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Public Health
Detecting, preventing and responding to infectious disease
zoonotic disease
transmittible from animal to human
- animals can sometimes appear as healthy even when carrying disease
impact of zoonotic diseases
2.5 billion cases
2.7 million deaths
1.4 billion $ of economic impact
zoonotic disease spread
- direct
- indirect
- vector
- foodborn
- waterborn
transmission
the process by which a pathogen is spread
disease transmission
- fomites
- vectors
- contaminated air, soil, water, feed, ect
people at risk
children under 6
adults over 65
people with weak immune systems
pregnant women
spread
the process by which a disease can multiply through a population
epidemiology
the study of the distribution, prevalence, and causes of a particular disease
prevalence
how common a certain disease is within a area or population
where are diseases found
endemic
epidemic
pandemic
morbidity vs mortality
morbidity is amount of animals sick within a population
mortality is the amount of animals that will die from a particular disease
pathogen
microbes capable of causing disease
incubation period
time between exposure to first clinical signs
bio security
defined as all procedures implemented to reduce the risk and consequences of infection from a disease causing agent
PPE
Personal Protective Equipment
-protects a person from biohazards
exit biosecurity protocol
same as entry but in reverse
foreign animal disease
highly contagious animal disease considered foreign and not normally inside the USA
domestic animal disease
commonly seen
preventative medicine
vaccines
vector and pest control
prophylactic vs metaphylactic
CDC
Human Disease
USDA APHIS
animal disease
Texas health and Human Services
human disease
TAHC
animal disease
- crossing state lines
WHO (world health organization)
founded in 1948
Located in Genva, Switzerland
USDA FISIS
meat, poultry, and egg products
FDA
all other foods
the one health approach
prevent outbreaks of zoonotic diseases in animals and people
goal is to improve safety and security
Plum Island Animal Disease Center
A research facility off of the coast of Long Island that studies more than 40 animal diseases that are not indigenous to the United States, including foot and mouth disease.
public health is defined as
the science and art of preventing disease, prolonging life, and promoting physical health and efficiency within a population through organized community efforts
mission of public health
the fulfillment of society's interest in assuring the conditions in which people can be healthy
public health key terms
clinical care
determinant
endemic or outbreak
health outcome
father of modern epidemiology
John Snow
what is the problem
surveillance
what is the cause
risk factor identification
what works
intervention evaluation
how do you do it
implementation
5 cores of public health
- prevention effectiveness
- epidemiology
- laboratory
- informatics
- surveillance
3 core functions of public health
assessment, policy development, assurance
health care as a partner in public health
complimentary, all people benefit
other partners in public health
- media
- employers and businesses
- government agencies
- academia
cluster
group of cases in a specific time and place that might be more than expected
rate
number of cases occurring during a specific period. always dependent on the size of the population
rate equation
rate % = (# of cases / population risk) x 100
descriptive epidemiology
When was the population affected?
Where was the population affected?
Who was affected?
analytic epidemiology
How was the population affected?
Why was the population affected?
data sources and collection methods
individual
environment
health care providers
nonhealth-related sources
individual
questioner
survey
environment
samples from the environment
sensors for all enviormental changes
health care providers
notifications to health department if cases of certain diseases are observed
nonhealth-related sources
sales records, court records
cross sectional study
Subjects are selected because they are members of a certain population subset at a certain time
cohort study
Subjects are categorized on the basis of their exposure to one or more risk factors
case controlled study
subjects identified as having a diseases or conditions are compared with subjects without the same disease or condition
outbreak investigation
- Establishing the existence of an outbreak
- preparing for field work
- verifying the diagnosis
- defining and identifying cases
- using descriptive epidermally
- develop a focused hypothesis
- evaluating the hypothesis
- refining the hypothesis
- implementing control and preventive measures
- communicating findings
step 1 & 2 of outbreak investigation
- Establishing the existence of an outbreak
- preparing for field work
steps 3 & 4 of outbreak investigation
- verifying the diagnosis
- defining and identifying cases
step 5 of outbreak investigation
- using descriptive epidermally
steps 6, 7, & 8 of outbreak investigation
- develop a focused hypothesis
- evaluating the hypothesis
- refining the hypothesis
step 9 & 10 of disease outbreak
- implementing control and preventive measures
- communicating findings
pathogens
- bacteria
- virus
- fungus
- parasite
bacteria
single-celled organisms that lack a nucleus.
Not all bacteria are bad (ex- probiotics)
3 basic shapes bacteria shape
spheres or ball shaped
rod shaped
spirals or helix
bacteria are classified as
aerobes - need oxygen
anaerobes - cannot live with oxygen
facultative - can live and grow with or without oxygen
virus
Microscopic infectious agent capable of replicating only in living cells, usually causing infectious disease
- typically host specific
- must have a host to survive
virus shapes
helical, icosahedral, spherical, complex
how do viruses infect
Receptor Binding - Ex Key to Door
Direct Fusion - Ex Kicking door down
Bacteriophages - Ex sliding under the door
virus geonomics properties
DNA - Instruction manual
RNA - translation that the cell machine can read
fungus
multicellular organisms that reproduce through spores
treated by anti-fungals
type of fungal infections
superficial - skin
subcutaneous - below the surface of the skin
deep fungal - places other than the skin
parasites
An organism that lives in or on another organism, deriving nourishment at the expense of its host, usually without killing it
what parasite is the exception and can be internal and external
New World Screw Worm