unit 3 outcome 2 kk#1 Flashcards

(50 cards)

1
Q

why do we look at the changes in australias health status over time?

A
  • As society evolves and changes, the patterns of disease and illness also change.
  • Looking at long-term health patterns is important for researchers and governments as they help identify points in time when actions were implemented and the success of these in improving health status.
  • This can help governments to make better decisions moving forward.
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2
Q

what changes have we seen in australias health status over time?

A

-In the early part of the last century, Australia was dealing with high rates of communicable diseases.
-Measures were put in place to address these and over time we saw the patterns of disease and illness shift to more lifestyle or noncommunicable diseases.
- Health status has improved significantly in Australia over time.

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3
Q

the five main disease / illness / injury groups

A
  • infectious and parasitic diseases
  • respiratory
  • injury and poisoning
  • cancers
  • cardiovascular disease
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4
Q

infectious and parasitic diseases

A

INFECTIOUS DISEASES:
- Infectious diseases include diseases such as tuberculosis, polio, smallpox, hepatitis and sexually transmitted infections, such as syphilis and HIV.

PARASITIC DISEASES:
- Parasitic diseases occur when parasites such as worms, skin mites, body lice and protozoa enter the body through contaminated food or water, or from contact with others who have parasites on their skin or hair.
- Once in the body, the parasites can cause sickness and, in some cases, death.

  • Infectious and parasitic diseases were the most common causes of death in Australia in the first part of the twentieth century (due to poor living conditions)
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5
Q

cancer

A
  • Cancer death rates increased throughout the twentieth century, reaching a peak in the mid-1980s before falling gradually.
  • This rise was the result of an increase in lung cancer due to high rates of
    cigarette smoking in the 1920s.
  • Advances in medical technology, including early detection, have assisting in
    decreasing mortality rates due to cancer.
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6
Q

cardiovascular disease

A

-Death rates (due to cardiovascular disease) increased and reached their peak in the mid-1960s.
- Although there has been a decline in death rates from cardiovascular diseases since then, they continue to be one of the
major causes of death in Australia.

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7
Q

respiratory diseases

A

-Respiratory diseases include COVID-19, pneumonia, influenza, asthma and chronic obstructive pulmonary disease (COPD).
- Pneumonia and influenza were the major causes of death from respiratory
diseases in 1900.
- More hygienic living conditions and vaccination programs assisted in
decreasing mortality from infectious diseases.
- Death rates from COVID-19 also contributed to high death rates from
respiratory diseases between 2020 and 2023.

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8
Q

injury and poisoning

A
  • Deaths from injury and poisoning include:
    those from motor vehicle
    and other accidents, suicide, assault, poisoning, drowning, burns and falls, and complications from medical and surgical care.
  • Since 1900, death rates for injury and poisoning have more than halved for both males and females, with the most rapid decline
    occurring from the 1970s.
  • This decrease is attributed to public health actions that were introduced by the government, such as the introduction of the
    compulsory wearing of seatbelts in 1970 and workplace safety
    regulations.
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9
Q

what is public health

A

-Public health relates to the ways in which governments monitor, regulate and promote health status and prevent
disease
-Public health is concerned with the organisation and a
collective effort to improve the health status of the entire population.

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10
Q

describe the ‘old’ public health

A

-‘Old’ public health relates to the government actions that focused on changing the physical environment to prevent the spread of disease, such as providing safe water, sanitation and sewage disposal, improved nutrition, improved housing conditions and better work conditions

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11
Q

what factors led to the introduction of initiatives associated with old public health

A

-Pressure was placed on governments to take action to improve people’s health.
- As a result, a range of initiatives were introduced by governments that became known as the ‘old’ public health.
- These initiatives played a significant role in reducing the prevalence of infectious and parasitic diseases, respiratory
diseases and injuries that were common during the first half of the twentieth century.
- As a result, significant improvements occurred in life expectancy, maternal and child mortality and overall death rates.

