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Prevention and Health: 50% Prevention of Diseases
I. Foundation of health: Principles of preventive medicine
1. The concept of prevention:
Preventive medicine is a healthcare branch focused on the prevention of diseases, disability and premature death. It includes a wide range of measures aimed at identifying and reducing risk factors, strengthening health and increasing the body’s stability to the effects of negative environmental factors. Unlike traditional medicine, which focuses on the treatment of already emerging diseases, preventive medicine sets its goal to prevent their development. This is achieved by active intervention in human lifestyle, its environment and healthcare system.
The key principle of prevention is the understanding that many diseases do not arise suddenly, but are the result of a long exposure to adverse factors. By identifying and eliminating these risk factors, it is possible to significantly reduce the likelihood of developing various diseases. Prevention also includes measures aimed at early detection of diseases when they are still in the initial stage and are easier to treat.
Preventive medicine is not limited only to medical aspects. It covers a wide range of social, economic and environmental factors that affect the health of the population. Therefore, successful prevention requires cooperation between different sectors of society, including healthcare, education, social security, transport and urban planning.
2. Prevention levels:
Preventive measures are classified at three levels: primary, secondary and tertiary prevention.
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Primary prevention: aims at preventing the occurrence of diseases by eliminating risk factors and health promotion. Examples of primary prevention include vaccination, promotion of a healthy lifestyle, the fight against smoking and alcoholism, and ensuring safe drinking water and sanitation. Primary prevention is the most effective and economically advantageous way to reduce incidence and mortality. It involves the active participation of the entire population and requires an integrated approach, including educational, legislative and economic measures.
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Secondary prevention: It is aimed at early detection and treatment of diseases in the initial stages, when they have not yet appeared clinically. The aim of secondary prevention is to prevent the progression of the disease and the development of complications. Examples of secondary prevention include screening programs to detect cancer, arterial hypertension and diabetes, as well as regular medical examinations. Secondary prevention requires the use of diagnostic methods to identify diseases in the early stages, and effective treatment methods to stop their progression.
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Treetic prevention: aimed at reducing the consequences of an already developed disease and preventing disability. The aim of a tertiary prevention is to improve the quality of life of patients and extend their lives. Examples of tertiary prevention include rehabilitation programs for patients after a stroke, myocardial infarction or injuries, as well as supporting therapy for patients with chronic diseases. Tertiary prevention requires an individual approach to each patient and the use of complex methods of treatment and rehabilitation.
3. Risk factors and their modification:
Risk factors are characteristics or effects that increase the likelihood of developing the disease. Risk factors can be modified and unmodified.
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Unmodified risk factors: These are factors that we cannot change, such as age, gender, genetic predisposition and racial affiliation. Although we cannot change these factors, we can take them into account when assessing the risk of developing the disease and developing individual preventive strategies.
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Modified risk factors: These are factors that we can change, such as lifestyle, nutrition, physical activity, smoking, alcohol use and the effects of harmful environmental factors. Modification of these risk factors is a key element of preventive medicine. A change in lifestyle can significantly reduce the likelihood of the development of many diseases, such as cardiovascular diseases, diabetes, cancer and obesity.
For effective modification of risk factors, it is necessary:
- Risk assessment: Determine the individual risk of developing the disease based on an anamnesis, physical examination and laboratory tests.
- Individual plan: Develop an individual plan of preventive measures aimed at modifying risk factors.
- Education and counseling: Provide the patient about risk factors and ways to modify them, as well as advise him on healthy lifestyle issues.
- Monitoring and support: Regularly monitor the patient’s health and provide him with support in the implementation of preventive recommendations.
II. The main directions of prevention:
1. Healthy lifestyle:
A healthy lifestyle (healthy lifestyle) is a set of rules and habits aimed at maintaining and strengthening health. Heaps includes the following components:
- Proper nutrition: Balanced diet, rich in fruits, vegetables, whole grain products and low -fat sources of protein. Limiting the consumption of saturated and trans fats, sugar and salt. Regular food consumption in small portions.
- Regular physical activity: At least 150 minutes of moderate or 75 minutes of intensive physical activity per week. Physical activity can include walking, running, swimming, cycling, sports or physical exercises.
