Académique Documents
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Preventive Medicine
The science and art of preventing disease, prolonging life and promoting physical and mental health and efficiency
Public Health
The science and art of preventing disease, prolonging life and promoting physical and mental health and efficiency through organized community efforts for
the sanitation of the environment the organization of medical and nursing services for the early diagnosis, prompt treatment and prevention of disease The development of the social machinery which will ensure to every individual in the community a standard of living adequate for the maintenance of health
Health
Health is a state of complete physical, mental and social wellbeing and not merely absence of disease or infirmity
Disease
Disease
A departure from a state of health An alteration of the human body
interrupting the performance of vital functions. A condition of the body or some part or organ of the body in which its functions are disrupted or deranged
Causation of disease
Epidemiological Triad
Environment
Agent
Host
Agent Factors
The disease agent is
A substance , living or non living, or a force, tangible or intangible, the excessive presence or relative lack of which may initiate or perpetuate a disease process. Disease may have a single or a number of independent agents or a complex of two or more factors
Agent
Biological agents- living agent of disease
Bacteria, Viruses, protozoa, fungi, rickettsia Nutrient agents- Protein, carbohydrate, vitamins, minerals and water Any excess or deficiency of the nutrient elements may result in nutritional disorders, anemia, goiter, obesity Physical agents Exposure to excessive heat, cold, humidity, pressure, radiation, sound
Agents
Chemical agents- metal fumes, dust,
gases, insecticides Mechanical agents exposure to chronic friction and other mechanical forces may result in crushing, tearing, sprains, dislocations Social agents poverty, smoking, abuse of drugs, unhealthy life style, social isolation
Host
Human host is referred as soil and the disease
agent as seed Host factors play a major role in determining the outcome of an individual's exposure to infection Host factors
Demographic - age, sex, race Biological genetic factors Social and economic factors Lifestyle factors
Environmental factors
All that which is external to the individual
human host, living or nonliving and with which he is in constant interaction This include all surrounding such as air, water, food, housing etc Physical environment Biological environment Psychological environment
Concepts of Control
Disease control Disease Elimination
Disease Eradication
Concepts of Control
Disease control
Aim is to reduce
The The The The incidence of disease duration of disease effects of infection financial burden
Concepts of Control
Disease Elimination
Between control and eradication Interruption of transmission of disease
Polio, Measles
Concepts of Control
Disease Eradication
Tear out by roots Termination of all transmission of infection by extermination of infectious agent Small pox
Prevention
Prevention
The goals are
To To To To promote health preserve health restore health when it is impaired minimize suffering and distress
Levels of Prevention
Primordial Prevention
Primary Prevention Secondary Protection Tertiary Prevention
Primordial Prevention
Prevention of the emergence or development of
risk factors in a population in which they have not yet appeared
Obesity --origin in childhood Life styles- eating patterns, physical exercise Hypertension -Main intervention in primordial prevention is through individual and mass education
Primary Prevention
than curing them or treatment of the symptom Action taken prior to the onset of disease Removes the possibility the disease will ever occur Intervention in the prepathogenesis phase of a disease or health problem
Health Promotion Specific Protection
Health Promotion
Measures to promote optimal level of health
Provision of adequate nutrition Health counseling to parents and community Provision of adequate housing Health education, counseling Periodical health examinations
Specific Protection
Measures applicable to a disease or group of
diseases to intercept the cause before the involvement Communicable diseasesimmunization Nutritional deficiency Dietary intervention
Vit A, D, C, B1, B2, B6, B12
Secondary Protection
Early diagnosis and prompt treatment Strategies intend to ovoid the development of disease Patient comes in contact with health worker or health facility Action which halts the progress of a disease at its early stage and prevent complication Arrest the disease process and restore health TB- Skin and sputum test
Tertiary Prevention
All measures to reduce or limit impairments and disabilities, minimize suffering from disease and
Tertiary Prevention
Disability limitation limiting further progress of disability Measures of prevention at this level is provision of therapeutic substances to arrest the disease and prevent further disability
Tertiary Prevention
Rehabilitation To train the individual to be useful Psychosocial vocational
Prevention
Universal prevention
Addresses the entire population (national,
local community, school, district) Aim to prevent or delay the abuse of alcohol, tobacco, and other drugs. All individuals, without screening, are provided with information and skills necessary to prevent the problem.
Selective prevention
focuses on groups whose risk of developing
problems of alcohol abuse or dependence is above average. The subgroups may be distinguished by characteristics such as age, gender, family history, or economic status. For example, drug campaigns in recreational settings. Polio
Indicated prevention
involves a screening process, and aims to
identify individuals who exhibit early signs of substance abuse and other problem behaviors. Identifiers may include falling grades among students, known problem consumption or conduct disorders, alienation from parents, school, and positive peer groups etc.
Prophylaxis
Prophylaxis
Prophylaxis " to guard or prevent beforehand
any medical or public health procedure whose purpose is to prevent, rather than treat or cure a disease.
prophylactic measures
primary prophylaxis (to prevent the development of a disease) secondary prophylaxis (whereby the disease has already developed and the patient is protected against worsening of this process).
Prophylaxis
Examples Some specific examples of prophylaxis Influenza vaccines are prophylactic. Antibiotics are sometimes used prophylactically, During the 2001 anthrax attacks scare in the United States, patients believed to be exposed were given ciprofloxacin . Antibiotics are also given prophylactically just before some medical procedures such as pacemaker insertion
does not happen than to have to solve the problem afterwards. happening in the first place than to fix the damage after it has happened. health and disease. proverbial saying, 17th century.
pound of cure
It is better and more useful to meet a problem in time than to seek a remedy after the damage is done.