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12
Q

old public health policies and practices

A
  • improved water and sanitation
  • better quality housing and fewer slums
  • better quality food and nutrition
  • introduction of quarintine laws
  • safer working conditions
  • more hygenic birthing practices
  • provision of antenatal and infant welfare services
  • mass immunisation programs
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13
Q

old public health policies and practices

clean drinking water was provided

A

EXPLAINATION:
people were provided with safe water to drink

HOW IT AFFECTED HEALTH STATUS:
infectious diseases such as diarrhoea, typhoid and cholera were reduced

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14
Q

old public health policies and practices

sewage systems were established and sanitation was improved

A

EXPLAINATION:
sewage systems help to keep human wastes seperated from water suppliers, and garbage and waste were removed from the streets

HOW IT AFFECTED HEALTH STATUS:
led to infectious diseases such as gastroenteritis, diarrheoa, cholera being reduced.
- improved infant and child mortality rates and improved life expectancy

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15
Q

old public health policies and practices

better quality housing and the elimination of housing slums

A

EXPLAINATION:
housing was cleaner

HOW IT AFFECTED HEALTH STATUS:
- reduced deaths from respiratory diseases such as pneumonia, influenza, improving life expecatncy

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16
Q

old public health policies and practices

improved food and nutrition

A

EXPLAINATION:
food often transmitted diseases from bacteria, parasites, toxins and viruses due to poor hygiene and storage.
- Public health campaigns promoted the importance of food hygiene

HOW IT AFFECTED HEALTH STATUS:
-Reduction in stomach cancer
- Improved nutrition increased resistance to infectious and respiratory diseases
- improved life expectancy

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17
Q

old public health policies and practices

improved working conditions

A

EXPLAINATION:
Workplaces had to have better ventilation and toilets for workers.
- Employment of children under 13 years of age was prohibited.

HOW IT AFFECTED HEALTH STATUS:
- Reduced industrial-related child deaths
- improved life expectancy

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18
Q

old public health policies and practices

mass imunisation programs

A

EXPLAINATION:
With the scientific discovery of vaccines, the government funded mass vaccinations

HOW IT AFFECTED HEALTH STATUS:
-Reductions from infectious diseases such as smallpox, polio, tuberculosis, tetanus, polio, measles, mumps, rubella, hepatitis B and COVID-19
- Improved infant and child mortality rates
- Improved life expectancy

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19
Q

old public health policies and practices

establishment of public health campaigns

A

EXPLAINATION:
During World War I, health campaigns targeted the prevention of tuberculosis (TB) and STIs.

HOW IT AFFECTED HEALTH STATUS:
- reductions in infectious diseases such as tuberculosis
-Improved life expectancy

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20
Q

old public health policies and practices

more hygenic birthing practices

A

EXPLAINATION:
There were safe and hygienic birthing conditions with trained and registered midwives and doctors.

HOW IT AFFECTED HEALTH STATUS:
-Reduction in maternal and infant mortality rates

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21
Q

old public health policies and practices

antenatal and infant welfare services were provided

A

EXPLAINATION:
-Following World War II, antenatal and infant welfare services were established, which supported mothers and babies.

HOW IT AFFECTED HEALTH STATUS:
-Reduced fertility rates and lower maternal mortality rates
-Reduced infant mortality rates

22
Q

old public health policies and practices

quarintine laws

A

EXPLAINATION:
Quarantine laws were also introduced to control the spread of COVID-19 in 2020–2022.

HOW IT AFFECTED HEALTH STATUS:
- Reduction in infectious diseases
-Improved life expectancy

23
Q

what is meant by health promotion

A

‘Health promotion is the process of enabling people to increase control over and improve their health.

24
Q

what brought about the shift to health promotion

A

-The emergence of lifestyle diseases during the 1950s and 60s required a different approach to public health.
- It was during this time that a shift towards the implementation of publicly funded health promotion campaigns occurred.
-These were designed to bring about individual
behaviour change by making people aware of the causes of ill health, such as tobacco smoking, physical inactivity, poor diet and excessive alcohol consumption.

