Class 3-7: Descriptive Epi. Flashcards

1
Q

This can be used to know if a location is experiencing disease occurrence more frequently than usual or more than other locations

A

Descriptive epidemiology

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2
Q

Frequencies

A

Counts in relation to size of population

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3
Q

Patterns of disease

A

Encompass 3 aspects: person, place, and time

[who,where,when]-descriptive epidemiology

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4
Q

Passive surveillance system

A

Relies on healthcare system to follow regulations on required reportable diseases-healthcare officials wait for reports to come in

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5
Q

Active surveillance system

A

Public health officials go into communities to search for new diseases/conditions

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6
Q

Syndromic surveillance system

A

A system that looks for pre-defined signs/symptoms of patients r/t trackable-but-rare diseases

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7
Q

Biosurveillance

A

Taking samples of human, plant, animal, environment )

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8
Q

Induction period

A

Time between exposure and onset of disease

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9
Q

Latency Period

A

Time between onset of disease and disease detection

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10
Q

The most CRITICAL element that must be defined/determined before any of the WHO-descriptive epidemiology can be accomplished?

A

The “case”-constant definition of disease that can be studied

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11
Q

“Case”

A

A set of uniform criteria I used to define a disease for public health surveillance

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12
Q

What is the list of reportable diseases called?

A

National Notifiable Disease Surveillance System (NNDSS)

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13
Q

Who writes the list of reportable disease?

A

Council of state and territorial epidemiologists (CSTE)

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14
Q

How often are reportable lists updated

A

Annually

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15
Q

Two types of Case definitions

A

Confirmed and probable (lethal-need to notice fast)

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16
Q

3 elements of descriptive epidemiology

A
  1. Who
  2. When
  3. where
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17
Q

Epidemic

A

Occurrence of disease clearly in excess of normal in a community/period clearly defined

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18
Q

Outbreak

A

Also called “cluster” An epidemic limited to a localized increase in the occurrence of disease

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19
Q

Distinction between outbreak and epidemic

A

Outbreaks[clusters] would become epidemics if they continue to rise above an average (usually an annual average)

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20
Q

Endemic

A

The CONSTANT presence of a disease w/in a given area or population in excess of normal levels in other areas

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21
Q

Emergency of International concern

A

An epidemic that alerts the world to the need for high vigilance (pre-pandemic labeling)

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22
Q

Pandemic

A

An epidemic spread world-wide (global health)

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23
Q

What is the epidemic curve?

A

A visual time-based depiction created during an outbreak/epidemic of the # of cases by date reporting

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24
Q

Common source or point source

A

Continuous OR intermittent;

Not person-to-person spread, derived from a common, single point source for the outbreak

25
Propagated Source
Person to person spread; appear as sawtooth curve
26
Sentinel case
Starting case
27
How do epidemic curves help?
Help to form hypothesis; routes transmission,exposure period, incubation period
28
How to measure disease frequency?
Ratios, proportions, rates
29
Ratios
Division of 2 unrelated number
30
Proportions
Simple %; part / whole, | Division of 2 RELATED numbers
31
Rates
A proportion(%) w/ time incorporated into the denominator
32
3 factors comparing measures of disease frequency between groups:
1 frequency of affected- #of ppl 2 Size of population 3 Length of time reported [FST]
33
Comparing frequencies requires 3 things:
The frequency, population size, and time period | [FST]
34
Incidence
New cases of disease
35
Prevalence
Existing cases of disease + new cases of disease
36
Dynamic populations
Fluctuating population
37
How to calculate repeat cases of disease?
Only count first occurrence b/c it gets too complicated and can make a different rate w/ repeat cases
38
How to calculate incidence rate for dynamic populations?
Incidence density
39
Point prevalence
Prevalence at a given point in time
40
Period prevalence
Prevalence over a given period of time
41
Crude morbidity rate
ppl w/ disease / # ppl in population
42
Crude mortality rate
ppl died / # ppl in population
43
Cause-specific morbidity rate
ppl w/ cause-specific disease / # ppl in population
44
Cause-specific mortality rate
ppl w/ cause-specific death / # ppl in population
45
Case-fatality rate
cause-specific deaths / # of cases of disease
46
Cause-specific survival rate
cause-specific cases alive / # of cases of disease
47
Proportional mortality Rate (PMR)
cause-specific deaths / total # deaths in population
48
What is the same for case-fatality rate, cause-specific mortality rate, and proportional mortality rate?
The nunmerator: # cause-specific deaths
49
Difference in case-fatality rate, cause-specific mortality rate, and proportional mortality rate?
Denominator Case-fatality rate: everyone w/ disease Cause-specific mortality rate: everyone in population Proportional Mortality rate: ALL deaths
50
Live birth rate
births/ 1,000 population
51
Fertility rate
births/ 1,000 women of childbearing age
52
Neonatal mortality rate
deaths
53
Postnatal mortality rate
deaths in greater than or equal to 28 days but
54
Infant mortality rate
deaths
55
Maternal mortality ratio
female deaths r/t preg / 100,000 births
56
Infectivity
Ability to invade a patient [host]
57
Pathogenicity
Ability to cause clinical disease
58
Virulence
The ability to cause death (synonymous w/ case-fatality rate)