HLTB16H3 Study Guide - Summer 2018, Comprehensive Midterm Notes - Public Health, Canada, Infection

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HLTB16H3
MIDTERM EXAM
STUDY GUIDE
Fall 2018
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Public Health Week 1: Lecture 1:
Introduction & Course objectives
We assume our living conditions are basically healthy
Over the last 50 years, Canadians experienced increased levels of health, life expectancy
and well being
Our scope of medicine is widening but
o Challenges remain:
1. Concerns over equity
Not everyone has equal benefit
Identifiable groups poorer health than the average
2. Health care spending
Scarce resources get used by high risk patients
Limits access to health care across population
3. Philosophical implications
Palliate avoidable problems arising from unhealthy lifestyles
Social accountability
Disease Related Concepts:
Illness:
Subjective sense of feeling unwell
Does not define a specific pathology
E.g. discomfort, tiredness, malaise
Disease:
Pathological process
Disease may or may not produce symptoms
E.g., hypothyroidism, breast cancer, HIV infection
Sickness:
Social and cultural conceptions of health conditions
Influence how patient reacts to and expresses symptoms
E.g. menopause in North America vs. Japan
Health related concepts:
1984:
o World Health Organization:
o Linked health to well-being
o Phsial, etal, ad soial ell-eig, ad ot erel the asee of disease
o Criticized as being unmeasurable
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1984:
o World Health Organization:
o the etet to hih a idiidual or group is ale to realize aspiratios ad
satisfy needs, and to change or cope with the environment
o Health is a resource for everyday life, not the objective of living: it is a positive
concept emphasizing social and personal resources, as well as physical capacities
1980:
o Health Promotion:
o Health promotion movement
o Introduced health not as a state but a process
o Health ieed as a resoure for liig
1800s
o Biological Model of Disease:
Foused o the od’s ailit to futio
Health was a state of normal function disrupted by pathological
processes
Goal of treatment to restore physiological integrity
Public Health:
Central tenets of all initiatives
Health promotion
Health protection
Population Health Surveillance
Prevention of death, disease, injury and disability
Aims to maintain and improve health of populations, not individuals
Combination of programs, services and policies that prevent disease, prolong life,
promote health
Dynamic and debatable due to health requirements of population
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