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بسم الله الرحمن الرحیم. بزرگترین نعمت، سلامتی است. حضرت علی (ع):. The best & the most important way for establishment and promotion of health is: بهترین و مهمترین راه حفظ سلامتی PREVENTION پیشگیری است. انسان سالم. خطرات. سطح اول پیشگیری. شروع بیماری. سطح دوم پیشگیری. بیماری پایدار.
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بزرگترین نعمت، سلامتیاست. حضرت علی (ع):
The best & the most important way for establishment and promotion of health is:بهترین و مهمترین راه حفظ سلامتی PREVENTIONپیشگیری است
انسان سالم خطرات سطح اول پیشگیری شروع بیماری سطح دوم پیشگیری بیماری پایدار سطح سوم پیشگیری ناتوانی یا فوت درمان کنترل عوارض
سطوح پیشگیری 1-سطح پیشگیری اول: آموزش،بهداشت،واکسیناسیون،مشاوره، ایمنی ، ورزش ،بهبود تغذیه 2-سطح پیشگیری دوم: غربالگری بیماریهای شغلی، مزمن غیر واگیر، سرطانها 3-سطح پیشگیری سوم: تشخیص،درمان، کنترل عوارض و توانبخشی بیماریها
ESSENTIAL CRITERIA FOR SCREENING • Criteria for disease • Criteria for screening method • Criteria for screening program
CRITERIA FOR DISEASES • Well-documented natural history • Long pre-clinical stage • Availability of efficacious treatment • Sufficiently burdensome to the population • Common enough • Substantiality of its morbidity & mortality • Existence of effective therapy that is more beneficial in presymptomatic stage than symptomatic stage
CRITERIA FOR SCREENING METHOD • Acceptable techniqual performance • Detecting disease at an earlier & reversible and completely curable stage • Acceptable to population • Suitable for routine application • Low false-negative & false-positive results
CRITERIA FOR SCREENING PROGRAM • Based on accurate scientific evidence Supported by effective data system • Should identify individuals at highest risk • The people should be targeted
PREVENTIVE HEALTH CARE ORGANIZATIONS IN WORLD • National Institute of Health ( NIH ) • American College of Preventive Medicine • American Cancer Society (ACS ) • U.S. Preventive Service Task Force (USPSTF) • Canadian Task Force on Preventive Health Care (CTFPHC ) • National Cholesterol Education Program (NCEP) • American Diabetic Association (ADA) • World Health Organization (WHO)
Occupational Cancer International Agency for Research on Cancer (IARC) U.S. public health service National Toxicology Program (NTP) American Conference of Governmental Industrial Hygienists (ACGIH) National Institute for Occupational Safety and Health (NIOSH) Occupational Safty and Health Administration (OSHA)
THE IARC LISTING OF CARCINOGENS Group 1 : Carcinogenic Agent Group 2A : Probably Carcinogenic Group 2B : Possibly Carcinogenic Group 3 : Is not classifiable Group 4 : Is probably not carcinogen
Colorectal Cancer screening • Stool.based • Guaiac Fecal occult blood test • Fecal Immunochemical test • Stool DNA test • VisualExams • Colonoscopy • CT Colonography • Baium enema
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