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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 1
QADRI COLLEGE OF HEALTH SCIENCES, KARACHI
U-5, 1 OF
Community Health Nursing-I
Unit V : “The Environment and It’s
Impact on Community Health”
GBSN Year.1 , Semester.2
By: Aftab H. Abbasi
RN, DCHN, BSN, MA, LL.B
Lecturer Nursing
Qadri College of HealthSciences Karachi
QADRI COLLEGE OF HEALTH SCIENCES, KARACHI
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 2
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 2
Unit V : “The Environment and It’s
Impact on Community Health”
In this unit, students will explore the effects
of environment on individuals’ and
community health.
In addition, these students will discuss the
CHN role, is played to maintain healthy
environment.
The Environment and It’s Impact on Community Health
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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 3
Unit objectives:
At the completion of this unit, students will
be able to learn the:
1. Environment:
- Definition of ‘environment’
- Component of environment
- Factors and its impact on community
health.
The Environment and It’s Impact on Community Health
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 4
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 4
DEFINITION OF ENVIRONMENT:-
The term environment comes from the
French word “environ” and means
everything that surround us.
OR
The sum of the total of the elements,
factors and conditions in the surroundings
which may have an impact on the
development, action or survival of an
organism or group of organisms.
1. Environment
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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 5
1- Atmosphere:
Is a layer or a set of layers of gases
surrounding a planet. Apart from gases
there are water vapor, industrial gases,
dust and smoke particles etc in
suspended state.
ENVIRONMENT IS MADE UP OF:
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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 6
2- Biosphere:
The term biosphere was
coined by geologist Eduard
Suess in 1875, which he
defined as: The place on
earth’s surface where life
dwells (to reside).
Is the global ecological
system integrating all living
beings and their
relationships.
Usually defined as the thin
outer layer of the earth
capable of supporting life.
ENVIRONMENT IS MADE UP OF:
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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 7
3- Lithosphere:
The term was coined by JOSEPH
BARRELL (1914). Derived from Greek
word LITHOS which mean rocky/stone,
the solid, outer part of the Earth.
ENVIRONMENT IS MADE UP OF:
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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 8
4- Hydrosphere:
The hydrosphere is the combined mass
of water found on, under, and above the
surface of a planet, such as lakes and
seas, and sometimes including water
over the earth's surface, such as clouds.
ENVIRONMENT IS MADE UP OF:
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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 9
COMPONENTS OF ENVIRONMENT:
The environment consists of various
segments. Some of the important
components/segments of environment
are as follows:
• PHYSICAL
• BIOLOGICAL
• SOCIAL
1. Environment
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 10
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 10
1- Physical Environment:-
The part of the human environment that includes
purely physical factors (as soil, climate, water
supply) etc.
2- Biological Environment:-
The natural biological factors (such as wild
animals and plants or bacteria) that affect human
life.
3- Social Environment:-
The immediate physical and social setting in
which people live or in which something happens
or develops. It includes the culture that the
individual was educated or lives in, and the
people and institutions with whom they interact.
COMPONENTS OF ENVIRONMENT
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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 11
COMPONENTS OF ENVIRONMENT:
1- AIR
2- WATER
3- SOIL
COMPONENTS OF ENVIRONMENT
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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 12
TYPES / COMPONENTS OF ENVIRONMENT
Nature is composed of BIOTIC and
ABIOTIC components.
All the biotic and abiotic components
interact with each other to create an ideal
ecosystem. ‫ماحولیاتی‬
‫نظام‬
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 13
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 13
FACTORS AFFECTING COMMUNITY
HEALTH CAN BE GROUPED INTO:
Physical factors
Social/Cultural factors
Community organization
Individual behavior
Factors & its impact on community health
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 14
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 14
Industrial development;
Communities that are industrially
developed are more likely to be affected
by numerous diseases due to the toxic
waste products from the industries that
are released into water bodies and the
atmosphere and due to congestion of
settlement leading to slum ‫کچی‬
‫آبادی‬
development hence contagious diseases
compared to areas that are not
industrially developed.
Physical factors;
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 15
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 15
Physical factors; Continued…
water contamination from industrial discharge
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Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 16
Community size;
A densely populated or over populated
community can easily be attacked by
communicable diseases.
Physical factors; Continued…
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 17
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 17
Geographical location;
Some communities are more prone to
diseases due to The geographical location
For example: Some communities are
located in swampy ‫دلدلی‬ , ‫کیچڑ‬ areas ARE
MORE PRONE TO DISEASES especially
during heavy rains they are affected by
floods which can lead manipulation of
disease causing organisms if the water is
stagnant to spread of disease causing
organisms For example malaria , diarrhea
disease.
