COMMUNITY MEDICINE Comprehensive delivery of health care services by the health care workers to the community in order to improve the health of the community. HEALTH Health is a state of complete physical, mental and social well being and not merely an absence of a disease and infirmity. DISEASE A condition in which body health is impaired. It is not static entity but a process which begins before man is actually affected by a living and non-living agent in the environment in which he lives. ILLNESS It is a phenomena in which one or more natural functions of the body are so disturbed that the effected individual cannot meet the natural requirements of every day. INFECTION The process of introduction of micro- organisms into human host, followed by their multiplication within the body at the expenses of the host. INFESTATION It is the state of having a parasite in or on the body which includes arthropods or animal parasites. INFECTIOUS DISEASE It is the state of disorders that results from an infection if the secondary determinants favour the occurrence of disease e.g. cholera, diphtheria, tuberculosis, measles chickenpox . COMMUNICABLE DISEASE A communicable disease in a person is a state of disorder that results from the entrance of organism, parasite that are pathogenic and can be communicated to other individuals in the community. SUSCEPTIBLE PERSON A person in whom the defensive powers are lacking is called susceptible person. If the number of susceptible individuals is very large in a community, the organisms of a particular disease are likely to spread rapidly in that community and the disease is termed endemic disease. SPORADIC If the number of the immune persons is greater than the susceptible, the disease is said to be sporadic. EPIDEMIOLOGY It is the study of disease and disease attributes in a defined population. It is concerned with distribution and etiology of the disease. INCIDENCE The rate of occurrence of new cases in a defined population in a period of time. PREVALENCE The prevalence of a health related state in a statistical population is defined as the total number of cases of risk factor in the population at a given time, or the total number of cases in the population, divided by the number of individuals in the population. It is used as an estimate of how common a disease is within a population over a certain period of time. EPIDEMIC Any disease (infection or chronic) occurring at a greater frequency than usually expected in a defined community over a given period of time. ENDEMIC Constant presence of a disease or an infectious agent within a given population group without importation from outside. PANDEMIC It is an epidemic of infectious disease the is spreading through human populations across a large region; for instance multiple continents or even worldwide. INCUBATION PERIOD It is the time period which elapses between the entry of infectious agent into the body of the host and the appearance of the first symptom of the disease. INFECTIVE PERIOD It denotes the time interval during which an infectious agent can be transferred from a reservoir (patient) to the susceptible host. INSECT VECTOR It is one which is capable of transmitting the disease under natural conditions. Species of anopheles mosquitoes are vectors for malaria. CARRIER A carrier is a person who harbors the micro organism of a disease and excrete them without himself suffering from symptoms.