The year 2008 was marked by a global financial crisis that could jeopardize investments in Health, various food safety emergencies and the health effects of conflicts, disasters and climate change.
New trends in global health were also confirmed during the year. The smoking epidemic, deadly tuberculosis, the relationship between various social factors and health, unequal access to health care and the increase in chronic diseases have been discussed.
In chronic diseases have been discussed
The most important public health issues of 2008 presented in this photo report show the areas of most interest to Member States and other partners in the field of Health in the run-up to 2009.
Overview of the topic. It is not unusual that along with long-term (chronic) illnesses there are mental health problems, especially depression and anxiety . For example, you may:
- Have diabetes and also feel very sad.
- Be depressed and notice that your physical health is getting worse. Maybe his blood pressure’s rising.
- Have asthma , feel very anxious, and sometimes have panic attacks .
Slump. People who have chronic diseases such as arthritis, asthma, diabetes, cancer, heart disease, hepatitis C, and strokes also often have depression. Depression also often occurs with chronic pain . Depression may occur with these problems because:
The daily stress of managing a chronic illness causes depression or makes it worse. People who have depression often have difficulty taking care of their health, which can cause health problems.
People who have depression often eat poorly, exercise less, and smoke. Some chronic diseases change body chemistry and help cause depression. Cushing’s syndrome and a hypoactive thyroid (hypothyroidism) are examples of this. Depression is linked to some chronic diseases. For example, depression increases the chances of coronary artery disease (CAD) and death from heart disease. note1 in addition, people with diabetes are more likely to have depression and people with depression are more likely to develop diabetes.
If you treat depression, your health and quality of life can improve
If you treat depression, your health and quality of life can improve. Here are some steps you can take to help yourself. Know the symptoms of depression so you can get treatment. Talk to your doctor or take this short questionnaire to check your symptoms. Ask your doctors about the medicines you take. Some medications may cause depression and the medications you take for depression may make other health problems worse.
Read all about depression . Here are some tools to help a friend or family member who might have depression: Depression: how to help someone get treatment. Depression: how to support someone who has depression. Anxiety and health problems are also linked. You may feel anxious because you have a health problem. And anxiety can make a health problem worse. For example, older men who have an anxiety disorder are more likely to have a heart attack. Note3
By way of self-help: Know the symptoms of anxiety, such as feeling you can’t relax. If you often feel anxious, talk to your doctor or a counselor . Reduce anxiety by exercising regularly, performing relaxation techniques and reducing stress in your life. See generalized anxiety disorder and panic attacks and panic disorders topics .
For anxiety and depression, you can: Work closely with all your doctors and tell them about all your health problems. Your family and other doctors should know that you have depression, and any counselor you talk to should know about your physical health problems.
Participate in a support group for depression, anxiety, or chronic illness. You can find support in seminars and groups led by professionals, in groups formed by others with the same condition, and in your relationships with family and friends.
Follow a balanced diet and exercise regularly
Avoid alcohol and drugs. They can make depression and anxiety worse. Many people are worried about seeking treatment for a mental health problem. You may think it’s a sign of weakness or you don’t want people to know. It is important to overcome the reasons why you do not want to seek treatment. Treating depression or anxiety is good for your health.
This last material of the course in social and Community Health aims to reflect on the complex health problems that arise in communities and that, therefore, face health teams Day by day. Every time a team addresses health problems, visits people in the neighborhood, or does advocacy or prevention activities, it puts their way of understanding health into action. The way we think and define health determines our daily work.
To analyze practices, to build approaches, to cooperate with the transformations of the care model, it is essential to share the different perspectives with which we define health. This reflective look will allow to visualize the different perspectives on local health needs. We assume that they contain a variety of determinants that are combined to produce the health problem, which becomes visible at the time of consultation in the effector, or outside it.
This module, then, deals with the need to recognize our conceptualization of Health and put it to play with the diversity of perspectives of others and others, bearing in mind that there is a complexity peculiar to the first level of care, which is given by the social complexity of health problems. We mean by complex health problems, those that force us to assess the crossing of major problems that affect communities, within which, health problems are presented. The selection we make does not exhaust long-standing complex health problems, nor new formulations of health complexity.
The training of community first-level care teams is of great importance for the development of actions and strategies that promote community participation. Also, the articulation through networks to strengthen the teams in health centers and community integration centers, favors the emergence of different ways of seeing and resolving these issues. Some questions will guide our journey in this material: what do we call a complex health problem?