- Refusal of smoking: Refusal of smoking is one of the most important steps that can be taken to improve your health. Smoking is the cause of many diseases, including cancer, cardiovascular diseases and lung diseases.
- Moderate alcohol consumption: Moderate drinking of alcohol is defined as no more than one drink per day for women and no more than two drinks per day for men. Excessive alcohol consumption can lead to serious health problems, including diseases of the liver, heart and brain.
- Sufficient sleep: at least 7-8 hours of sleep per day. The lack of sleep can lead to a deterioration in mood, a decrease in concentration of attention and an increase in the risk of the development of diseases.
- Stress management: The ability to cope with stress is an important aspect of health. There are various stress management methods, such as meditation, yoga, physical exercises and communication with friends and family.
2. Vaccination:
Vaccination is an effective way to protect against infectious diseases. Vaccines contain weakened or killed microorganisms that stimulate the immune system to the production of antibodies. Antibodies protect the body from infection when re -contact with the pathogen of the disease. Vaccination is one of the most successful and economically profitable public health measures. It made it possible to eradicate many dangerous infectious diseases, such as smallpox and polio. Regular vaccination is recommended for children and adults in accordance with the national vaccination calendar.
3. Screening:
Screening is a systematic examination of the population in order to identify diseases in the early stages, when they have not yet appeared clinically. Screening programs can identify diseases such as cancer, arterial hypertension, diabetes and glaucoma. Early detection of diseases allows you to begin treatment in the early stages, which increases the likelihood of successful treatment and reduces the risk of complications. Regular screening is recommended for people of a certain age and gender in accordance with national recommendations.
4. Prevention of injuries:
Injunction is one of the main causes of disability and mortality, especially among children and young people. The prevention of injuries includes measures aimed at reducing the risk of injuries in various situations, such as traffic accidents, falls, drowning, burns and poisoning. Prevention of injuries requires an integrated approach, including educational, legislative and engineering measures.
5. Prevention of occupational diseases:
Professional diseases are diseases that occur as a result of the effects of harmful factors in the workplace. The prevention of occupational diseases includes measures aimed at reducing the risk of harmful factors on the health of workers. This may include the use of personal protective equipment, improvement of working conditions, regular medical examinations and training of employees of security rules.
6. Prevention of sexually transmitted diseases (STD):
STDs are common infectious diseases that are transmitted sexually. Prevention of STDs includes the use of condoms, avoiding random sexual relations, regular examination on STDs and timely treatment.
III. Prevention of the underlying diseases:
1. Prevention of cardiovascular diseases:
Cardiovascular diseases (SVD) are the main cause of death around the world. SSZ risk factors include arterial hypertension, a high level of blood cholesterol, smoking, diabetes, obesity, a sedentary lifestyle and stress. The prevention of the SSZ includes the modification of these risk factors through a healthy lifestyle, regular medical examination and medication, if necessary.
2. Cancer prevention:
Cancer is one of the main causes of death around the world. Many types of cancer can be prevented by a healthy lifestyle, vaccination and screening. A healthy lifestyle includes rejection of smoking, healthy nutrition, regular physical activity and moderate use of alcohol. Vaccination against the human papilloma virus (HPV) can prevent cervical cancer, and hepatitis B vaccination can prevent liver cancer. Screening programs allow you to identify cancer in the early stages, when it is easier to treat.
3. Diabetes prevention:
Diabetes is a chronic disease characterized by a high blood sugar. Type 2 diabetes, which is most of the cases of diabetes, can be prevented by a healthy lifestyle, including healthy diet, regular physical activity and maintaining normal weight. Screening programs allow you to detect diabetes in the early stages when you can prevent the development of complications.
4. Prevention of respiratory diseases:
Respiratory diseases are a common cause of incidence and mortality. Prevention of respiratory diseases includes refusal of smoking, avoiding the effects of contaminated air, flu vaccination and pneumococcal infection, and timely treatment of respiratory infections.
5. Prevention of diseases of the bone muscular system:
Diseases of the musculoskeletal system, such as osteoporosis and arthritis, are a common cause of pain and disability. The prevention of diseases of the bone muscular system includes sufficient consumption of calcium and vitamin D, regular physical activity, maintaining normal weight and avoiding injuries.
