Population And Evnirionent 2 Flashcards
Morbidity
- Rate of disease in a population
Communicable disease
- Infectious disease such as malaria
Non communicable disease
- Non infectious health condition that cant be spread from person to person
- Cancer, heart disease
Health adjusted life expectancy (HALE)
- Average number of years a person can expect to live in full health
Health definition
- Physical, mental and social well being and the abscence of disease
Prevalence and incidence definitions
- Prevalence = total number of cases in a population at a particular time
- Incidence = number of NEW cases in a population during a particular time
Reasons for high morbidity of communicable disease in LEDs
- Lack of clean water
- Lack of sanitation and healthcare
- Limited education
- Overcrowded conditions
- Lack of vaccines
- Limited treatments
Reasons for high morbidity of non communicable diseases in HICs
- Unhealthy lifestyle (smoking, obsessing, drinking)
- High proportion of older people, more old people are more likely to suffer from diseases associated with old age - degenerate disease (cancer, heart disease)
Epidemiological Transition
- changing mortality patterns over time from infectious diseases to non-communicable diseases.
Stage 1 of epidemiological transition
- High number of deaths from infectious diseases
- Low life expectancy
Stage 2 of epidemiological transition
- Number of deaths from infectious diseases fall due to better living conditions and health care
- Average life expectancy increases
Stage 3 of epidemiological transition
- Non communicable diseases replace infectious diseases as the main cause of death
- Average life expectancy continues to increase
Stage 4 of epidemiological transition
- Non communicable diseases may be prevented or their onset is delayed
- Death rate reduced to better treatment
- Life expectancy is high
How can environmental variables (CLIMATE) affect incidence of disease?
- Precipitation = disease vectors need water to survive, more infectious diseases in wetter climates
- Temperature = many disease vectors can only survive above a certain temp so many occur in tropical climates
- Extreme events = flooding causes sewage systems to overflow, contamination, cholera is more likely
- Seasonality - Arctic areas have little daylight, affects mental health (SAD)
- Sunlight = over exposure leads to risk of skin cancer
How can environmental variables (TOPOGRAPHY) affect incidence of disease?
Drainage = flood plains of rivers have high pop densities, floods contaminate water, increases risk of water bourne diseases, Ganges has flat land for agriculture so puts people at risk, lack of flood management
Relief = standing water collects at low points, provides an ideal breeding ground for mosquitoes carrying diseases
Altitude = high altitudes increase risk of skin cancer due to increases exposure to UV rays
Poor water quality = can spread diseases and cause poor health
Biologically transmitted disease
- MALARIA
- Infectious disease caused by mosquitoes transmitting parasites
- Occurs in tropical areas, Sub-Saharan Africa
Physical factors = high temps, breed in warmer weather, breed in still bodies of fresh water like swamps or pools created from rainy seasons
Socio-economic factors = low incomes so can’t afford treatment, lack of health education, digging irrigation ditches increases breeding sites, poor quality housing
Affects = symptoms are fever, chills, nausea, organ failure, respiratory problems, people may lose income if too ill to work, children may be off school affects education, development of country may slow down if government spend money on treatment
Strategies to manage = WHO set 3 goals for 2030 to reduce global malaria incidence and mortality rates by at least 90%, spray is die walls with insecticide, but insecticide can be costly and negative affect on health, anti-malaria drugs or vaccines, improving diagnosis
A non-communicable disease
- Coronary Heart Disease (CHD)
- Linked to an unhealthy lifestyle
- A disease where fatty substances build up in the arteries meaning the heart doesn’t get enough blood
- More common in wealthier countries however the death rates are falling because of improvement of diagnosis and effective treatments
- Death rates are high in LEDs due to poor health care and limited health education
Socio-economic factors = risk of developing CHD increases with age, risk is higher for those who smoke, are overweight, don’t exercise, consume too much alcohol or have a high diet in unsaturated fat or salt
Physical factors = long-term exposure to high levels of air pollution
Affect on health and wellbeing = symptoms are chest pain, shortness of breath, sweating, leads to heart attack, depression, people may need to take time off work (financial strain), treatment costs are expensive results in economic burden
Strategies to manage = lifestyle changes, healthy diet, exercise regular, stop smoking, drugs or surgery, NHS stop smoking services
Role of international agencies
- Receive money from the government
- Bodies that are set to control international agreements
What does UN aim to do
- Prevent infectious diseases spreading within and between countries, coordinate research and best practice limiting rates of non-communicable diseases
WHO
- States that ‘Health is a state of complete physical, mental, and social well-being and not merely the absence of disease’
- Top priorities = strive to combat communicable diseases including influenza, TB
- In 2020, the WHO had 194 member states and 6 regional offices
- They work with other UN agencies and NGOs on international health issues.
Examples of success by WHO
- global immunisation campaign against smallpox between 1966 and 1980, which led to the disease being eradicated.
- helped to coordinate the response to the outbreak of Ebola in West Africa - actions included increasing the number of treatment centres in the region, helping to find a vaccine and implementing measures to prevent transmission of the disease to other countries
UNICEF
- United Nations Childrens Fund
- Works with a number of other agencies, including NGO’s to establish and develop work on the SDG’s (sustainable development goals)
- Partly responsible for 8 of the sustainable development goals
- It’s main priorities include, reducing child mortality by aiming to reach vulnerable children everywhere
- Working to end preventable maternal, newborn and child deaths by scaling up immunisation programmes
- Tackling health emergencies in places affected by conflicts, natural disasters, migration or political or economic instability, to ensure children are secure
- Supporting and promoting curative services for pneumonia, diarrhoea, malaria
Role of non-governmental organisations
- Any non-profit association that operates independently of both government and non-profitable businesses.
- Organised on a local, national and international levels, funded by public donations.
- Promoted as alternative healthcare providers as governments can’t always cope with the enormity of health issues such as HIV/AIDS, malaria or viral outbreaks
- The attributes of NGO’s that increase their potential effectiveness include:
- Ability to reach areas of severe need
- Their promotion of local involvement
- Relatively low cost of operations