The population health nurse is working in a community that has significant problems with sanitation and disposal of both human and animal feces. Which communicable diseases is the community most at risk for developing?
1. Hepatitis A, tetanus, and polio.
2. Hepatitis A, botulism, and tuberculosis.
3. Plague, malaria, and hepatitis E.
4. Diphtheria, varicella, and tetanus.
Answer: 1
Explanation: 1. Sanitation and disposal of both human and animal feces are factors in the environment that affect the development of communicable diseases, particularly hepatitis A, tetanus, and polio. Crowded living conditions enhance the spread of tuberculosis. Poor environmental sanitation contributes to the incidence of poliomyelitis and hepatitis E. Overcrowded conditions contribute to the incidence of polio, diphtheria, and varicella. Plague is spread by insect or animal bites. Botulism is spread by contaminated food and water.
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