Communicable vs Non-Communicable Diseases

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Questions and Answers

Communicable diseases can be passed from one person to another directly or indirectly.

True (A)

Non-communicable diseases are also known as acute diseases.

False (B)

Dengue fever is considered a notifiable disease under Malaysian law.

True (A)

Cholera is caused by ingestion of food or water contaminated with Vibrio cholerae.

<p>True (A)</p> Signup and view all the answers

HIV/AIDS is classified as a non-communicable disease.

<p>False (B)</p> Signup and view all the answers

The main types of non-communicable diseases include cardiovascular diseases, cancers, and diabetes.

<p>True (A)</p> Signup and view all the answers

Tuberculosis is not a notifiable disease according to Malaysian health regulations.

<p>False (B)</p> Signup and view all the answers

Food poisoning is classified as a chronic disease.

<p>False (B)</p> Signup and view all the answers

Typhoid fever is caused by a virus known as Salmonella typhi.

<p>False (B)</p> Signup and view all the answers

Ciprofloxacin, azithromycin, and ceftriaxone are antibiotics used to treat typhoid fever.

<p>True (A)</p> Signup and view all the answers

Dukoral and Shanchol are two types of oral vaccines for cholera.

<p>True (A)</p> Signup and view all the answers

Mycobacterium tuberculosis causes tuberculosis only in people with strong immune systems.

<p>False (B)</p> Signup and view all the answers

The treatment for tuberculosis typically lasts for three months.

<p>False (B)</p> Signup and view all the answers

Direct Observation Treatment (DOT) is recommended to improve adherence in tuberculosis treatment.

<p>True (A)</p> Signup and view all the answers

Fresh vegetables and fruits are always safe to eat at hawker stalls.

<p>False (B)</p> Signup and view all the answers

Cholera can spread through contaminated food and water.

<p>True (A)</p> Signup and view all the answers

The first case of HIV was detected in 1986.

<p>True (A)</p> Signup and view all the answers

AIDS related deaths notified in 2019 were primarily among adults.

<p>False (B)</p> Signup and view all the answers

Heterosexual transmission accounts for 40% of new HIV reported cases.

<p>True (A)</p> Signup and view all the answers

Leprosy is transmitted primarily through contaminated food.

<p>False (B)</p> Signup and view all the answers

Rifampicin is one of the treatments used for leprosy.

<p>True (A)</p> Signup and view all the answers

The incubation period for leprosy is approximately 10 years.

<p>False (B)</p> Signup and view all the answers

The percentage of female HIV cases increased from 9.4% in 2000 to 15% in 2006.

<p>True (A)</p> Signup and view all the answers

The Methadone Maintenance Therapy is part of a harm reduction programme introduced in 2005.

<p>True (A)</p> Signup and view all the answers

Malaria cases have increased significantly from 2000 to 2020.

<p>False (B)</p> Signup and view all the answers

Wuchereria Bancrofti is the most common type of filariasis reported in Malaysia.

<p>True (A)</p> Signup and view all the answers

Malaysia has consistently achieved the WHO target elimination rate of less than 1/10000 for leprosy since 1994.

<p>True (A)</p> Signup and view all the answers

The main reason for the increased dengue cases in 2020 is public awareness regarding Aedes breeding.

<p>False (B)</p> Signup and view all the answers

The compliance rate for the third dose of the MMR vaccine was 95.2% in 2005.

<p>False (B)</p> Signup and view all the answers

Flashcards

Communicable Disease

An illness caused by pathogenic microorganisms like bacteria, viruses, parasites, or fungi. It spreads directly or indirectly between people or from animals to humans.

Non-Communicable Disease (NCD)

Diseases that are not passed from person to person and typically have a long duration and slow progression. Examples include heart attacks, strokes, cancer, and diabetes.

Notifiable Disease

Diseases that are required by law to be reported to government authorities for monitoring and early warning of outbreaks. Examples include Dengue fever, Tuberculosis, and HIV/AIDS.

Incidence Rate

The number of new cases of a disease diagnosed in a given period of time, usually expressed per 100,000 population.

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Mortality Rate

The number of deaths from a particular disease in a given period of time, usually expressed per 100,000 population.

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Cholera

An acute diarrheal infection caused by ingesting food or water contaminated with Vibrio cholerae bacteria. It can be fatal if left untreated.

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Infectious Disease

A type of communicable disease that spreads through airborne viruses or bacteria, blood, or other bodily fluids.

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Zoonotic Disease

Zoonotic diseases are transmitted from animals to humans. Examples include rabies and Lyme disease.

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Multidrug Therapy (MDT)

A group of drugs used together to treat a certain disease, in this case, leprosy.

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Typhoid fever

A bacterial infection causing fever, headache, and abdominal pain, transmitted through contaminated food or water.

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Tuberculosis (TB)

An infectious bacterial disease that primarily affects the lungs and spreads through airborne droplets from infected individuals.

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Ciprofloxacin

An antibiotic used to treat typhoid fever and other bacterial infections.

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Isoniazid

A major antibiotic used to treat tuberculosis infections, usually given with other drugs.

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Rifampin

An antibiotic often prescribed for tuberculosis that prevents the bacteria from multiplying.

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DOT

A method to ensure patients take their tuberculosis medication correctly, improving adherence.

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Ethambutol

An antibiotic used to treat tuberculosis infections, particularly in combination with other drugs.

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Pyrazinamide

An antibiotic used to treat tuberculosis infections, especially in the early stage.

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What is HIV/AIDS?

HIV is a virus that weakens the immune system, making individuals susceptible to infections and cancers. AIDS is the most advanced stage of HIV infection.

