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Social Determinants of Health.

                   Social determinants of health
Social determinants of health are conditions in areas where individuals play, learn, live, and work. These factors affect the health situations of people. They influence the health status of individuals or community and include both social and economic conditions (World health Organization (WHO) (n.d)). They include stress, social, unemployment, early, childhood development, education, race, culture, etc. 
They contribute in various ways to illness development. For instance, food insecurity leads to malnutrition related disorders such as kwashiorkor which is caused by lack of protein component in the diet. According to world health organization, equitable distribution of health facilities and access is essential in determining the health status of people. Without proper medication, for example, proper nutritional guidelines and hygiene, there is chances of illness cases. Another factor, for example, education, can lead to disease development. This is because without education; there is no employment and thus financially constraints to the affected individuals. This leads to inadequate access to enough food leading to poor diet. Also, stress from workplaces and financial constraint can also lead to conditions such as depression and health attack (World health Organization (WHO) (n.d)).
Communicable disease chain is an infectious process that shows all the necessary elements before an infection can manifest itself. The chain of infection off contagious disease involves six main elements that include infectious agent, a reservoir for microorganism, an opening of exit for a microorganism, method of transmission, portal of entry into the host, and host organism to carry the pathogen (World health Organization (WHO) (n.d)).
Understanding the disease chain is significant in breaking the progression of a communicable disease. To break the progression of the disease for example cholera, nurses can take the following steps (World health Organization (WHO) (n.d)).
A)    Disinfection of infective agents
b)    Detection, quarantine and treatment of infected people and also the destruction of breeding grounds in the effort to destroy infection source.
C)    Food hygiene guidelines, environmental and personal maintenance and to adopt control measures to eliminate modes of transmission.
D)    Immunization programs to boost individual immunity against the pathogens. 


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