Global Health Overview

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Questions and Answers

What is the definition of health as described in the notes?

  • A state of complete physical, mental, and social well-being (correct)
  • A state of physical fitness and endurance
  • A combination of healthy diet and exercise
  • An absence of any diseases or medical conditions

Which of the following is NOT listed as a health-promoting condition?

  • Adequate housing
  • Access to mental health services (correct)
  • Safe working conditions
  • Nutritious foods

When was the World Health Organization (WHO) formed?

  • January 1, 1950
  • April 7, 1948 (correct)
  • April 1, 1945
  • January 1, 1948

According to the WHO's Constitution, health is considered a fundamental right. What does this include?

<p>The highest attainable standard of physical and mental health (A)</p> Signup and view all the answers

What significant document did the UN General Assembly adopt on December 10, 1948?

<p>The Universal Declaration of Human Rights (C)</p> Signup and view all the answers

Resiliency, as mentioned in the notes, is best defined as:

<p>The extent to which an individual can cope with environment changes while satisfying needs (D)</p> Signup and view all the answers

The health promotion movement of the 1980s introduced a new understanding of health. What was a key focus of this movement?

<p>The inclusion of the dynamic concept of resiliency (B)</p> Signup and view all the answers

What is the primary focus of public health?

<p>Promoting health at the population level (A)</p> Signup and view all the answers

How does the WHO fulfill its role in global health as a coordinating authority?

<p>By providing leadership and technical support to countries (B)</p> Signup and view all the answers

Which factor is NOT a component of global health as a discipline?

<p>Focus on individual patient outcomes (A)</p> Signup and view all the answers

What does health equity refer to?

<p>The absence of avoidable differences in health among groups (B)</p> Signup and view all the answers

Which of the following best describes upstream prevention?

<p>Addressing the root causes of health problems (D)</p> Signup and view all the answers

What percentage of health outcomes is attributed to social determinants of health?

<p>50% (A)</p> Signup and view all the answers

What is the significance of health protection within public health?

<p>Implementing policies to safeguard community health (C)</p> Signup and view all the answers

Which of the following is a determinant of health?

<p>Social conditions like education and income (D)</p> Signup and view all the answers

What is the main goal of health promotion activities in public health?

<p>Supporting healthy behaviors and lifestyles (D)</p> Signup and view all the answers

What significant environmental initiative did Wangari Maathai found in 1977?

<p>Green Belt Movement (D)</p> Signup and view all the answers

Which major historical event involved the Mau Mau Freedom Army?

<p>The fight for independence from British colonial rule (C)</p> Signup and view all the answers

In what year did Wangari Maathai return to Kenya after studying in the US?

<p>1966 (C)</p> Signup and view all the answers

What was the impact of President Moi being forced to accept multi-party elections in 1992?

<p>It marked the first democratic elections in 26 years (A)</p> Signup and view all the answers

Which of the following is an aspect of epidemiology in global health?

<p>Assessing health-related states and the determinants of health (D)</p> Signup and view all the answers

What misconception do many people have regarding their survival and the ecosystem?

<p>Survival is independent of environmental health (A)</p> Signup and view all the answers

Which statement accurately reflects Wangari Maathai's educational background?

<p>She was the first woman to earn a Ph.D. in Kenya (D)</p> Signup and view all the answers

What was a significant consequence of the British settler colonialism in Kenya during the early 1900s?

<p>Exploitation of natural resources leading to oppression (A)</p> Signup and view all the answers

What factors can define sub-groups in health studies?

<p>Age and race (A), Gender and geographical location (C)</p> Signup and view all the answers

What does the denominator in the calculation of relative risk consist of?

<p>Total number of individuals meeting sub-group criteria (C)</p> Signup and view all the answers

What is the main purpose of the disability adjusted life year (DALY)?

<p>To quantify the overall disease burden (D)</p> Signup and view all the answers

Which health area does not primarily impact the global burden of disease as represented by DALY?

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

What is a consequence of utilizing the DALY measurement?

<p>It allows for comparing the burden of treated and untreated diseases. (C)</p> Signup and view all the answers

What does prevalence describe?

<p>The number of existing cases in a population (D)</p> Signup and view all the answers

How is cumulative incidence calculated?

<p>Number of new cases over a time period divided by total population at risk (C)</p> Signup and view all the answers

Which of the following describes the desired outcome with regard to DALY figures?

<p>A lower number signifies more efficient health interventions. (B)</p> Signup and view all the answers

Which type of diseases accounts for the majority of deaths among men and women globally?

<p>Non-communicable diseases (D)</p> Signup and view all the answers

Which condition affects the assumption of a constant at-risk population?

<p>A high incidence rate (C)</p> Signup and view all the answers

What key issue affects the burden of communicable diseases in poorer populations?

<p>Inadequate access to healthcare (D)</p> Signup and view all the answers

What does the crude mortality rate measure?

<p>All deaths over a specified period divided by the average population (D)</p> Signup and view all the answers

Which type of mortality rate accounts for deaths due to a specific cause?

<p>Cause-specific mortality rate (A)</p> Signup and view all the answers

What is the main difference between point prevalence and period prevalence?

