Podcast
Questions and Answers
Which of the following factors is least likely to be a direct cause of a neurodegenerative disease?
Which of the following factors is least likely to be a direct cause of a neurodegenerative disease?
- Genetic inheritance.
- Highly infectious pathogens. (correct)
- Changes in lifestyle.
- Malnutrition.
How do communicable and noncommunicable diseases differ in their development and duration?
How do communicable and noncommunicable diseases differ in their development and duration?
- Both develop at the same rate, but noncommunicable diseases are curable.
- Both develop over time and are long-lasting, but only communicable diseases are fatal.
- Communicable diseases develop immediately and are acute, while noncommunicable diseases develop over time and are long-lasting. (correct)
- Communicable diseases develop slowly and are long-lasting, unlike noncommunicable diseases.
Which factor distinguishes genetic inheritance in the context of disease transmission?
Which factor distinguishes genetic inheritance in the context of disease transmission?
- It only affects the individual and cannot be inherited.
- It can be directly transmitted through highly infectious pathogens.
- It is solely determined by changes in lifestyle and surroundings.
- It can be passed down from one generation to another, influencing disease susceptibility. (correct)
In the context of noncommunicable diseases (NCDs), consider a person with no family history of heart disease who maintains a healthy lifestyle. Which factor could still significantly elevate their risk?
In the context of noncommunicable diseases (NCDs), consider a person with no family history of heart disease who maintains a healthy lifestyle. Which factor could still significantly elevate their risk?
If a disease is treated surgically or with specialized treatments, which type of disease is it most likely to be?
If a disease is treated surgically or with specialized treatments, which type of disease is it most likely to be?
According to the systematic review study, which of the following is the most frequently occurring dyad of concurrent diseases?
According to the systematic review study, which of the following is the most frequently occurring dyad of concurrent diseases?
Which of the following triads was identified in the study as most frequently occurring?
Which of the following triads was identified in the study as most frequently occurring?
Which of the following is NOT identified as a factor associated with CD & NCD multimorbidity?
Which of the following is NOT identified as a factor associated with CD & NCD multimorbidity?
Which of the following prenatal infections is NOT listed as a potential cause of fetal malnutrition, potentially leading to NCDs?
Which of the following prenatal infections is NOT listed as a potential cause of fetal malnutrition, potentially leading to NCDs?
In genetically predisposed individuals, infections can indirectly serve as risk factors for the development of which of the following NCDs?
In genetically predisposed individuals, infections can indirectly serve as risk factors for the development of which of the following NCDs?
According to the information given, what is a critical aspect of redesigning NCD control strategies?
According to the information given, what is a critical aspect of redesigning NCD control strategies?
Integrating health systems to address NCDs and infectious diseases comprehensively is expected to yield which of the following benefits?
Integrating health systems to address NCDs and infectious diseases comprehensively is expected to yield which of the following benefits?
Which of the following best describes the relationship between Non-Communicable Diseases (NCDs) and the severity of COVID-19?
Which of the following best describes the relationship between Non-Communicable Diseases (NCDs) and the severity of COVID-19?
According to the content, what is an integral element of an NCD control strategy related to infections?
According to the content, what is an integral element of an NCD control strategy related to infections?
Which infection is most commonly associated with gastric cancer?
Which infection is most commonly associated with gastric cancer?
Which of the following pairs represents an infection and a related NCD with a significant burden?
Which of the following pairs represents an infection and a related NCD with a significant burden?
Endemic Burkitt's lymphoma (BL) has associations with which of the following?
Endemic Burkitt's lymphoma (BL) has associations with which of the following?
How does type 2 diabetes mellitus potentially impact communicable diseases (CDs)?
How does type 2 diabetes mellitus potentially impact communicable diseases (CDs)?
Compared to individuals without diabetes, how much more at risk are patients with type 2 diabetes mellitus of active TB infection?
Compared to individuals without diabetes, how much more at risk are patients with type 2 diabetes mellitus of active TB infection?
