communicable disease report

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  • 8/10/2019 Communicable Disease Report

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    Communicable Disease

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    Introduction:

    Communicable Diseases is one of

    the major public health problems

    in the Philippines. Most of theleading causes of morbidity in the

    Philippines are attributed tocommunicable diseases.

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    Top 10 causes of morbidity

    Rank Diseases Rate per 100, 000 population

    1 Acute Respiratory

    infection

    1, 203.0

    2 Acute lower RI and

    pneumonia

    612.6

    3 Bronchitis 380.7

    4 Hypertension 366.3

    5 Acute watery

    diarrhea

    354.5

    6 Influenza 297.7

    7 UTI 91.0

    8 TB 80.9

    9 Accidents 54.9

    10 Injuries 38.9

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    TUBERCULOSIS:

    TB is one of the oldest and

    deadly disease worldwide

    (Enarson, 2000).

    WHO reported that 9 million

    new cases of TB in 2011, 1.4million TB death

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    Etiology:

    Causative agents:

    Mycobacterium tuberculosis and M. africanum

    Mode of transmission:

    Airborne droplet

    Incubation Period:

    4-6 weeks

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    Signs and symptoms:

    Fever

    Loss of appetite

    Easy fatigability Night sweats

    Dry cough

    Later productive with hemoptysis, chest pain

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    Prevention

    Consider immunizations for:

    Influenza

    Hepatitis A

    Chicken pox

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    Management:

    People with latent TB infection should be

    evaluated for a course of preventive therapy,

    which usually includes taking antituberculosis

    medication for several months. People withactive TB disease must complete a course of

    treatment for six months or more. Initial

    treatment includes at least four anti-TB drugs,

    and medications may be altered based on

    laboratory test results.

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    The exact medication plan must be determined by

    a physician. Directly observed therapy (DOT)

    programs are recommended for all TB patients to

    help them complete their therapy.

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    Viral Hepatitis

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    Hepatitis A

    Fecal-oral contact

    Children, young adults

    Most infections subclinical or

    very mild

    Does not cause chronic liverdisease or carrier state

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    Hepatitis B

    Parenteral transmission (blood,

    dirty needles)

    Sexual transmission

    Can cause liver failure, necrotic

    cirrhosisCan cause carrier state

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    Viral Hepatitis

    Signs/Symptoms

    Anorexia

    Malaise

    Nausea, vomiting

    Fever

    Joint pain

    Dark urine, jaundice

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    Viral Hepatitis

    Vaccine, immune serum globulin

    available for both A and B

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    Meningitis

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    Meningitis

    Inflammation of membranes

    covering brain, spinal cord

    Bacteria, viruses, fungi

    Bacterial forms most serious

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    Bacterial Meningitis

    Signs/Symptoms

    Headache

    Nausea Fever

    Stiff neck

    Rapid progression to delirium,

    coma, seizures

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    Bacterial Meningitis

    Neissera meningitidis

    Petechiae

    Ecchymosis

    Septic shock

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    Bacterial Meningitis

    Avoid contact with oral secretions

    Not transmissible by breathing same

    air as patient

    If close contact occurs, Rifampin

    600mg bid 2d

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    HIV/AIDS

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    Acquired Immunodeficiency

    Syndrome (AIDS)

    Viral infection Human

    immunodeficiency virus (HIV)

    Damage to helper T cells suppressesimmune system

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    AIDS

    Recurring opportunistic infections

    Pneumocystis car inipneumonia

    Kaposis sarcoma

    Candida albicans

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    HIV/AIDS

    Transmitted by blood, semen, vaginal

    secretions

    Contact with tears, saliva, sweat will notcause infection

    Cannot be transmitted by casual contact

    Wash hands, wear gloves, needleprecautions