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Epidemiology Test 1
Test 1
| Question | Answer |
|---|---|
| foundation on which public health was built | epidemiology |
| what do we know about determinants? | causes, etc. of health related events |
| how are epidemiologic studies done? | through scientific investigations |
| what is epi a study of? | 1. distribution 2. determinants |
| what are the two methods of investigation? | 1. descriptive 2. analytic |
| what does the descriptive method of investigation consist of? | personal charactersitics such as: age, gender, race, religion, etc. |
| what does the analytic method of investigation consist of? | quantifying associations, testing the hypothesis and identifying causes |
| in epidemiology, what do we look at when we look at the number of cases? | 1. frequency 2. distribution |
| patterns are established | frequency |
| who, where, when, person, place, time | distribution |
| to identify risk factors, what do we look at? | casual associations |
| a step toward identifying causes is to determine what? | risk factors |
| a behavior, environment exposures, inherent human characteristics | risk factors |
| sum total of our being | composition |
| what do risk factors increase? | the probability of getting a disease or being involved in a health related event |
| the study of distribution and determinants of disease or any health related event | epidemiology |
| what does the application of epi consist of? | 1. prevention 2. control |
| studies occurence of disease/health related events in specified populations | epidemiologist |
| epidemiology is all about what? | meeting public health objectives and promoting over all health |
| what 3 types of health do epidemiologists promote? | 1. mental 2. physical 3. social health |
| what else is epidemiology group medicine known as? | population medicine |
| based on the medical model; haelth care provider to the patient | clincial medicine |
| identifies: if, where, when, who and place that health problems occur | public health assessment |
| what does a public health assessment serve as a guide to? and what are these based upon? | 1. health planning 2. policy making 3. resource allocation based upon: need |
| what are some activities of epidemiologists? 1-7 | 1. ID risk factors 2. describe the natural history of a disease 3. identifies pop. at risk 4. identify where the public health problem is greatest 5. monitor events over time 6. eval effectivness of programs 7. incorporate programs in communities |
| what are some activities of epidemiologists? 8 and 9 | 8. a resource person or the go to for q&A 9. public health educator |
| historically, what was epidemiology to investigate? | infectious diseases |
| what is another term for epidemic? | outbreak |
| what can an epidemic result from? | 1. a common source 2. propagated epidemic |
| a gradual epidemic spread from host to host | propagated epidemic |
| an epidemic as a result of exposure to a source at a point in time | common source epidemic |
| what are some examples of types of common source epidemics? | chemical, radiation and food poisoning |
| when is something considered an epidemic? | when it exceeds normal expectancy, above previous years |
| an ongoing, usual, constant presence of a disease in a community/group | endemic |
| large scale; typically world-wide | pandemic |
| what are the first two steps taken when an epidemic arises? | 1. investigation begins 2. epidemiologist will look for and study the cases |
| anyone who has the disease | case |
| how are cases found? (5 ways) | 1. clinical records 2. screenings 3. surveys 4. general data registry 5. cases themselves |
| first disease case in population | primary case |
| first case brought to the attention of the epidemiologists | index case |
| is the index case the same thing as the primary casE? | not always |
| cases that are infected off of the primary case | secondary |
| shows all the signs and symptoms, but not yet diagnosed cases | suspect case |
| no bumps, can only see | macules |
| rash is rising above the skin surface | papules |
| rash turns into sores | vesicles |
| pus-filled; fever appears again | pustules |
| will fall off after 3-4 weeks | scabs |
| what are the 4 epidemiological factors that contribute to the outbreak of disease? | 1. agent 2. host 3. environment 4. time related factors |
| chemical, physical, biological; can be a bacteria, virus, etc. | agent |
| the lodging for the pathogen; may or may not develop the disease | host |
| what are the 4 reasons that a host may or may not develop a disease? | 1. the level of immunity of the host 2. genetic makeup 3. level of exposure 4. overall fitness |
| biological, physical, social, cultural | environmental factors |
| heart health, respiratory health, etc. | overall fitness |
| what are the 7 time related issues in regards to out break of a disease? | 1. severity of illness 2. incubation 3. communicability 4. season/cycle 5. time of day 6. day of week 7. prognosis |
| the sum total of our being | constitution |
| what four things does an epidemiological triangle consist of? | 1. agent 2. environment 3. host 4. time |
| an epidemic can be stopped when one of the elements of the triangle is broken by doing one of what four things? | 1. inferred with 2. altered 3. changed 4. removed from exisstance |
| any non-living object capable of transmitting disease; examples | fomites; clothing, towels, toothbrush and utensils |
| tick, mite, mosquito, fly, etc.; they can spread disease by way of waste products, bite , body fluids, or indirectly through food contamination | vector |
| spreading or harboring a disease | carriers |
| a health carrier is also known as what? | active carrier |
| an individual that has been exposed to and harbors a pathogen, but they have recovered | healthy carrier |
| an individual that is in the recovery phase, but is still contagious | convalescent carrier |
| beginning to show symptoms and are capable of transmission | incubatory carrier |
| a person that has been exposed to and harbors, but can cause the disease to spread | intermittent carrier |
| what are the four different types of transmission? | 1. direct 2. indirect 3. airborne 4. waterborne |
| direct and immediate transmission of a pathogen from a host to a susceptible host | direct transmission |
| through droplets or dust particles that can carry the pathogen | airborne transmission |
| carried by a fomite to a susceptible host | indirect transmission |
| a pathogen that is carried by way of water | waterborne transmission |
| disease transmission occurs when the pathogen leaves the resevoir through a portal of exit; uses a mode of transmission, then the pathogen enters the body through a portal of entry and will infect the host if it is susceptible | chain of infection |
| what are the two types of human reservoirs that are recognized? | 1. symptomatic 2. asymptomatic |
| individual is showing symptoms | symptomatic |
| no signs of disease, but can still spread the disease | asymptomatic |
| what 2 things is prevention at its basic level? | 1. behaviorally directed 2. lifestyle oriented |
| what are the 3 levels of prevention? | 1. primary 2. secondary 3. tertiary |
| trying to prevent a disease or health related event from occuring at all | primary prevention |
| what are the 3 facets of primary prevention? | 1. health promotion 2. health education 3. health protection |
| early detection and prompt treatment | secondary prevention |
| limiting disability by providing rehab | tertiary prevention |