Physical factors; Continued…
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 18
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 18
Environment;
A clean environment is very vital to the
proper health of a community which
minimizes the occurrence and
transmission of diseases, unlike a dirty
environment which easily leads to
outbreak of diseases.
Physical factors; Continued…
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 19
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 19
Traditions Beliefs;
Beliefs or traditions possessed by
communities greatly affect the health of
it’s people for example FEMALE
GENITAL MUTILATION (FGM)
Social/cultural factors
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 20
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 20
Economy;
A community that is economically well off
has low chances of suffering from disease
breakouts because they have proper health
care and water drainage systems unlike a
poor community.
Government;
Since the government involves planning,
implementing and provision of community
services such as water supply, medical
supplies and other needs which can directly
affect the community health.
Social/cultural factors
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 21
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 21
Ways in which communities organize their
resources such as taxes which can be
very helpful in control of diseases and
supply of sufficient and efficient medical
care even in times of crisis unlike
communities without proper accountability
of their taxes which can partly be
allocated to the health sector.
Community organization
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 22
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 22
Educational factors;
Poor education or illiteracy affects the
health of a community when people
doesn’t have education on how they can
prevent themselves from diseases.
Example: health education on the use of
mosquito treated nets to prevent malaria,
health education on the environmental
hygiene so as to prevent diseases such
as cholera and trachoma.
Community organization
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 23
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 23
Community health is greatly influenced by
individuals, their personal health, habits etc.
For instance proper disposal of waste products
from and individuals compound, clearing all
stagnant water in the compound to prevent
harboring of mosquitoes, active smokers to
quit smoking to avoid passive smokers thus
preventing lung cancer, abstinence ‫پرہیز‬ from
sexual activities or use protection to prevent
the spread of HIV/AIDs and STDs etc. Thus
proper individual healthy living can greatly
promote a healthy community.
Individual behavior
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 24
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 24
Community Health Nursing
B. T. Basavanthappa
First Edition 1998
Encyclopedia of Public Health A-Z (2 Volume Set) (2008)
International Encyclopedia of Public Health - 1st Edition
Health-Assessment-Section 1st EDITION
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“The Environment and It’s Impact on Community Health”
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 26
Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 26
QADRI COLLEGE OF HEALTH SCIENCES, KARACHI
By: Aftab H. Abbasi
RN, DCHN, BSN, MA, LL.B
Lecturer Nursing
Qadri College of HealthSciences Karachi

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“the environment and its impact on community health”

  • 1. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 1 QADRI COLLEGE OF HEALTH SCIENCES, KARACHI U-5, 1 OF Community Health Nursing-I Unit V : “The Environment and It’s Impact on Community Health” GBSN Year.1 , Semester.2 By: Aftab H. Abbasi RN, DCHN, BSN, MA, LL.B Lecturer Nursing Qadri College of HealthSciences Karachi QADRI COLLEGE OF HEALTH SCIENCES, KARACHI
  • 2. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 2 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 2 Unit V : “The Environment and It’s Impact on Community Health” In this unit, students will explore the effects of environment on individuals’ and community health. In addition, these students will discuss the CHN role, is played to maintain healthy environment. The Environment and It’s Impact on Community Health
  • 3. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 3 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 3 Unit objectives: At the completion of this unit, students will be able to learn the: 1. Environment: - Definition of ‘environment’ - Component of environment - Factors and its impact on community health. The Environment and It’s Impact on Community Health
  • 4. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 4 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 4 DEFINITION OF ENVIRONMENT:- The term environment comes from the French word “environ” and means everything that surround us. OR The sum of the total of the elements, factors and conditions in the surroundings which may have an impact on the development, action or survival of an organism or group of organisms. 1. Environment
  • 5. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 5 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 5 1- Atmosphere: Is a layer or a set of layers of gases surrounding a planet. Apart from gases there are water vapor, industrial gases, dust and smoke particles etc in suspended state. ENVIRONMENT IS MADE UP OF:
  • 6. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 6 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 6 2- Biosphere: The term biosphere was coined by geologist Eduard Suess in 1875, which he defined as: The place on earth’s surface where life dwells (to reside). Is the global ecological system integrating all living beings and their relationships. Usually defined as the thin outer layer of the earth capable of supporting life. ENVIRONMENT IS MADE UP OF:
  • 7. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 7 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 7 3- Lithosphere: The term was coined by JOSEPH BARRELL (1914). Derived from Greek word LITHOS which mean rocky/stone, the solid, outer part of the Earth. ENVIRONMENT IS MADE UP OF:
  • 8. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 8 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 8 4- Hydrosphere: The hydrosphere is the combined mass of water found on, under, and above the surface of a planet, such as lakes and seas, and sometimes including water over the earth's surface, such as clouds. ENVIRONMENT IS MADE UP OF:
  • 9. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 9 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 9 COMPONENTS OF ENVIRONMENT: The environment consists of various segments. Some of the important components/segments of environment are as follows: • PHYSICAL • BIOLOGICAL • SOCIAL 1. Environment
