Professional Documents
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CLASSIFICATION OF HEALTH
STATES
Nigel Paneth
HUMAN HEALTH STATES
1. DEATH
REALM OF 2. DISEASE
PUBLIC
3. DISABILITY
HEALTH
4. DESTITUTION
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• DISEASE
• ILLNESS
• SICKNESS
DISEASE
A cluster of signs, symptoms and laboratory
findings linked by a common patho-physiologic
sequence. Most epidemiology is about disease.
ILLNESS
The subjective state of the individual who feels
aware of not being well. The ill individual may or
may not be suffering from disease.
SICKNESS
The social role assumed by an individual
suffering from an illness.
OTHER TERMS FOR ILL-HEALTH
When the signs and symptoms have not yet
clearly been placed in a common
pathophysiologic sequence the disease is
referred to as a SYNDROME.
5. DEATH OR RECOVERY
Diseases are usually classified either by
clinical manifestations or by etiology
signs/symptom Stroke
MANIFESTATIONAL s linked by
Heart
common Attack
(or CLINICAL) pathology Cancer
Fetal Alcohol
ETIOLOGICAL Presumed Syndrome
cause Lead
Poisoning
Manifestation classifications are often
more useful for treatment and
management.
•symptom inventories
•abnormal laboratory tests
•health behaviors
•medical care
Major exceptions: where the test or
behavior is closely linked to the disease,
or a major risk factor for disease.