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The Good…. The Bad…. & The Ugly. Disease concepts How many diseases are there? Health, Function, Disability, Impairment, oh my! Is it a disease or a syndrome? Types of diseases Categories of Disease Infectious (Acute) Chronic Caused by pathogen Multiple causes Communicable Non communicable Usually acute Persists for a Promoted by living prolonged period Treatable but may not be curable Promoted by living conditions/lifestyle conditions/lifestyle Disease Prevalence Approx. 2.5 million Americans die each year. What are they dying from? Top 15 causes of death in U.S. Heart Disease Cancer (malignant neoplasms) Chronic lower respiratory diseases Accidents (unintentional injuries) Stroke (cerebrovascular accident) National Vital Statistics Report, 2013 Alzheimer’s Diabetes Influenza and pneumonia Nephritis Suicide Any trends? The good news… Some bad news… Top 3 causes of death = more than 50% of all deaths. Worldwide causes of death Heart disease Stroke COPD Lower respiratory infections Trachea, bronchus, lung cancers HIV/AIDS Diarrheal diseases Diabetes Road traffic accidents World Health Organization, 2015 Oregon’s top 3 causes of death Cancer Heart disease Chronic lower respiratory diseases Stroke Causes 5-10 vary by male / female Disease process What causes disease? Who gets diseases? How are diseases diagnosed and treated? How does all of this affect us? Why should you care? Background terminology Diagnosis / Prognosis Signs / Symptoms Mortality / Morbidity Etiology Idiopathic / Iatrogenic Treatment Sequela Disease and Public Health Public health approach is prevention. Possible?