Confirm Diagnosis

Notification Local Health

Authorities
Home
Isolation
Fever Hospital

Bed rest - Good Nursing - Good Nutrition - ttt Complication General 6

Bactrial
Anti-toxic serum Proper ttt Case
Specific Causative Agent C.A Viral
Antibiotics
Parasitic
Concurrent
Disinfection Case
Terminal
Incubatory
After Complet Recovery Control Human
Carrier Contact
Pt. non infictious Discharge Source Convalecent
After 3 successive -ve swabs
T.B
List Human-Animal
Diphtheria
Surveillance
Contact Droplet Nuclei <5 u
Prophylaxis
Direct
H.E Infected Dust >5 u
Disinfect Ion Mode
Trough
Trace Source Infection Enviroment ContaminatedFomits &
Sanitarry Enviroment Indirect Articles

Age - Sex- Social Class

reverse of R.F
Person Occupation
Epidemiology Race
Over Crowding
Poor Housing Good Enviromntal Status Time Winter/Pertussis Mach & April
3-3-1 Descriptive
Improper Ventilation
Developing countries
Good Health Education ( H.E) Airborn Dis.
Place Rural areas
Adequet nutrition
General Slum areas
Avoidance
Immuno-supression Over Crowding
Proper Milk Sanitation Bad Enviromntal Status Poor Housing
Improper Ventilation
Animal Dis.
Lack Health Education ( H.E)
Name Education
Live Attenuated Low Socio Economic Status Incom
Type Risk Factors
Killed Cultural Habits
Single 5 Inadequet nutrition
Dose
Multiple Immuno-supression
Active Imm.
Prevention Improper Milk Sanitation
SC. IM. Rout

Duration Animal Dis.

Effectiveness
Adverse Effect
I.P Incupation Period
Cheap
Specific
Do ID Test, If +ve ,Do Horse Period Of Comunicanbility
P.O.C
Desensitization Allergic
Passive Imm. CL.P
S&S
Expensive Specific Test
Human Diagnosis
Less Allergic

Anti-Toxic Serum

Type
Dose
Chemoprophylaxis
Time
Duration TDTD

Airborn Dis..mmap - 10-05-2011 - Safian

 Parents Education & Occupation

Socio-demographic Factors Habits & Culture

Family Income

Physical Factors Noise & Radiation

General Chemical Air - Water - Food Pollution

SENGA Environmental Factors
Sulphonamide
Biological Bact. - Viruses - Parasites
600 mg Daily
Chemoprophylaxis Determination Of Health
2 wks Rifampicin Mechanical Accident
Children: 10 mg/kg Nutrition
Down $
Highly Purified Polysaccharide Genetic Dis.
Genetic Factors Turner $
Meningiococcal Capsule Child I
to Children Prevention
Group A Child Health Care
<2 years - 2 Doses - 2 Mths apart Specific
2 Preparation Availability Of Health Services School Health Services
Single Dose Expanded Program Of Imm.
Group A&C Meningitis
0.5 ml - SC Active Imm.
80-90% Protective Value

Conjugate Vaccine Hib

New Vaccines
Pneumococcal

Massive Immunization MEMO

Early Case Finding
Control During Epidemics
Mass Chemoprophylaxis
Over Crowding Avoidance

Child I.mmap - 16-06-2011 - Safian

 to Teachers & Parents
about Early S&S
HE
Rh. Heat Cases
Avoid Contact Bet.
& Strept. Infected Cases
General
Health Promotion Town Planning
Rehousing
1ry Environmental Modification
Slum Clearance
Child & School Health Centers
Nutritional Modification

Full Imm. to 2ry Bact. Infection

Specific Protection
Sp. Nutrient
Rh. Fever Prevention Early Diagnosis
Active Imm. Prevention
2ry
ttt Of Strep. Infection
Proper ttt Of Rh. Fever Penicillin For 10 Days

Child II
Child & School Health Centers
Care Of Rh. Child
1ry Prevention
HE about Type Of Exercise Of Rh. Patient

3ry
Enteric Fever Rehabilitation Sp. School & Hospitals For Serios Cases

Specific
Long Acting Penicillin every 2wks IM
Continuous Chemoprophylaxis
Short Acting Penicillin twice Daily
6 Points

