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Summary Disease Dilemmas - What are the global patterns of disease and can factors be identified that determine these?

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Explains how diseases can be classified and their patterns mapped, and how the spread of disease is complex and influenced by a number of factors. Also explains how there is a relationship between physical factors and the prevalence of disease which can change over time (using the example of malaria), and how natural hazards can influence the outbreak and spread of disease (using the example of cholera in Haiti)

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September 24, 2020
Number of pages
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Written in
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Disease Dilemmas SG1
What are the Global Patterns of Disease and can Factors be Identified that Determine
These?
KEY IDEA 1.a.: Diseases can be Classified and their Patterns Mapped. The Spread of Diseases is
Complex and Influenced by a Number of Factors
Classification of Diseases

Diseases can be classified as…

 Infectious – a disease caused by a pathogen such as a bacteria, virus, parasite or fungus (e.g.
pneumonia)
 Contagious – spread from person to person (e.g. HIV)
 Communicable – spreadable host to host (host may be an insect, animal or person), may or may not
be contagious (e.g. malaria)
 Non-Communicable – any disease which can’t be spread between people because it is non-infectious
and non-contagious, it is caused by lifestyle (e.g. diabetes)
 Zoonotic – infectious diseases transmitted from animals to people (e.g. rabies)

ALL CONTAGIOUS DISEASES ARE INFECTIOUS BUT NOT ALL INFECTIOUS DISEASES ARE CONTAGIOUS E.G.
TETANUS

Diseases can also be classified as…

 Endemic – disease which is permanently found within a particular geographical area (e.g. malaria)
 Epidemic – large number of people with the same disease within a defined geographical location (e.g.
Ebola)
 Pandemic – worldwide spread of an epidemic (e.g. HIV or Black Death)

Patterns of Diseases

1. Malaria

Classification – infectious, communicable, non-contagious

Cause – the Plasmodium Falciparum parasite is spread by the female Anopheles mosquito. If a mosquito bites
a person, the parasite enters the bloodstream and travels to the liver.

If a mosquito bites a person already infected with malaria, it can also become infected and spread the parasite
on to other people. However, malaria can't be spread directly from person to person.

Distribution:

 Nearly 50% of the worlds population is at risk of malaria – 95 countries
 Occurs mainly along the equator and in the southern hemisphere
 Mostly in South America, Central Africa and Asia

Why is it Distributed Like This?

Local Factors Global Factors
 High population density, low sanitation  Climates of 16 – 32oC
standards, poor healthcare  Mosquitoes thrive in warm, humid
 Low altitude means higher temp = more environments where there is stagnant
mosquitoes water
 At altitudes over 1500m and where rainfall
is below 1000mm malaria transmission
decreases
2. HIV/AIDS

, Classification – infectious, communicable, contagious

Cause – Spreads from person to person through bodily fluids, unprotected sex, sharing contaminated needles
and unsafe blood transfusions

Distribution:

 Significantly varies across the globe
 High proportion in sub-Saharan Africa

Why is it Distributed Like This?

LIDCs have a lack of knowledge, funding and resources to protect against it


3. Diabetes

Classification – non-infectious, non-communicable, non-contagious

Cause – Lifestyle or genetics

 Type 1 – Can’t produce insulin
 Type 2 – Smoking, lack of activity, diet

Distribution:

 High concentration in developed countries e.g. North America
 High in China, Russia, Brazil

Why is it Distributed Like This?

Developed countries have more choice over lifestyle and it is rising in lower to middle income countries as they
have a lack of funding or awareness



4. Tuberculosis

Classification – infectious, communicable, contagious

Cause – A bacterial infection spread by the transmission of mycobacterium tuberculosis from person to person
through the air, due to sneezing and coughing

Distribution:

 High distribution in poorer areas – 95% of deaths in low-middle income countries
 New cases in sub-Saharan Africa, especially near the equator
 High in Southern Africa

Why is it Distributed Like This?

 Poor living conditions in poorer communities – high population density, poor ventilation,
overcrowding
 Limited access to health services especially in areas affected by civil unrest or war
 Higher where immune system is already compromised e.g. due to HIV, malnutrition or diabetes




5. Cardiovascular Disease (CVD)
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