Chapter 9 Flashcards

1
Q

What was the earliest record of health?

A

A head count in Roman Empire 28 BC

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2
Q

17th century, Charles II formalized what?

A

Bills of Mortality

Recorded number of deaths each week to act as an early warning system for plagues

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3
Q

1662 John Graunt interested in Bills of mortality, published his book

A

Observations on the Bills of Mortality

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4
Q

1860 Will Farr applied statistics to John Snow observations and proved that ______ can be a cause of disease.

This immensely improved ____?

A

Infected water can cause disease

This influenced European cities to build sewage management systems,
immensely improved hygiene

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5
Q

In 1960s & 70s, what kind of studies from the business sector began to be used in large scale medical projects

A

cost effectiveness studies

Many current tools for measuring burden of disease were also developed.

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6
Q

In 1990, what 3 groups combined forces and used epidemiological methods to study burden of diseases globally?
What report was produced?

A

Harvard, WHO, Wold bank

Global Burden of Disease report

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7
Q

GBD Report was the first time the importance of ____ were addressed ?

A

Chronic diseases, including mental illness

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8
Q

Why measure health ?

A

Early warning of major diseases

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9
Q

Measuring disease is an essential part of minimizing _____ & _____ by epidemics though ____, _____, & appropriate _____

A

Minimizing risk and damage caused by epidemics through monitoring, surveillance, & appropriate interventions

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10
Q

WHOS _____ is responsible for coordinating disease surveillance initiatives.

A

Global Outbreak Alert and Response Network

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11
Q

Easier ____ and _____ make it possible for a severe infection agent to travel ____

A

Easier migration and immigration make it possible to travel around the globe rapidly

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12
Q

Measuring population health is essential to assess what?

Especially what 3 things?

A

The outcomes of health initiatives

Especially small pox erradicatuon programs, MDG and SDG target process

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13
Q

States have a responsibility to monitor ____.
Most developed countries have some form of ____ that can investigate newly identified health problems

A

Monitor population health

Some form of disease control and surveillance structure

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14
Q

Epidemiological transition from ___ disease to ___ disease changes decisions regarding health ___, ____, and _____ of existing health systems

A

Infectious to chronic diseases.

Health resources, financial distribution, and the reorganization of existing health systems

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15
Q

Major diseases are defined by ___
And less Lethal conditions are quantified by ___

A

Major : mortality rates
Less lethal: incidence and prevalence

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16
Q

Incidence is

A

The number of NEW cases of disease in specific time

17
Q

Prevalence is

A

How much disease in a population in a given time

18
Q

Rates are

A

Number of times an event happens in a population over time

Ex: maternal mortality

19
Q

DALY adopted by world bank and WHO as the standard method for measuring

A

total disease burden

20
Q

DALY can be used to see which diseases cause _____
And can help assess _____ of targeted initiatives thought DALYS saved per dollar spent

A

The heaviest burden within a country
Assess the cost effectiveness

21
Q

DALY = _____ + _____

A

YYL + YLD (duration of disability x disability weight)