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Mnemonics, Simplified Concepts & Thoughts

Levels of Disease Prevention : Mnemonic

Epomedicine, Aug 18, 2024Aug 18, 2024

Last updated on August 18, 2024

LevelMnemonicTarget populationGoalsMode of intervention
PrimordialPrevent risk factorsGeneral populationPrevent emergence of risk factorsHealth education
Health promotion
PrimaryPrevent diseaseGeneral populationPrevent disease onsetLifestyle modification
Immunization
SecondaryScreeningSubclinical (asymptomatic)Prevent symptom onsetEarly diagnosis
Prompt optimized & sustained care
TertiaryTreatmentClinical (symptomatic)Prevent clinical disease progression & complicationsRehabilitation
Disability prevention
QuarterneryQuit unnecessary treatmentSymptomatic patients but overmedicalized or not treatablePrevent overtreatment & iatrogenic harmRehabilitation
Disability prevention
level of prevention
Dutta, Deep & Arora, Varun & Dhingra, Atul & Das, Ashok & Fariduddin, Md & Shaikh, Khalid & Priya, Gagan & Shah, P & Rehim, A & John, Mathew & Shaikh, Shehla & Orabi, A & Saraswati, Made & Selim, Shahjada & Baruah, Manash & Gangopadhyay, Kalyan & Langi, Yuanita & Nair, Tiny & Dhanwal, Dinesh & Kalra, Sanjay. (2021). Quinary prevention in diabetes care: Need for multidisciplinary approach. Clinical Epidemiology and Global Health. 11. 10.1016/j.cegh.2021.100757. [CC BY-NC-ND]

Example

For Diabetes mellitus:

  1. Primordial prevention: Health education about diabetes mellitus
  2. Primary prevention: Healthy diet and exercise to prevent diabetes onset in future
  3. Secondary prevention: Glucose screening for type 2 diabetes mellitus
  4. Tertiary prevention: Use medications to treat previously diagnosed diabetes
  5. Quarternery prevention: Discontinue sulfonylurea after multiple hypoglycemic episodes
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PGMEE, MRCS, USMLE, MBBS, MD/MS Community medicine

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Epomedicine. Levels of Disease Prevention : Mnemonic [Internet]. Epomedicine; 2024 Aug 18 [cited 2025 May 9]. Available from: https://epomedicine.com/medical-students/levels-of-disease-prevention-mnemonic/.

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