How Communicable Diseases Can be Broken at a Link Within the Communicable Disease Chain

For example, “Hospitals have seen an influx of patients suffering from preventable diseases, the aid group said”. These preventable diseases can include diarrhea, typhoid, hepatitis A, and most commonly malaria. Two out of every five children survive into their adulthood; because of unsanitary conditions, these diseases which are not prominent in well developed countries, have pronounced themselves as some of the most dangerous diseases in the country. This decrease of sanitation can be partially blamed on the ongoing war in the Congo. The rebel groups use children soldiers to fight their opponents. Furthermore, hospitals reported that, “Since government troops and rebels began clashing in the volatile eastern part of the Democratic Republic of Congo, ‘the numbers arriving at the hospital have gone through the roof,’ said Dr. Louis Kamate of the Virunga Referral Hospital in Goma”. Conflicts and poverty have been proven to be the main factors of child death in the Congo. In order for the society to be successful, they must put an end to this terrible aspect of the country.

Because of the uncertainties and evolving nature of infectious diseases, outbreaks can cause substantial fear in communities and in the general public. Such is the case with the severe acute respiratory syndrome (SARS) epidemic in 2003. It was the first serious infectious disease of the twenty first century and questions about its origin and treatment greatly outnumbered the answers.

Infectious epidemics and pandemics have happened all through mankind's history. “They remain the prime cause of death worldwide and will not be conquered during our lifetimes.” The flu of 1918 was one of the deadliest epidemics in history. “It infected an estimated 500 million people worldwide–about one-third of the planet’s population at the time–and killed an estimated 20 million to 50 million victims. More than 25 percent of the U.S. population became sick, and some 675,000 Americans died during the pandemic.” No one knew how the virus spread, there were no antibiotics to fight it, and no flu shots to prevent it. In the final year of World War I, it struck terror in the hearts of people all across Europe and left more death in its wake than the combined military actions of the combatants. “It killed more Americans in a few months than World War I, World War II, the Korean War, and the

John M. Barry has written award winning books including the Influenza pandemic of 1918, and the great Mississippi flood. Being invited by 2 presidential administrations, Bush and Obama, to advise on preparedness for pandemics and pandemic response. Having also advised on state, federal, UN and world health organizations on influenza, water disasters, risk communication and crisis management Barry is more than qualified to talk about such a topic considering his past of assisting the world with disaster prevention and response.

Disease, including smallpox, cholera, and venereal diseases, remained one of largest reasons for sickness and death among soldiers and other patients. For soldiers, diseases killed more numbers than wounds received in combat. Such aliments happened due to infected or improperly treated wounds, poor bathing facilities, prostitutes, air borne sicknesses, and several others.

In a response to the polio outbreak of 1916, Dr. Haven Emerson, the Health Commissioner for New York City, stated: “we have learned little that is new about the disease, but much that is old about ourselves.” The meaning of this has to do with the ideology that no matter the era, people have a common response to the outbreak of contagious disease. Human nature supplies us as humans with a common reaction to dealing with disease, and it is one that can be seen during the Black Death, polio epidemics, and ebola epidemics, as well as many other epidemics. These responses can be both positive and negative, and often have to do with containment of the disease, preventative measures - which may or may not be effective; and scapegoating. Although there may be individualized responses for each of these diseases, the way in which the health-care officers and the public handle the outbreak of disease generally follows the same pattern overall.

The emergency events caused by infectious disease, natural or anthropogenic causes with the potential to overwhelm or otherwise disrupt routine local capacities due to their timing, scale or unpredictability should be communicated properly and routinely which requires rapid knowledge transfer and uptake (Khan et al., 2017, p. 2).

Nurses play an important role in promoting health within the patient, family, and community (Kemppainen, Tassavainen, & Turunen, 2012). The focus of patient care has been transferred from treating the illness to disease prevention (Mchugh, Robinson, & Chesters, 2010). The implementation of consultation, education, and follow up exams can increase the overall quality of life for an individual (Kemppainen et al., 2012). I will discuss the various roles of a nurse in health promotion along with the multiple work environments in which they can be implemented within. I will also reveal the maintenance plan of my own personal health regimen.

Often in practice, we as nurses deal with a variety of diseases and treatments and often have to react to the illness that the patient presents with upon our interaction. While this is an essential piece of our practice, we also have a duty to our patients to be proactive in preventing specific health-related consequences based on their risk factors and to promote their health and well being. Health promotion as it relates to nursing is about us empowering our patients to increase their control over their lives and well beings and includes: focusing on their health not just illness, empowering our patients, recognizing that health involves many dimensions and is also effected by factors outside of their control (Whitehead et al. 2008)..

Public health is essentially what the society does to assure its people of health and safety (Institute of Public Health, 1988). War is a significant anathema to public health and directly accounts for almost millions of deaths occurring annually throughout the world. Apart from bruising and injuring the public health, it destroys the societal infrastructure as well food and water supplies, adequate housing, access to good and adequate public health services and healthcare. It is therefore evident that it accounts for more deaths when it is compared to other hazards and catastrophes.

It would not be unwarranted to claim that the organization that served a crucial role in dealing with international emergencies in the past has been crippled by the recent changes in budgetary allocation. According to a New York Times report, the largest budget cuts were made in the department that deals with the threat of epidemics. It is appalling that a phenomenon that has the ability to proliferate into a global calamity should be given such little attention and a small proportion of

“Epidemiology is the study of the distribution and determinants of health-related states or events (including disease), and the application of this study to the control of diseases and other health problems (WHO, 2015)”. “Various methods can be used to carry out epidemiological investigations: surveillance and descriptive studies can be used to study distribution; analytical studies are used to study determinants (WHO, 2015)”.This paper discusses about epidemiology of HIV infection, including factors that contribute the development of the disease, epidemiologic triangle, role of community health nurse and the national organization that address the communicable disease.

Infections disease prevention and control and communicable and infectious disease risks are important topics that every student nurse should be exposed to during the nursing program. The impact and threats that these infectious diseases cause an effect on society and global level should be studied. Also, the economic principles to nursing and health care that public health contributes to.

Disasters contribute to increased population displacements and densities in camps. [2], creating new conditions for the spread of infectious diseases [3, 4, 5]. The highest incidence rate of 25.5% was described for Vietnamese children in Hong Kong camps where housing was cramped, consisting of large huts that housed approximately 250 refugees on three tier bunk beds [6]. The affected age group from 1 month to 39 years was described in the study and those aged from 5-15 years were the most affected in five of the eight investigations.

Over the past few decades, the significance, magnitude and consequence of risk management and communication have been brought before the world over and over again in a number of situations related to health, terrorist activities, natural disasters etc. When one turns the pages of history, it is rather obvious that lack of planning and absence of resources due to unpreparedness makes it difficult for the concerned authorities to manage an emergency or epidemic a problematic and traumatic task. The chaotic situations can turn out to be more nerve-racking and tense when preparations are not made before hand (U.S. Department of Health and Human Services 2002).