<p>Point prevalence looks at disease at one specific time, while period prevalence spans a duration (A)</p> Signup and view all the answers

Which measurement uses person-years in its calculation?

<p>Incidence density rate (B)</p> Signup and view all the answers

What role does the at-risk population play in understanding incidence rates?

<p>It influences the risk of developing the disease (D)</p> Signup and view all the answers

What percentage of people infected with tuberculosis typically develop an active infection?

<p>5-10% (A)</p> Signup and view all the answers

Which region has the highest occurrence of tuberculosis cases?

<p>South-East Asia (C)</p> Signup and view all the answers

How is malaria primarily transmitted?

<p>By mosquitos (C)</p> Signup and view all the answers

What is the status of malaria's burden of disease in developed countries?

<p>Extremely small (D)</p> Signup and view all the answers

Which deficiency is most commonly linked to nutritional conditions impacting health?

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

What impact do maternal health interventions have?

<p>They are among the most cost-effective health interventions (A)</p> Signup and view all the answers

Which of the following is a key driver increasing cancer cases globally?

<p>Population growth and ageing (D)</p> Signup and view all the answers

Which category encompasses injuries, including suicide and its relation to mental health?

<p>Non-communicable diseases (A)</p> Signup and view all the answers

What is one of the common causes of death due to injury?

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

Which factor contributes to maternal deaths according to socioeconomic conditions?

<p>All of the above (D)</p> Signup and view all the answers

Flashcards

What is health?

A state of complete physical, mental, and social well-being, not just the absence of disease or infirmity.

Health-promoting conditions

Conditions that contribute to good health, including access to healthcare, safe housing, safe working conditions, and nutritious food.

What is WHO?

The World Health Organization, established in 1948, aims to promote global health and well-being, acting as the coordinating authority for health within the UN system.

Health as a human right

The right to enjoy the highest attainable standard of physical and mental health, regardless of race, religion, beliefs, or social status.

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Resiliency in health

The ability of individuals or groups to achieve their aspirations, meet needs, and cope with environmental changes.

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Health promotion movement (1980s)

A movement emphasizing health promotion, focusing on enhancing individual and community capacities to improve health.

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World Health Day (April 7th)

The day celebrating WHO's foundation, aligning with the importance of global health and well-being.

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Social Determinants of Health

Factors that influence health outcomes, such as social conditions, economic status, and environmental factors.

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Public Health

The organized efforts of society to protect and promote the health of all citizens, focusing on prevention and population-level interventions.

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Upstream Prevention

Interventions that aim to address the root causes of health problems, preventing them before they occur.

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Downstream Prevention

Interventions that focus on treating existing health problems, after they have already developed.

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Health Equity

The absence of avoidable or remediable health differences among groups of people, ensuring everyone has equal opportunities for good health.

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Health Protection

Public health activities aimed at reducing disease spread and protecting individuals from health risks, such as sanitation and vaccination programs.

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Health Promotion

Public health activities that promote healthy behaviors and lifestyles to improve well-being, such as health education campaigns and community support programs.

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Health and Disease Surveillance

The systematic collection and analysis of health data to monitor disease trends, identify risk factors, and inform public health interventions.

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Point prevalence

A measure of existing disease cases in a population at a specific time.

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Period prevalence

A measure of existing disease cases within a defined period.

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Incidence

Measures how quickly new cases arise in a population over a defined period.

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Cumulative Incidence

The proportion of the at-risk population that develops a disease over a specific time.

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Incidence Density Rate

Measures new cases considering person-years at risk.

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All-Cause Mortality Rate

The count of all deaths in a population over a specific time period.

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Cause-Specific Mortality Rate

The count of deaths in a population due to a specific disease over a time period.

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Specific Mortality Rate

Mortality rate for a particular sub-group of the population.

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What is epidemiology?

The study of how diseases spread and what factors influence their distribution, used to develop effective interventions and prevention strategies.

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What is prevalence?

The measurement of the number of cases of a disease or condition present in a population at a specific time.

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What is the Green Belt Movement?

The Green Belt Movement was founded by Wangari Maathai in Kenya in 1977 to address environmental degradation and empower women through tree planting.

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What was the Mau Mau Crisis?

The Mau Mau Crisis in Kenya (1952) was an armed liberation struggle against British colonialism, highlighting the oppression and resistance faced by Kenyans.

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What is Wangari Maathai known for?

Wangari Maathai won a Nobel Peace Prize in 2004 for her contributions to environmentalism, human rights, and democracy in Kenya.

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What is settler colonialism?

The British colonization of Kenya in the early 1900s involved exploiting Kenyan resources and oppressing the local population.

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What is multi-party democracy?

A situation where multiple political parties are allowed to participate in elections.

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Why was 1992 a significant year for Kenya?

The Kenyan government accepted multi-party elections in 1992 after years of protests and unrest.

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What does DALY stand for?

A measurement of overall disease burden, expressed as the number of years lost due to ill-health, disability, or early death.

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What is a sub-group mortality rate?

A sub-group mortality rate is calculated in a similar way to the crude mortality rate, but only includes deaths within the specified sub-group and the total number of individuals in that sub-group.

