unit 1-2 Flashcards

1
Q

.studies the causes, transmission, incidence, and prevalence of health and disease
in human populations. Medical and public health disciplines use results to solve
and control human health problems

A

epidemiology

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2
Q

On 28 February 2003, the French Hospital of Hanoi, Vietnam, consulted the Hanoi office of the World
Health Organization (WHO). A business traveler from Hong Kong had been hospitalized on 26 February for
respiratory symptoms resembling influenza that had started three days before. The WHO medical officer, Dr
Carlo Urbani, an infectious diseases epidemiologist answered the call. Within days, three more people fell ill
with the same symptoms (which looked like influenza but it wasn’t). Dr. Urbani recognized the aggressiveness
and the highly contagious nature of the disease. The first patient died early March 2003. Similar cases started
to show up in Hong Kong, Taiwan, Singapore, mainland China and Canada. Dr Urbani courageously persisted
working in what he knew to be a highly hazardous environment. After launching a worldwide alert via the WHO
surveillance network, he fell ill while travelling to Bangkok and died on 29 March. A run of new cases, some fatal,
occurring not only among the staff of the French Hospital but elsewhere.
Public health services were confronted with two related tasks: to build an emergency worldwide net of
containment, while investigating the ways in which the contagion spread in order to pinpoint its origin and to
discover how the responsible agent, most probably a micro-organism, was propagated. It took four months to
identify the culprit of the new disease as a virus of the corona-virus family that had jumped to infect humans
from wild small animals handled and consumed as food in the Guangdong province of China. By July 2003, the
worldwide propagation of the virus, occurring essentially via infected air travelers, was blocked. The outbreak
of the new disease, labelled SARS (Severe Acute Respiratory Syndrome), stopped at some 8,000 cases and 800
deaths. The toll would have been much heavier were it not for a remarkable international collaboration to control
the spread of the virus through isolation of cases and control of wildlife markets. Epidemiology was at the heart
of this effort, combining investigations in the populations hit by SARS with laboratory studies that provided the
knowledge required for the disease-control interventions.

A

vignettes

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3
Q

dates back to the time of Hippocrates, circa 400 BC. It is based on the
Greek roots epi (upon), demos (the people, as in ‘‘democracy’’ and ‘‘demography’’), and logia (‘‘speaking
of,’’ ‘‘the study of’’).

A

epidemiology

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4
Q

It was first used in the English language dates to the mid-19th century, around the
time the London Epidemiological Society was founded in 1850.

A

epidemiology

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5
Q

‘‘the study of the distribution and determinants of health-related
states or events in specified populations, and the application of this study to control of health
problems’’.

JL

A

john last 2001

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6
Q

the study of the distribution and determinants of diseases and injuries in populations

MAB

A

mausner and baum 1974

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7
Q

the study of the occurrence of illness

GA

A

gaylord anderson

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8
Q

a method of reasoning about disease that deals with biological inferences derived from
observations of disease phenomena in population group

L

A

lilienfeld 1978

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9
Q

the quantitative analysis of the circumstances under which disease processes, including
trauma, occur in population groups, and factors affecting their incidence, distribution, and host
responses, and the use of this knowledge in prevention and control

E

A

evans 1979

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10
Q

The word epidemiology is, of course, based on the word ______. Until not too
long ago, ____ referred only to the rapid and extensive spread of an infectious disease within a
population.

A

epidemic

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11
Q

the occurrences of disease in clear excess of normalcy

A

epidemic

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12
Q

is an epidemic that affects several
countries or continents.

A

pandemic

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13
Q

a_____ disease is one that is consistently present in the environment. The
term _____ is also used to refer to a normal or usual rate of disease

A

endemic

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14
Q

are concerned not only with death, illness and disability, but also with more
positive health states and, most importantly, with the means to improve health.

A

epidemiologists

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15
Q

The term _____
encompasses all unfavorable health changes, including injuries and mental health.

A

disease

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16
Q

endemics of animals spread to human population

A

epizotic

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17
Q

refers to collective actions to improve population health.

A

public health

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18
Q

often used to describe the health status of population groups

A

epidemiology

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19
Q

evaluate the effectiveness and efficiency of health services. Both existing and
newly developed preventive and therapeutic measures and modes of health care delivery are evaluated

A

epidemiologists

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20
Q

focus on specific areas of study which include infectious diseases, chronic
diseases, maternal and child health, injury, environmental health, nutrition, health policy, and health
behavior.

A

epidemiologists

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21
Q

IDE is the epidemiologic study of
infectious or communicable diseases. Infectious diseases are caused by an infectious agent or by the
product of an infectious agent. Such an infection is due to transmission of the agent from an infected
individual, animal, or reservoir to a susceptible host. Transition may be direct or indirect via plant or
animal host, vector or an object.

A

infectious disease epidemiology

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22
Q

CDE is the study of diseases or conditions that
have a prolonged duration, such as heart disease, diabetes, epilepsy, cancer, stroke, arthritis, glaucoma,
and asthma.

A

chronic disease epidemiology

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23
Q

MACHE focuses on improving the health and wellbeing
of women, children, and families, and investigating risk factors for health outcomes that especially
affect women and children.

