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CONCEPTS OF CONCEPTS OF HEALTH – DISEASE HEALTH – DISEASE
ANDANDHISTORY OF DISEASE HISTORY OF DISEASE
sudarmajisudarmaji
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AGENT – HOSTAGENT – HOSTENVIRONMENENVIRONMEN
TTINFECTION DISEASEINFECTION DISEASE
DEPEND UPON FACTORS – CONTACT DEPEND UPON FACTORS – CONTACT BETWEENBETWEEN
INFECTIOUS AGENT AND A SUSCEPTIBLE INFECTIOUS AGENT AND A SUSCEPTIBLE PERSON KNOWN AS THE HOST.PERSON KNOWN AS THE HOST.
THE DURATION AND EXTENT OF ITS THE DURATION AND EXTENT OF ITS EXCRETIONEXCRETION
FROM AN INFECTED PERSON.FROM AN INFECTED PERSON.
THE CLIMATIC CONDITION AFFECTING THE CLIMATIC CONDITION AFFECTING SURVIVAL OF THE AGENT. SURVIVAL OF THE AGENT.
RELATIONSHIP AMONG RELATIONSHIP AMONG INFECTIOUS AGENTS OF INFECTIOUS AGENTS OF
DISEASE , THE HUMAN HOST DISEASE , THE HUMAN HOST AND HIS ENVIRONMENT AND HIS ENVIRONMENT
ALSO EXIST AMONG ALSO EXIST AMONG NON INFECTIOUS ETIOLOGICAL NON INFECTIOUS ETIOLOGICAL AGENTS - HOST - ENVIRONMENTAGENTS - HOST - ENVIRONMENT
For example:For example:
CANCERCANCER
Maybe depend apon the extent of Maybe depend apon the extent of EXPOSURE to the CARCINOGENIC AGENT , EXPOSURE to the CARCINOGENIC AGENT , the dose of the agent, the genetic and the the dose of the agent, the genetic and the
environment. environment.
CLASSIFICATION OF AGENTS, CLASSIFICATION OF AGENTS, HOST AND ENVIRONMENTAL HOST AND ENVIRONMENTAL
FACTORFACTOR
AGENTS OF DISEASE ASAGENTS OF DISEASE ASEXAMPLEEXAMPLE
Etiological FactorsEtiological Factors
1.Nutritive elements1.Nutritive elements
ExcessesExcesses --------------- Cholesterol--------------- Cholesterol
Deficiencies --------------- Vitamins, Deficiencies --------------- Vitamins, ProteinsProteins
2.Chemical agents2.Chemical agents
Poisons --------------- CO gas, Poisons --------------- CO gas, CCl4, DrugsCCl4, Drugs Allergens --------------- Allergens --------------- Regweed, MedicationRegweed, Medication
3.Physical agents ----------------------------------- 3.Physical agents ----------------------------------- Ionizing radiationIonizing radiation
4.Infectious agents Bacteria4.Infectious agents Bacteria ------------- Typhoid, ------------- Typhoid, TBC.TBC.
ParasiteParasite ------------- Hookworm------------- Hookworm
VirusVirus ------------- Hepatitis A, ------------- Hepatitis A, MumpsMumps
HOSTS FACTOR (INTRINSIC FACTORS)HOSTS FACTOR (INTRINSIC FACTORS) – – INFLUENCE EXPOSURE , SUSCEPTABILITY OR INFLUENCE EXPOSURE , SUSCEPTABILITY OR RESPONSE TO AGENTS RESPONSE TO AGENTS
ExampleExample
1.Genetic1.Genetic Sickle cell diseaseSickle cell disease
2.Physiologic State2.Physiologic State Fatique, Fregnancy, Fatique, Fregnancy, Stress.Stress.
