Challenges in Community and Public Health Nursing Flashcards

1
Q

**what is an antigenic drift

A

slow, progressive genetic chgs. taking place in RNA/DNA as organisms replicate (slowly an antibiotic becomes resistant)

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2
Q

**what is an antigenic shift

A

sudden chg in DNA/RNA, resulting in new strain of micro-organisms

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3
Q

what is an epidemic (specific diseases)

A

HIV - animal to human during hunting

Ebola virus - hunting and eating a bat

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4
Q

when an antigenic shift occurs the first stage is considered an

A

epidemic - then endemic - then symbiotic (beneficial or lethal)(malaria in Ecuadoran region; sickle cell disease)

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5
Q

what is pathogenicity

A

ability of an infectious agent to cause disease in a specific host

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6
Q

agents and hosts are not all created equally, T or F

A

True

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7
Q

what are some host factors

A

immunizations, age/race/immune deficiency, genetic/biologic factors

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8
Q

what are host factors

A

traits that affect susceptibility to disease, in comparison to others

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9
Q

what is an agent

A

microbe/virus

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10
Q

the IOM convergence model explains what

A

how the microbe/virus (agent) converges with a human (agent-host-environment interaction)

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11
Q

what is the epidemiological triad

A

agent - host - environment

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12
Q

what was the environment/mean of transmission for H1N1

A

droplet, contact

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13
Q

who was the Host for H1N1

A

human

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14
Q

what was the agent for H1N1

A

influenza virus

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15
Q

frequent changes due to antigenic drift is why a new flu vaccine is created yearly, T or F

A

True

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16
Q

How is H1N1 spread

A

easily, not extremely pathogenic

17
Q

what is the most likely next flu pandemic

18
Q

what is the agent for avian flu

A

avian influenza (H5N1) - 63% fatality rate

19
Q

who is the host for avian flu

20
Q

what is the environment for avian flu

A

contact with poultry

21
Q

what is the agent in SARS

A

coronavirus

22
Q

what is the host in SARS

23
Q

What is the environment for SARS

A

close contact with bodily fluids (healthcare environments)

24
Q

the next big virus will come from

A

ASIA - lg amt of people - global travel to/from - cultural practices with animals (eating habits)

25
what is the agent in Tuberculosis
mycobacterium tuberculosis
26
what is the host in tuberculosis
humans
27
what is the environment with tuberculosis
close contact w/infected person
28
s/s of active TB infection
chronic productive cough, low grade fever, night sweats, weight loss, positive PPD
29
what is directly observed therapy
we need to watch you take your treatment for 21 days with TB (rifampin and INH)