Throughout history, the concept of health has continually evolved, shaped by the cumulative advancements of science and the incessant inquiries of the human intellect into the mysteries of the natural world. From the doctrines of humoral balance in ancient medicine to the breakthroughs of modern immunology and genomic medicine, our understanding of what it means to be healthy has undergone a transformative journey.
Many of the health concepts that we now consider antiquated were, in their time, the pinnacle of medical innovation, offering explanations and remedies according to the prevailing knowledge of the day. For instance, the ideas of bloodletting and miasmatic theory of disease reigned supreme before being replaced by an understanding of pathogens and epidemiology.
The relentless flurry of new ideas in health and medicine is propelled by technological advancements that enable deeper exploration into the biological processes underpinning life and disease. Just a few decades ago, the idea of manipulating DNA or engineering biological tissues seemed like the stuff of science fiction. Yet today, these are burgeoning fields of research with tangible applications in health care.
In areas such as diagnostic investigations, we’ve witnessed the advent of sophisticated imaging technologies like MRI and PET scans, which allow clinicians to peer into the body non-invasively, with unprecedented precision. The development of new medicines, too, has shifted dramatically with the introduction of targeted therapies that leverage our growing understanding of molecular biology.
Surgery, once brutal and rudimentary, has been revolutionized by minimally invasive techniques, robotic assistance, and advanced anesthesia, thereby reducing patient morbidity and mortality. Our forays into genetics have revealed the blueprint of life, opening doors to not only diagnosing inherited diseases but also to the potential for editing the genetic code to prevent illness.
Yet, despite these incredible leaps forward, the quest for a complete understanding of health remains ever-elusive. The “Health Mechanism” within living beings—a term that denotes the intertwined, complex systems that sustain life and combat disease—is still not fully understood. The delicate balance of physiological functions, environmental interactions, psychological wellbeing, and genetic predispositions continues to puzzle experts.
Thus, while the legacy of human intellect has provided us with an immense arsenal against threats to health, it has also uncovered the profound depth of our ignorance. With each question answered, new questions arise, reflecting the boundless complexity of life itself. As we grapple with emerging challenges, such as antibiotic resistance, novel viruses, and the intricacies of mental health, the health field stands as a testament to both human ingenuity and our enduring humility in the face of nature’s vastness. The quest for knowledge, as relentless as the flow of time, continues unabated.
CERTAIN STRIKING CONCEPTS OF HEALTH OVER HISTORY
- Diseases are caused by wrath of god (Rather than issues of Health, disease was primarily distinguished as its presence was much evident and a “Concept” of health could not have struck their minds)
- World Health Organization’s concept of health, the amendments made over time. Latest being- 1948 “physical, mental, and social well-being, and not merely the absence of disease and infirmity” 1986 Ottawa ‘a resource for everyday life, not the object of living’. Many sites give no clarity in this account and even confuse the reader.
- Concepts of various Alternative systems of medicines. ( A lot of other systems of medicines with countless number of health concepts)
- Miasma theory
- People wrongly interpreting health for fitness (Climbing high mountains, six pack abs, hundred pushups etc… and thousands of them) These are certainly signs of better health but it is precisely fitness rather than quality.
- Before all, beyond the reach of human probes or imagination, in the history of mankind lies various concepts which is still unknown to us and maybe we would never ever get any closer to them in future.
- Please browse ‘concepts of health’ and you will get a lot of different concepts of health over historical timeline. Please do read the development and evolution of varying ideas of health concepts corresponding to the social changes running parallelly.
- Modern medicine : Eventually grabbing the driving seat of todays health care is the Modern medicine for having all the deserving privilege but the line between old and modern is not that thin and precise as we suppose (modern medicine). Father of modern medicine is Hippocrates and he lived in 460 to 375 BCE. His being the father of modern medicine is a gesture of honor to the great man but modernity was always an uncertain virtual image. It always reposed when any new wave of innovation struck any area of scientific domain ( Both bacteria and penicillin marked milestones of health science and once gave the feeling that microbial theory of disease as a new perhaps the only concept that would clear all the remaining health related crisis of mankind but here in the middle of twenty-first century we already have drifted much away from such old affirmations and also realize that those were not too much old days either) Modern medicine has to adapt to modernization to keep itself modern which again implies that health being a static entity of nature cannot be defined with such an uncertain flexible and fragile ideology.
