Public Health Flashcards

1
Q

What is public health?

A

Interventions aimed at protecting and promoting the health of a population
An organised community effort aimed at the prevention of disease and promotion of health
Multi-disciplinary

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2
Q

What are issues with immunisations?

A
  • uptake rates are crucial
  • communicable (infectious) disease is a major killer in developing countries
  • many millions of deaths are preventable
  • but there are political/economical barriers
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3
Q

How do we stop outbreaks of disease eg influenza ?

A
Surveillance
Sharing of information
Emergency response plan
Vaccines
Treatments
Communications
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4
Q

Describe HIV/AIDs in public health.

A
  • global epidemic slowing
  • improves prevention interventions
  • targeted ART (anti-retrovirals)
  • high risk area remain
  • transmission routes vary
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5
Q

How do screening programmes work?

A
  • they pick up diseases before symptoms present
  • identify risk factors
  • identify high risk groups
  • give preventative treatment
  • intervene early
  • reduce morbidity and mortality
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6
Q

What percentage of child deaths in Africa are due to malaria ?

A

20%

1 child dies every 30 seconds due to malaria

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7
Q

How do we improve public health?

A

Educate people
Regulate threats
Prevent risk and disease

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8
Q

Why is intake of nutrients important in public health?

A
  • needed to maintain a given circulating level or tissue concentration
  • needed by individuals/groups which are associated with the absence of deficiency signs
  • needed to maintain balance
  • needed to cure clinical deficiency signs
  • associated with an appropriate biological marker of nutrient adequacy
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9
Q

How does nutritional status act as a continuum ?

A

(Primary) imbalance of food intake
(Secondary) impaired absorption, utilisation, transport increased requirements
Increased/decreased tissue levels (stores)
Altered physiological or biochemical function
Signs and symptoms of deficiency

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10
Q

What happens if someone has vitamin A deficiency?

A
  • blindness (250 000-500 000 children a year)

- increased severity of diarrhoea and infections (250 million pre school children deficient)

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11
Q

What happens with iodine deficiency?

A

Poor cognitive development (43 million people)

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12
Q

What happens with iron deficiency?

A

Anaemia
Poor cognitive development
Increased susceptibility to infection
(2 billion)

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13
Q

What happens with folate deficiency?

A

Megaloblastic anaemia (anaemia die to inhibition if DNA synthesis of red blood cells)

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14
Q

What does vitamin D deficiency cause?

A

Rickets / osteomalacia

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15
Q

What are example of steps taken to prevent risk and disease?

A

Prescribing statins to help lower cholesterol
Healthy living advice
Screening programmes

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16
Q

What is cultural health ?

A

The condition of a persons or a communities cultural orientation, and their capacity or willingness to explore new ideas and behaviours

17
Q

What is epidemiology?

A

A study of the frequency, distribution and determinants of disease in populations.

18
Q

What is a cause of disease?

A

An event, condition or characteristic that preceded the event and without which the disease wouldn’t have occurred.

19
Q

What is a risk factor?

A

An attribute or exposure that is associated with an increased probability of a specified outcome.

20
Q

How do u work out mortality rates?

A

(No. of deaths /population at risk) x 1000

Crude death rate = whole population

21
Q

What does standardisation of mortality rates do?

A

Allow rates from different populations to be compared without values being skewed by age or sex.

22
Q

What is incidence rate?

A

The number of new cases of a disease occurring in a population during a specific time period / the no. of people exposed to risk of developing the disease in that time period
(Expresses per 1000)

23
Q

What is prevalence rate?

A

The no. Of cases of a disease present in a population at a specific point in time / no. Of persons at risk of having the disease at that point in time
(Per 1000)

24
Q

What is SIMD?

A

Scottish index of multiple deprivation

Provides a relative measure of deprivation.