Post on 04-Jun-2018
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DETERMINANT FACTORSOF
DISEASES
Tatong Hariyanto, dr, MSPHDept of public healthAgust 27 2007IKM-01-2
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STATUS OF HEALTHDEVIATION OF FUNCTION/STRUCTURELevel ofHealth
Deviation of Functional Structure from normal
POINT OF NO-RETURN
Reversible IrreversibleCLINICALHORIZON
SUBCLINICAL CLINICAL
Notes :Subcl inical phase create CE-BERG PHENOM ENA
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DISEASES CAUSATIONS MOSTLY MULTIFACTORIALS(> 1 factor) There must be LAG-TIME (time intervals) or IncubationPeriod, between first-contact with the cause of diseaseand time of arising objective or subjective sign offunctional or structural deviation, 2 THEORY :
EPIDEMIOLOGICAL TRIANGLE MODEL; LA LONDE (Henry L Blum) MODEL.
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Environment
Destructive power
of Agent of
diseases
Resistance of
Human host
against disease
DETERMINANT OF HEALTH
EPIDEMIOLOGICAL TRIANGLE MODEL
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AGENT OF DISEASES Physicalagent: Temperature, dust, gas, light,
noise, radiation, etc
Chemical Agent: Acid, Base, metal, Organic
compound, food aditive, etc Biological agent : Bactery, Insect, Allergen,
Animals bites, etc
Intrinsic agent:Gen, hereditary disorders; Psychologial agent: Mental Stress;
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DESTRUCTIVE POWER OF AGENT OFDISEASEDETERMINED BY :
Quantity of agents;
Duration of contact with agent of disease;
Area of contact between agent of disease andbody of human host;
Basic characteristic of agent of disease :Corosive, Allergen, Toxic, Carcinogenic,Mutagenic, Invasive, etc;
Tissue resistance of human host againstagent of disease
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HOST RESISTANCE Host resistance against destructive
power of agent of disease,determined by :
Genetic factors;
Mental & Spiritual stability
Nutritional status;
Physical fitness;
Immunity;
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ENVIRONMENTAL FACTORS EFFECT AGAINST AGENT OF DISEASE :
Increase /decrease number of agent of disease,
duration of contact, area of contact and destructive
power of agent of disease; ex High air temperature lower the body indurance
EFFECT AGAINST HUMAN RESISTANCE:
Increase / decrease psicho-bio-physical indurance ;
ex Food production determine the nutritional statusof population.
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DETERMINANT OF HEALTH
LA LONDE MODEL
LIFE STYLE
PSYCHO-
BIOLOGICAL
ENDURANCE
ENVIRONMENT
Biological
Social
HEALTH
SERVICE
PROGRAMSHealth
problem
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HEALTH PROBLEMS ?
INDIVIDUAL:
Functional/ structural
deviation of Bio-Psycho-
social;
ex:
Burns;
Suicide; Drug abuse;
Hypertention;
COMMUNITY
High prevalence of cases in
the community;
ex:
Epidemi of diarrhea;
I ncrease Number of
narcotics; H igh prevalence of
cancer
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Lifestyle / Perilaku
Keyword: Habits;
An action done without
thinking the consequen-ses;
Examples :
Smoking habit;
F itness Exersize;
Consume junctfood;
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ENVIRONMENT
Physical, Biological, Social Anithing outside human
body.
PHYSICO
CHEMICAL;
BIOLOGICAL(FLORA & FAUNA)
SOCIO-CULTURAL:
Occupations
Education;
Customs;
Law;
Mariage
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PHYSICAL - MENTAL-SPIRITUAL-
AND SOSIAL INDURANCE
Physical f i tness;
Mental maturity;
Spirituality;
Nutri tional status;
Immunity;
Genetics
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HEALTH SERVICES PROGRAM
ALL ACTIVITY DONE TO
IMPROVE HEALTH:
Promote healthy li fe;
Disease prevention;
Treatment of disease;
Rehabil i tation of handicaps;
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Epidemics ofDENGUE HAEMORRHAGIC FEVER
Habit Factors ?
Environmental factors ?
Physical-mental-social conditions ?
Health Service factors:
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TERIMA KASIHThanks and See You .