Which of the following is a Notifiable disease under IHR?

MP CHO-2020

Community Health Nursing

Easy

Appeared in: MP CHO-2020

Explanation

This option correctly lists the three diseases—Cholera, Plague, and Yellow Fever—that were subject to the International Health Regulations (IHR) of 1969.
These were historically known as the 'quarantinable diseases' due to their high potential for international spread and the need for coordinated global control measures.
The question tests the foundational knowledge of the original IHR framework, which is a common topic in community health nursing.

Option B: This option includes diseases that are not notifiable under the IHR framework. Tetanus, Typhoid, and Hepatitis are not on the list of internationally notifiable diseases, although they are significant public health concerns.
Option C: This option incorrectly includes Yaws, which is a chronic bacterial infection but not a disease notifiable under IHR.
Option D: This option incorrectly mixes diseases from different versions of the IHR. Cholera is from the 1969 list, while Poliomyelitis (due to wild-type poliovirus) and human influenza (caused by a new subtype) are mandatorily notifiable under the revised IHR (2005).

Clinical Relevance

Nursing practice connection: Knowing Notifiable Diseases under International Health Regulations (IHR) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Nurses play a critical role in disease surveillance by identifying, reporting, and managing cases of notifiable diseases as per national and local guidelines.
Understanding IHR is crucial for nurses, especially those in community health, travel medicine, and infection control, as it forms the basis for global health security and outbreak response.
What if? If a traveler returns from a yellow fever endemic zone without proof of vaccination and develops a fever, a nurse must immediately implement contact and droplet precautions, notify the infection control department and public health authorities, and ensure the patient is placed in isolation pending diagnosis. This is a direct application of IHR principles to protect the community.

How to Approach the Question

First, identify the key terms in the question: 'Notifiable disease' and 'IHR' (International Health Regulations).
Recall the foundational knowledge about the IHR. The original regulations from 1969 had a specific, fixed list of three diseases.
Scan the options to see if this classic triad (Cholera, Plague, Yellow Fever) is present as a complete set.
Evaluate the other options. Eliminate those that contain diseases not on any IHR list (like Tetanus, Yaws) or those that incorrectly mix diseases from the old (1969) and new (2005) regulations.
Select the option that represents the historically accurate and complete list as per the original IHR.

Concept Tested & Keywords

Concept Tested: Notifiable Diseases under International Health Regulations (IHR)
Stem keywords: Notifiable disease, IHR, International Health Regulations
Lead-in keywords: Which
Negative lead-in flag: false

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