3- Intro/Emergency Preparedness Flashcards

1
Q

One component of public health is to prevent disease through what 2 mechanisms?

A

Surveillance and healthy behaviors

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2
Q

True or False:The other component of public health deals with individuals.

A

False

It deals with populations of people, not individuals.

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3
Q

Public health is focused on what practice to promote good health within groups of people, from small communities to entire countries?

A

Prevention of disease

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4
Q

What do public health professionals rely on to understand issues such and infant mortality and chronic disease in particular populations?

A

Policy and research strategies

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5
Q

This is the science of protecting and imrpoving the health of communities through education, promotion of healthy lifestyles, and research for disease and injury prevention

A

Public health

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6
Q

What 3 things do public health professionals analyze the effect on health in order to develop programs that protect the health of your family and community?

A

Genetics
Personal Choice
Environment

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7
Q

What is included in category A public health?

A

Tools and science of public health

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8
Q

What 2 things are included within the tools and science of public health (category A)?

A

Epidemiology

Statistics

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9
Q

What is included in category B public health?

A

Health science research and investigation

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10
Q

What 2 things are included within Health science research and investigation (category B)?

A

Biomedical sciences

Environmental health sciences

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11
Q

What is included in category C public health?

A

Social and medical care system

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12
Q

What 2 things are included within Social and medical care system (category C)?

A

Social and behavioral science

Healthcare administration, medical care system

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13
Q

What was the first example of immunization from chinese ppl?

A

To smallpox by inhaling dried crust from smallpox lesions

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14
Q

Who invented the smallpox vaccine int eh 1820’s?

A

Edward jenner and the cowpox vaccine

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15
Q

What helped mitigate the spread of the black death in 14th century europe?

A

Burning cities killed rates

Quarantine

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16
Q

An example of epidemiology is from an infected water well which causes what epidemics in London?

A

Cholera

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17
Q

In which year did the CDC develop a strategic plan to address threat of bological or chemical terrorist attack?

A

2000

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18
Q

The 2000 CDC plan uses preparedness planning, detection and surveillance, lab analysis, emergency response,a nd communication systems to reduce what?

A

Vulnerability

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19
Q

True or False: there are current plans to address prepardeness and response at the national, state, local, AND tribal levels.

A

True

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20
Q

Which 2 locations can u find current plans of emergency preparedness?

A

Department of homeland security

CDC

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21
Q

Preparedness and prevention, detection and surveillence, diagnosis and characterization fo biological and chemical agents, repsonse, and communication are all CDC key focus areas for what?

A

Emergency preparedness

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22
Q

How do you improve preparedness and prevention for emergency preparedness?

A

Develop public health guidelines, support, and technical assistance

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23
Q

What can be integrated for detection and surveillance for ERs, medical personnel, and prison control centers in emergency preparedness?

A

report illnesses from biological and chemical terrorism

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24
Q

What was created for the diagnosis and characterization of agents?

A

A multilevel Laboratory Response Network for Bioterrorism (LNRB)

25
Which level of the LNRB is from public health and hospital labs, and has a low-level biosafety?
Level A (early detection)
26
At level B on LNRB, who does the agent isolation and presumptive testing?
State and local public health labs
27
At level C of the LNRB, there is advanced and rapid detection from which 2 labs?
State and federal labs | Academic research albs
28
The state/federal/academic labs at level C of LNRB do what advanced testing method?
RFLP
29
What labs do the Level D of the LNRB, which is the highest level of containment?
specialized federal labs
30
What are the biosafety levels for level D of the LNRB?
3 + 4
31
What are the 3 components of the response to emergency preparedness to initiate the prevention or environmental decontamination?
Epidemiologic investigation, medical treatment, and prophylaxis
32
Why will a state of the art comminication systems support the disease surveillance in emergency preparedness?
it gives rapid notification/info exchange, dissemination of results/info, coordination of emergency response activity
33
What was the agent that the 5 members of Aum Shinrikyo used on the Tokyo Metro in 1995?
Liquid sarin
34
What are the initial Sx of sarin?
runny nose, dyspnea, constricted pupils, nausea, drooling | like a muscarine OD??
35
How many people did the sarin attack kill?
12
36
The sarin attack was an example of what type of terrorist attack?
Overt terrorist attack
37
What is an overt attack?
qucik effect of terrorism (9/11, bombings, chemical attacks), emergent, more historical concern
38
What was the agent used in the 1984 Rajneshee covert terrorist attack that hospitalized 45 ppl?
Salmonella enterica tryphimurium
39
What was the agent used in 2001 as a covert terrorist attack to news media offices and 2 US senate offices?
Anthrax
40
How many were infected and killed in the 2001 anthrax attacks?
22 infected | 5 killed
41
This is an attack where there is a delay between exposure and onset of illness (incubation), and victims are identified by physicians or other primary health-care providers.
Covert | like the anthrax thing
42
In order to prepare for biological attacks, there must be communication education programs for what 2 people?
Healthcare professionals | Public
43
What 4 things must we do to enhance the epidemiologic capacity to detect and respond to biological attacks?
Support Dx tests Establish surveillance for microbial strains Supply reagents to public health agencies Encourage research on antivirals/vaccines
44
This is the class of biowarfare agens that is easily disseminated, high mortality rates, causes public panic, and requires special action.
Category A
45
This is the class of biowarfare agents that is moderately easy to disseminate, has a moderate morbility and low mortality rates, and requires enhancements of CDCs diagnostic capacity.
Category B
46
Though Category C biowarfare agent is easily produced and disseminated, what is the potential for it's pathogenesis?
Potential for high morbidity and mortality
47
Which class of biowarfare agents does all respiratory or blood transmission agents belong to?
Category A | antrhax, botulism, plague, smallpox, tulatemia, viral hemorrhagic fevers and arenaviruses
48
What is included in category B biowarfare agents?
brucellosis, epsilon toxin of C. perfringens, food threats, glanders, melioidosis, Q fever, staph enterotoxin B, typhus fever, viral encephalitis, and water threats
49
What are emerging infectious diseases in the category C biowarfare agents?
Nipah virus, hantavirus, tick-borne hemorrhagic fever viruses, tick-borne encephalitis viruses, yellow fever, MDR TB
50
What type of chemical agent is sarin, soman, and VX?
nerve agents
51
What type of chemical agent is hydrogen cyanide?
blood agent
52
What type of chemical agent is aresenic, lead, metallica, slayer, and Hg?
heavy metals
53
What type of chemical agent is benzene and chloroform?
volatile toxins
54
What type of chemical agent is chrlorine, and vinyl chloride?
pulmonary agents
55
What type of chemical agent is ammonium nitrate?
explosive nitro compounds
56
What type of chemical agent is gas and propane?
flammable liquid and gas
57
What type of chemical agent is cyanides and nitriles?
poison gas, liquid, solid
58
What type of chemical agent is nitric acid, and sulfuric acid?
corrosives