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CONTROL OF TROPICALCOMMUNICABLE
DISEASES
THE BASICS
The goals of medicine:
1. To promote health
2. To preserve health
3. To restore health when it is impaired
4. To minimize suffering and distress
WHICH MEANS
PREVENTION
THE BASICS
From the epidemiological concept of disease
epidemiological triangle
Disease occurs as a consequence of an
imbalance of the AGENT, HOST, and
ENVIRONMENT
AGENT
-MOSTLY
-BIOLOGICAL
-AGENT
At equilibrium
ENVIRONMENT
(TROPICAL ENVIRONMENT)
TROPICAL DISEASE
BIOLOGICAL AGENTS
1. Bacteria
2. Viruses
3. Rickettsia
4. Spirochaeta
3. Protozoa
4. Fungi
5. Arthropoda
6. Helminths
TROPICAL DISEASE
BACTERIA : Tuberculosis, Leprosy, Diphtheria,
Anthrax, Tetanus, Typhoid.
VIRUS : Bird Flue, Dengue, Poliomyelitis, HIVAIDS, Rabies, Chicken-pox , Mumps, Herpeszoster, Herpes-simplex, RSV, Ebola, Hantavirus,
Nipah Virus
PROTOZOA : Malaria
SPIROCHAETA : Leptospirosis
HELMINTHS : STH, Filariasis,
AGENTS
1. Natural characteristics of AGENTS
a. Biological and chemical characteristics:
b. Resistance (physical, chemical, viability )
2.
a.
.
HOST
Characteristics :
Age, sex, ethnic, hereditary / genetics,
behavior, immunity, nutritional status, etc
ENVIRONMENT
Physical , chemical, biological, social
-environment
PREVENTION
Eradicating, eliminating, minimizing the
impact of disease and disability, retarding
the progress & disability
Traditional concept (Leavells : primary,
secondary, tertiary )
Modern concept with primordial prevention
DETERMINANTS OF
PREVENTION
A knowledge of causation
Dynamics of transmission
Identification of risk factors and and risk groups
Availability of prophylactic or early detection
and treatment measures
An organization to apply these measures
appropriately
Continuous evaluation
PREVENTABLE CAUSES
Biological factors and Behavioral factors
Environmental factors
Immunological factors
Nutritional factors
Genetic factors
Services, Social factors, Spiritual factors
LEVELS OF PREVENTION
Primordial prevention
Primary prevention
-Health promotion
-Specific protection
Secondary prevention
- Early diagnosis & prompt treatment
Tertiary prevention
- Disability limitation
- Rehabilitation
PRIMORDIAL PREVENTION
Prevention in the form of action to inhibit
the emergence of risk factors in the form
of environmental, economic, social, and
behavioral conditions and cultural pattern
of living, etc
Prevention of the emergence of risk
factors countries and populations groups
in which they have not yet appeared
PRIMARY PREVENTION
Action taken prior to the onset of diseases
which removes the possibility that the
disease will ever occurs
- Health promotion
- Specific protections
Health promotion
The process of enabling people to
increase control over the determinants of
health and thereby improve their health
death
Chronic
state
AGENT
Disability
illness
HOST
Defect
and
ENVIRONMENTAL
factors
CLINICAL HORIZON
Known or unknown
Tissue and
physiologic
changes
PREPATHOGENESIS
PERIOD
Immunity and
resistance
STIMULUS or
AGENT becomes
Or Produce a
disease-provoking
STIMULUS
Signs and
symptom
in
huma
n
HOST
Interactions of HOST
and SIMULUS
HOST REACTION
Discernible
Early
pathogenesis
PERIOD
RECOVERY
early lesions
OF
Advanced
disease
PAT H O G E N E S I S
Convalescence
PREPATHOGENESIS PERIOD
Discernible
earlylesions
PERIOD
SPECIFIC PROTECTION
Health education
Use of specific
Immunizations
Case-finding measures,
individual and mass
Good standard
of nutrition
Attention to
personal hygiene
Screening survey
Provision of adequate
Housing, recreation,
and agreeable
work conditions
Use of environmental
sanitation
HEALTH PROMOTION
Protection against
occupational hazards
Marriage counseling
and sex education
Genetics
Selective examinations
Objectives :
To cure and prevent
disease processes
To prevent the spread of
communicable diseases
To prevent complications
and sequele
PRIMARY PREVENTION
SECONDARY PREVENTION
Advanced
disease
OF
Convalescence
PATHOGENESIS
REHABILITATION
Provision of hospital
and community facilities
DISABILITY LIMITATION
for retraining and
Adequate treatment
to arrest
the disease process
and to prevent
further complication
and sequelae
education for
maximum use
of remaining capacities
Education of the public
and industry to utilized
the rehabilitated
as full employment
Provision of
Selective placement
facilities to limit
disability
Work therapy in hospitals
and to prevent death
Use of sheltered colony
TERTIARY PREVENTION
MEASURES
CONTROL OF DISEASE
Ongoing actions aim at reducing ;
- The incidence of disease
- The duration of disease the risk of
transmission
- The effect of infection
- The financial burden to the community
TASK
CONTROL OF TB
Keypoints of successful prevention and
control ???? (slide 11)
Primordial : ???
Primary : ???
Secondary : ???
Tertiary : ???
MALARIA
DHF