PUBLIC HEALTH

NATURAL HISTORY OF DISEASE

(KESEHATAN MASYARAKAT & RIWAYAT ALAMI PENYAKIT)

SYAMSU KHALDUN
HP +628114226779
Email : syamsukhaldun@gmail.com

Jumat, 07 Desember 2018 syamsukhaldun@gmail.com 1

Healthy-sick like a river of water flowing from upstream to downstream,
If since the upstream, preventive and promotive efforts,
Then the water will remain clear until the river downstream,
As a healthy state at all times,
Even if there is a murky river water to downstream,
Then of course the numbers are not a lot,
Likened to a sick person, who need to be curative and rehabilitative.
(Syamsu Khaldun)

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 DETERMINANTS OF HEALTH
(HL. Blum, 1992)

Genetic propensity
Genetics
Immune System

1. Social
Education
Employment
Income
Nutrition
2. Cultural
Morbidity*
Family
Health Mortality*
Medical
Environment
Network Mental*
Religion
3.Physical
Water*
Status Productivity
Quality of life Service
Days lost
Sanitation// live stock exposure* Life expectancy Quality
Pollution* Disability* Responsiveness*
Population density Nutritional status* Outpatient*
Zoonotic exposure Inpatient*
Disaster vulnerable residence Maternal Health Services**
Climate Pediatric services
Risk taking*
4.Emotional Community outreach
Transportation
Supportive Essential drugs availability
Dietary Intake(Habit)*
Over-reactive Vital registry
Behaviour
Smoking*
Parents relationship School Based Program
Physical activity*
Vector control*
5. Biological Spiritual Orientation
Food safety
Virus,Bacteri,Candida Etc Sexual Orientation
Exposure to community
Exposure to live stock

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 PUBLIC AND PERSONAL HEALTH

PUBLIC HEALTH PERSONAL HEALTH

Period of Pre-Pathogenesis Period of Pathogenesis
(Masa Sebelum Sakit) (Masa Sakit)

PREVENTIVE
PROMOTIVE

CURATIVE
REHABILITATIVE

PUBLIC GOODS PRIVATE GOODS

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 THE FIVE OF LEVEL PREVENTION
( Leavell and Clark, 1953)

Period of Pre-pathogenesis Period of Pathogenesis

May be
SYMPTOM (+)
SYMPTOM (+)
SIGN (-)
HEALTHY Color, Dolor, Rubor,
SIGN (+)
Tumor, Functie Laesa

HEALTH PROMOTION SPECIFIC PROTECTION EARLY DIAGNOSIS AND DISABILITY LIMITATION REHABILITATION
PROMPT TREATMENT
HEALTH EDUCATION IMUNIZATIONS COMPLETE THERAPY HOSPITALIZATION
CASE FINDING BY
GOOD NUTRITION IISOLATION WHEN PERIODICAL AND HOME NURSING FAMILY EDUCATION FOR
SELECTIVE EXAMINATION SERVICES WHEN UTILIZE THE
GOODL LIVING HABITS INDICATED
INDICATED REHABILITATED
CONSULTATION
AVOIDANCE OF REFFERAL CONTROL OF DISEASES
FATIQUE REFFERAL CONTROL FAMILY
TREATMENT MINOR MAYOR AWARENESS
SURGERY SURGERY
HOSPITALIZAT
ION

Primary Secondary Tertiary

Prevention Prevention Prevention
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 NATURAL HISTORY OF DISEASE
(Riwayat Alami Penyakit)

Natural history disease :

 No medical intervention and others in
development of disease
 Disease development process by natural.

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 NATURAL HISTORY OF DISEASE
(Riwayat Alami Penyakit)

Benefit :
 For Diagnostic :
Usable incubation period as guidance of
determination of disease type
Eg: Outbreak / Extraordinary Occurrence
/ Kejadian Luar Biasa

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 NATURAL HISTORY OF DISEASE
(Riwayat Alami Penyakit)

Benefit :
 For Preventive :
Journey of disease easily crosscut
Easily for the effort disease prevention

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 NATURAL HISTORY OF DISEASE
(Riwayat Alami Penyakit)

Benefit :
For Therapy :
Therapy usually pointed to earliest
phase.
Phase of early disease, is right time for
the gift of therapy,
Earlier of therapy of result goodness will
be more be expected.

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 PHASE OF DISEASE NATURAL HISTORY
(Tahapan Riwayat Alami Penyakit)

Period of Pre-pathogenesis Period of Pathogenesis

 There interaction between 1. Incubation phase

host with agent of disease 2. Early disease phase
 But disease agent still 3. Continue disease phase
outside of the host 4. Final disease phase
 No found the existence of
sign of disease
 Endurance of the host body
still be strong
 Can refuse the disease.

HEALTHY

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 PHASE OF DISEASE NATURAL HISTORY
(Tahapan Riwayat Alami Penyakit)

Period of Pre-pathogenesis Period of Pathogenesis

 There interaction between 1. Incubation phase

host with agent of disease
 But disease agent still
outside of the host
 No found the existence of
sign of disease
 Endurance of the host body
still be strong
 Can refuse the disease.
HEALTHY
 There agent of disease in the host
 Maybe there symptom, but not yet
sign
 Every disease have the different
incubation period, eg :
 Influenza, Cholera (1-2 day)
 Polyomyelitis (7-14 day)
 Cancer, AIDS (Chronic)
 If weak of body endurance, disease
will move along, resulting trouble [of]
form and body function.

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 PHASE OF DISEASE NATURAL HISTORY
(Tahapan Riwayat Alami Penyakit)

Period of Pre-pathogenesis Period of Pathogenesis

 There interaction between 2. Early disease phase

host with agent of disease
 But disease agent still
outside of the host
 No found the existence of
sign of disease
 Endurance of the host body
still be strong
 Can refuse the disease.
HEALTHY
 Start from appearance of disease
symptom,
 Host have sick but in character still be
light.
 Generally patient to do the work and in
consequence often not medicinize.
 If medicinize, generally not need the
care, because disease admit of the
outpatient.
 This is big problem in public health,
because medicinize but late

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 PHASE OF DISEASE NATURAL HISTORY
(Tahapan Riwayat Alami Penyakit)

Period of Pre-pathogenesis Period of Pathogenesis

 There interaction between 3. Continue disease phase

host with agent of disease  Patient has not earned again the work
 But disease agent still and if coming medicinizeing,
outside of the host  Generally have needed treatment.
 No found the existence of
sign of disease
 Endurance of the host body
still be strong
 Can refuse the disease.

HEALTHY

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 PHASE OF DISEASE NATURAL HISTORY
(Tahapan Riwayat Alami Penyakit)

Period of Pre-pathogenesis Period of Pathogenesis

 There interaction between 4. Final disease phase

host with agent of disease  Ending of it the disease journey, can
 But disease agent still stay in five circumstance, that is :
outside of the host 1) Heal perfection
 No found the existence of Form and body function return to
sign of disease healthy.
 Endurance of the host body 2) Heal with disabilty
still be strong Physical, mental and social
 Can refuse the disease. handicap.
3) Career
Danger host self and society
4) Chronic
Remain to be sick
HEALTHY
5) Death

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 THANKS FOR YOUR ATTENTION

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