Natural History of Disease
Natural History of Disease
Natural History of Disease
DEFINITION
The progress of a disease process in an individual over time, in the absence of intervention. The process begins with exposure to or accumulation of factors capable of causing disease. Without medical intervention, the process ends with recovery, disability, or death.
CHARACTERISTICS
Most of diseases have its own (usually different) natural history. Its not always understandable for many disease (remain unclear). For the same disease but different individual, the specific manifestation and progress (time frame) of disease can be various. Influenced by preventive and therapeutic measures, host factors, and other factors.
STAGE OF DISEASE
STAGE 1 : SUSCEPTIBILITY
Appropriate exposure to or accumulation of factors sufficient to begin the disease process in a susceptible host. Agents which assist the development of disease exist, but disease has not developed Infectious disease : microorganism Non-infectious (degenerative) disease : risk factors.
Contd
Vary from seconds to decades for different diseases, usually in a range of period for single disease. Some pathologic change may be detectable by laboratory, radiographic, or others screening method.
Contd
Infectivity: refers to the proportion of exposed persons who become infected Pathogenicity: refers to the proportion of infected persons who develop clinical disease. Virulence: refers to the proportion of persons with clinical disease who become severely ill or die. Iceberg phenomenon & carrier.
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