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Erick Bernard R. Jamelarin FOUNDATION OF COMMUNITY AND PUBLIC HEALTH Human waste -Stool ( yellow bag ) infectious -Urine ( sink w/ natlypochlonte); parasite -Blood ( blood container with antiseptic) Bbp hiv -Sputum Incinerate Fast bacili Parasites HAT - UNHOLY THREE \* Hookworm \* A. lu...
Erick Bernard R. Jamelarin FOUNDATION OF COMMUNITY AND PUBLIC HEALTH Human waste -Stool ( yellow bag ) infectious -Urine ( sink w/ natlypochlonte); parasite -Blood ( blood container with antiseptic) Bbp hiv -Sputum Incinerate Fast bacili Parasites HAT - UNHOLY THREE \* Hookworm \* A. lumbricoides \* T. Trichiura 1st line of immunity is the skin Black death - pandemic - killed around 500 people. Caused by: yersinia pestis; appearance of pinpoint colonis Plague- bio terrorism organism Cholera caused by vibrio cholerae; simultaneously vomit & diarrhea Dehydration ( electrolyte imbalance ) Not treated can cause death Cancer and heart disease - lifestyle related; mortality and morbidity Elevated bp hyper tension and hypotension Category A of bioterrorism Disease - causative agent Anthrax - bacillus anthracis Botulism - clostridium botulinum toxin Plague - yersinia pestis Smallpox - variola major Tularemia - francisella tularensis Covid manufactured by a foreign country Ex. Of medtech cph Parasitosis - parasite hunting Lesson 2 gen concepts in stud ch Primary health care SECONDARY Community fogging to eliminate aedes aegupti (f) dengue Chikungunya aedes albopictus TERTIARY Hospital based procedures - iv hydration (electrolyte) Ex. Car accident, blood organ procedure Natural anticoagulant heparin Y - gel sep serology 0 B - Nacitrate 3.2 hema( coag )3-4 R- - no add sero cc 0 G - heparin toxicology 5 L - edta ethylenediamine tetraacetic acid 5+8 hema(cbc) G - Na citrate 3.8 hema 3-5 Immunization Child- opv, measles, polio is injectable and oral 2-3 drops Adult Senior Covid flu vaccine, pneumococcal Girls - hpv; boys HEALTH CARE ACCESS PYRAMID Ph setting  International  CHA CBCP masters in ph Masters in mt Community health Hiv - crocodile serum Morbidity- acquiring the disease itself Tobacco/nicotine; lung cancer Mortality - no of deaths related to the disease 3 out of 10 individuals Prices - 10/stick, consumption - 20sticks/ day 11- 59 years old- asymptomatic 60 yrs old - asthma, copd chronic obstructive pulmonary disease; history of nicotine products UNIT 2 THE HOST lesson 3 Human bio: Ecology Host human Agent parasite, largest human nematode Environment soil Population size No. Of people who are alive Immigrants countries/ places In every 2 mins given birth Every 5 mins death Population density Age structure Profiling - pandemic Sex ratio Lifestyle HIV - mother to child Tuberculosis- neighbor to youth Drug addict- peer pressure out of curiosity Exponential growth J shaped Biotic potential S shaped Endemic- group or population Ex. Malaria in palawan mal aria means bad air Deferred 1yr Tattoo and piercing Deferred 6 months to 1 yr Needle prick 1 yr Epidemic - filariasis Pandemic - covid COUNTS reported cases from the brgy lvl to rhu Ex. Dengue, leptospirosis leptospira Urine of the rat INCIDENT Respiratory disease Caugh, asthma, bronchitis PREVALENCE HIV 2014-2024 +r/d 15/p 50r/d Acc to study PLHIV as of 2024 - 15853 CRUDE RATE CASE FATALITY RATE no. of death reported Ex. Dengue rep around 2024 157 death jan-jun CAUSE SPECIFIC RATE LIFE EXPECTANCY Fil as of 2024 60- 85 y.o INFANT MORTALITY RATE 0-1 yr profiling G6PD Death due to low immunity FETAL MORTALITY Inside/outside the mother\'s womb Premature babies ( below 9 mnths ) NICU - Neonatal Intensive Care Unit (2-3mnths) CRUDE BIRTH RATE Lesson 5 HEALTH EDUCATION Most important tool in public health Counseling - vasectomy; permanent procedure laboratory 2 consecutive samples; no visualization of spermatozoa Ligation for female Permanent procedure Pre counseling - patient history ( medical records) After counseling - result NR ( mc ā 3-6 mnths) RT - NR (hiv) or R ( RHIVDA) arv/art lifetime tx Health ed 3 lvls INDIVIDUAL Counseling - hiv(confidentiality) SMALL