More than being free from disease; it is having a positive outlook on life and feeling good physically
Requires proper shelter, nutrition, exercise, sleep and rest
Good hygiene and access to medical and social care are also important
Disease
A disorder or malfunction of the mind or body, which destroys good health
Diseases
May have a single cause or be multifactorial
Have characteristic symptoms, which may be physical, mental or both
Acute diseases have a sudden onset with rapid changes, but only last for a short time
Chronic diseases have effects that may continue for months or years
Categories of disease
Physical disease
Infectious disease
Non-infectious disease
Deficiency disease
Inherited disease
Degenerative disease
Mental disorder
Social disease
Self-inflicted disease
Physical disease
Involve temporary or permanent damage to the body
Infectious disease
Caused by pathogens such as viruses, bacteria, fungi, protoctists, worms and insects, which can be transmitted from person to person
Carriers
People who can transmit the pathogen but do not have the disease symptoms
Non-infectious disease
Not caused by pathogens and cannot be passed on by physical contact
Deficiency disease
Nutritional diseases caused by an inadequate or unbalanced diet
Inherited disease
Caused by genes and can therefore be passed from parent to child
The most common inherited disease in Britain is cystic fibrosis, which is characterised by a build-up of sticky mucus
Cystic fibrosis
Caused by a recessive faulty allele, so parents may be carriers without having any symptoms
Genetic diseases may be treated but not cured because we cannot replace the faulty gene
In the future, drugs that act against the faulty gene causing a disease may be developed, which will have fewer side effects and be more effective
The replacement of faulty genes or gene therapy may become commonplace
Degenerative disease
Characterised by a gradual loss of function, in one or several organs or tissues
Main categories of degenerative diseases
Diseases of skeletal, muscular and nervous tissues
Cardiovascular diseases of the circulatory system
Cancers
Mental disorder
Affects a person's mind, but may be accompanied by physical symptoms
Some mental diseases are caused by degeneration of brain tissue, while others seem to be accompanied by changes in the blood flow to the brain
Social disease
A very wide category that can include almost all infectious diseases and multifactorial diseases, which are influenced by people's living conditions and their personal behaviour
Self-inflicted disease
Caused by damage to a person's health by their own decisions and behaviour
Endemic disease
An infectious disease that is always present in a population
Epidemic
When a disease suddenly spreads rapidly and affects many people
Pandemic
When a disease spreads over a continent or even the world
Epidemiology
The study of patterns of diseases and the factors affecting its spread
Collecting information on the distribution of disease helps to identify the underlying causes and if it turns out to be infectious, may point to how it is transmitted
Data on morbidity (numbers ill) and mortality (numbers who have died) for a disease when expressed in certain ways enables comparisons across cities or countries to be made
In developing countries, the main cause of death is infectious diseases, while in developed countries, very few deaths are caused by pathogens
The incidence of infectious disease is low in developed countries due to vaccination, good standards of hygiene and nutrition, and the availability of antibiotics
In the richer countries, degenerative diseases are the biggest killers, mainly due to lifestyles that put people at risk of heart disease and cancers
Tobacco companies do not declare the ingredients in cigarettes, but upon analysis, they contain over 4000 different chemicals, many of which are toxic
Main ingredients in cigarettes that damage health
Tar
Carbon monoxide
Nicotine
Tar
A mixture of aromatic substances, which settles on the airway linings and stimulates changes that may lead to obstructive lung disease and lung cancer
Carbon monoxide
This gas diffuses across the alveoli into the blood and onto the red blood cells, combining with haemoglobin to form carboxyhaemoglobin, which stops the haemoglobin from becoming fully saturated and so it carries 5-10% less oxygen
Nicotine
This drug is absorbed readily into the blood and stimulates the nervous system to reduce the diameter of arterioles and the adrenal glands to release adrenaline, which increases heart rate and blood pressure and decreases the blood supply to the extremities
Nicotine also causes platelets to become stickier, which can lead to an increased risk of blood clots forming
Diseases caused by smoking
Chronic bronchitis
Emphysema
Chronic obstructive pulmonary disease
Lung cancer
Chronic bronchitis
Tar stimulates goblet cells and mucus glands to enlarge, producing more mucus, which builds up and blocks the smallest bronchioles
Emphysema
Due to constant infection, phagocytes release elastase which breaks down the elastin in the alveoli walls, causing them to recoil and many to burst, reducing the surface area for gas exchange