people, poverty, power model
demonstrates that violence involves more than individual behaviour
- central to the 3P Model is trauma, indicating that trauma is also central to violence
- poverty is central to experiences of community violence
4 pillars of harm reduction
1- harm reduction
- education, secondary prevention, CD
2- prevention
3- treatment
4- enforcement
vaccine-preventable diseases
– STIs
infections that are spread through sexual practices with an infected person
vaccine-preventable diseases
– blood-borne
carried and transmitted by blood
vaccine-preventable diseases
– zoonotic infections
are diseases transmissible between animals and humans; however, they do not need humans to maintain their life cycle
vaccine-preventable diseases
– vector-borne
caused by viruses, bacteria, and parasites that living creatures carry and pass on to other living creatures
vaccine-preventable diseases
– enteric infections
infections that enter the body through the mouth and intestinal tract
vaccine-preventable diseases
– food-borne
acquired through the consumption of contaminated food
vaccine-preventable diseases
– water-borne pathogens
enter water supplies through fecal contamination from animals or humans to cause enteric illnesses
vaccine-preventable diseases
– respiratory infections
freq. caused by viruses
- but the cause of acute respiratory infections are unknown in a large percentage of cases
vaccine-preventable diseases
– healthcare associated infections
acquired as a result of being admitted to or attending a healthcare facility where exposure can take place
epidemiological triangle
agent/pathogen
host
environment
primordial prevention
remove risk factors
- healthy policy
primary prevention
prevent disease from occurring
- immunizations
secondary prevention
screening
- detection, dx, tx
tertiary prevention
reduce severity and minimize complications
quaternary prevention
population-level
prevent over-medicalization
- antibiotic resistance
case definition, contact, tracing
definition [index case]
contact
- sx, time, place of exposure
tracing
- mode of transmission
role of CHN
– referral, follow-up & case management
connect pt to necessary resources to prevent or resolve problems or concerns
assesses outcomes related to the utilization of the resources
Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet client needs.
Identify vulnerable hosts
Monitor therapy (long term)
Administration
active immunity
natural immune or via vaccinations
passive immunity
via breastfeeding
triple threat
degree of hazard
1- nature of agent involved
2- intensity of the exposure
3- duration of exposure
disaster management
prevention
mitigation
preparedness
response
recovery