3.Human Behavcior3.Human Behavcior Personal hygienePersonal hygiene
Food handlingFood handling
DietDiet
RecreationRecreation
Utilization of Health Utilization of Health ResourcesResources
ENVIRONMENT FACTOR ENVIRONMENT FACTOR (EXTRINSIC FACTORS)(EXTRINSIC FACTORS)
1.BIOLOGICAL ENVIRONMENT1.BIOLOGICAL ENVIRONMENT
- Infectious agent of disease- Infectious agent of disease
- Reservoir of infection (animal)- Reservoir of infection (animal)
- Vector which transmit disease- Vector which transmit disease
(flies and mosquito)(flies and mosquito)
- Plants and animals- Plants and animals
(food )(food )
ENVIRONMENT FACTOR ENVIRONMENT FACTOR (EXTRINSIC FACTORS)(EXTRINSIC FACTORS)
2.SOSIAL ENVIRONMENT2.SOSIAL ENVIRONMENT
- Economic- Economic
- Political organization- Political organization
- Culture- Culture
- Community- Community
ENVIRONMENT FACTOR ENVIRONMENT FACTOR (EXTRINSIC FACTORS)(EXTRINSIC FACTORS)
3.PHYSICAL / CHEMICAL 3.PHYSICAL / CHEMICAL ENVIRONMENTENVIRONMENT
- Heat- Heat
- Light- Light
- Air- Air
- Water- Water
- Radiation- Radiation
- Gravity- Gravity
- Atmospheric pressure- Atmospheric pressure
- Chemical agents of all kinds- Chemical agents of all kinds
INTERRELATION OF FACTORS)INTERRELATION OF FACTORS)(ECOLOGIC MODELS)(ECOLOGIC MODELS)
THE EPIDEMIOLOGIC TRIANGLE THE EPIDEMIOLOGIC TRIANGLE
HOSTHOST
AGENTAGENT ENVIRONMENT ENVIRONMENT
WHEEL MODELS OF MAN-WHEEL MODELS OF MAN-ENVIRONMENTENVIRONMENTINTERACTIONINTERACTION
HOSTHOST GeneticGenetic corecore
PhysicalPhysicalEnvironmentEnvironment
SocialSocialEnvironmentEnvironment
BIOLOGI BIOLOGI ENVIRONMENTENVIRONMENT
ENVIRONMENTAL FACTOR (EXTRINSIC FACTORS)ENVIRONMENTAL FACTOR (EXTRINSIC FACTORS) – – INFLUENCE EXISTENCE OF THE AGENTS , INFLUENCE EXISTENCE OF THE AGENTS , EXPOSURE OR SUSCEPTABILITY TO AGENTS EXPOSURE OR SUSCEPTABILITY TO AGENTS
ExampleExample
1.Physical environment1.Physical environment Geology , ClimateGeology , Climate
2.Biologic environment2.Biologic environment
Human populationHuman population DensityDensity
FloraFlora Source of foodSource of food
Fauna Fauna Food sources, Food sources, Vector Vector
3.Sosioeconomic3.Sosioeconomic
Environment occupationEnvironment occupation Exposure to Exposure to chemical agentschemical agents
Urbanization Urbanization Urban crowdingUrban crowding
CAUSATION OF DISEASESCAUSATION OF DISEASES
GENETIC FACTORSGENETIC FACTORS
ENVIRONMENTAL FACTORSENVIRONMENTAL FACTORS
(INCLUDING BEHAVIOURS)(INCLUDING BEHAVIOURS)
GOOD HEALTH POOR HEALTH
NATURAL HISTORY OF NATURAL HISTORY OF DISEASEDISEASE
GOOD HEALTH SUBCLINICAL
CHANGESCLINICALCHANGES
RECOVERY
DEATH
CLASSIFICATION OF HUMAN INFECTIONS CLASSIFICATION OF HUMAN INFECTIONS BY MODE OF TRANSMISSION BY MODE OF TRANSMISSION
CLASSIFICATION OF HUMAN CLASSIFICATION OF HUMAN INFECTIONS BY SELECTED INFECTIONS BY SELECTED EPIDEMIOLOGIC FEATUREEPIDEMIOLOGIC FEATURE
1.1.Dynamics of Spread through Human Dynamics of Spread through Human PopulationPopulation Sample Sample
A.Spread by “common vehicle “A.Spread by “common vehicle “-INGESTION WITH: WATER-FOOD-BEVERAGEINGESTION WITH: WATER-FOOD-BEVERAGE SalmonellaSalmonella-INHALATION IN AIR BREATHEDINHALATION IN AIR BREATHED FluFlu-INOCULATION (INTRAVENOUS-SUBCUTANEOUS)INOCULATION (INTRAVENOUS-SUBCUTANEOUS)Hepatitis BHepatitis B
B.Propagation by serial transfer B.Propagation by serial transfer From HOST to HOST.From HOST to HOST.
