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General Environmental Health

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Answer
ACCUTE DISEASES   An acute disease (as opposed to chronic disease) is medically defined as an adverse condition that appears suddenly, progresses rapidly, and is of relatively short duration.  
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ACTIVE IMMUNITY   Immunity resulting from the development of antibodies in response to the presence of an antigen, as from vaccination or exposure to an infectious disease.  
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AGENT   any microorganism capable of causing disease  
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BEHAVIOR MODIFICATION   is the use of empirically demonstrated behavior change techniques to improve behavior, such as altering an individual's behaviors and reactions to stimuli through positive and negative reinforcement of adaptive behavior  
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CARCINOGEN   Any factor or combinatyion fo factors that increases the risk of cancer.  
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CARRIER   A person or animal that harbors a specific infectious agent in the absence of discernible clinical disease- a potential source of infection  
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CHRONIC DISEASE   long lasting or recurrent. Looks at rate of onset and development. Caused by a variety of factors- difficult to identify, treat and control.  
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COMMUNICABLE DISEASE   A clinically evident disease resulting from the presence of pathogenic microbial agents, including viruses, bacteria, fungi, protozoa, multicellular parasites, and proteins known as prions. pathogen causes disease in plants and animals  
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DISINFECTION   The application of microbicidal chemicals to materials (surfaces as well as water) - to kill pathogenic microorganisms. May not be totally effective.  
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EPIDEMIOLOGY   The study of the occurance, frequency, and distribution of a disease in selected human populations. Find preventative action (social, biological, chemical or physical)  
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FOMITE   is any inanimate object or substance capable of carrying infectious organisms (such as germs or parasites) and hence transferring them from one individual to another. A fomite can be anything (such as a cloth or mop head),  
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FREQUENCY   is the number of occurrences of a repeating event per unit time. It is also referred to as temporal ____. The period is the duration of one cycle in a repeating event, so the period is the reciprocal of the ________.  
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HOST   A living thing that provides 'housing' to an infectious agent under natural conditions  
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INCUBATION PERIOD   The interval between exposure to a host to an infection and the onsite of clinical symptoms  
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INFECTIOUS DISEASE   Caused by the growth of pathogenic microorganisms in the body; may or may not be contagious (communicable)  
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LD50   the medial lethal dose, causing death in 50 % of the animals exposed by swallowing a substance; a measure of acute toxicity  
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MUTAGEN   A chemical capable of producing a heritable change in genetic material. Many chemicals that pollute are ___ but hazard is not known for levels found in the environment  
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NOEL   No-Observed-Effect Level: expressed as a dose in milligrams of chemical per kg of body weight.  
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PATHOGEN   an infectious agent capable of causing disease  
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PERSONAL HYGIENE   protective measures to promote health and limit spread of infectious diseases  
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RESERVIOR   Any person, animal, arthropod, plant, soil or substance where infections agent lives, multiplies, and survives.  
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RETROSPECTIVE STUDY   Draws conclusions from events or information that occurred in the past.  
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SANITIZE   To reduce microorganism level to an acceptable level, usually by the application of heat or chemicals  
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STERILIZATION   Process of killing all microorganisms, including spores  
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TERATOGEN   An agent (radiation, virus, drug, chemical) that acts during pregnancy to produce defect in offspring. Methylmercury and Thalidomide.  
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AGE ADJUSTED DEATH RATE   shows the level of mortality if there were no changes in the age composition of a populatino from year to year. Better indicator than unadjusted rate of change over time in the risk of dying.  
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ANTISEPSIS   The application of chemical agents to living tissue to kill or control microorganisms  
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CARCINOGEN   causes cancer  
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CONTAMINATION   The presence of an infectious agent on a body surface; clothes, bedding, toys, food and water are included.  
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ENDEMIC   The constant persence of a disease or infectious agent within a given geographic area. May refer to the usual prevalence of a given disease within such area  
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ENDOTOXIN   Substance produced by a microorganism that is retained within the cell but is leberated when the cell disintegrates causing intoxication. Withstands autoclaving.  
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ENTEROTOXIN   Substance produced by certain microorganisms. It is associated with symptoms of food poisoning and is heat stable.  
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EPIDEMIC   The occurrence in a community or region of cases of an illness (or an outbreak) clearly in excess of expectancy. Two cases associated in time and place are enough to consider this type of situation.  
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PRIMARY OR DIFINITIVE HOST   The parasite matures or passes sexual stage.  
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SECONDARY OR INTERMEDIATE HOSTS   parasite is in a larval or asexual state while in host  
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TRANSPORT HOST   a carrier in which the organism remains alive but does not undergo development  
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IMMUNOBIOLOGIC   Vaccines, toxoids, and antibody containing preparations from human or animal donors, including globulins or antitoxins  
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VACCINE   A suspension of live attenuated or killed microorganisms (bacteria, viruses, or rickettsias) administered to induce immunity  
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TOXOID   A modified bacterial toxin that has been rendered nontoxic  
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IMMUNOGLOBULIN (IG)   A sterile solution containing antibody from human blood.Used for passive immunization against measles and hep A.  
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SPECIFIC IMMUNOGLOBULIN   prepared from donors withhigh antibody content against specific diseases.  
