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LEVELS OF PREVENTION
&MODES OF
INTERVENTIONDevimeera PM
Roll no.37
INTRO
LEVELS
STRATEG
Y
INTERVENTIO
N
REHABILITATI
ON
SUMMARY
INTRO
LEVELS
STRATEG
Y
INTERVENTIO
N
REHABILITATI
ON
SUMMARY
Action aimed at
eradicating,eliminating or
minimizing the impact of
disease and disability
OBJECTIVE : oppose cause &
thereby disease process
The management of those
factors that could lead to disease
so as to prevent the occurance of
the disease
DYNAMICS OF
TRANSMISSIO
N
KNOWLEDGE
OF
CAUSATION
EARLY
DETECTION
AND
TREATMENT
SUCCESSFU
L
PREVENTIO
N
IDENTIFICATIO
N OF RISK
FACTORS AND
GROUPS
CONTINUOUS
EVALUATION
ORGANIZATION
INTRO
LEVELS
STRATEG
Y
INTERVENTIO
N
REHABILITATIO
N
SUMMARY
Secondar
y
Primar
y
Primordi
al
Prevention
of
emergence
of risk
factors.
Not yet
appeared in
the popln
Action
taken
prior to
onset of
disease
Action
halting the
progress of
disease.
Prevents
complicatio
ns
Tertiary
Limit
impaireme
nts and
disabilities
PRIMORDIAL
PREVENTION
• Prevention of development
of risk factors in a
population which they have
not yet appeared
• Special attention :
prevention of chronic
diseases
• Discourage people from
adopting harmful lifestyles
• Begins at childhood
ANIMAL-
HUMAN
INTERACTIO
N
NIPAH CONTAGIO
N
MOVIE VETERINARY
PUBLIC
HEALTH PG
0
PRIMARY
PREVENTION
• Action taken prior to the
onset of disease
• Removing possibility
that a disease will occur
• Concept of positive
health
SECONDARY
PREVENTION
• Complete cure and
prevent the progression
of disease
• Prevent spread
• Prevent complication and
sequel
• Shorten period of
disability
TERTIARY
PREVENTION
• Limit impairements
and disability
• Promote patients’
adjustment to
irremediable
conditions
Levels of prevention and modes of intervention
STRATEG
MASS
STRATEGY
HIGH RISK
STRATEGY
 Whole
population
 Eg : small
rdn in avg
BP
 Preventive
care to
individuals at
risk
 Detection
PRIMARY
PREVENTION
INTERVENTION
Intervene or interrupt the
usual sequence in the
development of disease.
5 modes
HEALTH
PROMOTIO
N
SPECIFIC
PROTECTIO
N
EARLY
DIAGNOSIS
&
TREATMENT
DISABILITY
LIMITATION
REHABILITATIO
N
HEALTH
PROMOTION
∆ HEALTH EDUCATION
∆ ENVIRONMENTAL
MODIFICATION
∆ NUTRITIONAL INTERVENTION
∆ LIFESTYLE AND
BEHAVIOURAL CHANGES
SPECIFIC
PROTECTION
∆ IMMUNIZATION
∆ NUTRITIONAL INTERVENTION
∆ PROTECTION FROM
OCCUPATIONAL
HAZARDS,ACCIDENTS,CARCINOG
ENS
∆ CHEMOPROPHYLAXIS
∆ CONTROL OF CONSUMER
PRODUCT QUALITY & SAFETY
EARLY DIAGNOSIS &
TREATMENT
Reducing the high
morbidity and mortality
--- essential
hypertension, cancer
cervix and breast cancer.
tuberculosis, leprosy and
STD
DISABILITY
LIMITATION
• When patient reports late in
pathogenesis phase.
• Halt the transition of the
disease process from
impairment to handicap.
• Disease impairment
disability handicap
DISABILITY
PREVENTION
(a) reducing the occurrence of
impairment, viz. immunization
against polio (primary prevention)
(b) disability limitation by
appropriate treatment (secondary
prevention)
(c) preventing the transition of
disability into handicap (tertiary
prevention)
REHABILITATI
@medical, social, educational and
vocational measures
 training and retraining the individual
to the highest possible level of
functional ability.
@Physiatry
@neuromuscular medicine, pain
medicine, paediatric rehabilitation
medicine, spinal cord injury medicine,
sports medicine and brain medicine.
TERTIARY
PREVENTIO
N
Enable
r
timely
ecovery
Re-
stabilize
Re-
train
Re-
motivate
Re-
socialize
Re-
integrate
Principles of
Rehabilitation
REHABILITATI
Areas of concern in rehabilitation are:
(a) Medical rehabilitation - restoration
of function.
(b) Vocational rehabilitation -
restoration of the capacity to earn a
livelihood.
(c) Social rehabilitation - restoration of
family and social relationships.
(d) Psychological rehabilitation -
restoration of personal dignity and
confidence.
SUMMARY
What is prevention?
Levels i.e
• Primordial
• Primary
• Secondary
• Tertiary
Strategy
• Mass
• High risk
Interventions
Rehabilitation
Short Key To Remember
T
H
A
N
K
U
PREVENTION IS BETTER THAN
CURE !!!

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Levels of prevention and modes of intervention