  • 10. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 10 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 10 1- Physical Environment:- The part of the human environment that includes purely physical factors (as soil, climate, water supply) etc. 2- Biological Environment:- The natural biological factors (such as wild animals and plants or bacteria) that affect human life. 3- Social Environment:- The immediate physical and social setting in which people live or in which something happens or develops. It includes the culture that the individual was educated or lives in, and the people and institutions with whom they interact. COMPONENTS OF ENVIRONMENT
  • 11. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 11 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 11 COMPONENTS OF ENVIRONMENT: 1- AIR 2- WATER 3- SOIL COMPONENTS OF ENVIRONMENT
  • 12. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 12 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 12 TYPES / COMPONENTS OF ENVIRONMENT Nature is composed of BIOTIC and ABIOTIC components. All the biotic and abiotic components interact with each other to create an ideal ecosystem. ‫ماحولیاتی‬ ‫نظام‬
  • 13. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 13 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 13 FACTORS AFFECTING COMMUNITY HEALTH CAN BE GROUPED INTO: Physical factors Social/Cultural factors Community organization Individual behavior Factors & its impact on community health
  • 14. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 14 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 14 Industrial development; Communities that are industrially developed are more likely to be affected by numerous diseases due to the toxic waste products from the industries that are released into water bodies and the atmosphere and due to congestion of settlement leading to slum ‫کچی‬ ‫آبادی‬ development hence contagious diseases compared to areas that are not industrially developed. Physical factors;
  • 15. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 15 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 15 Physical factors; Continued… water contamination from industrial discharge
  • 16. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 16 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 16 Community size; A densely populated or over populated community can easily be attacked by communicable diseases. Physical factors; Continued…
  • 17. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 17 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 17 Geographical location; Some communities are more prone to diseases due to The geographical location For example: Some communities are located in swampy ‫دلدلی‬ , ‫کیچڑ‬ areas ARE MORE PRONE TO DISEASES especially during heavy rains they are affected by floods which can lead manipulation of disease causing organisms if the water is stagnant to spread of disease causing organisms For example malaria , diarrhea disease. Physical factors; Continued…
  • 18. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 18 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 18 Environment; A clean environment is very vital to the proper health of a community which minimizes the occurrence and transmission of diseases, unlike a dirty environment which easily leads to outbreak of diseases. Physical factors; Continued…
  • 19. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 19 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 19 Traditions Beliefs; Beliefs or traditions possessed by communities greatly affect the health of it’s people for example FEMALE GENITAL MUTILATION (FGM) Social/cultural factors
  • 20. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 20 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 20 Economy; A community that is economically well off has low chances of suffering from disease breakouts because they have proper health care and water drainage systems unlike a poor community. Government; Since the government involves planning, implementing and provision of community services such as water supply, medical supplies and other needs which can directly affect the community health. Social/cultural factors
  • 21. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 21 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 21 Ways in which communities organize their resources such as taxes which can be very helpful in control of diseases and supply of sufficient and efficient medical care even in times of crisis unlike communities without proper accountability of their taxes which can partly be allocated to the health sector. Community organization
  • 22. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 22 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 22 Educational factors; Poor education or illiteracy affects the health of a community when people doesn’t have education on how they can prevent themselves from diseases. Example: health education on the use of mosquito treated nets to prevent malaria, health education on the environmental hygiene so as to prevent diseases such as cholera and trachoma. Community organization
  • 23. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 23 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 23 Community health is greatly influenced by individuals, their personal health, habits etc. For instance proper disposal of waste products from and individuals compound, clearing all stagnant water in the compound to prevent harboring of mosquitoes, active smokers to quit smoking to avoid passive smokers thus preventing lung cancer, abstinence ‫پرہیز‬ from sexual activities or use protection to prevent the spread of HIV/AIDs and STDs etc. Thus proper individual healthy living can greatly promote a healthy community. Individual behavior
  • 24. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 24 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 24 Community Health Nursing B. T. Basavanthappa First Edition 1998 Encyclopedia of Public Health A-Z (2 Volume Set) (2008) International Encyclopedia of Public Health - 1st Edition Health-Assessment-Section 1st EDITION
  • 25. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 25 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 25 “The Environment and It’s Impact on Community Health”
  • 26. Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 26 Date:7/31/2021 www. qadricohs.edu.pk FB Page: Qadri College of Health Sciences, Karachi, Sindh, Pakistan. 26 QADRI COLLEGE OF HEALTH SCIENCES, KARACHI By: Aftab H. Abbasi RN, DCHN, BSN, MA, LL.B Lecturer Nursing Qadri College of HealthSciences Karachi