Case
List
for Max. IP = 3 Wks Surveillance

Search For Carriers

Contact
TAP Vacc. Control
Active Imm.

for Carriers Oral Quinolones

Proper
Sanitaion
Disinfection Environment
Trace Source Of Infection

Child II.mmap - 16-06-2011 - Safian

 General

Irritation
Headache
Dizziness Acute
Asthma
Symptom Of
Hypersensitivity

Respiratory Diseases Indoor Air Pollution Hazards Prevention

Behavioral Disorder Specific
Mental Function Chronic
Scholastic Achievements
LUng - Leukemia Cancers
Polio

Before 3 yrs 50%

Age
Before 5yrs 80%
Child III By Active Imm.
Boys 3 times > Girls Sex Unmodifiable
Achievement High Imm. Level 3 Doses OPV
Polygenetic Dis. Genetic
National Imm. Campaign 2 Doses One Mth apart
IgE Abs in Contact e' Allergen Atopy
Acute Flaccid Paralysis Surveillance
Eradication
Air Pollution Asthma R.F Mopping Up Vaccination Of High Risk areas
RTI
Drugs Environmental Assurance Of Vaccine Quality
Cold Chain
Low Social Class 0 to -8 C & Vacc. Vial Monitoring

Hypersensitivity To Certain Allergen Modifiable

Lack Breast Feeding
Exercise Induced Athma
Maternal Cigarettes Smoking
Low Birth Weight

Child III.mmap - 16-06-2011 - Safian

 Measles Vit. A Deficiency
Infection
Diarrhea Malnutrition
Precipitating Factors
Ascaris Protien Deficiency
Infestation
Anklystoma Iron Deficiency Anemia

Low Iodin in Oasis Endemic Goiter

Type & Pattern Of Food Spicy Food In JApan Cancer Stomach
= Rickets High Fat in USA Cansr Colon

1st. 3 yrs Of Life Age Malnutrition R.F Drinking Tea After Diet
Diet Habits
tannic Acid in tea (-) Iron Absorption
Both
Sex Fat Diet
In Rural more in Rich dt.
Exercise
Low Social Class Child IV Socio economic Factors Obisity Common In
Social Class CHO Diet
Low Paternal Education Epidemiology Poor dt.
Exercise
- Common In Summer
- dt. Diarrheal Dis. Seasonal Variation Lack Of Breast Feeding

= Malnutrition R.F PEM

Risk Factors

Infection Risk Environmental Sanitation

General
Nutritional H.E

Exclusive Breast Feeding

Prohibition Of Any Activities Prevention
w' Discourage Breast Feeding
Specific
Agriculture Development
Monitor Growth Long Term Solution
Program That
Provide Nutritional Inform.

Child IV.mmap - 16-06-2011 - Safian

 Examination + Sample

Label Person as Case ?

Case Describe Cl.P of Each
Lab. Ex. of Vomits & Faeces
Discard Incriminated Food in Safe Place List Served Foods
Concurrent Disinfection Food Look for Source
Control Outbreak
ttt Verify Diagnosis Method of Preparation

Skin Lesion
Swab From
Nose
of Food0Handling to Minimum Food Handler
Reduce Time Urine
Examination
Preliminary Diagnosis Stool
e' Infections Skin,Hands,Nose Exclude Food Handlers
Epidemic Curve
Cleanliness of Kitchen Person
Proper Food Storage Verify Outbreak Descriptive Epd. Time
Hand Washing Protocol Place
HE to Food Handlers Outbreak Investigation
Skin Attack Rate
Eye ttt infections
Diseased Population Cases
Nose

Eat Non- Diseased Control

Prevention Outbreak Formulate Hypothesis
Store ESR Campare as Regards RF.
Re-Heat Attak Rate in Cases & Controls
Choose Food
Cook Food CCU Hypothesis Tested Correctly
10 Golden Rules fore Safe Food
Use Safe Water
Additional Cases Looked For
Keep Kitchen Surface Clean HADIR
Avoid Contact Between Cooked & Raw Food KAP Analysed
Data
Protect Food From Insects
Further Investigation Subtopic
Hand Washing Intervention