I personally believe that every era had an authorized and official medicine (modern medicine), an old or conventional medicines (which keeps on loosing grip in society) and a postmodern one which is always in struggle to get attention and acceptance. Every time the postmodern one must have faced a great ream of rejection in society due to lack of grounds for its acceptance and pressure from conventional professional and official styles of medicine of those days. But today’s Modern medicine established itself through scientific backing and is most convincing than any other medical styles throughout history. But as I already mentioned even the introduction of modern medicine has failed in filling large gaps in health sector and constant changing concepts of health between two decades of its regime again puts health away from our understanding.
Changing concepts in modern medicine-
- concept of medicine
- https://www.youtube.com/watch?v=pEitRz4yojM
- https://www.tandfonline.com/doi/abs/10.1080/10810730802592213
- https://www.youtube.com/watch?v=FSDZS7gZCfU
(Various sites clearly discuss lot more concepts in detail)
Lots of discussions over redefining the concept of health in different contexts are actively ongoing. The whole of health issues cannot be contained by humanity unless we clearly demark health by a strong stable definition which would help us find out reasons and clearly solutions for every disease be it any acute, chronic or lifestyle disease(if truly a disease at all ) , and one which wouldn’t vary with time or tide.
RELAVENCE OF DEFINING HEALTH
Why are someone bothered about defining health? What are the advantages of having an incomplete definition? In this era of modern science and technology why should we bother about this?
- First of all it will give us a real picture of health.( Evaluation of health)
- It helps determine the exact health status of an individual.
- It provides health workers clear parameters or reference points to achieve in a particular case of deviated health condition.
- It helps us define disease. (Even better)
- It helps us understand what is to be treated in a disease. Not all symptoms in a disease condition need to be a part of actual disease.(This point will get clearer after few chapters)
- When we clearly define health and disease it’ll provide us clear idea what needs to be treated and what not and thus increase quality, efficacy and thus the efficiency of health care and lead us to real health and healthy society.
Even after two centuries beyond the establishment of modern medicine, the health status of humans remains largely unchanged. While we have made leaps in certain areas, we cannot overlook the gaps that still exist. It’s true that effective management of infections and advancements in emergency medicine have been revolutionary. The increase in longevity is a clear indicator of such improvements as the death rates have come down remarkably.
However, to truly measure the progress we have made, we must consider not just the quantity of life, but also the quality. The change in the quality of health must be put on the checklist. To assess this accurately, there first needs to be a consensus on what constitutes ‘health’ and ‘disease.’
The World Health Organization (WHO) defines health not merely as the absence of disease or infirmity, but as a state of complete physical, mental, and social well-being. This holistic view acknowledges that health is multifaceted. Disease, on the other hand, is typically defined as an abnormal condition affecting the body of an organism. It often constitute a medical condition associated with specific symptoms and signs of physical or psychiatric changes. Psychological ,cultural and economic factors indisputably affect the variable health and vici versa as it is related to a factor called ‘productivity of a subject’ which is precisely a social component but are not the real components of personal health of an individual.
The debate, however, does not end with these definitions. With the evolution of our understanding of the human genome and the complex interplay between genetics, environment, and lifestyle, health and disease are no longer seen as binary states. For instance, someone can have a genetic predisposition to a particular condition but remain healthy through lifestyle choices. Similarly, diseases can be present in a dormant state without impacting a person’s day-to-day well-being.
To truly evaluate the advancements in healthcare, we must develop nuanced metrics that capture this complexity. We must ask ourselves: Are people living longer lives also living better lives? Are the years we’ve added to our lifespan marked by vitality or incapacitation? We really need healthcare systems addressing the biological aspect of diseases to identify psychological and social realms affecting health outcomes as separate entities and define them independently to get any close and clear to real health.
In summary, while modern medicine has achieved incredible feats, the quest to enhance the holistic health of humanity is ongoing. It is imperative that we pursue this journey with a thorough understanding and clear definitions of health and disease, tracking not only the length of life but its quality as well. Only then can we truly appreciate the strides made and identify the challenges that still lie ahead.
But Health is ones right and no imitation in the name of health is health and be tolerated.