RESPONSIBILITY FOR HEALTH

AND CONCEPT OF DISEASE

CONTROL, ELIMINATION AND
ERADICATION
INTRODUCTION(responsibility for
health)
■ ONE HAND- Highly personal responsibility.

■ Another- Public health concern

■ Joint effort
Individual responsibility

■ Although fundamental right, individual responsibility

■ Cannot be bestowed

■ Earned and maintained by individual- accept- responsibilities as self care.

Self care in health
■ Health generating activities- by person.

■ Activities- individuals- promote health- prevent disease- limit illness- restore

health.

■ Activities- no professional assistance- with technical knowledge and skills.

■ Self care activities- observe- diet, sleep, exercise, weight, alcohol, smoking, drugs
etc…

■ Acute- chronic shift,

■ Family planning.
Community responsibility

■ United community effort

■ Shift from healthcare for the people to healthcare by the people

■ Three ways in which community can participate–

■ Obstacles in community participation.

■ Henry sigerist– importance in community participation.

State responsibility

■ Apart from individual, community, state also has responsibility for health.

■ State responsible for health by following and enforcing constitutional

guidelines/laws….5

■ International and national– 1978, 2000, 1983, 2002.

International responsibility

■ International cooperation, its functions and challenges.

■ Examples… Countering small pox, smoking, AIDS..

■ TCDC, ASEAN, SAARC.

■ WHO- main in international cooperation.

CONCEPTS OF CONTROL
■ Disease control

■ Disease elimination

■ Disease eradication.
Disease control

■ Disease control- REDUCE ---Incidence, Duration of disease

---Risk of transmission

---Effects of infection

---Financial burden

 Control activity may combine primary and secondary prevention.

 Disease is controlled to not be a public health problem but not eradicated.

Disease elimination

■ Between control and eradication there is elimination.

■ Called regional elimination– interruption of transmission of disease.

Disease eradication
■ Eradication- tear out by roots- extermination of infectious agent.(globally)

■ On a global scale….only small pox has been eradicated.

■ Polio, measles, dracunculiasis on process…polio much closer.

■ Experience from eradication programmes—once morbidity of a disease reaches

a very low level residual infection remains.

■ Equilibrium between agent, host and environment…this situation leads to

further complications---difficult to counter..
THANK YOU