PF for Outbreak
Report Evaluation of Control Measures
Recomndation for Prevention

Outbreak Invest..mmap - 16-06-2011 - Safian

 Changing KAP of People
To Acquire Healthy Habits Def.
For Proper Control Of Heath Problem Drug Of Choice

Doctor - Nurse - Teacher Praziquantel Single dose

Educator
40 mg/kg
School Place Sch.Mansonai
Oxamniquine
Message
Heath Education Chemotherapy all population e'/o investigation
Traditions Total mass comprehensive. ttt
Study Their in highly endemic areas
CCC for proper HE Recipient Components
ttt approaches Selective Group ttt to high risk groups
Training Selective mass ttt
Lectures & Talks Selective population ttt to +ve population
Face to Face Bilharziasis Prevention & Control
Methods
TV, Radio , News Papers Mass Media

Draining 3ry Canals

Mechanical Methods Cleaning Vegitations
Water Supply Nets to prevents Snail Passage
Snail Control
Waste Disposal Cupper Sulphate
Safe Chemical Methods
Irrigation System Provision Sanitary Environment
Recreation Places to Children

Bilhaziasis Prevention & Control .mmap - 04-06-2011 - Dr.Safian

 Drug Of Choice
for Children 3 days SC
Chloroquine
for vAdults 3 days Orally
Chemptherapy
If Recurrence Primaquine

For Chloroquine Resistant Strains Mefloquine

- 2 wks before exposure Larva

- 6 wks after Control Of
Chloroquine Measures to Vector Adult Mosquitoes
NB: Can be used during Pregnancy Chemoprophylaxis
For Chloroquine Resistant Strains Mefloquine

Prevent Infection
Sporozoites Malaria Prevention & Control
Sterile Resistant State
Not Prevent Infection
Merozoites
Prevent Disease Aimed at Vaccine Development
Not Prevent Infection
Measures to Man
Not Prevent Disease Gamettes
Prevent transmission to Mosquitoes

Elimination Of Reservoirs
Eradication Of Mosquitoes Objectives
Ending Of Malaria Transmission

Spray Building e' Insecticides ( DDT ) Malaria Eradication

Active Case Detection Stratigy
By Blood Smears
Passive Case Detection Malaria Surveillance

Use Mosquito Nets

Wear Clothes w' Cover most Of the Body Health Education
Insecticides Spray in Living & Sleeping areas

Befor Departure from Endemic area

Dis-insectization Of Air Crafts
On Arrival from Endemic area
International Measures
Anti-mosquito measures within mosquito flight range
Anti-malarial Drugs to Potentially Infected Migrants

Malaria Prevention & Control.mmap - 04-06-2011 - Dr.Safian

 - Any Removal
- Of External Genitalia
- For Non-Theraputic Reasons Def.

In Ever Married 97 % Pregnant 45%

PR
In Private Urban Schools Anemia Lactating 32%
9.2 %
Morbidity Non Preg. Non Lac. 26 %
Bleeding - Infection Hypertension 18%
Damage Urethra - Urine Retention Short Term UTI 14%
Pain - Shock & Death FGC Multiple Pregnancy
Tough Scar Complication 2M
R.F Multi- Parity
Women
Psychological Trauma
Long Term Hemorrhage 32%
Obstructed Labor Antinatal Care
Painful Urination Mortality Prevention Post Natal Care
Health Education
FGC Is Completely Prohibited 1996
Toxemia 16 %
Ministerial Decree National Efforts
FGC Practice Loss Of Medical License 2007 Infection 8.4%

Woman Part I Sex Linked Diseases

Hypertension Mortality in Males Hormonal Differences
Pruteinuria Pre-Eclampsia More. Envir. Exp.
Edema
Sex Linked Dis. Seek Medical Care More Early
Include
Convulsion Depression twice in than But Less Sever
Morbidity in Females
Loss Of Consciousness Eclampsia - Attempted Suicide in
Death - Complete Suicide In