GROUP Vasectomy/ ligation \[family planning\] PUBLIC/ MASS LVL - biased report from the media/ internet/ church itself. LESSON 6 INFECTIOUS DISEASES Mycobacterium tuberculosis - pulmonary tb Klebshiella pneumoniae - pneumonia Streptococcus pneumoniae - strep throat/ sore throat NON INFECTIOUS Factors genetic, smoking, diet, occupation & personal environment COMMUNICABLE DISEASE ( mode of transmission ) HIV (human immunodeficiency virus), ptb ( airborne, inhalation of afb) CONTAGIOUS DISEASE Fever, flu, cough, colds, chicken pox, measles INFECTIOUS DISEASE RESPIRATORY DISEASE Upper respiratory tract ( urt ) Common colds, acute viral rhinitis, acute coryza Lower respiratory tract ( lrt) Hantavirus Pulmonary syndrome Influenza PNEUMONIA ALVINE DISCHARGE DISEASES Water borne disease Colitis, diarrhea, bysentery, enteritis, gastric, gastroenteritis VIRAL HEPATITIS Hepatitis Food( tae) A -OF B -bbp C- bbp D -bbp E -of VECTOR BORNE DISEASE Dengue - aedes aegupti Chikungunya - aedes albopictus Malaria - anopheles mosquito MECHANICAL VECTORS Dengue Chikungunya 1st Dengue - Dengue strain A 2nd Dengue- A/B 3rd Dengue- C BIOLOGICAL VECTOR malaria OPEN LESION DISEASE Skin first line of defence Anthrax - bascillus anthracis - woolsorters disease Leptospirosis - leptospira Leprosy - mycobacterium leprae SEXUALLY TRANSMITTED DISEASES Formerly called Venereal disease Gonorrhea - neisseria gonorrhea Chlamydia - Chlamydia tracomatis Syphilis - treponema pallidum subspecie pallidum Hiv , hepa b Amoebiasis- cam be transmitted through sexual intercourse WARNING SIGN OF TETANUS LOCK JAW/ FEVER LIFESTYLE DISEASE OBESITY/ OVERWEIGHT Malnutrition Increased blood sugar Hypertension Unhealthy diet Cancer Heart attack Stroke COPD CKD Use of tobacco GENETIC DISEASE Galactosemia, hypothyroidism, colon cancer, Alzheimer\'s disease, Cancer, DM , cardiovascular disease, mental health, asthma common: down syndrome - trisomy 21 LESSON 7 Biological Hazards Biologic - bacteria, parasites, fungi, bbp Sharps symbol 2 syringes horizontally lined Physical or ergonomic hazard CHAIN OF INFECTION SOURCE Px MODE OF TRANSMISSION Vector, inhalation, needle prick, sex, mother to child, ingestion, infestation SUSCEPTIBLE HOST Immunocompromised Common agent Bacteria staphylococcus Viruses influenza a,b Parasite HAT RESERVOIR people ascaris Dogs t. Canis cats t cati P o e DOH - Direct contact refers to a distance of at least 1 meter Community water: it\'s sources, laws and management THE ENVIRONMENT PROTECTED SPRINGS DUG WELLS Ex fishponds ( combination of salt& fresh ) BOREHOLES PIPED WATER SUPPLY RAINWATER HARVESTING Rat - leptospira ( leptospirosis ) kidney px prone to dialysis\.... Hemodialysis, hepatitis ( jaundice ) yellow discoloration of the skin & sclera of the eyes Livercer scarring the liver Ground Ascaris lumbricoides Hookworm Enterobius vermicularis 8 ft below the ground - corpse PONDS, LAKES AND WATER TREATMENT QUALITY OF WATER Microbial - faecal coliform content of water. N°Result ( potable : 1000- 10000/ 100 ml of sample) Shigella and salmonella, Escherichia coli Regulation of water supplies ( households, gov. Offices, restaurants, and even street foods water- entamoeba histolytica = amoebiasis - lifetime infection, warning signs fever, diarrhea, vomiting Treatment: metronidazole 1cap/ day PREVENTING OVER-PUMPING OF GROUND WATER WATER CONSERVATION MANAGING WATER FOR AGRICULTURE hydrology - study of water Hydro- water Logy( logus) to reason or to study Ecology - study of environment & it\'s natural resources Eco- nature LESSON 9 COMMUNITY WASTE: IT\'S CLASSIFICATION, LAWS AND MANAGEMENT WATER CLASSIFICATION Engr. Fangonon patent holder of ECR 3 R\'s Reuse Reduce Recycle BIODEGRADABLE WASTE - farm for composting NON- BIODEGRADABLE - plastics, glass, styrofoam Non infec dry -black Non infec wet -green Infect wet & dry- yellow Sharps- red Radioactive -orange EXCRETA AND SEWAGE DISPOSAL Human excreta - faeces, HAT Yellow cellophane ( special waste ) infectious ( sanitary inspector ) Spread of disease No! - communities has no proper excreta disposal CARTAGE Faeces