What are potential adverse effects in patients with HIV on antiretroviral treatments?
What are potential adverse effects in patients with HIV on antiretroviral treatments?
Patients with HIV on antiretroviral treatments are at an increased risk of experiencing cardiovascular events. What is the most likely reason for this heightened risk?
Patients with HIV on antiretroviral treatments are at an increased risk of experiencing cardiovascular events. What is the most likely reason for this heightened risk?
Which of the following factors is primarily associated with self-management rather than environmental influence?
Which of the following factors is primarily associated with self-management rather than environmental influence?
How do NCDs generally affect one's susceptibility to infections?
How do NCDs generally affect one's susceptibility to infections?
Which factor related to medical conditions directly influences an individual’s risk of developing certain NCDs?
Which factor related to medical conditions directly influences an individual’s risk of developing certain NCDs?
In the context of public health, why might 'chronic diseases' be considered a more appropriate term than others when discussing long-term health conditions?
In the context of public health, why might 'chronic diseases' be considered a more appropriate term than others when discussing long-term health conditions?
How do sociodemographic factors, such as income and education, indirectly influence an individual's health outcomes related to NCDs?
How do sociodemographic factors, such as income and education, indirectly influence an individual's health outcomes related to NCDs?
Which of the following scenarios best illustrates the interplay between self-management and medical condition factors in controlling NCDs?
Which of the following scenarios best illustrates the interplay between self-management and medical condition factors in controlling NCDs?
Which intervention strategy would be most effective in addressing the combined impact of environmental and sociodemographic factors on NCD prevalence?
Which intervention strategy would be most effective in addressing the combined impact of environmental and sociodemographic factors on NCD prevalence?
If a person has a high viral load, high blood pressure, is obese, and does not exercise, what is the most likely outcome?
If a person has a high viral load, high blood pressure, is obese, and does not exercise, what is the most likely outcome?
Which of the following is the MOST accurate description of the epidemiologic triad's components in the context of communicable diseases?
Which of the following is the MOST accurate description of the epidemiologic triad's components in the context of communicable diseases?
A public health campaign aims to reduce the incidence of cardiovascular diseases (CVDs). Which intervention strategy would be MOST directly addressing a key risk factor, based on the provided information?
A public health campaign aims to reduce the incidence of cardiovascular diseases (CVDs). Which intervention strategy would be MOST directly addressing a key risk factor, based on the provided information?
Considering the distinctions between communicable and non-communicable diseases, which scenario BEST exemplifies the transmission dynamics of a communicable disease?
Considering the distinctions between communicable and non-communicable diseases, which scenario BEST exemplifies the transmission dynamics of a communicable disease?
A patient is diagnosed with both hypertension and dyslipidemia. How would these conditions be categorized, and what broader health risk do they indicate?
A patient is diagnosed with both hypertension and dyslipidemia. How would these conditions be categorized, and what broader health risk do they indicate?
Which of the following public health initiatives would be MOST effective in preventing the spread of a communicable disease like COVID-19?
Which of the following public health initiatives would be MOST effective in preventing the spread of a communicable disease like COVID-19?
A researcher is studying the prevalence of diabetes in a population and identifies lifestyle choices and heredity as significant contributing factors. Which type of disease is the researcher MOST likely investigating?
A researcher is studying the prevalence of diabetes in a population and identifies lifestyle choices and heredity as significant contributing factors. Which type of disease is the researcher MOST likely investigating?
Considering the provided examples of diseases, which scenario would be LEAST likely to be addressed by strategies focused on preventing communicable diseases?
Considering the provided examples of diseases, which scenario would be LEAST likely to be addressed by strategies focused on preventing communicable diseases?
If a community is experiencing an increase in both obesity and depression rates, which combined approach would be the MOST effective for addressing these issues?
If a community is experiencing an increase in both obesity and depression rates, which combined approach would be the MOST effective for addressing these issues?
