

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11
Q

What cancer has the highest mortality rate in both genders worldwide?

A

Lung cancer.

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12
Q

What are principal clinical interventions for cancer control in low income countries?

A

Surgical intervention.
Anti-cancer drugs.
Behavioral change.

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13
Q

What are some major carcinogenic causes of lymphoma worldwide?

A

Epstein-Barr virus (EBV), HIV, and environmental toxins.

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14
Q

What is the most common cancer in women in developing countries? What cancer has the highest mortality for women in developing countries?

A

Cervical cancer is both the most common and the cancer with the highest mortality for women in developing countries.

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15
Q

What is the association between hepatitis B virus (HBV) and liver cancer?

A

Carriers of HBV have a 200 times greater chance of developing liver cancer. (HBV is a carcinogen that is second only to tobacco in causing cancer worldwide.)

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16
Q

What are principal clinical interventions for chronic lung disease in low income countries?

A

Oxygen and other respiratory support.

Behavioral change.

17
Q

What are principal clinical interventions for diabetes control in low income countries?

A

Insulin and other glucose lowering drugs.

Behavioral change.

18
Q

Om de store ikke-smittsomme sykdommene sier man gjerne at “den femte er den glemte”. Hva er den femte store ikke-smittsomme sykdommen?

A

Mentale helseproblemer.

19
Q

What is the most common psychological illness worldwide?

A

Depression.

20
Q

What are principal clinical interventions for mental health disorders in low income countries?

A

Anti-depressants.
Anti-psychotics.
Counselling.

21
Q

What factors have contributed to the rise of NCDs in low and middle income countries?

A

Decline of “traditional” diseases of poverty due
to effective programs.
Urbanization.
More sedentary lifestyles.
More disposable income.
Integration into global trade and markets.
Commercial influences.

22
Q

What are the three leading risk factors for global disease burden?

A

Hypertension, smoking tobacco and use of alcohol.

23
Q

Is obesity more common in men or women worldwide?

A

Obesity is more common in women.

24
Q

What are three leading cancer risk factors worldwide?

A

Tobacco use, overweight/obesity and pathogens.

25
Q

Almost two-thirds of deaths due to non-communicable diseases are linked to four factors. What are the factors?

A

Use of tobacco, harmful use of alcohol, unhealthy diet and physical inactivity.

26
Q

What are principal policy tools to fight non-communicable diseases?

A

Regulation.
Taxation.
Education.

27
Q

What can doctors do to help fight non-communicable diseases?

A

Understand and serve the needs of your patients.
Convey those needs to those who make national policy decisions.
Make yourselves a persistent nuisance to those who profit from creating risk.