-RESPIRATORY ROUTE OF TRANSFER-RESPIRATORY ROUTE OF TRANSFER MeaslesMeasles
-ANAL-ORAL ROUTE-ANAL-ORAL ROUTEShigellosisShigellosis
-GENETAL ROUTE-GENETAL ROUTE SyphilisSyphilis
CLASSIFICATION OF HUMAN INFECTIONS CLASSIFICATION OF HUMAN INFECTIONS BY MODE OF TRANSMISSION BY MODE OF TRANSMISSION
CLASSIFICATION OF HUMAN CLASSIFICATION OF HUMAN INFECTIONS BY SELECTED INFECTIONS BY SELECTED EPIDEMIOLOGIC FEATUREEPIDEMIOLOGIC FEATURE
2.Portal of Entry (and Portal of 2.Portal of Entry (and Portal of Exit) Exit) SamplesSamples
in Human Hostin Human Host--Upper Respiratory TractUpper Respiratory Tract DiphtheriaDiphtheria-Lower Respiratory TractLower Respiratory Tract TuberculosisTuberculosis-Gastrointestinal TractGastrointestinal Tract Typhoid Typhoid feverfever-Genitourinary TractGenitourinary Tract GonorrheaGonorrhea-ConjunctivaConjunctiva TrachomaTrachoma-PercutaneousPercutaneous LeprospirosisLeprospirosis-Percutaneous (bite of arthropod)Percutaneous (bite of arthropod) Yellow Yellow feverfever
CLASSIFICATION OF HUMAN INFECTIONS CLASSIFICATION OF HUMAN INFECTIONS BY MODE OF TRANSMISSION BY MODE OF TRANSMISSION
CLASSIFICATION OF HUMAN CLASSIFICATION OF HUMAN INFECTIONS BY SELECTED INFECTIONS BY SELECTED EPIDEMIOLOGIC FEATUREEPIDEMIOLOGIC FEATURE
3.Principal Reservoir of Infection3.Principal Reservoir of Infection Samples Samples
--Man Man Infectious Infectious hepatitishepatitis
-Other vertebrates (zoonoses)-Other vertebrates (zoonoses) TularemiaTularemia
-Agent free living-Agent free livingHistoplasmosisHistoplasmosis
CLASSIFICATION OF HUMAN INFECTIONS CLASSIFICATION OF HUMAN INFECTIONS BY MODE OF TRANSMISSION BY MODE OF TRANSMISSION
CLASSIFICATION OF HUMAN CLASSIFICATION OF HUMAN INFECTIONS BY SELECTED INFECTIONS BY SELECTED EPIDEMIOLOGIC FEATUREEPIDEMIOLOGIC FEATURE
4.Cycles of Infections Agent in 4.Cycles of Infections Agent in NatureNature SamplesSamples-Man – man-Man – manInluenzaInluenza
-Man – arthropod – man-Man – arthropod – manMalariaMalaria
-Vertebrate-vertebrate-man-Vertebrate-vertebrate-manPsitacosisPsitacosis
-Vertebrate-artropod-vertebrate-man-Vertebrate-artropod-vertebrate-manViral enceViral ence
phalitisphalitis
CLASSIFICATION OF HUMAN INFECTIONS CLASSIFICATION OF HUMAN INFECTIONS BY MODE OF TRANSMISSION BY MODE OF TRANSMISSION
