refers to the disposal of human excerta
6 "F"
feces
fluids
fields
fingers
food
flies
FECES contaminates FLUIDS
(bodies of water and FIELDS
That may put feces onto hands and those FINGERS may touch FOOD
FLIES may also spread feces to food and water
2. Heredity
3. Environment - Social and Physical environment
4. Medical care
Being and staying employed
type of employment
Access to health care
Housing
Income
Discrimination
Social networks
Biomedical - health is controlled by physical and biomedical processes
Deterministic - Outcomes are pre ordained and can not be changed
* economic stability
* education access and quality
* Health care access & quality
*Neighborhood & Built environment
* Social and Community
Educational attainment
Access to health care
Employment
Housing
Income
Discrimination
Familism - family over individual
*Decisions are made as a family
* In these cultures, value is placed on the family unit as a whole
Individualism - priority is individual over family or group
* In these culture, value placed on independent problem solving and achievement
How are health status indicators used?
- determining the extent to which disease causes death or disability
- practicing disease surveillance
Tobacco use
Unsafe sex
Hygiene
"Health-related behaviors are affected by and affect multiple levels of influence" "Behavior both influences and is influenced by the social environment in which it occurs"
Individual - influences behaviors such as knowledge, attitudes, beliefs, and personality traits.
Interpersonal - processes and primary groups including family, friends, and peers.
Institutional - rules, regulations, policies, and informal structures
Community - social networks and norms or standards that exist formally or informally among individuals, groups, and organizations
Public policy - local, state, and federal and laws that regulate or support healthy actions and practices for disease prevention, early detection, control, or management.
What are leading risks for mortality around the world?
tobacco use 9%
high blood glucose 6%
physical inactivity 6%
overweight and obesity 5%
unsafe sex 5%
alcohol use 5%
unsafe water, sanitation & hygiene 4%
increases non-communicable diseases and trade in health services.
Up to 70% of these deaths, caused by lung cancer, cardiovascular diseases (CVDs), lung diseases, diabetes.
tobacco companies intensively target people in poorer nations as potential customers. The high incidence of smoking among children and adolescents, and the disturbingly low age of initiation.
increases sedentary lifestyle, the use of tobacco and a fat- and sugar-rich diet
The extraordinary improvements in information technology have dramatically increased the speed and ease of data flow, thereby facilitating the sharing of information.
These projects keep Americans safe, and by promoting health, security, and economic opportunity, they stabilize vulnerable parts of the world. Prevents epidemics,PEPFAR, a more stable world, proof of America's global leadership, The world will not be a safer place if the U.S stops helping other countries meet their needs, U.S programs are critical to preventing conflicts and reducing the need to put our men and women in uniform in harm's way. In conclusion, it protects Americans by preventing epidemics, saving lives, aid deliveries phenomenal benefits, and for a bargain, it represents less than 1% of the federal budget, not even a penny out of every dollar. This money is well spent, and it has an enormous impact and is ought to be maintained.
They argue that virtually all diseases prevalent in low income countries are 'neglected' and that the pharmaceutical industry has invested almost nothing in research and development (R&D) for these diseases.
Tuberculosis
Malaria
low and middle-income countries
top ten killers
whooping cough
tetanus
measles
HIV/aids
hep b
malaria
diarrhea
tuberculosis
respiratory infections
roundworm/hookworms
animal - human
human - human
Communicable disease synonymous with infectious diseases.
Transmission Paths
foodborne: Salmonella, E. coli
waterborne: Cholera, rotavirus
sexual or bloodborne: Hepatitis, HIV
Vector-borne: Malaria, Chagas
Inhalation: Tuberculosis, influenza
TB
Malaria
Strong stigma and discrimination associated with HIV, TB and other such as leprosy
Limit productivity and income of adult workers
Cost of treatment burden families
High rates of communicable diseases reduce investment in a country's development
The burden of Emerging and reemerging infectious diseases. Antimicrobial resistance, future challenges
Emergings - SARS & MERS
Reemerging - Cholera & Ebola
Disease control measures
vaccinations
vector control
improved water, sanitation, hygiene
improved care seeking, disease recognition
case management (treatment) and improve caregiving
case surveillance, reporting and containment
behavioral change.
- SARS - China 2002
Reemerging infectious disease - an existing disease that has increased in incidence spread to new places, or has taken on a new form
- EBOLA - West Africa 2014
-Cholera - Peru 1997
Undernutrition - the three most common used indexes for child undernutrition are height for age, weight for age, and weight for height.
* folic acid supplements or fortification
* Balanced energy protein supplements
* Calcium supplements
*Multi micronutrient fortification
* Promotion of appropriate breastfeeding practice
* appropriate complementary feeding
Intro packaged nutritional interventions include
* Supplement of vitamin A & Zinc for children aged 6 - 59 months.
* Appropriate management of severe acute malnutrition
*Appropriate management of moderate acute malnutrition
* Highly cost effective: cost per DALY averted about $179
Case - and individual with a particular disease
Case Fatality rate - the proportion of persons with a particular condition (case) who dies from that condition
Control (disease control) reducing the incidence and prevalence of a disease to an acceptable level
Elimination (of disease) - reducing the incidence of a disease in a specific area to zero
- Poor nutrition
- indoor air pollution
- lack of sanitation
- lack of education/health education
* Results? Preventable deaths
Risk factors: diarrhea, pneumonia, measles and other communicable disease.
about 3 million "under 5 years of age" die each year can be attributes to nutrition
Nutrition status has a profound relationship with health status
45% of all death in children under 5 are linked to nutrition related causes.
High cost effective: cost per DALY averted about $179
Illnness: makes it harder for people to eat, absorb the nutrients they take in and raises the need for some nutrients.
The relationship creates a cycle of illness and infection.