Which of the following is the MOST direct role of the World Health Organization (WHO) at the global level in preventing and controlling Non-Communicable Diseases (NCDs)?
Which of the following is the MOST direct role of the World Health Organization (WHO) at the global level in preventing and controlling Non-Communicable Diseases (NCDs)?
Which of the following actions BEST represents a society-level intervention for NCD prevention, as opposed to individual or global efforts?
Which of the following actions BEST represents a society-level intervention for NCD prevention, as opposed to individual or global efforts?
Engaging non-governmental organizations, research institutions, and the private sector in collaborative partnerships is MOST relevant to which level of NCD prevention and control?
Engaging non-governmental organizations, research institutions, and the private sector in collaborative partnerships is MOST relevant to which level of NCD prevention and control?
What is the PRIMARY focus of continuous quality improvement systems in primary health care for NCD prevention and management?
What is the PRIMARY focus of continuous quality improvement systems in primary health care for NCD prevention and management?
Why is providing opportunities for physical activity in the workplace considered an important strategy for NCD prevention?
Why is providing opportunities for physical activity in the workplace considered an important strategy for NCD prevention?
According to the WHO PEN, which of the following is included as part of the minimum set of interventions to address major NCDs in primary care?
According to the WHO PEN, which of the following is included as part of the minimum set of interventions to address major NCDs in primary care?
Besides cardiovascular diseases, diabetes and chronic respiratory diseases, what other area is included in the Package of Essential Noncommunicable (PEN) disease interventions?
Besides cardiovascular diseases, diabetes and chronic respiratory diseases, what other area is included in the Package of Essential Noncommunicable (PEN) disease interventions?
Which of the following components are featured in the Package of Essential Noncommunicable (PEN)?
Which of the following components are featured in the Package of Essential Noncommunicable (PEN)?
Which of the following scenarios would LEAST likely contribute to the development of a neurodegenerative disease, based on the information provided?
Which of the following scenarios would LEAST likely contribute to the development of a neurodegenerative disease, based on the information provided?
Considering the information provided, which of the following most accurately describes the role of inheritance in the context of communicable and non-communicable diseases?
Considering the information provided, which of the following most accurately describes the role of inheritance in the context of communicable and non-communicable diseases?
If a patient exhibits symptoms that develop acutely and are attributed to a highly infectious pathogen, which disease characteristic would be LEAST relevant in determining the appropriate course of action?
If a patient exhibits symptoms that develop acutely and are attributed to a highly infectious pathogen, which disease characteristic would be LEAST relevant in determining the appropriate course of action?
Given the distinction between the development and duration of communicable and non-communicable diseases (NCDs), which scenario best exemplifies a condition that would be classified as an NCD?
Given the distinction between the development and duration of communicable and non-communicable diseases (NCDs), which scenario best exemplifies a condition that would be classified as an NCD?
A public health initiative aims to reduce the incidence of non-communicable diseases (NCDs). Which intervention strategy would be MOST directly addressing a key risk factor, based on the provided information?
A public health initiative aims to reduce the incidence of non-communicable diseases (NCDs). Which intervention strategy would be MOST directly addressing a key risk factor, based on the provided information?
In the context of CD & NCD multimorbidity, what is the most critical implication of identifying frequently occurring dyads and triads?
In the context of CD & NCD multimorbidity, what is the most critical implication of identifying frequently occurring dyads and triads?
Considering the factors associated with CD & NCD multimorbidity, which intervention strategy would be most effective in a community with a high prevalence of obesity, low education levels, and limited access to healthcare?
Considering the factors associated with CD & NCD multimorbidity, which intervention strategy would be most effective in a community with a high prevalence of obesity, low education levels, and limited access to healthcare?
How do prenatal infections potentially influence the pathogenesis of non-communicable diseases (NCDs) in later life?
How do prenatal infections potentially influence the pathogenesis of non-communicable diseases (NCDs) in later life?
