Epidemiology Flashcards

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1
Q

Epidemiology

A

The study of the occurrence and distribution and determinants of health related evets, states and processes in specified population

  • Includes the study of the detriments influences such processes
  • includes the application of these things
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2
Q

What does epidemiology allow us to study?

A
  • The frequency of a disease or a condition
  • The distribution of a disease or condition
  • Causal factors
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3
Q

What are the questions you need to answer in epidemiology?

A
  • How individuals/populations are affected → clinical signs
  • What causes →pathogen, causal factors, etc
  • When they are affected → time or life stage
  • Who is affected → characteristic of those affected (age, sex, breed, etc)
  • Where they are affected → location (where is it concentrated)

Also state prevalence/incidence and mode of transportation

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4
Q

The epidemiological triad of disease

A

Host
Agent
Environment
sometimes vector

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5
Q

Provide three examples of

Host Factors

Epidemiology

A
  • Age
  • Sec
  • “Use”
  • Genetics
  • Immunity (includes vaccination status)
  • Medical history
  • Ect
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6
Q

Provide three examples of:

Agent Factors

Epidimiology

A

Biological (bacteria, viruses, yeast, ect)
Chemical (toxins, poison, feed, ect)
Mechanical (physical injury, ect)
Nutritional

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7
Q

Provide three examples of:

Environmental factors

Epidemiology

A

Geographic location
Climate
Water supply

DOES NOT INCLUDE VACCINATION STATUS

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8
Q

Modes of disease Transmission

Epidemiology

A

Direct - contact must be made between individuals
- Ex. Sexual interaction (contagious equine metris)

Indirect - Transmission via a common source (ex. Water source)
- Can be a vector or a fomite

Vector - Transmission via a living source
- Diseases is carried by a vector but doesn’t cause disease
- They aren’t sick themselves
NOT THE SAME AS CROSS CONTAMINATION
Ex. Mosquitoes, ticks, fleas
Ex. West Nile, EEE, the plague,

Fomite - Transmission via a non-living source
- Contaminated needles, boots, ect

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9
Q

Are we a vector or a formite?

A

Is it in you (vector), or is it on you (fomite)

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10
Q

Endemic

A

Continual source of a pathogen in a limited region
* It’s in the environment
* You can’t really get rid of it

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11
Q

Epidemic

A

Atypical increased occurrence of an illness in a limited region
- Flu season

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12
Q

Pandemic

A

Increased occurrence of illness that crosses national borders

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13
Q

Outbreak

A

Epidemic limited to a localized, rapid increase in the incidence of a disease
* Small amount
* Sudden, rapid

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14
Q

What are the types of outbreaks?

A

Single point of research - Single point of exposure
* One source of exposure to the pathogen at a single point of time

Multiple exposure - Multiple sources of exposure or different groups are susceptible at different times
* Could be endemic

Continuous exposure - A population (or herd) is exposed to a continuous source of disease
* Sickness all the time
* Could be endemic, epidemic, or pandemic

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15
Q

Measures of Occurence

Epidemiology

A

Incidence - The number of NEW CASES that occur in a population at risk during a specified period of time
Can account for risk and rate

Prevalence - The number of EXISTING cases in a population at a specific time
Could be a single time point or a long term measure (typically the longer term)

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16
Q

In what cases should you measure incidence and what cases should you measure prevalence?

A

Prevalence
Useful for assessing health statue of a population
* Planning
* Chronic diseases (not useful for acute conditions)

Incidence
Investigation of causation, prevention, and treatments
* Planning
* Can measure repeated events
* (strangles cases, avian influenza, ect)

17
Q

Surveillance

Epidemiology

A

“Systematic and continuous collection, analysis, and interpretation of data, closely integrated with the timely and coherent dissemination of the results and assessment to those who have the right to know so that action can be taken.”

18
Q

Passive vs Active Surveillance

Epidemiology

A

Passive surveillance
* Data from reported cases
* Reported by primary care physicians, hospitals, or other healthcare providers
* Inexpensive
* Completeness and underreporting are issues

Active Surveillance
* Case finding
* Can involve interviewing, reviewing medical records, visiting field sites
* Expensive
* More accurate reporting

19
Q

Screening

Epidemiology

A

“The presumptive identification of unrecognized disease or defect by the application of tests, examinations, or other procedures which can be applied directly”
* FIV testing
* Screening for welfare violation
* Screening for anatomical variations

20
Q

Which factors do you need to create a case definition

Epidemiology

A
  • How individuals/populations are affected → clinical signs
  • What causes →pathogen, causal factors, etc
  • When they are affected → time or life stage
  • Who is affected → characteristic of those affected such as age, sex,
    etc
  • Where they are affected → location

Mode of transportation
Incidence/Prevalence

21
Q

Single Point of Exposure

Epidemiology

A

Single point of exposure - Single point of exposure
* One source of exposure to the pathogen at a single point of time

22
Q

Multiple Exposure

Epidemiology

A

Multiple exposure - Multiple sources of exposure or different groups are susceptible at different times
* Could be endemic

23
Q

Continuous Exposure

Epidemiology

A

Continuous exposure - A population (or herd) is exposed to a continuous source of disease
* Sickness all the time
* Could be endemic, epidemic, or pandemic