LEVELS OF PREVENTION IN ENGLISH
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LEVELS
OF PREVENTION-
Ø Prevention includes a wide range of
activities aimed at reducing risks or
threats to health. There are four
levels of prevention these are-
Ø Primordial prevention,
Ø Primary prevention,
Ø Secondary prevention and
Ø Tertiary prevention
Ø Primordial prevention-Primordial prevention is a new concept of
prevention. Mainly it is used for chronic con-communicable diseases. Primordial
prevention is defined as prevention of development of risk factors. For example
obesity and smoking is risk factor for development of heart diseases.
Ø Interventions to prevent the development of
these risk factors are known as primordial prevention. It includes health
education to children to discourage adopting harmful lifestyles which may lead
to obesity and smoking. It may be achieved by individual or mass health
education.
Ø Primary prevention-Primary prevention aims at prevention
of disease or injury before it ever occurs. This is achieved by preventing
exposures to hazards that cause disease or injury, altering unhealthy or unsafe
behaviors that can lead to disease or injury, and increasing resistance to
disease or injury .
Ø Primary prevention may be achieved by
measures designed to promote general health and well-being, and quality of life
of people or by specific protective measures. Examples include - education
about healthy and safe habits such as social distancing, hand hygiene,
respiratory hygiene to prevent respiratory tract infections.
Ø Another important intervention for primary
prevention in vaccination for a
particular disease as this will increase immunity of the host against a
particular disease. for example BCG for tuberculosis. it also includes health
education for preventive measures for the disease.
Ø The concept of primary prevention is now
being applied to the prevention of chronic diseases such as coronary heart
disease, hypertension and cancer, based on elimination or modification of
"risk-factors" of disease which includes high BP, obesity, smoking sedentary life etc.
Ø Primary prevention is very useful in
preventing diseases. The developed
countries succeeded in eliminating a number of communicable diseases like
cholera, typhoid and dysentery and controlling several others like plague,
leprosy and tuberculosis, not by medical interventions but mainly by raising
the standard of living (primary prevention).
Ø Secondary prevention- Secondary prevention can be defined as
the interventions which control the progress of disease and prevent
complications. The main intervention includes early diagnosis by screening and
testing as well as prompt treatment so that we can reduce the number of cases
or carrier as early as possible and reduce the chance of disease transmission.
Ø In secondary prevention we try to restore
the health by early treatment and it may also protect others in the community
from getting infection from the source. secondary prevention needs clinical
medication for hospitalization and proper care during treatment.
Ø Secondary prevention is important it in
controlling the transmission of disease but it is more expensive and less
effective than primary prevention. The
drawback of secondary prevention is that the patient has already been subject
to mental tension, physical pain, and the community to loss of productivity.
Ø Tertiary prevention-Tertiary prevention is defined as the
interventions to reduce or limit disabilities, minimize suffering caused by the
disease and to promote patient’s adjustment in the society. The main
interventions in tertiary prevention includes Health Promotion, disability
limitation and rehabilitation.
Ø Tertiary prevention is achieved by health
education environmental modification, nutritional intervention, lifestyle
changes, Disability limitation and rehabilitation which includes medical
rehabilitation, vocational rehabilitation, social rehabilitation and
psychological rehabilitation and creation of support groups and self-help
groups.
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