A

maternal and child health epidemiology

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24
Q

IAIC Injury prevention and motor vehicle safety is a very important issue in public health. injuries and
accidents occur under certain patterns and conditions. Many injuries and accidents are predictable and
are more likely to occur among certain risk groups, so we can work to reduce or prevent them.

A

injuries and injury control

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25
EE focus on environmental exposures or factors that affect health outcomes. Examples of environmental exposures or factors include chemical and physical agents, microbiological pathogens, social conditions that can affect environmental exposure, and climate change.
environmental epidemiology
26
NE examines associations between nutrition and health outcomes. Research studies may focus on diet and physical activity.
nutritional epidemiology
27
HBE the distribution and determinants of health behaviors, and evaluate interventions and services for behaviors, such as substance abuse or psychiatric disorders. how health behaviors and policies are associated with communicable diseases. An understanding of how behavior affects health promotion and disease prevention is important.
health behavior epidemiology
28
PP an English surgeon in the 1700s was considered to be the first person to show that an environmental carcinogen may cause cancer.
Percivall Pott
29
WF was a 19th century London epidemiologist who was considered one of the founders of modern epidemiology. he took statistical data and tested social hypotheses. He also classified causes of death in a way that accounted for broader factors that determine health. Farr demonstrated a relationship between population density and mortality rates. He also mapped deaths, monitored outbreaks,
william farr
30
Sir EC studied sanitation issues in the United Kingdom. and supported the idea that disease was directly related to people's living conditions and that there was a strong need for both public health and social reform.
sir edwin chadwick
31
JS known as The Father of Modern Epidemiology. he conducted the first outbreak investigation in London in 1854. showed an increase in patients with cholera symptoms who lived or worked in one district. counted and mapped cases of cholera according to where people lived and worked.
John Snow
32
are expressions of the frequency with which an event occurs in the population at risk during a specified time period, such as a day, 6 months, or a year
rates
33
usually presented as fractions; sometimes multiplied by 100, 1000 or another
rates
34
values obtained by dividing one number by another. They describe the relationship between the numerator and the denominator, which are two separate and unconnected quantities
ratios
35
can range from zero to infinity. For example, according to Census 2000, there were 143.4 million women and 138.1 million men in the U.S. for female to male ____ of 1.04 in 2000
ratio
36
are obtained by dividing one number by another. A _____ is a type of ratio. However, unlike ratios, the numerator and the denominator are always related in a _______
proportion
37
is often expressed as a percentage ranging from 0% to 100%.
proportion
38
_______ is a number in each 100 of something. A ______ is a type of proportion. A proportion multiplied by 100 will produce a _______
percentage
39
the extent of disease, illness, injury, or disability in a defined population.
morbidity
40
means death, or it describes death and related issues
mortality
41
measures the occurrence of new cases of a disease or the onset of disease and is expressed in person-time units.
incidence
42
measures the number of cases of a disease already present in a population and is expressed as a proportion.
prevalence
43
defined as the number of new cases that occurs in a population at risk for developing the disease during a specified time period
incidence
44
measures the proportion of the population at risk that develops the disease of interest over a specified period of time.
cumulative incidence
45
number of new cases of disease in a SPECIFIED TIME PERIOD/ number of persons at risk at the beginnng of that time period ex. jan- may 50/6000
cumualtive incidence
46
measures the number of people who become new cases of a disease during a specified period of time as a proportion of the total time at which individuals in a population at risk are observed
incidence rate/incidence
47
number of new cases of disease in a given time period/ total person-time at risk during the FOLLOW UP PERIOD ex aug 15-30; jan-may 50/6000
incidence rate/incidence
48
the number of people who have the disease of interest at a single point in time, divided by the number of people in the population at that specific time, for example, on a given day.
point prevalance
49
no. of cases in a defined population at one point in time/ no. of persons in a defined population at the same point in time ex. diabetes 70/1000 aug 15
point prevalence
50
refers to the number of persons who have the disease at any point during a period of time, divided by the number of persons in the population during that period of time
period prevalence
51
number of persons who have the diseasse at any time during a SPECIFIED PERIOD/ number of persons in the POPULATION during that specified period ex: diabetes jan-may 150/6000
52
causation of disease genetic v good health ---------------------> ill heath ^ environmental (behavior)
causation of disease
53
a special incidence rate calculated for a particular population for a single disease outbreak and expressed as a percentage.
attack rate
54
proportion of people in a population who develop a particular condition during an outbreak (specified time period); also called crude ____ _____
attack rate
55
number of new cases (number of disease)/ number of people at risk exposed to contagiom) per unit of time ex. Gastroenteritis 100/1000 per day
56
proportion of people in a population who develop a condition after eating a specific food. An attack rate is calculated both for the people who ate a specific food item and for those who did not eat the specific food item.
food-specific attack rate
57
