Block I: person to population

Question 1

3 reasons why the death rates due to TB declined in UK before the identification of tubercule
bacillus and the introduction of chemotherapy:

Answer 1

quarantine
sanitation
improving living conditions

Question 2

4 Action Areas of the Ottawa Charter for Health Promotion

Answer 2

i) Building healthy public policy
ii) Creating supportive environments
iii) strengthening community action
iv) developing personal skills

Question 3

Case fatality rate

Answer 3

of fatalities / # of confirmed cases
The percentage of persons diagnosed as having a specified disease who die as a result of that illness
within a given period.
This term is most frequently applied to a specific outbreak of acute disease in
which all patients have been followed for an adequate period of time to include all attributable deaths.
The case-fatality rate must be clearly differentiated from the mortality rate (q.v.).

Question 4

Most identified by Drug Analysis Services with steady increase in the past 10 years

Answer 4

crack cocaine

Question 5

DALY

Answer 5

disability adjusted life year

measures overall burden of disease and potential years of life lost and years lived with a disability

Question 6

Tests for immigrants to Canada

Answer 6

Chest X ray
Syphilis
HIV

Question 7

Bird flu is reported to

Answer 7

Canadian food inspection agency

Question 8

2V1 rule

Answer 8

Helmets:
V shape under both ears
2 fingers from helmet to brow
1 finger under the chin

Question 9

Strategies effective for reducing drinking&driving related injuries

Answer 9

increasing legal drinking age to 21
controlling the #, location and type of liquor outlets
random testing
administrative license suspensions
increased tax

NOT EFFECTIVE: harsher penalties for convicted impaired drivers

Question 10

Trends in impaired driving

Answer 10

% of drivers who reported impaired driving increased
% night time drivers who tested > 0.05 BAC increased
Canada has a higher % of impaired drivers among fatally injured drivers than UK
BC’s roadside bans introduced in Sept 2010 reduced fatalities

Question 11

Components of Haddon’s Matrix

Answer 11

Columns: Host, Agent, Environment (social/physical)
Rows: Pre-event, Event, Post-event

Question 12

Poisoning trends

Answer 12

Suicide leading cause of injuries in all ages
>50% poisoned are children
>90% unintentional poisoning are drug-related
Poisoning exposure in youth: analgesics most common
Reduced alkalinity in household products decreased serious morbidity of third degree esophageal burns/stricture formation

Question 13

Reduction in ASA pediatric poisoning a result of

Answer 13

child resistant containers

Question 14

BC gambling trends

Answer 14

> 0.5% in BC identified as serious problem gamblers
Lower mainland has the most casinos per capita in Canada
BC spends the least per capita on prevention/tx of problem gambling
People with mental health/substance use problems disproportionately damaged by problem gambling

Question 15

Provincial Health Officer roles

Answer 15

Senior public health official for BC
advises the ministry of health and public officials independent of the provincial government
establishes and monitors the professional standards for Medical Health Officers
monitors the health of people of BC

Question 16

Policy approaches effective in reducing tobacco consumption

Answer 16

Increase price
Prohibit smoking in workplaces/public areas
Public funding for smoking cessation pharmaceuticals and programs
Limit minor access
Anti-smoking ads

Question 17

Prevental risk factors for cancer in order of impact (greatest>least)

Answer 17

Tobacco (20%)
Obesity (20%)
Diet (3-4%)
Physical inactivity (3-4%)
Infection (3-4%)