19. Virus Epidemiology Flashcards

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1
Q

what is R0

A

the average number of secondary cases per case in a totally susceptible population

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2
Q

what happens if R0:
>1
=1
<1

A

> 1 = cases increase
= 1 = cases stable
< 1 = cases decrease

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3
Q

what was the R number for measles in an unvaccinated population

A

15

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4
Q

what is key to reducing exposure

A

breaking the transmission chain

  • protective clothing
  • isolating patients
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5
Q

who is responsible for dealing with infective people that enter the country

A

public health england

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6
Q

what are the 3 measures taken in response to an outbreak

A
  • contact tracing
  • breaking the transmission chain
  • stopping infected individuals entering the country
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7
Q

what is case fatality rate a proportion of

A

the number of positive cases to the number who died

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8
Q

what is the difference between an endemic and an epidemic disease

A

endemic = steady number of new cases as time progresses = no great peaks or troughs

epidemic = number of new cases increases rapidly

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9
Q

is ebola endemic or epidemic

A

epidemic

- although studies suggest it could become endemic

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10
Q

define outbreak

A

localised infections to which we know the site of the initial case

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11
Q

how can we reduce R0

A
  • treatment (reduce duration of infection)
  • barriers (reduce transmission risk)
  • isolation (reduce contact rate)
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12
Q

what is the formula for net case reproduction number

A

R0 x the proportion of the population still susceptible

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13
Q

how can we reduce R (net case reproduction number)

A

reducing the amount of people still susceptible

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14
Q

define herd immunity

A

the proportion of the population that needs to be immune for a disease to become stable

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15
Q

what is vaccine efficacy a measure of

A

a measure of how good a vaccine is at preventing disease

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16
Q

what is the formula for vaccine efficacy

A

VE = ( rate of disease in unvaxxed - rate of disease in vaxxed ) /rate of disease in unvaxxed

17
Q

what does vaccine efficacy assume

A
  • random mixing in the population

- vaccine efficacy is the same in the real world as in the trials