Option F- Food and Health

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average available calories per person

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29 Terms

1

average available calories per person

  • approximately just under 2000 calories per day → lower in some areas

  • easier to get data on what daily calories are available than on what people actually consume

  • obesity > 30 BMI

  • overweight > 25 BMI

  • difference between adequate nutrition and adequate calories

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2

Nutrition Transition Pattern 1

Hunter gatherer

  • active lifestyle

  • diet rich in fibrous plants, lean game protein

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3

Nutrition Transition Pattern 2

daily agriculture

  • famine common

  • slows individual growth, decreases body fat

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4

Nutrition Transition Pattern 3

end of famine

  • famine recedes as income rises and nutrition improves

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5

Nutrition Transition Pattern 4

overeating, obesity related diseases

  • income rises = access to abundance of high calorie foods

  • automation = less active

  • increase in obesity and related diseases eg heart diseases

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6

Nutrition Transition Pattern 5

behaviour change

  • response to increasing obesity

  • change in behaviour eg lower calorie foods, more exercise

    • community, individual

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7

One detailed example of a vector-borne disease

Malaria:

  • caused by phasmodium bacteria spread by anopheles mosquitos

  • found in tropic/subtropic regions

  • warm, humid climates = mosquito habitats

  • stagnant water bodies spread it, poor sanitation

  • impacts

    • causes anemia, organ failure- high mortality rate particularly in children

    • burdens healthcare system

  • mitigation:

    • protection from bites

    • vaccination

    • education

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One detailed example of a water-borne disease 

Cholera:

  • acute diarrhoeal infection

  • caused by water or food contaminated with vibrio cholerae bacteria)

  • affects areas with poor sanitation, inadequate drinking water, highly populated

  • impacts

    • rapid acting

    • severe dehydration, inflammation, diarrhoea

    • strains healthcare resources

  • mitigation:

    • improved hygiene, sanitation

    • good quality healthcare

    • education

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9

International diets: Mediterranean

  • seasonal diet eg “horta” time of herbs

  • olive oil, vineyards

  • community/cultural knowledge of wild resources

  • polyculture- different plants grow together to cycle soil

  • happy culture, food is central to community

  • balance and moderation- alcohol, roll own cigarettes

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10

International diets: Hadza, Tanzania

  • strictly only hunting and gathering

  • make fire to smoke out bees and gather honey and honeycomb - rich in nutrients, high energy

  • eat everything on the spot (except for the elderly and babies)

  • smoke a lot of marijuana → non processed drugs

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11

Epidemiological Transition Model

  1. famine → birth and death rate oscillating, population low

  2. receding pandemic → death rate drops, population begins to increase

  3. Human induced disease → birth rate drops, death rate plateaus, population rapidly increases

  4. era of tech, improved quality of life → death rate plateaued, birth rate declining, population plateaus

  5. unknown → birth rate lower than death rate, population falls

<ol><li><p>famine → birth and death rate oscillating, population low</p></li><li><p>receding pandemic → death rate drops, population begins to increase</p></li><li><p>Human induced disease → birth rate drops, death rate plateaus, population rapidly increases</p></li><li><p>era of tech, improved quality of life → death rate plateaued, birth rate declining, population plateaus</p></li><li><p>unknown → birth rate lower than death rate, population falls</p></li></ol>
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12

The disease continuum

disease of poverty ← → disease of affluence

poverty

  • sanitation, hygiene, water, inadequate nutrition, pests, lack of knowledge, no prevention

    • communicable

affluence

  • overconsumption, lifestyle, environment, longevity (diseases of age)

    • non-communicable

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13

Burden of disease

  • mortality- deaths

  • morbidity- those suffering from disease but alive

    • combined = burden of disease

  • measures all those not living in good health

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14

DALY Index

Disability Adjusted Life Years Index

  • one DALY = one lost year of healthy life (through disability or premature death)

  • high DALY = lots of years lost = high morbidity in the area

  • accounts for years expected to live in good health

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15

Diffusion (generally)

the spread of a phenomenon, such as an idea or technological innovation (innovative diffusion), or a disease (contagious diffusion), over space and time

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16

expansion diffusion

spread to new places while staying strong in original location

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17

relocation diffusion

move from one location to another via human means, unnaturally spreading idea or disease

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18

Pandemic

sickness that kills millions globally

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19

zoonotic virus

spread from animals to humans eg Swine Flu, SARS

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20

Disease Case Study: H1N1 Swine Flu

  • bird flu and human flu mutated in a pig in 1918

  • killed 30-100 million people, airborne

  • aka the Spanish Flu

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21

Disease Case Study: SARS

  • Severe Acute Respiratory Syndrome

  • started in a wet market

  • spread by contagious people flying to the aero hub of Hong Kong

  • Spread by air through Hong Kong apartments

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22

HALE Index

Healthy Life Expectancy at Birth

  • average number of years a person can expect to live in full health

  • pattern: just over 60 years in health, 10 in disability

  • trends: Healthy life expectancy increasing, years in disability staying the same

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23

Infant Mortality

  • deaths per 1000 live births

  • pattern: below 30/1000 globally

  • declining steadily since 1990

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maternal mortality

  • number of maternal deaths/number of live births x 100,000

  • pattern: currently at 223/100,000

  • trends: declined 34% between 2000-2020, yet rising in some areas

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25

Access to sanitation

  • facilities for clean water, safe disposal of waste

  • pattern: 3.5 billion people lack sanitation

  • trends: since 2000, 2.5 billion people gained access to sanitation

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26

Ratio of doctors/people

  • physicians per 1000 people

  • pattern: 2020 average 3.65 doctors per 1000 across 27 countries

  • trends: most OECD countries- number of doctors is increasing more rapidly than population

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27

GFSI Index

Global Food Security Index

  • measures affordability, availability, quality/safety, sustainability/adaptation

  • pattern: ranked- HICs score higher, climate (change) has impact on food security

  • trends: food security rose between 2012 and 2015, but has been dropping since 2015

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28

GHI Index

Global Hunger Index

  • weighting: 1/3 undernourishment, 1/6 child stunting, 1/6 child wasting, 1/3 child mortality

  • pattern: 43 countries in “alarming”/”serious” categories, 58 will fail to reach “low” by 2030

  • trends: 18 countries with “moderate”/”serious”, “alarming” have improved between 2015 and 2023

    • slowed by external crises

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29

malnutrition

  • weight and muscle deterioration, inadequate nutrition

  • 375 million suffering worldwide

  • decreasing over time slowly

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