Which strategy would be MOST effective in addressing the dual burden of communicable diseases (CDs) and non-communicable diseases (NCDs) within an integrated healthcare system?
Which strategy would be MOST effective in addressing the dual burden of communicable diseases (CDs) and non-communicable diseases (NCDs) within an integrated healthcare system?
In the redesign of NCD control strategies, what critical adjustment is necessary considering the emerging evidence linking infections to many NCDs?
In the redesign of NCD control strategies, what critical adjustment is necessary considering the emerging evidence linking infections to many NCDs?
How can integrating health systems to address NCDs and infectious diseases comprehensively MOST effectively reduce the economic burden of healthcare?
How can integrating health systems to address NCDs and infectious diseases comprehensively MOST effectively reduce the economic burden of healthcare?
What is the MOST effective way to integrate prevention of infections in pregnancy as an integral element of NCDs control strategy?
What is the MOST effective way to integrate prevention of infections in pregnancy as an integral element of NCDs control strategy?
What is the long-term significance of preventing childhood infections through routine immunization as an integral element of NCDs control strategy?
What is the long-term significance of preventing childhood infections through routine immunization as an integral element of NCDs control strategy?
In cases where an individual has a genetic predisposition for a specific non-communicable disease (NCD), what is the most complex challenge in preventing or delaying its onset?
In cases where an individual has a genetic predisposition for a specific non-communicable disease (NCD), what is the most complex challenge in preventing or delaying its onset?
Which of the following scenarios best illustrates the complex interplay between lifestyle choices, heredity, and environmental factors in the development of non-communicable diseases (NCDs)?
Which of the following scenarios best illustrates the complex interplay between lifestyle choices, heredity, and environmental factors in the development of non-communicable diseases (NCDs)?
Consider a public health initiative aimed at reducing the burden of both communicable and non-communicable diseases in a low-resource setting. Which of the following integrated strategies would be most effective?
Consider a public health initiative aimed at reducing the burden of both communicable and non-communicable diseases in a low-resource setting. Which of the following integrated strategies would be most effective?
How would advancements in genetic screening and personalized medicine most likely impact strategies for preventing non-communicable diseases (NCDs) in the future?
How would advancements in genetic screening and personalized medicine most likely impact strategies for preventing non-communicable diseases (NCDs) in the future?
In a scenario where a population is experiencing a rise in both HIV/AIDS and cardiovascular diseases, what synergistic approach would yield the most significant improvement in public health outcomes?
In a scenario where a population is experiencing a rise in both HIV/AIDS and cardiovascular diseases, what synergistic approach would yield the most significant improvement in public health outcomes?
Considering the interplay between communicable diseases (CDs) and non-communicable diseases (NCDs), how might a resurgence of tuberculosis (TB) in a community impact the management and control of diabetes?
Considering the interplay between communicable diseases (CDs) and non-communicable diseases (NCDs), how might a resurgence of tuberculosis (TB) in a community impact the management and control of diabetes?
What critical refinement in public health strategies is essential to address the convergence of communicable diseases (CDs) and non-communicable diseases (NCDs) effectively?
What critical refinement in public health strategies is essential to address the convergence of communicable diseases (CDs) and non-communicable diseases (NCDs) effectively?
How does the concept of the 'epidemiologic triad' apply differently to communicable diseases versus non-communicable diseases?
How does the concept of the 'epidemiologic triad' apply differently to communicable diseases versus non-communicable diseases?
Which of the following factors of self-management would most profoundly mediate the effects of sociodemographic factors on NCD risk?
Which of the following factors of self-management would most profoundly mediate the effects of sociodemographic factors on NCD risk?
How might integrating dental health care into the management of NCDs affect broader public health outcomes, considering its relationship to other risk factors?
How might integrating dental health care into the management of NCDs affect broader public health outcomes, considering its relationship to other risk factors?
Which example best illustrates the complex, bidirectional relationship between medical conditions and susceptibility to infections?
