1. The Good…. The Bad…. & The Ugly.

2. Disease concepts  How many diseases are there?  Health, Function, Disability, Impairment, oh my!  Is it a disease or a syndrome?  Types of diseases

3. Categories of Disease  Infectious (Acute) Caused by pathogen Communicable Usually acute Promoted by living conditions/lifestyle  Chronic Multiple causes Non communicable Persists for a prolonged period Treatable but may not be curable Promoted by living conditions/lifestyle

4. Disease Prevalence  Approx. 2.5 million Americans die each year.  What are they dying from?

5. Top 15 causes of death in U.S.  Heart Disease  Cancer (malignant neoplasms)  Chronic lower respiratory diseases  Accidents (unintentional injuries)  Stroke (cerebrovascular accident)  Alzheimer’s  Diabetes  Influenza and pneumonia  Nephritis  Suicide National Vital Statistics Report, 2013

6. Any trends?  The good news…  Some bad news…  Top 3 causes of death = more than 50% of all deaths.

7. Worldwide causes of death  Heart disease  Stroke  COPD  Lower respiratory infections  Trachea, bronchus, lung cancers  HIV/AIDS  Diarrheal diseases  Diabetes  Road traffic accidents World Health Organization, 2015

8. Oregon’s top 3 causes of death  Cancer  Heart disease  Chronic lower respiratory diseases  Stroke  Causes 5-10 vary by male / female

9. Disease process  What causes disease?  Who gets diseases?  How are diseases diagnosed and treated?  How does all of this affect us? Why should you care?

10. Background terminology  Diagnosis / Prognosis  Signs / Symptoms  Mortality / Morbidity  Etiology Idiopathic / Iatrogenic  Treatment  Sequela

11. Disease and Public Health  Public health approach is prevention.  Possible?