Public Health Flashcards
What are the ethical considerations when inviting someone for screening?
Consent Right to refuse Beneficence Privacy Competence
Why might there not be a screening programme for certain diseases?
Early detection doesn’t change outcome
not prevalent enough
People already present early
Difficult population to get to attend
What are the determinants of health?
Income and social status
- employment levels
Eduction
Physical environment
- housing
- amenity to things
Social environment
- crime
Genetics and Biology
Health services
Gender
What act protects workers from being discriminated against because of illness?
Equality Act 2010
What is health protection?
The surveillance, investigation and control of communicable disease and non infectious hazards
- prevent spread of disease
- ensure safe water, food, air
- Manage outbreaks of diseases
What is the act governing public health law?
Public health act 2008
When should a notifiable disease be notified?
Upon suspicion
therefore there will be more notified conditions that actual confirmed ones.
What are some control measures in health protection?
Hygiene
Post - prophylaxis
Immunisation
Restrictions/ Isolation of patient
What defines an outbreak?
> 2 or more people experience the same illness which seems linked by time and space
A greater than expected rate of infection that compared to normal for a particular place
A single case of a very rare disease
- rabies
- viral hemorrhagic fever
Who investigates outbreaks? and what are their main tasks?
Incident management team
- risk assessment
- risk management
- Communication
In the setting of heroin use, what increases the risk of anthrax?
Longer injecting history
Alcohol use
Oral substitute therapy
Example:
if you are a GP and a child comes in with symptoms of measles what should be done?
Public health contact
Exclusion of child to prevent transmission
Trace contacting
Establish an Incident management team
- risk assessment
- risk manage
- communicate
If there is immunisation enquires what should you check?
The green book
What are the three domains of public health?
Health protection
Health improvement
Health service and quality
What are the components of good quality healthcare?
Safe Effective Timely Efficient Equitable People centred