Which example best illustrates the complex, bidirectional relationship between medical conditions and susceptibility to infections?
What broader implication arises from the established links between specific infections and the pathogenesis of certain NCDs?
What broader implication arises from the established links between specific infections and the pathogenesis of certain NCDs?
In light of the information about sociodemographic factors influencing health, what policy intervention would most effectively address disparities in NCD outcomes at the population level?
In light of the information about sociodemographic factors influencing health, what policy intervention would most effectively address disparities in NCD outcomes at the population level?
Considering the array of modifiable risk factors for NCDs, which multi-faceted intervention would likely yield the most substantial and sustained impact on a community's overall health?
Considering the array of modifiable risk factors for NCDs, which multi-faceted intervention would likely yield the most substantial and sustained impact on a community's overall health?
How does infection with Hepatitis B or C viruses primarily contribute to the development of chronic liver diseases and hepatocellular carcinoma?
How does infection with Hepatitis B or C viruses primarily contribute to the development of chronic liver diseases and hepatocellular carcinoma?
Given the significant role of self-management in mitigating NCD risk, what strategy would most comprehensively empower individuals to take control of their health outcomes?
Given the significant role of self-management in mitigating NCD risk, what strategy would most comprehensively empower individuals to take control of their health outcomes?
Which intervention strategy would most effectively address the intertwined effects of environmental and self-management factors on NCD prevalence within a community?
Which intervention strategy would most effectively address the intertwined effects of environmental and self-management factors on NCD prevalence within a community?
What is the most significant consequence of the interaction between type 2 diabetes mellitus and Tuberculosis (TB)?
What is the most significant consequence of the interaction between type 2 diabetes mellitus and Tuberculosis (TB)?
What is the primary mechanism by which the Epstein-Barr Virus (EBV) contributes to the development of endemic Burkitt's lymphoma (BL), especially in regions where malaria is prevalent?
What is the primary mechanism by which the Epstein-Barr Virus (EBV) contributes to the development of endemic Burkitt's lymphoma (BL), especially in regions where malaria is prevalent?
Which factor most significantly mediates the increased risk of severe illness from COVID-19 in individuals with pre-existing Non-Communicable Diseases (NCDs)?
Which factor most significantly mediates the increased risk of severe illness from COVID-19 in individuals with pre-existing Non-Communicable Diseases (NCDs)?
Within the context of infection-NCD pairs, what distinguishes Streptococcus infection in its contribution to Rheumatic Heart Disease from other infection-NCD relationships?
Within the context of infection-NCD pairs, what distinguishes Streptococcus infection in its contribution to Rheumatic Heart Disease from other infection-NCD relationships?
How does antiretroviral treatment (ART) for HIV, paradoxically, increase the risk of cardiovascular events in patients?
How does antiretroviral treatment (ART) for HIV, paradoxically, increase the risk of cardiovascular events in patients?
What is the role of Helicobacter pylori (H. pylori) infection in the development of gastric cancer?
What is the role of Helicobacter pylori (H. pylori) infection in the development of gastric cancer?
How does Human Papillomavirus (HPV) infection lead to cervical cancer at the cellular level?
How does Human Papillomavirus (HPV) infection lead to cervical cancer at the cellular level?
Which strategy would be most effective for a national government aiming to reduce the burden of NCDs, considering constraints on healthcare budgets and infrastructure?
Which strategy would be most effective for a national government aiming to reduce the burden of NCDs, considering constraints on healthcare budgets and infrastructure?
In a country with a decentralized healthcare system, what is the most effective approach for ensuring continuous quality improvement in primary health care for NCD management?
In a country with a decentralized healthcare system, what is the most effective approach for ensuring continuous quality improvement in primary health care for NCD management?
What innovative approach could a society-level intervention employ to promote healthier food choices effectively, beyond merely offering healthy options in workplaces and schools?