6. Prevention of mental disorders:
Mental disorders are a common cause of disability and suffering. The prevention of mental disorders includes the strengthening of mental health, the early detection and treatment of mental disorders, and a decrease in stigma associated with mental disorders. Strengthening mental health includes a healthy lifestyle, stress management, social support and development of problems of solving problems.
IV. Prevention in various age groups:
1. Prevention in childhood:
Prevention in childhood is crucial for health throughout life. Key aspects of prevention in childhood include:
- Vaccination: Compliance with the national vaccination calendar to protect against infectious diseases.
- Breast-feeding: Support for breastfeeding as an optimal nutrition for babies.
- Proper nutrition: The formation of healthy food habits from an early age, including the consumption of a sufficient amount of fruits, vegetables and whole grains.
- Physical activity: Stimulation of physical activity and games in the fresh air.
- Safety: Ensuring a safe environment for children at home and at school, including preventing injuries and accidents.
- Psychological health: Creating a supporting and loving atmosphere for the development of healthy self -esteem and emotional well -being.
- Regular medical examinations: Conducting regular medical examinations to identify and solve health problems in the early stages.
- Caries prevention: The formation of the correct habits of the oral cavity, including regular teeth brushing and a visit to the dentist.
2. Prevention in adolescence:
Adolescence is a period of significant physical, emotional and social changes. Prevention in adolescence is aimed at:
- Healthy nutrition: Encouraging healthy diet and preventing eating disorders.
- Physical activity: Stimulation of regular physical activity and sports.
- Prevention of the use of psychoactive substances: Prevention of drinking alcohol, tobacco and drugs.
- Sexual Health: Providing information about safe sex and the prevention of STDs and unwanted pregnancy.
- Mental health: Support for mental health and prevention of suicides and other mental disorders.
- Prevention of injuries: Prevention of injuries associated with traffic accidents, violence and other risk factors.
- Regular medical examinations: Conducting regular medical examinations to identify and solve health problems.
3. Prevention in adulthood:
Mature age is a period when many chronic diseases begin to appear. Prevention in adulthood is aimed at:
- Healthy lifestyle: Maintaining a healthy lifestyle, including healthy nutrition, regular physical activity, rejection of smoking and moderate use of alcohol.
- Screening: Conducting regular cancer screening, cardiovascular diseases, diabetes and other diseases.
- Vaccination: Compliance with recommendations for adult vaccination.
- Stress management: Development of stress management skills.
- Regular medical examinations: Conducting regular medical examinations to identify and solve health problems.
- Maintaining mental health: Maintaining active social life and participation in social activities.
4. Prevention in old age:
An elderly age is a period when the risk of developing many diseases and disability increases. Prevention in old age is aimed at:
- Maintaining physical activity: Maintaining physical activity and preventing falls.
- Proper nutrition: Ensuring sufficient nutrition and prevention of malnutrition.
- Vaccination: Compliance with vaccination recommendations for older people.
- Management of chronic diseases: Effective management of chronic diseases.
- Regular medical examinations: Conducting regular medical examinations to identify and solve health problems.
- Maintaining cognitive functions: Maintaining cognitive functions and preventing dementia.
- Social activity: Maintaining active social life and participation in social activities.
- Safe environment for: Ensuring the safe environment of the house and in the community to prevent injuries and accidents.
V. An individual approach to prevention:
Prevention should be individual and take into account individual risk factors, health status and preferences of each person. An individual approach to prevention includes:
- Risk assessment: Determination of individual risk of developing various diseases based on an anamnesis, physical examination and laboratory tests.
- Individual prevention plan: Development of an individual plan of preventive measures aimed at modifying risk factors and promoting health.
- Education and counseling: Providing information on risk factors and ways to modify them, as well as advising on a healthy lifestyle.
- Monitoring and support: Regular monitoring of health status and support in the implementation of preventive recommendations.
- Making decisions together with a doctor: Making decisions on preventive measures together with a doctor, taking into account individual needs and preferences.
