Ecologic Model - Orsolino

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FAR EASTERN UNIVERSITY

Institute of Nursing

ECOLOGIC MODEL FOR DENGUE

Submitted by:
Orsolino, Erykah Gheil

Submitted to:
Ms. Vilma Sabiniano Vasquez

November 26, 2021


FAR EASTERN UNIVERSITY
Institute of Nursing

I. HYPOTHESIS
Client TNV developed severe migraines while working for a BPO company in España, to the
point where her team leader advised her to immediately return home and rest. The client believes
this is simply a result of her lack of sleep. While waiting for the jeep, rain began to fall
unexpectedly, flooding the streets of España Manila, which is due to the rainy season. Apart from
the severe migraine, she also experienced abdominal pain and vomiting over the course of two
days. The following factors were considered to be contributing to the client's dengue fever.
II. IDENTIFYING FACTORS
a. Host
 Age: 23
 Sex: Female
 Lifestyle: Active
 Diet: Follows intermittent fasting
 Resistance: The patient has low resistance against the virus due to being not
vaccinated by CYD-TVD or Dengvaxia
b. Agent
 The Aedes aegypti mosquito, which is responsible for the transmission of viruses
that cause dengue fever.
c. Environment
 Biologic: There are house plants both indoors and outside the client's residence,
which serves as a breeding ground for mosquitoes.
 Physical: The client resides in the Philippines, a tropical country where dengue
fever is prevalent. Additionally, the rainy season, which results in flooding
throughout España Manila's streets, contributes to the mosquito vector's ability to
reproduce rapidly.
 Socio-economic: The client has a permanent position with a BPO company in
España Manila, where she has been employed for the past two years.
III. MODEL
The Lever Model was chosen since it establishes connections between the host, agent, and
environment. According to the Centers for Disease Control and Prevention (2012), this model
has been used by a large number of scientists, researchers, and medical professionals to explain
traditional infectious diseases and to develop appropriate, practical, and effective public health
measures to control or prevent such diseases, which typically requires evaluation of all three
components and their interactions.
FAR EASTERN UNIVERSITY
Institute of Nursing

IV. ANALYSIS OF THE MODEL AND THE PREDISPOSING FACTORS

Disease develops as a result of a variety of complex interactions between disease-causing agents,


hosts, and the environment. Diverse diseases require distinct combinations of these three
components in terms of their balances and interactions. Often, evaluation of all three components,
as well as their interactions, is necessary to develop appropriate, practicable, and effective public
health interventions for disease control or prevention. (CDC. n.d.)

First, in environmental factors, the client resides in the Philippines, where Dengue disease is a viral
illness spread by mosquitoes in tropical and subtropical regions, and it is a major public health
concern in the country. (Bravo, L., et. al. 2014).

Second, insufficient flood control measures have increased the risk of dengue outbreak
significantly. In urban areas, the massive accumulation of stagnant water serves as a major
breeding and transmission ground for mosquitoes. (Junaid, T. M. 2020.)

Third, the female mosquito lays eggs in containers near the house that contain water and plants.
Artificial or natural water containers (specifically, houseplants or plates beneath potted plants) that
are located in or near areas occupied by humans provide ideal larval habitats for this mosquito.
(CDC. n.d.)
FAR EASTERN UNIVERSITY
Institute of Nursing

V. CONCLUSIONS AND RECOMMENDATIONS

Due to the persistence of the above signs and symptoms, her grandmother decided to take
her to the hospital. Following a physical examination and several diagnostic procedures, the patient
was diagnosed with Dengue Virus Type 1 and was admitted to the Hospital of the Infant Jesus. The
patient's condition is caused by a variety of factors that are inextricably linked. The host, the agent,
and the environment all play a role in the occurrence of Dengue. In the case of the client, the
environmental factors, specifically the physical and biological environment play a significant role
in the development of the disease. Additionally, in the lever model illustrated above, the agent
outweighs and has a greater chance of influencing the client (host). Any imbalance between the
agent and host indicates the presence of the disease.

The Department of Health (DOH) advises continuing the 4-S dengue campaign. The
Enhanced 4-S implementation strategy encourages everyone to take action to reduce mosquito
populations and prevent dengue deaths. The Enhanced 4-S campaign stands for Search and destroy
mosquito breeding sites, secure Self-protection measures such as long pants and long-sleeved
shirts, and daily insect repellent use. To avert an impending outbreak, seek early consultation and
support fogging/spraying only in areas with a two-week consecutive increase in cases.
FAR EASTERN UNIVERSITY
Institute of Nursing

REFERENCES:

Bravo, Lulu; Roque, Vito G.; Brett, Jeremy; Dizon, Ruby; L'Azou, Maïna; Horstick, Olaf (2014).

Epidemiology of Dengue Disease in the Philippines (2000–2011): A Systematic Literature Review.

PLoS Neglected Tropical Diseases, 8(11), e3027–. doi:10.1371/journal.pntd.0003027  

Centers for Disease Control and Prevention. (n.d.). Principles of Epidemiology | Lesson 1 - Section

8. CDC. https://www.cdc.gov/csels/dsepd/ss1978/lesson1/section8.html

Centers for Disease Control and Prevention. (n.d.). Dengue and the Aedes aegypti mosquito.

https://health.hawaii.gov/docd/files/2015/11/CDC_aegypti_factsheet.pdf 

 
Centers for Disease Control and Prevention (CDC). (2012, May 18). Lesson 1: Introduction to
epidemiology. https://www.cdc.gov/csels/dsepd/ss1978/lesson1/section8.html

Junaid Tahir M, Rizwan Siddiqi A, Ullah I, Ahmed A, Dujaili J, Saqlain M. (2020). Devastating
urban flooding and dengue outbreak during the COVID-19 pandemic in Pakistan. Med J Islam
Repub Iran.. doi: 10.47176/mjiri.34.169. PMID: 33816368; PMCID: PMC8004574.

Mubayi, Anuj (2017). [Handbook of Statistics] Disease Modelling and Public Health, Part A
Volume 36 || Computational Modeling Approaches Linking Health and Social Sciences :
Sensitivity of Social Determinants on the Patterns of Health Risk Behaviors and Diseases. , (),
249–304. doi:10.1016/bs.host.2017.08.003 

 
Republic of the Philippines Department of Health. (n.d.). DOH REMINDS PUBLIC TO DO THE

4-S AGAINST DENGUE | Department of Health website. DOH.Gov.

https://doh.gov.ph/node/16849

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