What innovative approach could a society-level intervention employ to promote healthier food choices effectively, beyond merely offering healthy options in workplaces and schools?
Considering the Package of Essential Noncommunicable (PEN) disease interventions, which addition would most holistically enhance its effectiveness in managing NCDs at the primary care level?
Considering the Package of Essential Noncommunicable (PEN) disease interventions, which addition would most holistically enhance its effectiveness in managing NCDs at the primary care level?
What is the most strategic role for research institutions in preventing and controlling NCDs, considering the need for both global applicability and local relevance?
What is the most strategic role for research institutions in preventing and controlling NCDs, considering the need for both global applicability and local relevance?
How could non-governmental organizations (NGOs) most effectively contribute to the prevention and control of NCDs, given the limitations of public healthcare systems in many low-resource settings?
How could non-governmental organizations (NGOs) most effectively contribute to the prevention and control of NCDs, given the limitations of public healthcare systems in many low-resource settings?
What is an essential consideration for adapting the WHO PEN package for implementation in a rural, low-income setting with limited access to diagnostic technology?
What is an essential consideration for adapting the WHO PEN package for implementation in a rural, low-income setting with limited access to diagnostic technology?
In designing national policies to combat NCDs, which approach would be MOST effective in aligning efforts across different governmental sectors (e.g., health, education, transportation, and agriculture)?
In designing national policies to combat NCDs, which approach would be MOST effective in aligning efforts across different governmental sectors (e.g., health, education, transportation, and agriculture)?
Flashcards
Communicable Diseases
Communicable Diseases
Diseases caused by microorganisms, transmitted directly or indirectly between individuals.
Non-Communicable Diseases
Non-Communicable Diseases
Chronic, non-infectious diseases resulting from lifestyle, heredity, or environmental factors.
Infectious Diseases (CDs)
Infectious Diseases (CDs)
Infectious diseases transmitted between individuals.
Chronic Non-infectious Diseases (NCDs)
Chronic Non-infectious Diseases (NCDs)
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Influenza (Flu)
Influenza (Flu)
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Poliomyelitis (Polio)
Poliomyelitis (Polio)
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Cardiovascular diseases (CVDs)
Cardiovascular diseases (CVDs)
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Diabetes
Diabetes
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Noncommunicable Diseases (NCDs)
Noncommunicable Diseases (NCDs)
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NCD Risk Factors
NCD Risk Factors
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Epigenetic Changes
Epigenetic Changes
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Inherited Diseases
Inherited Diseases
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Transmitting Agents
Transmitting Agents
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Environmental Mutation Factors
Environmental Mutation Factors
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Sociodemographic Factors
Sociodemographic Factors
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Factors of Self-Management
Factors of Self-Management
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Factors of Medical Conditions
Factors of Medical Conditions
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NCDs and Infection Risk
NCDs and Infection Risk
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NCDs effect on Immunity
NCDs effect on Immunity
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Chronic Diseases Term
Chronic Diseases Term
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Weight Self-Management
Weight Self-Management
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Infections & Chronic Diseases
Infections & Chronic Diseases
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COVID-19 & NCDs
COVID-19 & NCDs
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Gastric Cancer & Infection
Gastric Cancer & Infection
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Liver Disease & Hepatitis
Liver Disease & Hepatitis
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Liver Cancer & Hepatitis B
Liver Cancer & Hepatitis B
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Global NCD Prevention
Global NCD Prevention
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Rheumatic Heart & Strep
Rheumatic Heart & Strep
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Country-Level NCD Control
Country-Level NCD Control
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Cervical Cancer & HPV
Cervical Cancer & HPV
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Society-Level NCD Prevention
Society-Level NCD Prevention
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Individual NCD Prevention
Individual NCD Prevention
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Burkitt's Lymphoma & EBV
Burkitt's Lymphoma & EBV
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WHO PEN
WHO PEN
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PEN Interventions: Main Focus
PEN Interventions: Main Focus
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PEN: Cancer