Unknown Cause
Hypertension & He Pregnancy
1st. Pregnancy
Anemia & Malnutrition
Black R.F
Pregnancy Toxemia
Extremes Age Prolonged Labor & Obstructed LAbor Labor
Ca Deficiency Early Age Marriage Cephalo-Pelvic Disproportion
Sign Of Edema
Perinatal Mortality After Labor
Measuring Bl.Pr. Early Diagnosis
Socio-Economic Problems
Teat Urine For Protein
Prevention
Bed Rest - Sedatives
Anti-Hypertensives Proper ttt
Early Pregnancy Termination

Women Part I.mmap - 16-06-2011 - Safian

 Unopposed Estrogen

Age: 30-70
Early Menarche
Medical Iron Menopause
Late
Pregnant & Lactating R.F. Age at 1st Pregnancy
Adequate Population Coverage
School Children Nulliparity
Breast Cancer Obesity
Of Target Groups Supplementation
Effective Education To Success
Ionizing Radiation
Needed Dose Fore Each Group Affluent Diet
Training Of Heath Personnel Reduce
Management Of Side Effects 1ry Exposure to Ionizing Radiation
Women Part II
- Addition more nutrient to food
- To Diet Quality Of Community Prevention Breast Self Examination
Fortification
+ Iron to: Milk - Sugar - Salt - Rice 2ry Mammography
Correct The Under nutrition Ultrasonography e' Mammography
Anemia Control
Factors w' Iron Absorption
Avoid Contact e' Cats
Vit. C Dietary Modification
Quality Of Ingested Iron Health Education
Ascorbic Acid Factors w' Iron Absorption Toxoplasmosis
10 Golden Rules For meat
Low PH
Prevention Of Screening For Exposed Pregnant
Control Of Viral , Bact. Infection Communicable D.
PME For Birth Attendants
e.g. Anklystoma, Giardia ttt Of Parasitic Infestation
Purperal Sepsis Intranatal & Postnatal Care
Infection Control
Diarrheal Dis. Provide Sanitary Environment Sanitary Hospital Environment

Feed Sick Children

Women Part II.mmap - 15-06-2011 - Safian

 Voluntary Regulation Of Birth
Mr. US Family Planning
at: Proper Time
Def.
MCHC To Bring Healthy Baby in: Proper Number
Malnutrition e': Proper Spacing
Reproductive Tract Infection
Avoid Unwanted Birth
Unsafe Abortion Reproductive Health Needs
Bring Wanted Birth
Safe Motherhood
Objectives Regulate Intervals Brt. Pregnancies
Family Planning
Correlate Time Of Birth To Age Of PArents

Essential Health Care Determine Children No. in Family

Scientific , Sound , Socially Accepted Methods Based On

Def. US GAME
- Accessible To Whole Community
Unwanted Birth Avoid
- Trough Their Full Participation
Sex Education
! 1ry Prevention Heath Promotion to Community Sterility Advice
Family Planing
Prevent Health HAzards Of Community STD's Screening
Scope
Genetic Counseling
2ry Objectives
Early Detection , Proper ttt Of Heath Hazard Adoption Service
MCHC
3ry
Women Part III
Disability Limitation & Rehabilitation Economics Teaching

- Serve Whole Population Maternal Health

Women
- Sp. Care to Vulnerable Groups Equitable Equipment Morbidity & Mortality

Fetal Health
Most Effective Appropriate Technology PHC Fetal
Principles Impact Prevention Of Heath Hazards
- All Heath Related Sectors Child Heath
- MOHP e' Ministry Of Education Multi Sectorial Approach Child Growth & Nutrition
Community Participation Child Morbidity

Health Education
Proper Nutrition

Preventive Safe Water Provide

Comperhensicve MCH
Control Of Locally Endemic Dis. Elements
Imm. against Major Communicable Dis.

Curative Provision Of Essential Drugs

ttt Common Dis.