VI. The role of the state and society in the prevention:
The state and society play an important role in the prevention of diseases. This role includes:
- Development and implementation of national prevention programs: Development and implementation of national diseases prevention programs aimed at reducing incidence and mortality from the underlying diseases.
- Creating a favorable environment for health: Creating a favorable environment for health, including ensuring access to healthy food, safe drinking water, pure environment and opportunities for physical activity.
- Population training issues of health: Population training issues of health and the formation of a healthy lifestyle.
- Regulation of harmful factors: Regulation of harmful factors, such as tobacco, alcohol and environmental pollution.
- Funding of preventive measures: Financing preventive measures, including vaccination, screening and a healthy lifestyle program.
- Support for scientific research in the field of prevention: Support for scientific research in the field of disease prevention.
- Cooperation with international organizations: Cooperation with international organizations in the field of disease prevention.
- Encouraging a healthy lifestyle at the workplace: Creating conditions for a healthy lifestyle at the workplace.
- Support for public organizations engaged in prevention: Support for public organizations engaged in the prevention of diseases.
VII. Modern technologies in the prevention:
Modern technologies play an increasingly important role in the prevention of diseases. These technologies include:
- Telemedicine: The use of telemedicine to provide consultations and monitor health status at a distance.
- Mobile applications: Development of mobile applications to support a healthy lifestyle, monitor the health status and provide information about the prevention of diseases.
- Wearable devices: The use of wearable devices for monitoring physical activity, sleep and other health indicators.
- Genomic technology: The use of genomic technologies to assess the risk of developing diseases and develop individual prevention plans.
- Artificial intelligence: The use of artificial intelligence to analyze big data and identify patterns associated with diseases.
- Virtual reality: The use of virtual reality to teach a healthy lifestyle and modeling various health situations.
- 3D printing: The use of 3D printing to create individual medical devices and prostheses.
VIII. The economic efficiency of prevention:
Prevention of diseases is an economically effective measure. Investments in prevention can reduce the cost of treatment of diseases and improve the quality of life of the population. The economic efficiency of prevention is due to the following factors:
- Reducing incidence and mortality: Prevention allows you to reduce the incidence and mortality from the underlying diseases, which leads to a decrease in the costs of treatment and increased labor productivity.
- Prevention of complications of diseases: Prevention prevents the development of complications of diseases, which also leads to a decrease in treatment costs.
- Improving the quality of life: Prevention allows you to improve the quality of life of the population and extend the duration of a healthy life.
- Reducing social security costs: Prevention allows you to reduce social security costs associated with disabilities and disability.
- Improving labor productivity: Prevention allows you to increase labor productivity by reducing the incidence and improving the health status of the population.
IX. Obstacles on the path to prevention:
On the way to effective prevention, there are various obstacles, including:
- Insufficient funding: Insufficient financing of preventive measures.
- Low awareness of the population: Low awareness of the population about risk factors and methods of preventing diseases.
- Insufficient motivation for a healthy lifestyle: Insufficient motivation for a healthy lifestyle.
- The inaccessibility of medical services: The inaccessibility of medical services for some population groups.
- Insufficient cooperation between different sectors: Insufficient cooperation between various sectors of the company in the field of prevention.
- Socio-economic factors: Socio-economic factors, such as poverty and inequality that affect the health of the population.
- Cultural factors: Cultural factors that may impede the adoption of a healthy lifestyle.
- Stigma associated with some diseases: Stigma associated with some diseases, such as mental disorders and STDs, which may prevent medical care.
X. Future of prevention:
The future of prevention is associated with the development of new technologies and approaches, including:
- Personalized medicine: Development of individual prevention plans based on genomic data and other risk factors.
- Precise medicine: The use of new technologies for a more accurate diagnosis and treatment of diseases.
- Proactive medicine: The transition from reactive to a proactive approach to health aimed at preventing diseases before their occurrence.
- Integrative medicine: Integration of traditional and alternative methods of treatment with modern medical technologies.
- Digital healthcare: Using digital technologies to improve access to medical care and increase the effectiveness of preventive measures.
- Artificial intelligence and machine learning: The use of artificial intelligence and machine learning to analyze big data and identify new risk factors and methods of preventing diseases.