PEN: Cancer
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PEN Components
PEN Components
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CD & NCD Multimorbidity
CD & NCD Multimorbidity
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Most Frequent CD & NCD Dyad
Most Frequent CD & NCD Dyad
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Most Frequent CD & NCD Triad
Most Frequent CD & NCD Triad
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Factors of CD & NCD Multimorbidity
Factors of CD & NCD Multimorbidity
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Prenatal Infections & NCDs
Prenatal Infections & NCDs
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Infections Causing Fetal Malnutrition
Infections Causing Fetal Malnutrition
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Redesign NCD Control Strategies
Redesign NCD Control Strategies
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NCD Control Elements
NCD Control Elements
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Communicable Diseases (CDs)
Communicable Diseases (CDs)
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Epidemiologic Triad
Epidemiologic Triad
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Examples of CDs
Examples of CDs
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Main NCDs
Main NCDs
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Cardiovascular Diseases
Cardiovascular Diseases
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Cancer
Cancer
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Chronic Respiratory Diseases
Chronic Respiratory Diseases
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Neurodegenerative Disease
Neurodegenerative Disease
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Acute Diseases (CDs)
Acute Diseases (CDs)
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Chronic Diseases (NCDs)
Chronic Diseases (NCDs)
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Causes of neurodegenerative disease
Causes of neurodegenerative disease
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Risk factors of NCDs
Risk factors of NCDs
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Environmental Factors
Environmental Factors
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"Chronic diseases"
"Chronic diseases"
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Chronic Infectious Diseases
Chronic Infectious Diseases
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NCDs and COVID-19 Risk
NCDs and COVID-19 Risk
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Gastric Cancer & H. pylori
Gastric Cancer & H. pylori
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Hepatitis & Liver Disease
Hepatitis & Liver Disease
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NCDs ↔ CDs
NCDs ↔ CDs
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Diabetes & Infection Risk
Diabetes & Infection Risk
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HIV Treatment Side Effects
HIV Treatment Side Effects
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Common CD & NCD Dyad
Common CD & NCD Dyad
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Common CD & NCD Triad
Common CD & NCD Triad
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Risk Factors for CD & NCD Multimorbidity
Risk Factors for CD & NCD Multimorbidity
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Prenatal Infections & NCD Risk
Prenatal Infections & NCD Risk
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Infections & Fetal Malnutrition
Infections & Fetal Malnutrition
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Infections & NCD Development
Infections & NCD Development
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Vital Elements of NCD control
Vital Elements of NCD control
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Global NCD Prevention Role
Global NCD Prevention Role
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Country-Level NCD Action
Country-Level NCD Action
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Society-Level NCD Support
Society-Level NCD Support
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WHO PEN Meaning
WHO PEN Meaning
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WHO PEN function
WHO PEN function
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PEN interventions cover
PEN interventions cover
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PEN components include
PEN components include
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Study Notes
Communicable Diseases (CDs)
- CDs are infectious and caused by microorganisms.
- Transmission occurs from person to person through direct or indirect contact.
- Examples of communicable diseases include Tuberculosis, Malaria, HIV/AIDS, Hepatitis, Measles, COVID-19, Common cold, Influenza (Flu),Poliomyelitis (Polio), and Chickenpox.
- Highly infectious pathogens and carriers spread CDs.
- Viruses and bacteria are transmitting agents.
- CDs cannot be inherited.
Non-Communicable Diseases (NCDs)
- NCDs are chronic and non-infectious, not caused by infectious agents.
- Lifestyle choices, heredity, and environmental factors contribute to NCD development.
- The four main types include cardiovascular diseases, chronic respiratory diseases, cancer and diabetes.
- Other types of NCDs include hypertension, dyslipidemia, obesity, metabolic syndrome, rheumatoid arthritis (RA), cerebrovascular disease * osteopenia/osteoporosis, degenerative disc disease, sarcopenia and frailty, depression, cognitive impairment, and neurodegenerative disease.
