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epidemiology
the study of the distribution and determinant of health-related states or events in human populations, and the application of this study to prevent and control health problems
epidemiologist role
collect information about disease status, which is used to prevent outbreaks, and determine effectiveness of prevention efforts
what steps do epidemiologists take?
epidemiologic surveillance, contact tracing, immunization, identify infected, and quarantine if necessary
patterns of disease occurance
how, when, and where diseases appear in a population categorized by time, place, and person
father of epidemiology, who and what was his role?
Dr. John Snow, also first anesthesiologist and medical hygienist
endemic
persistent, usual, expected health-related state or event in a defined population over a given period of time
epidemic
health-related state or event in a defined population above the expected over a give period of time
pandemic
epidemic affecting a large number of people, global
difference between epidemiology and biomedical sciences
biomedical sciences are lab based and focused on disease at an individual level, while epidemiology is population-focused and deals with factors influencing the health of communties
purpose and use of statistics and data in public health
used to understand and monitor health risks and trends, inform and evaluate policies, identify disparities, and allocate resources
notifiable diseases- what they are and how they are reported
list of contagious, severe, or frequent illnesses that healthcare providers are legally required to report to public health officials, like the CDC
notifiable diseases examples
anthrax, COVID-19, tuberculosis
major causes of death in US in 1900s, what causes them?
pneumonia- virus, flu- virus, tuberculosis- bacteria
major causes of death in US now, what causes them?
heart disease, cancer, stroke, caused by genetics and lifestyle choices
agent
cause of disease or health problem
host
susceptible person or organism invaded by an infectious agent
environment
factors that inhibit or promote disease transmission
cases
people afflicted
attack rates
percentage of people who get sick in a given population
morbidity rates
frequency at which a disease appears in a population
mortality rates
the number of deaths in a given area or period or from a particular cause
population at risk
those susceptible to a particular disease or condition
incidence rate
number of new health-related events or cases of a disease in a population at a given time, divided by total number in that population
prevalence rate
number of new and old cases in a given period of time, divided by total number in that population
crude rates
denominator includes the total population
age-adjusted rates
used to make comparison of relative risks across groups and over time when groups differ in age structure
notifiable diseases
infectious disease in which health officials request or require reporting
life expectancy
average number of years a person from a specific cohort is projected to live from a given point in time
YPLL
number of years lost when death occurs before one’s life expectancy
crude birth rate
number of live births in a given year, divided by midyear population
crude death rate
number of deaths in a given year from all causes, divided by midyear population
infant mortality rate
number of infants who die before their first birthday for every 1000 live births in a given year
risk factors
behaviors, conditions, or exposures that increase the likelihood of developing a disease or health problem
carrier
person or animal that harbors an infectious agent
vector
living organism that transmits pathogens to a host
vehicle
inanimate object/substance that transmits pathogens to host
chronic diseases
long term
acute diseases
short term
pathogenicity
an agent’s ability to cause disease in a host
direct transmission
spread of disease through immediate, close contact between an infected and susceptible person
indirect transmission
transfer of pathogens through an intermediary or environment
chain of infection
pathogen → reservoir → portal of exit → transmission → portal of entry → susceptible host
modifiable risk factors
controllable
non-modifiable risk factors
basically uncontrollable
the US Census, Vital Statistics, Morbidity and Mortality Weekly Report, and Behavioral Risk Factor Surveillance System are all sources of secondary data for epidemiology
true
primary prevention
forestall onset of illness or injury
secondary prevention
early diagnosis and prompt treatment
tertiary prevention
aimed at rehabilitation following significant pathogenesis
eradication
total elimination of a disease form human population