Professional Documents
Culture Documents
Preven&on
Includes
procedures
not
only
to
prevent
the
Scope
1.
Health
Problems
1.1
Infectious
1.2
Chronic
Disease
1.3
Trauma
1.4
Mental
Disorder
2.
Health
Determinants
(risk
factor)
2.1
Nutrition
2.2
Environment
2.3
Lifestyle
2.4
Population
Health
Problems
1.1
Infectious
Disease
Disease
resulting
from
infection
Communicable
disease:
disease
due
to
a
specic
Health
Determinants
2.1
Nutrition
Food
safety
Food
security
developing countries
now:
Excessive
consumption
of
fats,
rened
carbohydrates
and
salt
Inadequate
consumption
of
ber
and
cereals
2.4
Population
Rapid
population
Growth
Increasing
proportion
of
elderly
2.5
Social
Support
Disruption
of
social
support
systems
may
be
Elimination
of
Disease
Cases
of
disease
no
longer
exist
but
one
or
more
Morbidity/Mortality Rates
Contact Tracing
2. Intervention
Measures
Education
and
health
promotion
Control
exposure
to
known
etiologic
agent
Population
trials
Incidence
Stage at diagnosis
Evaluate
Intervention
Programs
Apply
Population-
Based
Intervention
Programs
Identify
Populations
at
High
Disease
Risk
(based
on
demography/family
history,
host
factors)
Assess
Exposure
Conduct
Research
on
Mechanisms
(including
the
study
of
genetic
susceptibility
Guiding
Principles
Understand
natural
history
of
disease
Recognize
foci
of
infection
(high
risk
group)
Determine
weakest
link
in
the
chain
of
causation
Prepathogenesis
STAGE
Susceptibility
Pathogenesis
Subclinical
Disease
Clinical
Disease
Resolution
Recovery/
Disability/
Death
Exposure
Pathologic
Changes
Onset
of
Symptoms
Usual
Time
of
Diagnosis
1. Stage
of
Susceptibility
Before
man
is
diseased
Factors
favoring
occurrence
of
disease
are
present
i.e. smoking
symptoms
Pathologic
changes
have
started
to
occur
Induction Period
Causal Action
Latent Period
Disease
Detection
Imbalance
Susceptibility
Stage
Interaction
of
agent,
host,
environment
Subclinical
Stage
Pathologic
changes
Clinical Stage
Symptoms
present
Resolution
Stage
Problem
resolved
Return
to
health,
or
chronic
state
or
death
diseases:
Agent
Reservoir
Portal
of
exit
Mode
of
transmission
Portal
of
entry
Susceptible
host
Agent
factors
Host
range:
the
extent
of
the
variety
of
species
Portals
of
Exit
Path
by
which
agents
leaves
its
host
Respiratory,
genitourinary,
alimentary,
skin, transplancental
Modes
of
Transmission
Bridge
the
gap
between
portal
of
exit
from
reservoir
and
Portal
of
Entry
Essentially
the
same
as
those
for
escape
Susceptible
Host
vSusceptibility
depends
on:
Genetic
factors
General
factors
of
resistance
Nutrition
Articial (vaccines
Reduce
communicability
Treatment
to
render
infected
individual
non-infectious
Limit
Movement
Treatment
community
Shortens
course
of
illness
Shortens
period
of
communicability
Disinfestation
water
Cleaning
Non-specic
Health
education
Change
unhealthy
behavior
Maintain
healthy
behavior
Develop
responsibility
for
own
health
Adequate
nutrition
Prevent
fatigue
and
overexertion
Prevent
overcrowding
Emotional
health
Promotion
of
good
personal
hygiene
Provision
of
good
housing
Improve
socio-economic
condition
Provide
medical
facilities
Disease
Preven&on
Disease
evolves
overtime
and
as
this
occurs,
pathologic
Primary
Secondary
Tertiary
Primordial
Preven&on
A
relatively
new
concept,
is
receiving
special
attention
Government
Professional
and
non-governmental
orgs
Industry
Hospitals,
health
clinics
Health
practitioners
and
health-care
workers
Primary
Preven&on
Goal:
To
remove
the
precipitating
causes
and
disease
determinants
Strategies:
Health
promotion
the
process
of
enabling
people
to
control
Secondary
Preven&on
Goal:
To
detect
and
cure
disease
at
its
earliest
stage
To
reduce
the
more
serious
consequences
of
disease
Strategies:
Early
diagnosis
Prompt
treatment
Ter&ary
Preven&on
Goal:
To
reduce
the
progress
or
complications
of
established
Strategies:
Treatment
Disability
limitation
rehabilitation
Susceptibility
Stage
Agent-host-
environment
Primary
Primordial
Pre-clinical
Stage
Clinical Stage
Pathologic
changes;
no
symptoms
Symptoms
present
Secondary
Resolution
Stage
Problem
resolved
Return
to
health,
or
chronic
state
or
death
Tertiary
PERIOD
PREPATHOGENESIS
STAGE
Susceptibility
Subclinical
Disease
Levels
of
Prevention
PRIMARY
SECONDARY
TERTIARY
Goal
To
detect
and
cure
disease
at
its
earliest
stage
To
prevent
complications
and
disability
To
alleviate
disability
resulting
from
the
disease
To
restore
eective
functioning
Intervention
Health
promotion
Specic
protection
Early
diagnosis
Prompt
treatment
Treatment
Disability
limitation
Rehabilitation
PATHOGENESIS
Clinical
Disease
RESOLUTIONS/
EQUELAE
Recovery/
Disability/Death
Levels
of
Preven&on
Level
Phase of Disease
Target
Primordial
Underlying
conditions
leading
to
causation
Total population
Primary
Prepathogenesis
Total
population,
selected
groups
and
healthy
individuals
Secondary
Patients
Tertiary
Patients
Death
Rates
for
Measles
in
Children
Under
Age
15,
England
and
Wales,
1850-1970
Pneumonia Control
Source: Global Action Plan for Prevention and Control of Pneumonia (GAPP)
Pneumonia Control
Source: Global Action Plan for Prevention and Control of Pneumonia (GAPP)
Pneumonia Control
Use of simple, standardized guidelines for identification and
Source: Global Action Plan for Prevention and Control of Pneumonia (GAPP)
Pneumonia Control
Source: Global Action Plan for Prevention and Control of Pneumonia (GAPP)
Level
1
Preven&on
Road
maintenance
Intelligent
road
designing/redesigning
Periodic
vehicle
inspection
Training
towards
a
defensive
and
UNSURE
driving
Expanded
speeding
controls
Expanded
blood
alcohol
levels
controls
Trac
education
from
as
early
as
nursery/elementary
school
Level
2
Preven&on
Safety
equipment
(driving,
work,
sports)
Helmets
Safety
belts
Child
restraints
Head
rests
Air
bags,
etc.
Level
3
Preven&on
Adequate
treatment
Rehabilitation