Concept of Disease in Public Health

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Questions and Answers

What is the primary focus of the natural history of disease?

  • The progression of a disease in a population over time
  • The socioeconomic factors that influence disease transmission
  • The biological factors that contribute to disease susceptibility
  • The progression of a disease in an individual over time, in the absence of intervention (correct)

What is the term for the varying signs, symptoms, and severity of the same disease in a population?

  • Disease incidence
  • Spectrum of disease (correct)
  • Natural history of disease
  • Disease progression

What is the term for the stage of disease where an individual is infected but shows no symptoms?

  • Stage of overt disease
  • Incubation period
  • Prodromal stage
  • Carrier (correct)

What is the term for the 'hidden' cases of disease that are not diagnosed or reported?

<p>Iceberg phenomenon (D)</p> Signup and view all the answers

What is the primary reason for the varying degrees of disease severity in a population?

<p>The interactions of host, agent, and environmental factors (C)</p> Signup and view all the answers

What is the stage of disease where an individual begins to show symptoms?

<p>Stage of overt disease (D)</p> Signup and view all the answers

What is the primary implication of the iceberg phenomenon for public health?

<p>That persons with in-apparent or undiagnosed infections can transmit infections to others (B)</p> Signup and view all the answers

What is the term for the stage of disease where an individual is recovering from an illness?

<p>Stage of convalescence (A)</p> Signup and view all the answers

What is the primary focus of control measures in the context of the natural history of disease?

<p>All infections capable of being transmitted to others (C)</p> Signup and view all the answers

What is the term for the period of time between exposure to a disease-causing agent and the onset of symptoms?

<p>Incubation period (D)</p> Signup and view all the answers

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Study Notes

Concept of Disease

  • A disease is a condition where body function is impaired, departing from a state of health, and altering the performance of vital functions.

Theories of Disease Causation

  • Supernatural theory of disease
  • Ecological theory
  • Germ theory: Microorganisms cause many known diseases (Pasteur, Henle, Koch)
  • Multifactorial causation theory: Agent, host, and environmental factors interact synergistically to cause disease

Epidemiologic Triad

  • Agent (pathogen): Biological, Nutrient, Chemical, Physical, Mechanical, or Genetic
  • Host (susceptible individual): Intrinsic (age, race, sex, socioeconomic status) and modifiable factors (behaviors)
  • Environment: Physical (geology, climate), Biologic (insects), and Socioeconomic (crowding, sanitation, health services)

Natural History of Disease

  • Refers to the progress of a disease process in an individual over time without intervention
  • Stages of disease:
    • Pre-pathogenic phase or susceptibility stage
    • Pathogenic phase:
      • Incubation period
      • Prodromal stage
      • Stage of overt disease
      • Stage of convalescence

Spectrum of Disease

  • The idea that an exposure can lead to varying signs, symptoms, and severity of the same disease in a population
  • Varying degrees of severity due to interactions of host, agent, and environmental factors
  • Disease forms:
    • Acute
    • Chronic/insidious
    • Carrier

Iceberg Phenomenon

  • Cases of illness diagnosed by clinicians represent only the "tip of the iceberg"
  • Many additional cases may be too early to diagnose or remain asymptomatic
  • Risk of transmission by persons with in-apparent or undiagnosed infections

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