are collected in a container PIT LATRINE SYSTEM Stored in pit and left to decompose SEPTIC TANK - AQUAPRIVY SEWAGE SYSTEMS SOLID WASTE MANAGEMENT AND CHEMICAL SAFETY RA 9003 ECOLOGICAL SOLID WASTE MANAGEMENT ACT OF 2000 Glucose ( poct ) point of c treatment Glucometer - lancet container w/ water & zonrox w/ label Bandages w/ body fluids ( blood ) yellow cellophane COMMUNITY HOUSING Disease - agency: Department of Health ( DOH ) Fire - Bureau of Fire and Protection ( BFP ) DILG - Department of Interior and Local Government CEO - City Engineer\'s Office OCCUPATIONAL HAZARDS Physical ( ergonomic) hazard Chemical hazard Fire hazard Biological hazard - organisms: bacteria parasites, fungal Environmental hazard \* Needle prick : blood borne pathogens \* Airborne : flu ( influenza A ), PTB ( Mycobacterium Tuberculosis) ; covid-19 ( Severe Acquired Respiratory Syndrome - cov2 ) NCOV ( old ) \"Tobacco\" - mental retardation, addiction of nicotine, Throat cancer, Lung cancer, Heart disease, Swimming recreational health Drowning - leg cramps ( no. 1 reason of drowning ) Microbial hazard Parasites : naegleria fowleri ( BEA ) Schistosoma japonicum Acanthamoeba Conjunctivitis ( combination of chlorine & urine ) LESSON 11 Old: communicable disease control ( CDC ) New: Center for disease control & prevention ( CDC ) BIOTERRORISM CATEGORY B Brucellosis - brucella sps Celanders - burkholderia mallei Melioidosis - burkholderia pseudomallei Psittacosis - Chlamydia psittaci Q fever - coxiella burnetti Ricin toxin - ricinus communis Typhus fever - rickettsia prowazekii Water threats - cryptosporidium parvum CATEGORY C nipah virus Hanta virus - hantavirus pulmonary syndrome, ( HPS ) hemorrhagic fever w/ renal syndrome ( HERS ) Physical - your own self Mental - peer pressure incline inside the family 1 cause of depression and suicide Social development - being sociable to others Physical Function - safety and security - home Economic Function - money - stable job Reproduction Function - Socialization Function - Traditional family - \* No toxic relative Single - parent families Alternate family structure : Family Planning : live in but not married or planning A. Cohabitating Families B. Single adults: in religion single blessedness Definition of terms Heath Wellness Illnes Major strat A. Program for national - local - rhu - bhs Medical supplies B. Mt profession - organizations - PAMET/PASMETH INDIGENOUS activities outside the institution Ex. 1\. Parasitosis 2\. Mass blood donation C. DOH - not just free standing lab but also gov. Hospitals Give accreditation and training Reddish phlegm warning signs of TB Primary healthcare: ELEMENTS E - Education for health Counseling, social medias, advertisement L - Locally endemic disease control Ex. Malaria control Vector anopheles mosquito: plasmodium malariae, ovale, vivax, falciparum Usually in Palawan E - Expanded program on immunization Polio - opv 2-3drops 6 weeks Measles mmr ; 9 months Tetanus - pentavalent M - Maternal and child health Mother - prenatal laboratory; includes hab, hiv, syphilis, ua N 120 mg/dl 140mg/dl E - Essential drugs Over the counter Prescription Px RA 9165: Comprehensive dangerous drugs act of 2002 N - nutrition Faulty preparation - food poisoning - campylobacter, salmonella, staphylococcus aureus, bacillus cereus,listeria monocytogenes T - Treatment of COMMUNICABLE diseases Avianflu = h5n1 avian influenza Ebola - orthoebolaviruses ( formally ebolavirus ) Flu - Hepa a/b Measles - morbilivirus Pertusis - bordetella pertussis \" whooping cough\" Rabies - rabies virus \" Hydrophobia \" Shigellosis - shigella Tb - mycobacterium tuberculosis West Nile virus - flavi virus Zika - zika virus S - Safe water and sanitation Water borne disease - typhoid fever - salmonella typhi Cholera - vibrio cholerae Giardiasis - giardia lambia Dysentery - bacterial campylobacter; salmonella, ehec enterohemorrhagic E. Coli Hepa A&E Lar L A R recognized by someone Elements of communication process Interpersonal communication Advancin Referent Sender - send/ encode Message Channels Receiver - receive/ decode Feedback