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30 Cards in this Set

  • Front
  • Back
Malaria caused, spread by, risk, Cost, Addressing, tx with


-Caused by "plasmodium" parasite

-spread by bite of female mosquito


-risk depends on feeding habits, climate, time of year


-family level cost substantial (up to 5x per year illness0


-loss of work


-economical buden: deters tourism, dvlpmt, business, trade,


Address: no cure! - prompt tx of infected


-long lasting insecticide


intermitten prevent. therapy for pregannt women


-indoor residual spraying


-tx with chloroquine and artesmisnin

Diarrhea: caused by, transmitted, risk factors, adddressing
caused by bacteria, viruses, and/or parasites

-transmitted fecal-oral or contaminated H20


-risk factors: poverty (crowding, lack of safe H20 and sanitation, cohabitation with animals, poor hygiene)


-address: improved H20 and sanitation


-incerased rota virus vaccination


-exclusive breastfeeing and conplementary feeding after 6 months


-measles immunizaation

HIV/AIDS: Burden, transmission, costs, address
no cure

-transmitted through needles mostly, then male to female interocurse, increased in anal sex


-cost: affect family cohesion, stigma assoc., increased cost of healthcare (opportunistic infection) and tx


-orphaned children


address: increase access to tx


-prevention strategies (condoms, circumcision, education)


-open communication about HIV, reduce Stigma, increase screening and tx

Factors contributing to emerg/re-emerg dx
climate

-changing ecosystems


-international travel


-human susc to infection


-poverty


-war and famine


human demographics and behaviour

Kwashiorkor vs Marasmus
KWO: change in hair color and texture

-lg belly -lethargy


-irritability -edema -rash


Tx: slowly introduce calories then increase protein


Marasmus: severe form of malnutrition


-irritability 0loss of subq fat -sunken eyes


tx: NG feed, keep warm, isoate from other with infection

are you going to pass>
YES
WHO definition of malnutrition
the cellular imbalance between supply of nutrients and energy and the bodys demand for them to ensure growth, maintenance, and specific function
causes of malnutrition
-inadequate access to food

-inadequte healthcare access and unhealthful environment


-illness preventing nutrition


-access to land to grow food


-low education of parents


-inadequate care of women and children

Health System Building Blocks
Service delivery

Healthcare workforce


Financing


Information


Medical products, technologies


Leadership/governance




-improved health and efficiency


-responsiveness


-increase risk protection of social and financials



Gross Domestic Product
total market value of all goods and services
Role of Health systems
provide prevention strategies

agencies (plan, fund, regulate healthcare services)


Provide clinical services


provide specialist input


allocation of funds

Improve Health systems
Increase audits of H.S

Anti-corruption programs


more shared global responsibility


increase quality (better training/supervision)


provide basic primary care insurance to all


political leadership


sustainability



cooperating to improve global health
numerous actors advocate

share knowledge and set global standards for health activities


surveillance of disease


cooperation assists funding in poorer countries

WHO
World Health Organization:

1948 responsible for health


-aim for attainment of highest level of health


-advocacy and consensus building


-generating and sharing health info across countries


-governed by World Health Assembly



UNICEF
United Nations Childrens Fund

-1946


-to enhance well-being of children


-promotion of family-planing, antenatal care, and safe motherhood practices


-immunizations and child survival


-Works with WHO and World Bank


-Primary education



Multilateral Dvlp Bank
lend or grant money to developing countries

-World Bank is largest one

Most common Neglected Tropical Disease
Roundworm

Hookworm


Onchocerciasis (river blindness)


Leprosy


Dracunculiasis


Trachoma


Trichuriasis


Chagas

Schistomiasis
most deadly NTD

caused by liver fluke


-excreted in feces/urine


-flukes infect freshwater snails


-humans swim with snails and flukes can penetrate them



Trachoma
caused by bacteria discharged through eye

-infection spread through touch/flies spreading discharge

Onchercerciasis
-river blindness

-black infected fly carries larvae from person to person through biting the skin


-females lay millions of larvae and they turn into worms



Addressing NTD's
Increase availability of rapid-impact packaging

WHO program (SAFE) surgery, antibiotics, face washing, and environment- to decrease trachoma


Global network for NTD's delivers tx and dvps more effective control of nTDS


Increase conditions leading to NTD;s (improve sanitation and H20)


Increase surveillance of NTDS

Vit A
found in yellow and orange fruits and green leafy veggies

if deficient leads to Xeropthalmia (night blindness--can lead to permanent blindness


necessary for immune fucntion and growth in children

iodine
found in plants with iodine in soil, seafood

deficiency leads to goiter (growth of thyroid)


leads to fetal loss, stillbirth, congenital abnormalities


-most common form of preventable illness

Iron
found in fish, meat, poultry

- anemia-weakness and fatigue


-risk of low birth wt baby and hemmorhage


poor mental dvlpt and reduced immunity

Zinc
red an white meat, and shellfish

deficiency causes growth retardation, impaired immunity, hypogonadism


increased infection risk

complex emergency what occurs
displacement of people migration

-create refugees


impacts availability of food, water, shelther


-greater impact than natural diasasters


often prevent humanitarian aid from interfering


combatans often target civilians and abuse human rights


often intentionally destroy health facilities


migration of ppl poses threat of disease, emerging and re emerging



Health effects of CHE;s
illness, diasbility, and death result indirectly from these emergencies

-causes of death: diarrheal, cholera, malnutrition, increased risk infection


-violence against women: "survival sex"



Addressing Natural Disasters
disease surveillance amongst affected populations

diasaster preparedness: identify vulnerabilities, dvlp scnarios, train first responders,


cost-efective methods of assistance from outside countries

Addressing CHE;s
difficult to prevent/predict

dvlp contingency plans for areas of conflict


avoid epidemic diseases


address worst health threats


provide security in camps for women


need for adquate shelter, food, H2o sanitation, in camps


-establish disease surveillance

Phases of disaster
Mitigation: lessen impact of disaster before it strikes

-prevention and risk reduction, ie. immunzations, public education


Preparedness: activities undertaken tohandle disaster when it strikes -know evacuation shelters, emergency communciation, prevention of disease spread


Response: search and rescue, clearing debris, feeding and shelter victims


Recovery: Getting community back to its pre-disaster status, restore minimum services, debris removal, care and shelter, damage assmnts, funding assistance.