Lecture Ikm01!2!270807(Selesai)

8/13/2019 Lecture Ikm01!2!270807(Selesai)

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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 .

Lecture Ikm01!2!270807(Selesai)

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