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ANTITOXIN   A solution of antibodies derived from the serum of animals immunized with specific antigens- used to achieve passive immunity  
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INFECTION   The entrance and growth of a pathogen in humans or animals that grows and causes illness  
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LC50   The median lethal concentration of a substance in the air causing death in 50 % by inhalation; a measure of acute toxicity  
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NEUROTOXIN   A toxin that attacks nerve cells (i.e., botulism)  
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POLLUTION   change in air, land or water which may harm human life  
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PRIMARY PREVENTION   Action to promote health and prevent disease. Immnization, having safe water to drink, sanitation, education, maternal and child care  
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SECONDARY PREVENTION   Early detection and treatment. Surveillance, screening and monitoring, fluoride in water  
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TERTIALRY PREVENTION   amelioration of a disease to reduce disability or dependence resulting from it.  
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THRESHOLD LIMIT VALUE   average 8 hour exposure  
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TOXICITY ACUTE CONDITION   Adverse effect shortly after exposure: viruses, colds, flu, GI, less than three months  
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TOXICITY CHRONIC CONDITION   injury that persists during prolonged exposure period (cancer or liver damage) heart disease, diabetes, emphysema. Lasts more than three months  
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TOXIN   poison from animal or plant  
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TRANSMISSION OF INFECTIVE AGENTS   infectious agent is spread from a source or resevoir to a person  
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DIRECT TRANSMISSION   direct and immediate transfer of infectious agents to a portal of entry- touching, biting, kissing, sex, sneezing, spitting 1m or less  
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INDIRECT TRANSMISSION (3 TYPES)   Vehicleborne, Vectorborne, Airborne  
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VEHICLEBORNE   intermediate means of transport of infectious agent. Fomites, water, food, milk. May or may not mutliply on/in vehicle.  
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VECTORBORNE (2 TYPES)   mechanical: carried by insect's feet or proboscis or through it's GI tract. Biological; propagation or cyclical development is required BEFORE transmission  
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AIRBORNE TRANSMISSION   Droplet Nuclie (autopsy rooms) or Dust (fungus or spores)  
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DEMOGRAPHIC DATA   the characteristics of a population  
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GROWTH PHASE   time of cell division  
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LAG PHASE   cells adjust to growth- catch up  
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MORBIDITY   a diseased state, disability, or poor health due to any cause  
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MORTALITY   a measure of the number of deaths in a given population  
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PREVALENCE   the total number of cases of the disease in the population at a given time, or the total number of cases in the population, divided by the number of individuals in the population. A/(A+B)  
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PROSPECTIVE STUDY   follow a cohort- like truck drivers for 20 years.  
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BODY BURDEN   also known as chemical load, is the amount of harmful chemicals present in a person's body  
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SOURCE   food or infected or infested animals, poisonous plants, parasites, toxid substances, radiation, noise  
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MODE OF TRANSMISSION OR CONTRIBUTING FACTORS   environmental pollutants, contacts, animlas, personal behavior, hygiene, sanitation, climate  
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SUSCEPTIBILITY (host factors)   all animals resulting in acute, chronic or delayed effects; depending on portal of entry, dose, toxicity  
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BIOLOGIC FACTORS/ AGENTS   arthropods, fungi, bacteria, viruses  
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RESPIRATORY DISEASES   diseases spread by discharge from mouth, nose, throat, or lungs  
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ANTIGEN   any substance that can stimulate the production of antibodies and combine specifically with them  
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communicable diseases (examples)   malaria, yellow fever, pneumonia, tb, cholera, trachoma, intestinal parasites, diarrheal diseases  
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"universal solvent"   water  
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The most plentiful form of freshwater   ground water (subsurface) (hard to get to)  
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"cradle to grave" steps of investigation   preparation>detection>confirmation>description>hypothesis -^remedial contols->hypothesis testing>control measures>final report  
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4 supgroups of incubation: Less than 1 hour ___, 1-7 hours ___, 8-14 hours___, >14 hours   Incubation times: chemical, staphylococcus, c. perfringens, other agents  
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odds ratio (OR)=   (a/c)/(b/d)  
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Relative Risk (RR) =   ((a/(a+b)/((c/(c+d))  
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ELISA   enzyme-linked immunosorbent assay  
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PCR   basic approach to assaying nucleic acid  
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steps to PCR(3)   1. denature double stranded dna (92-94C) 2. annealing primers to single strand 3. complementary strand synthesis  
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made link between microbes and food spoilage   pasteur, 1837  
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FATTOM   Food, Acidity, Time to grow and reproduce, Temperature, Oxygen (+/-) and Moisture  
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toxins   chemical byproducts that either directly harm tissue or evoke an immune system response (may or may not be destroyed by heat)  
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intoxication   consuming a toxin produced in food  
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toxin mediated infection   pathogen is consumed then later produces a toxin while in the digestive system  
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Bacillus cereus vomiting = Toxin, Spore former or Toxin-mediated   T-vomiting type, S  
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Toxin, Spore former or Toxin-mediated Clostridium botulinum   T,S  
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Staphylococcus aureus Toxin, Spore former or Toxin-mediated   T  
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Clostridium perfringens Toxin, Spore former or Toxin-mediated   TM; S  
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Bacillus cereus diarrhea Toxin, Spore former or Toxin-mediated   TM,S  
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Escherichia coli Toxin, Spore former or Toxin-mediated   TM  
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Shigella spp. Toxin, Spore former or Toxin-mediated   TM  
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no threshold   increased doses produce no increase in illness  
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staph can be excreted in   rodent urine  
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most common lead to outbreak in food   improper holding  
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________ is commonly found in poultry processing plants and found in conjunction with ______   campylobacter jejuni  
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mercury form in fish   methylmercury  
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short term exposure to mercury   lung damage, nausea, v,d,rash  
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mercury in high levels   brain damage, kidney's and developig fetuses  
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methemoglobinemia   nitrates- blue baby  
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