13.2 Public Health: Communicable Diseases Control Flashcards
What is public health?
The science and art of preventing disease, prolonging life and promoting health through organized efforts of society
What are the 3 key domains of public health practise?
- Health improvement
- Improving services
- Health protection
What is the most at risk age group for communicable disease?
- Under 5s
What is the worst affected group of global infectious/communicable diseases?
- Lower respiratory infections
- Diarrhoeal diseases
- Ischaemic heart disease
- HIV/aids
- Malaria
- TB
- COPD (in upper-middle income countries)
- Diabetes mellitus (in upper-middle income countries)
- Stroke
Explain the distribution of child deaths by cause for WHO regions
- Africa has the worst child death
- South-East asia is 2nd
What is the most common reason why people are absent at work (infectious diseases)?
- Due to respiratory or GI infections
What is considered to be the most effective public health intervention in the UK for infectious diseases?
- National immunisation programme (vaccination)
What are the areas of public health concern for infectious diseases in the UK?
- Health care acquired infections
- Antimicrobial resistance
- Sexually transmitted infections
- Emerging infecetions e.g. Ebola, COVID19
What are the factors for the spread of communicable diseases?
-
Infective agents
- Virus
- Bacteria
- Fungus
-
Source of infection
- Infected human
- Livestock
- Insects/soil
-
Mode of transmission
- Direct/indirect contact
- Air-bourne
- Foodborne
-
Host
- Susceptible population (e.g. immunosuppressed)
- Age
-
Reservoirs
- People
- Water
-
Portals of entry
- Mucous
- Meembrane
- Digestive
- Respiratory system
-
Portals of exit
- Blood
- Secretions
- Excretions
What is the infectious peroid (period of communicability)?
This is the time during which an infectious agent may be transferred directly or indirectly from an infected person to another person, from an infected animal to man or from an infected person to an animal or arthropods.
What does the reproduction number mean?
This is the average number of new people infected by each infectious case
What does the basic reproduction number (R0) mean?
The mean number of secondary cases a typical single infected case will cause in a population with no immunity to the disease in the absence of interventions to control the infection
What does the effective reproduction number (R) mean?
The number of secondary infections produced by a typical infective case.
Takes account of the fact that some people are already immune, because of previous infection or vaccination.
What does sporadic mean? (in communicable diseases)
Irregular pattern, occasional cases at irregular intervals
e.g. Typhoid or paratyphoid in UK
What does endemic mean? (in communicable disease)
Persistent, low or moderate level of disease e.g malaria, tuberculosis