Concept of Disease Control by Ar

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Concept of disease

control
Name:-Aman
Rathor
MBBS 2020
ROLLNO.-12
Content
Disease control
Disease elimination
Disease eradication
Monitoring
Surveillance
Disease control
Agent is permitted to persist in the community at a
level where it ceases to be a public health problems
It describes operations aimed at reducing –
1. The incidence of disease
2. Duration of disease ( risk of transmission )
3. Effect of infection ( both physical and psychological )
4. Financial burden to the community
Control activity may focus on primary prevention or secondary
prevention
Disease elimination
•It is an intermediate goal between control and eradication
has been described called “ regional elimination ”

•The term elimination is used to


interruption of transmission of disease
But the causative agent may be persisting in environment
Disease that has been eliminated from large geographical
areas
1. Measles
2. Polio
3. Diphtheria
Disease eradication
•Eradication literally means to “ tear out by roots ”

•Eradication of disease implies termination of


all transmission of infection by extermination
of infectious agent

•It is an absolute process and not a relative goal


•It is “ All or none Phenomenon ”
•It’s a global term i.e. can only be used for whole planet
•Today, the only disease that has been eradicated globally is :
Smallpox
•Eradication underway for :
• Polio
• Measles
• Dracunculiasis
Monitoring
•Definition : Continuous oversight of activities to ensure
that they are proceeding according to plan

•Monitoring is “ the performance and analysis of routine


measurements aimed at detecting changes in the
environment or health status of population ”
Eg. Monitoring of air pollution, water quality, growth and
nutritional status, etc

•Monitoring can be carried out by technicians

•Also refer to performance of health services or health


professional or the extent of patient’s compliance
Surveillance
•Definition : continuous scrutiny of that factors that
determine the occurrence and distribution of disease and
other conditions of ill- health

•Surveillance programs can assume any character and


dimensions – thus we have epidemiological surveillance,
demographic surveillance, nutritional surveillance, etc
Objective of surveillance:
◦ To provide information about new and changing trends in
health status of a population

◦ To provide feedback which may be expected to modify


policy and system

◦ To Provide timely warning of public health disasters


•A surveillance system includes a functional capacity for
data collection, analysis and dissemination linked to
public health programmes

•It is often distinguished from monitoring by the notion


that surveillance is continuous and ongoing, where as
monitoring tends to be more intermittent or episodic
Types of surveillance
1. Active surveillance :-
◦ Health worker actively goes to house every fortnight to
detect cases & collect data
◦ Done in National Vector Borne Disease Control Program
( NVBDCP )
2. Passive surveillance :-
◦ Data is itself reported to health system passively
◦ Done in most of National Health programs
3.Sentinel surveillance
•A method for identifying the missing case and thereby
supplementing the notified cases is required, this is called
sentinel surveillance

•The sentinel data is extrapolate to the entire population to


estimate the disease prevalence in the total population
•The advantage of such a system are that the reporting biases
are minimized, and feed back of information to the providers
is simplified

•This system would provide more valuable and detailed


information than could be obtained from traditional
notification system
Bibliography
K. Park, Textbook of Preventive And Social Medicine, 27th
edition. Jabalpur :M/s Banarasidas Bhanot publications,
2023
Thank you ...

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