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What is relative risk?

Relative risk compares the likelihood of illness in one group compared to another, indicating how many times more likely one group is to get sick.

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What is the Global Burden of Disease (GBD)?

The Global Burden of Disease (GBD) quantifies the impact of diseases on health and well-being globally using a standardized measurement called the Disability-Adjusted Life Year (DALY).

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Why are communicable diseases still a global issue?

Communicable diseases, maternal, neonatal, and nutritional disorders are a major cause of death globally, particularly in poorer populations due to limited access to healthcare.

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Why are non-communicable diseases a growing concern?

Non-communicable diseases, such as cardiovascular disease and cancer, are leading causes of death globally, accounting for a large proportion of deaths worldwide.

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How is the global burden of disease measured?

The DALY (Disability-Adjusted Life Year) is a standardized measure used to quantify the global burden of disease, combining years lost due to premature death and years lived with disability.

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How does WHO use DALYs to assess health?

The WHO uses the DALY to measure the GBD in three areas: communicable diseases, non-communicable diseases, and injuries.

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What is Tuberculosis?

A bacterial infection affecting one-third of the world's population, but only causing active disease in 5-10% of those infected. The percentage is much higher in individuals with HIV.

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What is Malaria?

A mosquito-borne illness prevalent in Africa, causing 200 million cases and over 500,000 deaths annually. It can be cured with medication and prevented using mosquito nets.

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What is Iron Deficiency?

A condition characterized by iron deficiency, leading to fatigue, weakness, and pale skin.

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What is Protein Energy Malnutrition?

A form of malnutrition caused by inadequate protein and energy intake, leading to growth delays and weakened immunity.

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What is Maternal Health?

Encompasses the health of women during pregnancy, childbirth, and breastfeeding. It has profound impacts on both mothers and children.

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What are Non-Communicable Diseases?

A group of diseases that cannot be spread from person to person, such as heart disease, cancer, and mental illness.

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What is Cardiovascular Disease (CVD)?

A major cause of death worldwide, often preventable through healthy lifestyle choices and access to medical care.

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What is Cancer?

A leading cause of death and disability, rapidly increasing globally due to aging populations, lifestyle factors, and rising cancer rates.

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What is Mental Illness?

A wide range of conditions affecting mood, thinking, and behavior, often requiring specialized care and support.

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What are Injuries?

Injuries, including road accidents, self-harm, falls, and violence, leading to significant mortality and morbidity.

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Study Notes

Health Defined

  • Health is a state of complete physical, mental, and social well-being, not merely the absence of disease.

Health-Promoting Conditions

  • Availability of healthcare services
  • Adequate housing
  • Safe working environments
  • Nutritious food

World Health Organization (WHO)

  • Established on April 7, 1948
  • Its constitution came into effect on April 7th
  • This date is celebrated as World Health Day
  • The WHO's role is to direct and coordinate health issues within the UN system.

Health as a Human Right

  • According to the WHO constitution, everyone has the right to the highest attainable standard of physical and mental health.
  • This right is independent of race, religion, political views, and socioeconomic status.

Global Health as a Discipline

  • The discipline involves decision-making based on data and evidence.
  • It focuses on populations rather than individuals.
  • Prevention is valued more than cure.
  • Social justice & equity are emphasized

Public Health

  • The organized efforts of society to keep people healthy.
  • It includes programs, services, and policies intended to protect/promote health
  • It focuses on population health, preventative measures, making sure resources are accessible.

Resiliency as an Aspect of Health

  • The extent to which one can satisfy their wants/needs and cope with environmental changes.
  • A resource for everyday life, not just a goal

Global Burden of Disease (GBD)

  • The GBD is a measurement of overall health loss resulting from diseases and injuries
  • It assesses the health status of different populations globally

Disability Adjusted Life Year (DALY)

  • A single measure of health burden that includes mortality and morbidity.
  • DALY = YLD (Years Lived with Disability) + YLL (Years of Life Lost)

Communicable Diseases

  • Include maternal, neonatal, and nutritional issues.
  • Typically spread through airborne droplets or bodily fluids (e.g., TB, HIV, malaria)

Injuries

  • Can be suicide, war injuries, road accidents or homicides

Non-Communicable Diseases (NCDs)

  • Are not contagious
  • Examples: cardiovascular disease, cancers

Measuring Prevalence and Incidence

  • Prevalence measures the proportion of a population with a disease at a specific time.
  • Incidence measures the rate at which new cases of a disease develop in a population over a specific period.

Social Determinants of Health

  • Conditions where people live, work, learn, and grow
  • These conditions impact health outcomes
  • Examples: gender, disability, housing, family income, education, and race.

Health Promotion Stages

  • Primordial: prevent disease risk factors.
  • Primary: prevent the disease's development
  • Secondary: early detection and treatment
  • Tertiary: treatment to reduce consequences of disease

Healthcare Systems

  • Universal health care is key for SDG 3 (ensuring healthy lives and promote wellbeing for all ages).
  • Healthcare should be accessible, affordable and quality for all, regardless of socioeconomic status.

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