CLASSIFICATION OF HUMAN CLASSIFICATION OF HUMAN INFECTIONS BY SELECTED INFECTIONS BY SELECTED EPIDEMIOLOGIC FEATUREEPIDEMIOLOGIC FEATURE
5.Complex Cycles5.Complex CyclesSamplesSamplesIn certain helminth infectionsIn certain helminth infections
ParagonimiasisParagonimiasis
The cycle is as follow:The cycle is as follow:
Ovum – miracidium – cercaria – adult – Ovum – miracidium – cercaria – adult – ovumovum
( in snail )( in snail ) (in crab, (in crab, (in (in man)man)
crayfish)crayfish)
NATURAL HISTORY OF NATURAL HISTORY OF DISEASEDISEASE
STATESTATENATURAL HISTORY OF NATURAL HISTORY OF
DISEASEDISEASE
STAGE OFSTAGE OF1.1. SUSCEPTIBILITYSUSCEPTIBILITY
2.2. PRESYMPTOMATIC DISEASEPRESYMPTOMATIC DISEASE
3.3. CLINICAL DISEASECLINICAL DISEASE
4.4. DISABILITYDISABILITY
STATESTATEOF SUSCEPTIBILITYOF SUSCEPTIBILITY
1.1. RELATION BETWEEN :RELATION BETWEEN :
HOST – AGENT – ENVIRONMENTHOST – AGENT – ENVIRONMENT
2.2. RISK FACTOR:RISK FACTOR:
HOST (fatique) HOST (fatique) ALCOHOL ALCOHOL PNEMONIA PNEMONIA
OBESITAS OBESITAS SMOKING SMOKING CORONAIR HD. CORONAIR HD.
SUSCEPTIBILITY, RELATED TO:SUSCEPTIBILITY, RELATED TO:
AGE-SEX-LIFE STYLE-CULTURE-ETCAGE-SEX-LIFE STYLE-CULTURE-ETC
STATESTATEOF PRESYMPTOMATIC OF PRESYMPTOMATIC
DISEASEDISEASE
1.1. DISEASE NOT CLEARDISEASE NOT CLEAR
2.2. PATHOLOGIC DISORDER IS CLEARPATHOLOGIC DISORDER IS CLEAR
3.3. DISORDER STILL UNDER CLINICAL DISORDER STILL UNDER CLINICAL HORISON LINE. ( THE BORDERS OF HORISON LINE. ( THE BORDERS OF CLINICAL MANIFESTATION AND PATHOLOCLINICAL MANIFESTATION AND PATHOLO
GICAL CONDITION)GICAL CONDITION)
Eq. Atherosclerotic (+) before SUDDENEq. Atherosclerotic (+) before SUDDEN
DEATHDEATH
STATESTATEOF CLINICAL DISEASEOF CLINICAL DISEASE
1.1. CHANGES OF ANATOMICAL AND CHANGES OF ANATOMICAL AND FUNCTIONAL OF ORGANSFUNCTIONAL OF ORGANS
2.2. SYMPTOMS OF DISEASES (+)SYMPTOMS OF DISEASES (+)
3.3. DISEASE CAN CLASIFIEDDISEASE CAN CLASIFIED
ACCOEDING TO : LOCATIONACCOEDING TO : LOCATION
HISTOLOGICALHISTOLOGICAL
PSYCHOSOSIALPSYCHOSOSIAL
STATESTATEOF DISABILITYOF DISABILITY
DISEASE DISEASE CURE CURE DISABLE DISABLE DEATH DEATH
Eq. VIRUS DISEASE Eq. VIRUS DISEASE SELF LIMITING SELF LIMITING DISEASE.DISEASE. COMPLICATION COMPLICATION (ENCHEPHALITIS)(ENCHEPHALITIS)
HT HT STROKE STROKE HEMIPLEGIA. HEMIPLEGIA.