M1: Epidemics Flashcards
Constant presence of an agent or health condition within a given geographic area or population. Usual prevalence of an agent or condition.
Endemic
Occurrence of more cases of disease, injury or other health condition than expected in a given area or among a specific group of persons during a particular period. Usually the cases are presumed to have a common cause or to be related to one another in some way.
Epidemic
An epidemic occurring over a widespread area (multiple countries or continents)
Pandemic
Pattern of spread, magnitude, outliers, time trend & exposure and/or disease incubation period.
Epidemic curve
Time from infection to clinical manifestation
Incubation period
Time from exposure to infection to the shortest time when there is infected
Minimum incubation period
Time of exposure to the last disease clinical manifestation
Maximum incubation period
Time from exposure to infection to the time when the infected showed most of the manifestation
Average incubation period
Exposure continues over a longer period. Many people exposed simultaneously. No case following termination of exposure.
Continuing source outbreak (contaminated water supply)
Irregular peaks reflecting the timing and extent of exposure. Common source that is not well-controlled
Intermittent
Example of Intermittent diseases
Seasonal & Industrial contaminants
Single brief exposure that did not persist over time, all cases have single incubated period. No person to person spread.
Point source
Person to person spread. Series of progressively taller peaks, each an incubation period apart. Multiple waves of infection with secondary and tertiary cases.
Propagated spread
Illness due to a specific infectious agent or its toxic products capable of being directly or indirectly transmitted from man to man, from animal to man, from animal to animal, or from the environment to(through air, water or food) man.
Communicable disease
Epidemiologic triangle
Host-Agent-Environment
Person or other living organism that is susceptible to or harbors an infectious agent under natural conditions
Host
A factor can be a MO or chemical substance or form of energy whise presence, excessive presence or in the case of deficiency diseases, relative absence in essential for the occurrence of a disease.
Agent
An extrinsic factor that affects an agent and the opportunity for exposure.
Environment
Determine the interaction between the host, agent and environment
Time
Chain of infection
Causative agent, reservoir, portal of exit, mode of transmission, portal entry & susceptible host
Ability to cause infection (proportion of persons exposed to an infectious agent who become infected)
Infectivity
Ability to cause disease (proportion of persons infected by an agent who the experience clinical disease)
Pathogenicity
Ability to cause severe disease (proportion of persons with the disease who become severely ill or die)
Virulence
Habitat in which an infectious agent normally lives, grows and multiplies
Reservoir
Immediate transfer of an agent from a reservoir to a host by direct contact or drop spread (<1m) person to person contact, contact with soil and plans
Direct
Airborne. Vector borne(mechanical or biological) live carrier examples are live carrier. Vehicle borne.
Indirect
Examples of vehicle borne
Inanimate objects. Food water & fomites.
Examples of vector borne
Mosquitoes, fleas & ticks
Universal Precaution
Hand hygiene & Personal protective equipment