Community Medicine (PSM) · Environmental Health (Water, Air, Sanitation, Radiation, Housing)

Under the concept of minimum requirements for healthy housing (Winslow criteria), which is considered the MOST important environmental determinant?

  • A Proximity to a school
  • B Construction with reinforced concrete
  • C Access to cable television for health education
  • D Adequate space to prevent overcrowding and transmission of airborne communicable diseases
Correct answer: D. Adequate space to prevent overcrowding and transmission of airborne communicable diseases

Explanation

Winslow's criteria for a healthy house emphasise (1) adequate space (to prevent overcrowding — a key driver of TB, meningitis, and respiratory infections), (2) adequate natural ventilation and lighting, (3) safe water supply, (4) sanitation (latrine, sewage), (5) freedom from damp, (6) facilities for food storage. Overcrowding is measured by occupancy rate and room density, with > 2 persons per room being the conventional threshold. Structural material and proximity to social amenities are secondary considerations.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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