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    Rose Prevention Paradox (Presentation Slide)

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    Teh Nuraqilah
    This document summarizes Geoffrey Rose's prevention paradox theory. The paradox states that while a preventative measure may bring large benefits to the community as a whole, it offers little to each individual participating. Rose advocated for population-based prevention strategies rather than strategies focused on high-risk individuals. The document provides background on Rose and describes the advantages and disadvantages of individual-based versus population-based prevention approaches. It also gives an example of how Rose's prevention paradox could apply to COVID-19, where low-risk exposure in the general population may produce more cases than high-risk exposure among healthcare workers.

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    Rose Prevention Paradox (Presentation Slide)

    Uploaded by

    Teh Nuraqilah
    109 views10 pages
    This document summarizes Geoffrey Rose's prevention paradox theory. The paradox states that while a preventative measure may bring large benefits to the community as a whole, it offers little to each individual participating. Rose advocated for population-based prevention strategies rather than strategies focused on high-risk individuals. The document provides background on Rose and describes the advantages and disadvantages of individual-based versus population-based prevention approaches. It also gives an example of how Rose's prevention paradox could apply to COVID-19, where low-risk exposure in the general population may produce more cases than high-risk exposure among healthcare workers.

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    ROSE PREVENTION PARADOX (PRESENTATION SLIDE)

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    This document summarizes Geoffrey Rose's prevention paradox theory. The paradox states that while a preventative measure may bring large benefits to the community as a whole, it offers little to each individual participating. Rose advocated for population-based prevention strategies rather than strategies focused on high-risk individuals. The document provides background on Rose and describes the advantages and disadvantages of individual-based versus population-based prevention approaches. It also gives an example of how Rose's prevention paradox could apply to COVID-19, where low-risk exposure in the general population may produce more cases than high-risk exposure among healthcare workers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    109 views10 pages

    Rose Prevention Paradox (Presentation Slide)

    Uploaded by

    Teh Nuraqilah
    This document summarizes Geoffrey Rose's prevention paradox theory. The paradox states that while a preventative measure may bring large benefits to the community as a whole, it offers little to each individual participating. Rose advocated for population-based prevention strategies rather than strategies focused on high-risk individuals. The document provides background on Rose and describes the advantages and disadvantages of individual-based versus population-based prevention approaches. It also gives an example of how Rose's prevention paradox could apply to COVID-19, where low-risk exposure in the general population may produce more cases than high-risk exposure among healthcare workers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 10

    Rose’ Prevention

    Paradox
    Prepared by:
    1. Nur Aqilah Binti Azmi (055644)
    2. Teh Nuraqilah Binti Mohamad Yusoff (054398)
    Introduction
    Primary prevention: By epidemiologist Geoffrey
    Rose
    - Population strategy
    - High-risk individual A large number of people
    strategy exposed to a low risk is likely
    to produce more cases than
    Rose prevention paradox: a small number of people
    A preventative measure that exposed to a high risk
    brings large benefits to the
    community offers little to
    each participating individual

    Thompson, C. (2016). Rose’s Prevention Paradox. Journal of


    Applied Philosophy, 35(2), 242–256. doi:10.1111/japp.12177
    Geoffrey Rose Biography
    1926 - 1993
    Epidemiologist and physicians.

    Education: Oxford University

    Medical training: St. Mary’s Hospital

    Coordinated WHO Multiple Risk Factor


    Trial, INTERSALT

    WHO Expert Report - population strategies


    on CVD prevention

    “Sick population and sick individuals”

    Henry Blackburn, Barker DJP (1993). GA Rose, CBE, DM,


    FRCP, FRCGP, FFFHM. BMJ, 307: 1418.
    Type of Prevention Approaches

    Individual based Population based

    Term : The ‘High-risk’ Strategy Term : The Population Strategy

    Aim : determine high-risk sensitive Aim : manage the factors that


    individuals and provide them with influence incidence throughout the
    some individualised protection entire population
    Advantages of Strategies Involved
    The ‘high-risk’ strategy The Population Strategy
    intervention appropriate to individuals, Radical

    Subject moivation Large potential for population

    Physician motivatiion Behaviourally appropriate

    Cost-effective use of resources

    Favourable benefit : risk ratoio


    Disadvantages of Strategies Involved
    The ‘high-risk’ strategy The Population Strategy
    Difficulties and cost of screening Small benefit to individual (‘Prevention
    Paradox’)

    Palliative and temporary - not radical Poor motivation of subject & physician

    Limited potential for individual & Worrisome benefit : risk ratio


    population
    Behaviorally inappropriate
    Application of Rose’ Prevention Paradox in COVID-19
    The high risk subpopulation may have a less impact on the ultimate result, such as infection and death,
    than a low-risk subpopulation.

    High risk subpopulation:


    ● Underprivileged
    ● Elderly
    ● Disable
    ● Poor, homeless
    ● Low literacy rate

    In COVID-19, high risk population is the healthcare professional


    who are exposed to aerosol-generating methods frequently
    utilized in ICU and emergency rooms.

    Low risk exposure refers to citizens living their daily life.


    Application of Rose’ Prevention Paradox in COVID-19
    A study by Halperin et al. propose a hypothetical
    scenario with a population of 5.5 million which is
    then divided into 10 levels of exposure to
    SARS-CoV-2.
    The smallest group, which we set at 100,000, is
    Group 10, which consists of healthcare
    professionals engaging in high-risk treatments.

    Finding:
    ● Half of the new infections - top half of the
    exposure with smallest number of people.
    ● Half of new infection also found - bottom
    half of exposure with largest number of
    people.
    Limitation
    Identifying those at high
    Certain health
    risk; and last, sudden
    death, the disease's late, intervention should
    unexpected, and focus on the high-risk
    frequently fatal first population
    symptom.

    Issue of disease mass


    or population causes or Offers little to each
    the population strategy participating
    need for primary individual
    prevention.

    Geoffrey Rose’s Prevention Paradox « Heart Attack Prevention. (n.d.).


    http://www.epi.umn.edu/cvdepi/essay/geoffrey-roses-prevention-para
    dox/
    Thank you

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