AR ( for those who ATE item) = number of peopel who ate specific food and became sick/ total number of people who ate sspecific food AR (for those who did NOT eat item) = number of people who did not eat specific food and became sick/ total number of people who did not eat specific food ex. gastroenteritis 50/100 30/100
food-specific attack rate
58
refers to the occurrence of death.
mortality
59
is the total number of deaths from all causes per 1,000 persons in a population during a specified period of time divided by the total number of persons in the population during that period of time.
crude mortality/death rate
60
number of deaths for all causes during a specified period/ number of persons in the population during that period x 1000 ex 50/6000 x 1000 = 8.33
crude mortality/death rate
61
measures the total number of deaths from all causes among individuals in a specific age category.
age-specific mortality rate
62
number of deaths for all causes during a specified period in a specified age catergory/ number of persons in that age category in the population during that period x 1000 ex. 15-20 yrs old 77/6000 (na 15-20 yrs olds) x 1000 = 12.83 per 6000 population
age-specific mortality rate
63
“the death rate that would occur if the observed agespecific death rates were present in a population with an age distribution equal to that of a standard population.”
age-adjusted mortality rate
64
comparison of mortality risks between population groups and across geographic locations and mortality trends over time ex. standard age distribution 65-75 global 55-60 PH 113 M ph population/ 2.0% lower than the global standard
age-adjusted mortality rate
65
measures the total number of deaths from a specific cause. It is usually expressed as per 1,000 or per 100,000 population for a 1-year period
cause-specific mortality rate
66
number of deaths for a specific cause during a specified period/ number of persons in the population during tht period x 1000 ex. tuberculosis jan-may 77/6000x1000 = 12.83 per
cause-specific mortality rate
67
represents the proportion of individuals affected with a disease who die from it. expressed as a percentage
case fatality
68
number of deaths from a disease during a specified period/number of persons with the specified disease during that period x 100 ex. tuberculosis jan-may 77/2000 x 100 = 3.85% for
case fatality
69
is the proportion of deaths that are attributable to a specific cause. is not a ratio or a rate but a proportion
proportionate mortality
70
number of deaths from a disease during a specified period/ total number of deaths during that period x 100 ex. 500/5000 x 100 = 10%
proportionate mortality
71
is the ratio of total live births to total population (at the midpoint of the specified time) in a given area over a specified time period.
birthrate
72
number of live births during a specified time period/ population from which the births occured x 1000 ex jan-may 30/10,000 x 100 = 3%
birthrate
73
which represents the number of live births per 1,000 females of childbearing age (15–49 years).
fertility rate
74
number of live births during a specified time period/ population of women 15-49 x1000 ex 30/(15-49) 7000 x 1000 = 4.29%
fertility rate
75
is the fertility rate within selected age groups
age-specific fertility rate
76
births in a given year to women aged x/ number of women aged x at midyear x 1000 women x= 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49 years ex. 25-29 55/108000 x 1000 - 0.51%
age-specific fertility rate
77
is the total number of children a woman would have by the end of her reproductive period if she experienced the currently prevailing age-specific fertility rates throughout her childbearing life (ages 15–49 years). It is the average number of births per woman and is commonly used as an indicator of reproductive health and population momentum, to determine the effectiveness of family planning services
total fertility rate
78
tfr = E(summation)sge specific fertility rate x 5/ 1000 ex. 777x5/1000 = 3.89%
79
defined as the average number of years a person from a specific cohort is projected to live from a given point in time ex global - 75 ph - 55
life expectancy
80
is calculated by subtracting a person’s age at death from a predefined, standard age. (YPLL) 75-19 =56
years of potential life lost
81
a measure for the burden of disease that takes into account premature death and loss of healthy life resulting from disability. the total years of life lost and the total years of life lived with disability, and then by summing these totals (DALYS) the total years of life lost and the total years of life lived with disability, and then by summing these totals ex. 75 yrs (standard) - 60 yrs (40 years old + 20 yrs disability) = 15 DALYS
disablity-adjusted life years
82
HALE sometimes referred to as healthy life expectancy, is the number of years of healthy life expected, on average, in a given population or region of the world.
health-adjusted life expectancy
83
is the process of enumeration of the population living in a specific place.
census
84
VSR statistical summaries of vital records, that is, records of major life events. Listed are births, deaths, marriages, and divorces.
vital statistics reports
85
MAMR Reported cases of specified notifiable diseases are reported weekly in the Morbidity and Mortality Reports, which lists morbidity and mortality data by region of the country
morbidity and mortality reports
86
NHS These surveys determine the amount, distribution, and effects of illness and disability. Three types of surveys may be conducted: (1) health interviews of people; (2) clinical tests, measurements, and physical examinations of people; and (3) surveys of places where people receive medical care, such as hospitals, clinics, and doctors’ offices
national health surveys
87
seek to describe the extent of disease in regard to person, time, and place. WHAT WHEN WHERE WHO
descriptive studies
88
to test hypotheses about relationships between health problems and possible risk factors, factors that increase the probability of disease HOW
analytic study
89
the investigator simply observes the natural course of events, taking note of who is exposed or unexposed and who has or has not developed the disease of interest.
observatonal studies
90
are carried out to identify the cause of a disease or to determine the effectiveness of a vaccine, therapeutic drug, surgical procedure, or behavioral or educational intervention.
experimental studies