25
what was the aim of bringing in health promotion campaigns
-It was believed that people would make positive changes to their behaviour if they were aware of the effects that their behaviour would have on their health and wellbeing.
26
the biomedical approach to health
The Biomedical approach to health focuses on the physical or biological aspects of disease and illness; a medical model practiced by doctors and health professionals and is associated with the diagnosis, treatment and cure of disease.
27
why is the biomedical approach sometimes called the 'band aid' or 'quick fix' approach
because it focuses on the physical or biological aspects of disease and illness. - It involves diagnosing the disease or illness and then treating the illness or condition once symptoms are present.
28
features of the biomedical approach
- focuses on individuals who are ill - concered with disease, illness and disability - relies on services provided by doctors, specialists and hospitals - quick fix approah - relies on technology to diagnose, treat and cure
29
what is meant by advances in medical technology
Advancements in medical technology allow us to better diagnose, treat and cure many diseases and have therefore contributed to increases in life expectancy over time.
30
examples of advances in medical technology that have increased life expectancy over time
- The discovery of vaccines, antibiotics, penicillin - X-rays, MRI scans, ultrasound - Transplants - Cosmetic surgeries for burns patients - Robotic surgeries -Drug therapies - Stem cell research - Nanotechnology
31
stregnths of the biomedical approach
Funding brings about improvements in technology and research: -Without the biomedical approach to health, there would be no X-rays, antibiotics or anesthetics. - There would also be relatively little knowledge about how to diagnose and treat illness. It enables many illnesses and conditions to be effectively treated: - medicines stop diseases or conditions that would otherwise develop and cause considerable ill health or death. It extends life expectancy: -Many causes of death that were common in the past, such as some infectious diseases, can now be treated and cured. It improves quality of life and health-adjusted life expectancy: Many chronic conditions can be managed with medication, therapy or surgery, reducing pain and suffering.
32
limitations of the biomedical approach
It relies on professional health workers and technology and is therefore costly: - people with specialist knowledge and required to adequetely treat the patient. the cost of training and equipment has increased It doesn’t always promote good health and wellbeing: - the focus is on the condition itself rather than the factors that caused it, the biomedical approach does not encourage people to be responsible for their own health and wellbeing. Not every condition can be treated: - These conditions may be preventable through behaviour change, but this is not a focus of the biomedical approach. (e.g. cancer) It is not always affordable: - Not all individuals can afford the medical technologies and resources that are a part of the biomedical approach to health
33
what is the social model of health
The social model of health is an approach that recognises improvements in health and wellbeing can only be achieved by directing effort towards addressing the physical, sociocultural and political environments of health that have an impact on individuals and population groups.
34
what is meant by the term lifestyle diseases?
lifestyle diseases are linked to lifestyle factors ( an individuals behaviour and environment). - it includes diseases such as: cancer cardiovascular disease obesity diabetes
35
what led to the development of the social model of health
- towards the 1970s the leading cause of death became lifestyle diseases. - While the biomedical approach could achieve improvements in health status, many of the causes of these diseases were lifestyle related. - If individuals were made aware of the consequences of their health behaviours, it was a belief that people would take action to change their behaviours. - Therefore, as well as the biomedical model and old public health, another approach was needed that encouraged people to lead healthier lives. - It became known as the ‘social model of health’.
36
what factors that exisit outside of the control of the individuals and that impact on health outcomes are considered in the social model of health?
- sociocultural factors such as socioeconomic status, social inequalities, access to health care and social connectedness play in bringing about improved health outcomes. - Policies, education and health promotion activities are key aspects of the social model of health.
37
what is the ottawa charter for health promotion
-The Ottawa Charter for Health Promotion is an approach to health developed by the World Health Organization that aims to reduce inequalities in health. - It reflects the social model of health and provides five action areas that can be used as a basis for improving health outcomes.
38
list the five action areas of the ottawa charter:
- build healthy public policy - create supportive environments - strengthen community action - develop personal skills - reorient health services
39
list the five action areas of the ottawa charter: build healthy public policy
- (laws) - Relates directly to the decisions made by government and organisations regarding laws and policies that make it more difficult for people to undertake unhealthy behaviours and seek to make healthier choices the easier choices EXAMPLES: - Banning smoking in public places, which makes the environment healthy for everyone - Compulsory wearing of seatbelts, which aims to directly influence behaviour
40
list the five action areas of the ottawa charter: strengthen community action
- (link between individuals and community) - Focuses on building links between individuals and the community, and centres around the community working together to achieve a common goal - Giving the community a sense of ownership of a health and wellbeing strategy and working together increases the likelihood that it will be effective EXAMPLE: - An immunisation strategy that involves media, doctors, schools and parents working together to achieve higher immunisation rates for children