Women Part III.mmap - 15-06-2011 - Safian

 Of Hazard Subst./Operation
By Non Hazard One
Substitution Asbestose Fiberglass
Hammering Compression

Isolation Of Hazardous Process From Worker

BASEM

Segregation Of Hazardous Process From Work Place

Enviromental. Measures
Ventilation Fan & Suction

Anemia 6 points
B.M Work Place Exposure
Pancytopenia Envir. Monitoring Not Exceed TLV
Abortion
Burns Loss Of Effort & Time
Skin Ergonomics Assurance avoid
Ulcers Prevention Of Occupational Diseases Accident & MSDS
Acute Radiation Health Hazards
Cataract Eye Base Line Data

PEE Compare Data e' PME

Watery Diarrhea mm. Advice According to Health Status
Occupational
Death
Early ttt Of Health Hazards
PME
SAC-SAC Monitor Occ. Health Services Efficiency

Sterility - Abortion - Cancer Medical Measures Biological

Chronic Monitoring Toxic Element In Biological Fluid
Senility - Anemia - Cataract
5 points
Prevent Penetration
PEE Personal Protective Devices Uncontroled Hazards
PME
1st. aid Management Of Emergencies H.E. About Occ. HAzards & How To Avoid It
Common Diseases
Control Of
Communicable Diseases Occupational Physician Role Quality
Production
Care Of Worker Nutrition Quantity
Health Education Increase
Market Satisfaction
Records & Statistics National Income
Healthy Worker Means
Sickness Absenteeism
Decrease Work Day Loss
Cost Of Management

Occupational.mmap - 16-06-2011 - Safian

 Cancers Develops after Occ. Exposure
to Certain Carcinogens
Def.
May Occur after Retirment

Asbestos , Arsenic
Cancer Lung
Tendon Irritation Cadmium , Uranium
Repetitive Movements
Mesothelioma Asbestos
Abnormal Postures
Blood Flow Compression Azo Dyes
Cancers Bladder Cancer

Over Time . Lack Breaks Examples

Inadequate Recovery Time Work Related Skin Cancer Ionizing Radiation , Arsenic

Local Vibration Ionizing Radiation Benzens

Vibration Leukemia
Whole Body Vibration R.F
MSDS
Cold Temp. Ms. Spasm MSDS Chimney Sweeper
Temperature Scrotal Cancer
Machine Maintenance Worker
More In Manual & Heavy Lifting
Long Hrs Awkward Postures Unfavorable Event
Non Work Related Def. dt. Series Of Human Errors
Social Psychological Factors Occupational II
DM - Arthritis - Obisity Medical Condition Unsafe Act
Subtopic Inadequate Training
Drug Addiction
Designing The Job Worker Psychological
Fit For The Worker Disorders
Def. Emotional

Healthy Worker Effect Sensation ( Vision , Hearing )

Defective
IR Of MSDS Use Of Protective Devices
Importance Accidents Causes
Turn Over Rate Ergonomics Lack Ergonomics
Worker Safety Work Stress
Advice to Adapt The Job Working Envir. Bad housing
to Fit The Worker Ergonomist Poor Light
Noise

Equipment Machinary Failure

Investigation Search Possible Causes

Occupational II.mmap - 17-06-2011 - Safian

 Euphoria
Aggressiveness
Prodromal Symp.
Headache
Absent Tendon Reflex

Mania , Delirium
CNS Sudden , Fatal
Convulsion , Coma
Termoregulatory Failure
Rectal Temp. +40.6 Dif.
Temp. dt. Exp. to Hot Envr.

Rapid +130 Pulse Cl.P

Rectal Temp. + 40.6 degree
Rapid , Shallow Resp. SS
Generalized Anhydrosis Red , Hot , Dry Skin
CCC
Red , Hot , Dry Skin CNS disturbances

Congestion Conj. Exp. to Hot Env.

Eye Unusual Hard Physical Effort
Miosis or Mydriasis Pupil Heat Stroke
Lack Acclimatization
Extremes Age
Conscious Pt. R.F Alcohol
Intake
Lower Rectal Temp Heat Hyperpyrexia Atropine
Sweating Present DD Heat Disorder History
Inter current Illness

at least 38.9 C
Rapid Cooling
(+) Evaporation Of Sweat Gl. ttt - Disturbed Body Func.
Failur Of Sweating
- VD. Of Internal Bl.vs
Path. Failur Of Heat Loss
Cap. Rupture
Body Temp.
Water Spray
Fans air Current
Heat Stroke ttt Beds
Oxygen Line Of Management
Fluids Supportive ttt
Chloropromazine

Heat Stroke.mmap - 11-06-2011 - Dr.Safian