Application
Classifying Diseases Chronic/Acute Communicable/Noncommunicable Communicable Disease Model Chain of Infection
Chronic Lasts longer than 3 months Acute Lasts less than 3 months
Communicable Infectious Spreads person to person Noncommunicable Noninfectious Based on genetics, individual behaviors, environmental exposures, etc
Susceptible Organism Virus or other element Physical, biological or social factors that encourage or prohibit transmission
Complex Version
Simpler Version
Direct ▪ no middle step ▪ AIDS, syphilis, gonorrhea, rabies, common cold Indirect Airborne: TB, influenza Vector-borne: Lyme disease, malaria Vehicle-borne: Dysentery, hepatitis (diseases that transit in other ways can be transmitted this way as well)
Non- infectious
Top Killers Coronary heart disease (1 in 4 deaths in 2008) Cancers (aka Malignant Neoplasms)
Prevention Control Eradication rarely possible Smallpox eradicated as humans are only reservoir
Primary Secondary Tertiary
Prevent the disease/injury before it occurs Health education Immunizations Hand washing Banning BPA What else?
Early diagnosis and treatment Pap smear Breast lump biopsy and removal HIV test Mole excision and biopsy What else? Health screening- goal is to identify those who may have disease, not to diagnose a disease
Retrain, re-educate and rehabilitate patients with the disease/injury Support groups (AA, NA) Diabetes education (most hospitals offer) PT/OT/SLP Safer injection strategies for drug users with HIV/Hepatitis C What else?
Chlorination Antibiotics Disinfectants Isolation Quarantine Drug therapy Masks Condoms Hair nets Insect repellents Hand washing Sneeze glass Abstinence (sex, injection drugs) Safer sex Masks Condoms Insect repellents Immunizations Health ed Abstinence Disease Prevention and Control Strategies within the Chain of Infection Model