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Ecologic Model

A. Hypothesis

The patient’s condition is caused by the variety of factors which have


interrelationship to one another. The factors that contribute to the occurrence
of having Dengue-H fever are the host, the agent and the environment.
Among the three factors mentioned earlier, the environmental factors which
include physical (climate) and biological (living environment of man
consisting of animal, plants and fellow human beings) environment
tremendously contribute in the occurrence and causation of the disease.

B. Predisposing Factors

Host

1. Filipino
- Dengue fever is a mosquito-borne disease that is endemic in the Philippines.

2. Reinfected for the second time


- More severe illness may occur in some people. These people may be
experiencing dengue fever for the first time. However, in some cases a
person may have already had dengue fever at one time, recovered, and then
is reinfected with the virus. In these cases, the first infection teaches the
immune system to recognize the presence of the arbovirus. When the
immune cells encounter the virus during later infections, the immune system
over-reacts.

Agent

1. Dengue Virus Type 1


- Dengue fever is caused by any of four strains (1, 2, 3 and 4) of the dengue
virus.
The virus is transmitted to humans by the Aedes mosquito; it is not capable
of
human to human transmission. At least two species of this mosquito, Aedes
aegypti
and Aedes albopictus, serve as vector of the virus. In the Philippines, the
main
vector is Aedes aegypti.

Environment

1. Physical Environment
a. Climate
- During rainy season the incidence of contracting dengue is higher
because its
mosquito vector is able to breed more rapidly during this period.

2. Biologic Environment
a. Vector - Aedes aegypti
- serves as a transmitter of virus to human.

3. As verbalized by the patient, “Whenever it is raining hard, the campus


becomes really flooded and there are lot a space for stagnant water.”

C. Ecologic Model

LEVER MODEL
H

E
A

Analysis:

Lever model emphasizes the environmental factors. In the patient’s


case, the environmental aspect contributes a lot to the occurrence of the
disease specifically the physical and the biological environment. The
characteristics of the agent and the host are greatly influenced by the
environmental condition. In the figure above, we can see that the agent
outweighs the host. Any imbalance between the agent and the host means
that illness has taken place. If the environment is suitable for the agent’s
growth and reproduction, then we can say that there is a direct relationship
between the two said factors. Therefore, the environment factors cause the
agent to grow and reproduce.

D. Conclusion and Recommendations

Environmental factors contributed a lot in the occurrence and


causation of the disease. Therefore, the focus of care is more on prevention
of complications that might happen if the disease is left untreated. Health
teachings specifically ways on how to prevent the spread of disease should
be instructed to the patient. Importance of clean environment should be
emphasized.

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