- Allergies, malnutrition, internal factors, changes in lifestyle/surroundings, and abnormal cell growth may cause NCDs.
- NCDs can be inherited.
Key Differences
- CDs develop rapidly, whereas NCDs develop over time.
- Traditional methods may treat CDs, while NCDs often require specialized treatments.
- Risk factors for NCDs include: family history, genetic inheritance, epigenetic changes, environmental exposures, toxic materials, air pollution, weather changes, sunlight, age, gender, race, tobacco/alcohol use, physical inactivity, medications, blood pressure, lipids, glucose, ethnicity, education, income, weight, food choice, dental health, viruses, obesity, and stress.
Interaction Between CDs & NCDs
- Many NCDs have associations with infectious risk.
- NCDs increase susceptibility to infection by reducing immunity.
- Infections contribute to chronic diseases like gastric ulcers and heart diseases.
- Many infectious diseases, such as TB and AIDS, can be chronic.
- People with NCDs are at higher risk of severe illness from COVID-19.
- Those with the four most common NCDs and NCD risk factors are more likely to become severely ill from COVID-19.
Infection–NCD Pairs
- H. pylori causes gastric cancer.
- Hepatitis B & C viruses cause Cirrhosis and other chronic liver diseases.
- Hepatitis B Virus is responsible for Liver cancer.
- Streptococcal Infection causes Rheumatic Heart Disease.
- HPV causes Cervical Cancer.
- Epstein-Barr Virus (EBV) and Malaria can lead to Endemic Burkitt's lymphoma (BL).
- A higher risk of NCDs may lead to elevated risk for common CDs and vice versa.
NCDs & CDs
- Type 2 diabetes can interact with and complicate CDs like HIV, TB, and malaria.
- Patients with type 2 diabetes have three times the risk for an active TB infection.
- HIV patients on antiretroviral therapy can have type 2 diabetes and cardiovascular events.
Patterns of CD & NCD Multimorbidity
- A 2022 study revealed different combinations of concurrent communicable and non-communicable diseases.
- Frequently occurring dyads include HIV & Hypertension, and Acid Peptic Disease & Hypertension.
- Frequently occurring triads include HIV, Hypertension, & Diabetes, and HIV, TB, & Diabetes.
- Factors associated with CD & NCD multimorbidity include older age (>50 years), being female, low physical activity, lack of education, obesity, and alcohol use.
Prenatal Infections & Non-Communicable Disease
- NCDs can result from insults before and after birth.
- Infections like malaria, toxoplasmosis, rubella, cytomegalovirus, and herpes virus can cause fetal malnutrition.
- Infections, in genetically predisposed individuals, can lead to NCDs like type 2 diabetes, hypertension, and IHD.
Prevention and Control
- Identify emerging NCD risk factors and address known risk factors.
- Re-design NCD control strategies to include infection control.
- Integrate health systems to address NCDs and infectious diseases for better healthcare.
- Infections contribute to NCD development from fetal life into adulthood.
As Elements of NCDs Control Strategy
- Prevent infection during pregnancy (especially malaria).
- Prevent childhood infections through routine immunization.
Prevention & Control of NCDs
- Create national policies and support NCD research.
- Monitor NCDs and support partnerships for NCD prevention.
- Allocate budgets and engage NGOs, research institutions, and the private sector.
- Develop partnerships for action plans and improve primary health care for NCDs.
- Promote healthy food and physical activity in the workplace.
- Offer resources from non-governmental organizations for NCD prevention and care.
- Follow a healthy lifestyle.
Package of Essential Noncommunicable (PEN)
- WHO PEN defines interventions that address major NCDs in primary care.
- The interventions include detection, diagnosis, treatment, and care for cardiovascular diseases, diabetes, and chronic respiratory diseases.
- It also includes early cancer diagnosis.
- Healthy lifestyle choices, self-care, and palliative care are featured.
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