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What is vertical transmission of HIV?

The transmission of HIV from a mother to her child during pregnancy, childbirth, or breastfeeding.

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What is PMTCT?

A program designed to prevent the transmission of HIV from mothers to their infants during pregnancy, labor, and delivery, and breastfeeding.

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What is leprosy?

A chronic disease caused by Mycobacterium leprae, a slow-growing bacterium that primarily affects the skin, peripheral nerves, upper respiratory tract, and eyes.

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What is the incubation period of leprosy?

The incubation period of leprosy is about 5 years, meaning it can take up to 5 years for symptoms to appear after infection.

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How is leprosy treated?

Leprosy is curable with a multidrug therapy involving rifampicin, dapsone, and clofazimine. Treatment duration depends on the severity of the disease.

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How is leprosy transmitted?

Leprosy is transmitted through close and frequent contact with untreated individuals, mainly via droplets from the nose and mouth.

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What are PB and MB leprosy?

Leprosy patients are classified as paucibacillary (PB) or multibacillary (MB) based on the number of skin lesions, nerve involvement, and presence of bacilli in skin smears.

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Study Notes

Disease Patterns & Health Problems in Malaysia

  • The presentation covers disease patterns and health problems in Malaysia
  • A presenter, Tuan Mazlelaa Tuan Mahmood, PhD, RPh, from the Faculty of Pharmacy, UKM, delivered this presentation.

Communicable and Non-Communicable Diseases (NCD)

  • Communicable Diseases: Illnesses caused by pathogenic microorganisms (e.g., bacteria, viruses, parasites, fungi) or their toxins; spread directly or indirectly between people or from animals to people (zoonotic diseases), often through airborne viruses or bacteria, but also blood or bodily fluids

    • Infectious and contagious are terms also used to describe communicable diseases
  • Non-Communicable Diseases (NCD): Also known as chronic diseases; not passed from person to person; of long duration and generally slow progression

  • Examples of Communicable Diseases: Malaria, Hepatitis, HIV/AIDS

  • Examples of Non-Communicable Diseases: Cardiovascular diseases (heart attacks, stroke), Cancers, Chronic respiratory diseases (COPD, asthma), Diabetes

Top 5 Principal Causes of Death in Malaysia (2021)

  • Ischemic heart disease
  • COVID-19
  • Stroke
  • Lower respiratory infections
  • Kidney disease

Statistics on Causes of Death (2020 & 2021)

  • Detailed breakdown of the top 10 causes of death in 2020, includes percentages for each cause
  • Shows different causes of death by age group (0-14, 15-40, 41-59, and 60 years & over)
  • Includes breakdown of causes of death by major ethic group (Bumiputera, Chinese, and Indian).

Notifiable Diseases

  • Diseases legally required to be reported to government authorities
  • Regulated under the Prevention and Control of Infectious Diseases Act 1988 (Act 342)
  • 25 diseases are subject to reporting and monitoring
  • Collating information helps authorities monitor diseases and identify outbreaks.
  • Examples include Dengue fever, Tuberculosis, Food poisoning, Hand, foot and mouth diseases (HFMD), HIV/AIDS, and Covid-19

Communicable Diseases (Food and Water Borne Diseases)

  • Cholera: Acute diarrheal infection caused by Vibrio cholerae ingestion; can be fatal if left untreated

  • Typhoid: Bacterial disease caused by Salmonella typhi; transmitted through contaminated food or water. Symptoms include fever, fatigue, and abdominal pain. Treatment options include hydration and antibiotics.

Communicable Diseases (Infectious Diseases)

  • Tuberculosis (TB): Infectious bacterial disease caused by Mycobacterium tuberculosis, typically affecting the lungs; transmitted via droplets; preventable with early diagnosis and multidrug therapy.
  • HIV/AIDS: Major public concern; 1st case in 1986; infection rates show a reducing trend; transmission through needle sharing, sexual contact, and vertical transmission; treatment options include antiretroviral therapy.
  • Leprosy: Chronic disease caused by Mycobacterium leprae; slow growth; symptoms may take 20 years to emerge; affects skin, peripheral nerves, mucosa, and eyes; curable with the proper treatment regimen, a combination of drugs for 6-12 months.

Communicable Diseases (Vector Borne Disease)

  • Malaria: Cases are decreasing; concentrated in Sabah and Sarawak; transmitted by mosquitoes infected with Plasmodium genus; treated with anti-malarial medications like chloroquine
  • Dengue: Cases increasing, mainly in Selangor, Johor, Perak, and Kuala Lumpur. Increased cases are connected to a lack of public awareness regarding the methods of disease prevention.
  • Filariasis: 172 cases, mainly affecting peninsular Malaysia, with a 78% foreign worker component among cases. Primarily caused by Wuchereria bancrofti.
  • Chikungunya: 27 cases in 1999 and 227 in 2006, mostly observed in Perak.

Immunisation Programme

  • National Immunisation Programme guidelines
  • Childhood Immunisation Coverage in 2022 for BCG, DPT-Hib, Polio, and MMR

Immunisation Compliance (2005)

  • BCG compliance: 100%
  • Hepatitis B 3rd dose: 93.8%
  • DPT 3rd dose: 94.2%
  • Oral polio 3rd dose compliance: 95.2%
  • MMR Immunisation coverage: 80%

Causes of Death

  • About 50% of deaths are not certified in hospital settings, typically due to old age in homes.
  • Cancer is a prominent cause related to aging.
  • Specific cancers—lung, colorectal, prostate, nasopharynx, and liver for males; and breast, colorectal, ovary, cervix uteri, and corpus uteri for females—are emphasized.

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