- Improving social determinants of health: Improving social determinants of health, such as education, employment and housing conditions, to reduce the incidence and inequality in the field of health.
- Increased public awareness of prevention: Increased public awareness of risk factors and methods of prevention of diseases.
- Strengthening cooperation between different sectors: Strengthening cooperation between different sectors of the company in the field of prevention.
XI. Specific examples of preventive measures:
1. Prevention of influenza:
- Vaccination: An annual flu vaccination is the most effective way to prevent influenza.
- Hygiene observance: Regular washing of hands with soap and water, especially after visiting public places.
- Avoid contact with patients: Avoiding contact with people who have symptoms of influenza.
- Using mask: Wearing a mask in public places, especially during the flu epidemic.
- Increasing immunity: Maintaining a healthy lifestyle, including healthy diet, sufficient sleep and regular physical activity.
2. Prevention of caries:
- Regular tooth brushing: Teeth brushing twice a day using a toothpaste with fluorine.
- Using tooth thread: Using a dental thread to clean the interdental spaces.
- Sugar consumption restriction: Limiting sugar and sweet drinks.
- Regular visits to the dentist: Regular visits to the dentist for preventive examinations and professional brushing.
- Water fluoridation: Water fluoridation to strengthen dental enamel.
3. Prevention of osteoporosis:
- Sufficient calcium consumption: Sufficient calcium consumption with food or in the form of additives.
- Sufficient consumption of vitamin D: Sufficient consumption of vitamin D with food or in the form of additives.
- Regular physical activity: Regular physical activity, especially weight exercises.
- Refusal of smoking: Refusal of smoking.
- Moderate alcohol consumption: Moderate drinking alcohol.
- Drug therapy: Drug therapy for strengthening bones, if necessary.
4. Prevention of dementia:
- Maintaining physical activity: Regular physical activity.
- Maintaining cognitive activity: Maintaining cognitive activity, for example, reading, playing chess or learning foreign languages.
- Healthy nutrition: Healthy diet, rich in fruits, vegetables and fish.
- Control of blood pressure: Control of blood pressure.
- Cholesterol level control: Cholesterol level control.
- Blood sugar control: Blood sugar control.
- Social activity: Active social life and participation in social activities.
- Refusal of smoking: Refusal of smoking.
- Moderate alcohol consumption: Moderate drinking alcohol.
5. HIV prevention:
- Using condoms: Using condoms for every sexual contact.
- Avoiding joint use of needles: Avoiding joint use of needles when using drugs.
- VIV check: Regular VIV check, especially for people at risk.
- HIV treatment: Timely HIV treatment to prevent the transfer of the virus to other people.
- Prevention after contact: Prevention after contact with HIV, for example, taking antiretroviral drugs.
XII. The role of the family in the prevention:
The family plays an important role in the prevention of diseases. The family can influence the health of their members, forming healthy habits, providing support and motivation, as well as monitoring the compliance with preventive recommendations.
- Formation of healthy habits: The family can form healthy habits of nutrition, physical activity, hygiene and sleep with its members.
- Providing support and motivation: The family can provide support and motivation for a healthy lifestyle.
- Monitoring compliance with preventive recommendations: The family can control the observance of preventive recommendations, for example, vaccination and screening.
- Creating a healthy atmosphere: The family can create a healthy atmosphere in which there is no place for smoking, alcohol abuse and drugs.
- Children’s education about health: A family can form children about health and risk factors.
- Personal example: Parents can give a personal example of a healthy lifestyle to their children.
- Participation in preventive measures: The family can participate in preventive measures organized in the community.
XIII. Prevention in rural areas:
Prevention in rural areas has its own characteristics associated with limited access to medical services, low levels of health of health and socio-economic factors. To increase the effectiveness of prevention in rural areas, it is necessary:
- Improving access to medical services: Improving access to medical services, for example, by organizing visiting medical brigades and telemedicine development.
- Improving health awareness: Improving health awareness by conducting educational programs and disseminating information through local media.
- Adaptation of preventive programs to local conditions: Adaptation of preventive programs to local conditions and cultural features.
- Attracting local leaders and public organizations: Attracting local leaders and public organizations to participate in preventive measures.
