Public Health-Foundations

Question 1

3 “core” PH services

Answer 1

1. Environmental Health
2. Disease Control
3. Health education/Promotion

Question 2

Ways to build walls

Answer 2

1. Isolate
2. Tx cases to render noninfectious
3. Tx contacts to cut off incubating dz
4. Immunizations
5. Behavior change
6. Render environment less facilitating of transmission (e.g. sanitary conditions)
7. Policy decisions that are less facilitating of transmission (e.g. access to HC)

Question 3

Mortality due to drug resistant pathogens since 1980

Answer 3

-Remains relatively constant, slight increase in 2005

Question 4

Trend in mortality due to vaccine-preventable dz’s since 1980

Answer 4

-Decreased

Question 5

Trends in mortality due to vector-borons dx’s since 1980

Answer 5

-Dramatic spike in 2000 due to West Nile virus

Question 6

Top ten reportable dz’s in AZ

Answer 6

1. Chlamydia
2. Influenza
3. Gonorrhea
4. Valley Fever
5. Syphillis
6. Campylobacter
7. MRSA
8. Hepatits B
9. Salmonellosis
10. Strep pneumonia

Question 7

What is the rate of increase in Maricopa County of Chlamydia since 2004?

Answer 7

64%

Question 8

What year did newly diagnosed cases of gonorrhea increase dramatically?

Answer 8

• 2010
• Increased by 139%!!!
• For more than a dozen years rates have steadily declined

Question 9

What is the number of newly diagnosed cases of Syphilis in Maricopa County since 2013?

Answer 9

112%

Question 10

Dual infections are a growing problem in Maricopa County

Answer 10

-Since 2011 an average of 33.2% of all Syphillis cases are duly infected with HIV