41
list the five action areas of the ottawa charter: create supportive environments
- (safe physical environment) - Recognises the impact that the broader determinants have on health and wellbeing and health status - Aims to promote a healthy physical and sociocultural environment for all members of the community EXAMPLES: - The establishment of Quitline (a support service for smokers wanting to quit) - Providing a safe working environment
42
list the five action areas of the ottawa charter: develop personal skills
- ( main aspect is education) - education - gaining health related knowledge and skills that allow people to make informaed decisions that may affect h&w - can occur at schools, work, families, government and non-government organisations EXAMPLE: - A community health centre running cooking classes for the community - Educating parents about the importance of putting sunscreen on their children when they are out in the sun
43
list the five action areas of the ottawa charter: reorient health services
- (shift from biomedical to social model) - Refers to changing the health system so that it promotes health and wellbeing rather than just focusing on diagnosing and treating illness, as is the case with the biomedical model EXAMPLE: - Doctors focusing a discussion around healthy eating rather than just medication and surgery to reduce the impact of cardiovascular disease
44
strengths of the social model of health
It promotes good health and wellbeing and assists in preventing diseases: - focuses on the broader determinants of health and wellbeing, it can prevent conditions from developing in the first place It takes a more holistic approach to health and wellbeing: - doesn’t just focus on diseases that are present and promotes the overall health and wellbeing of individuals by focusing on all dimensions. It is less expensive than the biomedical approach. It focuses on vulnerable population groups: - promotes equity, many disadvantaged groups are the target of health promotion programs, including Aboriginal Peoples, those from low socioeconomic backgrounds and those living outside of Australia’s major cities. Education can be passed on from generation to generation The responsibility for health and wellbeing is shared: - makes health and wellbeing the responsibility of more than just the health sector so that the reasons behind poor health and wellbeing are more likely to be addressed.
45
limitations of the social model of health
Not every illness or condition can be prevented: - genetic conditions, can be very difficult to prevent It does not promote the development of technology and medical knowledge It does not address the health and wellbeing concerns of individuals: - Those who are sick, for example, are not a specific focus of the social model of health, which can impact negatively on their health and wellbeing and the health status of the population. Health promotion messages may be ignored: - relies on public cooperation. - If people choose to ignore the health messages provided, health and wellbeing may not improve.
46
INFECTIOUS AND PARASITIC DIESEASES -Contribution of the biomedical model of health - Contribution of the social model of health
Contribution of the biomedical model of health: - Technology to diagnose these diseases - Antibiotics and penicillin to treat infectious and parasitic disease Contribution of the social model of health: - Exclude children from school if they suffer from these diseases to prevent their spread - Conduct free vaccinations for children and adults to build immunity and prevent these diseases
47
CANCERS -Contribution of the biomedical model of health - Contribution of the social model of health
Contribution of the biomedical model of health: - Technology to conduct biopsies, X-rays and MRI scans to diagnose cancer - Chemotherapy and radiotherapy to treat cancer - Surgery to remove cancerous cells Contribution of the social model of health: - health promotion campaigns such as Quit and SunSmart to encourage people to undertake behaviours that will prevent the development of cancer
48
CARDIOVASCULAR DISEASE -Contribution of the biomedical model of health - Contribution of the social model of health
Contribution of the biomedical model of health: - Heart transplants - Open-heart surgery to repair blockages in the arteries - Medication to reduce blood pressure, cholesterol levels and blood thinners Contribution of the social model of health: - Use health promotion campaigns designed to encourage people to consume a healthy diet, not smoke and exercise more - Make changes to the environment in which people live and work to encourage physical activity and to reduce exposure to risks such as passive smoking
49
RESPIARATORY DISEASES -Contribution of the biomedical model of health - Contribution of the social model of health
Contribution of the biomedical model of health: -Technology to diagnose respiratory diseases - Antibiotics to treat respiratory infections - Ventolin and oxygen to manage the impact of respiratory diseases Contribution of the social model of health: - health promotion campaigns such as Quit to encourage people to give up or never take up smoking - Make changes to the environment in which people live and work to reduce exposure of people to air contaminants
50
INJURY AND POISONING -Contribution of the biomedical model of health - Contribution of the social model of health
Contribution of the biomedical model of health: - Technology to diagnose and treat those who suffer from injuries and poisoning - Surgery to repair broken bones or to treat damage to the body from accidents Contribution of the social model of health: - Introduce legislation such as the mandatory fencing of pools to protect children from drowning, and laws relating to drink and drug driving and speeding to prevent road injuries - Use road safety campaigns to encourage safe driving