- Infrastructure development for a healthy lifestyle: The development of infrastructure for a healthy lifestyle, for example, the construction of sports grounds and pedestrian paths.
- Solving socio-economic problems: The solution of socio-economic problems, such as poverty and unemployment, which affect the health of the population.
- Support for local prevention initiatives: Support for local prevention initiatives.
XIV. Prevention in emergency situations:
In emergency situations, such as natural disasters and epidemics, prevention is of particular importance. To prevent the spread of diseases and minimizing the negative consequences of emergency situations, it is necessary:
- Ensuring access to pure water and sanitation: Ensuring access to pure water and sanitation.
- Control over infectious diseases: Monitoring infectious diseases by vaccination and other preventive measures.
- Ensuring access to medical care: Ensuring access to medical care for the victims.
- Psychological support: The provision of psychological support to the victims.
- Information of the population: Information of the population about precautions and methods of protection against diseases.
- Coordination of actions of various services: Coordination of the actions of various services involved in the elimination of the consequences of an emergency.
- Stocks of necessary medicines and equipment: Creation of stocks of necessary medicines and equipment.
XV. Ethical aspects of prevention:
Prevention of diseases raises a number of ethical issues related to:
- Autonomy of the patient: The patient’s right to independent decision -making about his health.
- Confidentiality: Protection of personal medical information of the patient.
- Justice: Ensuring equal access to preventive measures for all members of the company.
- Social responsibility: The responsibility of the state and society to take care of public health.
- Effectiveness: Ensuring the effectiveness and safety of preventive measures.
- Consent to participate in screening programs: Obtaining informed consent to participate in screening programs.
- Forced vaccination: The ethics of forced vaccination in cases where it is necessary to protect the public.
XVI. International experience in the field of prevention:
Different countries have different experience in the field of disease prevention. The study of international experience allows you to identify the most effective strategies and approaches to prevention.
- Finland: Finland has achieved significant success in reducing mortality from cardiovascular diseases due to the implementation of the national prevention program aimed at changing the lifestyle of the population.
- Canada: Canada is a leader in cancer prevention due to the implementation of national screening and vaccination programs.
- Cuba: Cuba has a developed system for the prevention of diseases based on the primary healthcare link and the active participation of the population.
- Japan: Japan has a high life expectancy thanks to a healthy lifestyle and a developed healthcare system.
- Singapore: Singapore invests significant funds in the prevention of diseases and promoting a healthy lifestyle.
- UK: Great Britain implements national prevention programs aimed at reducing incidence and mortality from the underlying diseases.
- Australia: Australia has a developed system of cancer screening and prevention of other diseases.
XVII. Assessment of the effectiveness of preventive programs:
Assessment of the effectiveness of preventive programs is necessary to determine their effectiveness and make the necessary changes. Assessment of the effectiveness of preventive programs includes:
- Determining the goals and objectives of the program: Determining the goals and objectives of the program.
- Data collection: Collection of data on incidence, mortality, risk factors and other health indicators.
- Data analysis: Data analysis to determine the impact of the program on health indicators.
- Evaluation of economic efficiency: Assessment of the economic efficiency of the program.
- Publication of results: Publishing the results of efficiency assessment.
- Making changes to the program: Making changes to the program based on the results of effectiveness assessment.
XVIII. Prevention and genetics:
Genetics plays an important role in predisposition to various diseases. The use of genetic technologies in prevention allows:
- Assess the individual risk of developing diseases: Assess the individual risk of developing diseases based on genetic analysis.
- Develop individual prevention plans: Develop individual preventive plans taking into account the genetic characteristics of a person.
- Conduct genetic screening: Conduct genetic screening to detect carriers of genetic diseases.
- Prevent the transmission of genetic diseases to offspring: Prevent the transmission of genetic diseases to offspring through genetic counseling and other methods.
- Develop new drugs and methods of treatment: To develop new drugs and methods of treatment based on genetic data.
XIX. Prevention and environment:
The environment has a significant impact on the health of the population. The prevention of diseases associated with the environment includes:
- Reducing air pollution: Reducing air pollution.
- Ensuring access to pure water: Ensuring access to clean water.
- Improving sanitation: Improving sanitation.
- The fight against soil pollution: Struggle