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MIDTERM QUESTIONS
Community and Public Health
| Question | Answer |
|---|---|
| What are the three core functions of public health? | Assessment, policy, and assurance. |
| How does public health differ from traditional healthcare? | In traditional healthcare settings the patient is the individual typically needing acute care and diagnosis is sought through testing and examinations. In public health an entire community or population is the patient typically focusing on prevention. |
| How does the traditional interventional model differ from the revised model? | The traditional model blames individual for their health outcomes while the revised model blames systematic factors as well and individual behavior. |
| What are some common controversies surrounding public health? | Economic impact, restriction of personal freedoms, moral/religious oppositions, and politics vs science debates. |
| What are some ways that participants are protected during research studies? | Informed consent, privacy/confidentiality, and IRBs. |
| Which branch of government handles most public health issues? | The state government. |
| What public health powers does the federal government hold? | They promote general welfare, regulate interstate commerce, and have the power to tax/spend to support public health endeavors. |
| When can the government restrict personal freedoms? | 1) When it poses harm to others 2) When it poses harm to one's self 3) When children or mentally diabled people are in need of protection |
| What were three major risk factors for heart disease identified in the Framingham Heart Study? | 1) high blood pressure 2) high cholesterol 3) smoking |
| Who developed the polio vaccine? | Jonas Salk |
| What public health measures diminishes many infectious diseases? | Water purification, sewage management, milk pasteurization, immunization, nutrition, improved hygiene, and anti-biotics. |
| Who was Mary Mellon? | Also known as Typhoid Mary, she was a cook in NY would infected dozens of people without knowing it as she was symptomless. Proved that certain diseases can be present without one's knowledge, making them a carrier. |
| What is the chain of infection? | Pathogen -> Reservoir -> Method of transmission -> Susceptible host |
| What is the primary goal of epidemiology? | The goal is to study the causes and patterns of disease in populations. |
| Is the prevalence of non fatal chronic diseases higher or lower than the incidence? | Usually much higher because many live long lives with their condition. |
| How did John Snow determine the cause of the cholera outbreak? | He interviewing infected people, used the data to create a map of the distribution of cases, and tested the water for bacteria. |
| Is it possible for a disease to have a high incidence but a low prevalence? | Yes, a disease could have a high incidence if many new cases are diagnosed in a short period, but if the disease is short-lived (i.e., it causes death or recovery quickly), then the prevalence (the total number of active cases) could be low. |
| What does a relative risk greater than 1.0 indicate? | The exposure increases the risk of disease. |
| When were infectious disease dramatically controlled? | The 1960s. |
| Why have drug-resistance strains of infectious diseases emerged? | Inappropriate use of anti-biotics. |
| Can diseases be eliminated if present in nonhuman reservoirs? | No. |
| What public health strategy has been most effective in reducing smoking? | Cigarette tax increases. |
| What is a challenge in using taxation to reduce the consumption of sugary drinks? | It disproportionately affect low-income people who are more likely to purchase them. |
| What are some of the public health strategies that have been used to promote unhealthy diets? | Market unhealthy foods as a balanced diet, funding research that down plays the link between diet and obesity, and resisting taxation and regulations. |
| When did the FDA gain the right to regulate the tobacco industry? | In 2009 with the Family Smoking Prevention and Tobacco Control Act. |