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Monday, November 27, 2017

IMPORTANCE OF STUDYING MEDICAL GEOGRAPHY TO GEOGRAPHERS



Medical Geography (Health Geographic’s) is the branch of Human Geography that deals with the geographic aspects of health (status) and healthcare (systems). It seeks, along with related disciplines such as Medical Anthropology (is the study of human health and disease, healthcare system and bio cultural adaption), Medical Sociology (is the study of societal dimension of health and medicine) and Health Economics (is the branch of economic which concern with connection between health and the resources needed to promote it), to improve our understanding of the various factors which affect the health of populations and hence individuals. In other words, these interrelated disciplines can enhance the concepts or "models" we have about health and disease, and hence enhance the final outcomes of healthcare.

The concept that place and location can influence health is a very old and familiar idea in medicine. As far back as the time of Hippocrates (c. 3rd century BC), physicians have observed that certain diseases seem to occur in some places and not others. Even within the human body, many diseases and organisms are known to have a predilection for, or to exclusively affect specific body organs or systems (anatomico-physiological "locations" within the human body).Medical geography has evolved from a sub-discipline within geography narrowly focused on the spatial distribution of diseases and medical care resources to a sub-discipline that has broadened to take into account changing philosophies, methodologies and topics in geography, medicine and public health as they have evolved in the latter part of the 20th century and the beginning of the 21st century. This is due to increasing importance as well as renewed interests within medical geography in the links between health and the environment, health and place, and health, health care and public policy in both developed and developing countries. A third trend is the growing role that new information technologies are playing in medical geography.

During its early development as a sub-discipline within geography, medical geography reflected the dominant theoretical and methodological approaches that existed across geography at the time: regional geography (is the branch of geography that studies the world regions); cultural ecology (is the study of human adaption to social and physical environment); and spatial modeling (refer to the particular form of disaggretion in which an area is divided in number of similar unit).

IMPORTANCE OF MEDICAL GEOGRAPHY
·         It aims to improve the understanding of the various factors which affect the health of populations and hence individual
People have also been aware of the process of disease diffusion across geographic regions. For instance the impact of some environmental factors on malaria parasite prevalence was investigated in rural Bolifamba, Cameroon. Perennial transmission of malaria indicates that model environmental sanitation and housing conditions may be significant risk factors for malaria parasite burden in Bolifamba. The study reported here therefore had as the objective to investigate the effect of entomological and environmental factors on malaria parasite prevalence and parasite density and provide information that could be used by the public health sector for improving its malaria control strategy.

·         Medical geography help Geographer to merges mapping and research to plot the spread of disease.
An outbreak may show up only in certain cities, or cluster around a source of contaminated water. By tracking reports of illness, you uncover patterns that help identify the cause of the virus. Example the outbreak of cholera in Africa countries, through the medical geography report researcher can uncover the Cholera is caused by a number of types of Vibrio cholerae, with some types producing more severe disease than others.  It is spread mostly by unsafe water and unsafe food that has been contaminated with human feces containing the bacteria.  Undercooked seafood is a common source.  Humans are the only animal affected.  Risk factors for the disease include poor sanitation, not enough clean drinking water, and poverty. There are concerns that rising sea levels will increase rates of disease.  Cholera can be diagnosed by a stool test.  A rapid dipstick test is available but is not as accurate. Prevention involves improved sanitation and access to clean water. Cholera vaccines that are given by mouth provide reasonable protection for about six months


·         Medical geography help Geographer to protects international travelers.
Medical geographer provides evidence advice to travel organizations on common illnesses in a specific country, and biologist should vaccines a traveler receive before vacationing there. Geographer aim to find and stomp out disease in all parts of the world. Example Ebola in West Africa
                 OUTBREAK OF EBOLA BETWEEN 2014- 2016 IN WEST AFRICA

·         Helps the geographers to know the source of diseases,
Example geographer helps to know the sources of different diseases; in case of East Africa a disease like malaria is mostly found in coast area due the factor that the environment that surrounding the area is wet and it influence high breeding of mosquitoes that can lead to transmitting of malaria through the parasite known as plasmodium and another disease is Bilharzias enters the body when the larvae of the fluke, or parasite, pass through the skin. The larvae emerge from snails, enter the skin when people are in the water, and develop into adult worms that live in the blood. According to the Centers for Disease Control and Prevention (CDC), more than 200 million people are infected with schistosomiasis, globally. After malaria, it is seen as the second most devastating parasitic disease in the world.
·         It helps to know the geographic distribution of diseases conditioned by natural factors,
Including climate and the presence or absence of certain chemical elements in the water and soil and consequently in the food products. Social factors such as material conditions of life, cultural level of the population, and traditional diet also play a decisive role in the geography of certain diseases of humans. Also important in determining the geographic distribution of diseases are factors that act within the human body and arise in the process of its development. Medical geography is closely connected with epidemiology, microbiology, hygiene, and pathology, as well as physical and economic geography and especially landscape geography. It has long been noted that many diseases of humans are found only in certain definite regions of the globe: for example, yellow fever occurs in countries of Africa, also a disease like sleep sickness are mostly found in area where the is highly large of livestock keeping.











MAP OF TANZANIA SHOWING THE LOCATION OF DISTRICTS AFFECTED BY SLEEPING SICKNESS INCLUDING URAMBO DISTRICT



SLEEPING SICKNESS INCLUDING URAMBO DISTRICT


·         Medical geography play a big role in supporting public health policy and planning
Geography and health are intrinsically linked. Where we are born, live, study and work directly influences our health experiences: the air we breathe, the food we eat, the viruses we are exposed to and the health services we can access. The social, built and natural environments affect our health and well-being in ways that are directly relevant to health policy. Spatial location (the geographic context of places and the connectedness between places) plays a major role in shaping environmental risks as well as many other health effects. For example, locating health care facilities, targeting public health strategies or monitoring disease outbreaks all have informed decision-making leads to the development of effective public health policy based on evidence. We need to understand disease risk factors and how risks such as genetics, lifestyle, environment and occupation interact with the social, built and natural environments. Understanding geography, including the arrangement of health services and the location and nature of environmental exposures, is crucial in assessing the interrelations inherent in many health-related risk exposures.
·         Increasingly, medical geographers are gaining applied experience in health and health care in the developing world.
They are obtaining breadth and depth of knowledge and are now, for example, cogniscant of financial matters such as those involved in the ‘cost explosion’ in health care worldwide which has particularly sinister implications for the health of Third World countries. They, too, are now increasingly comfortable in dealing with epidemiological and demographic data. Geographers now no longer focus solely on phenomena such as distance decay or environments for disease. They are aware that human resources, intelligence, aspirations, attitudes and finance are all potent variables influencing ‘successful’ health care and health in populations. In the future, therefore, the wide-ranging ambit of medical geography will increasingly become relevant to health and health care research in the Third World. 

Contributions of value will emerge both from those geographers adopting more socio-political stances and those adopting a more empiricist approach. However, it is the holistic nature of geography, with its wide academic links, and the courage of geographers to research in new topics and gain sound understanding of them which will increasingly be recognized. The days of extempore contributions to political, policy and practical debates on health and development are now largely past. Well researched, solid and sound medical geography contributions will, it is hoped, forge ahead.


Therefore through medical geography people become healthy due to different reports that provide precaution which guide them to be aware with environment that can cause health problems such as unsafe water and unsafe food which cause diseases like cholera. Also it lead the people to select the environment which is free from living