Epidemiology Flashcards

1
Q

Incidence risk

A

Definition: Probability of new cases occurring in a defined population over a specific period.
Formula: IncidenceRisk = NewCases/
PopulationatRisk

Example: If 50 out of 1,000 people develop flu in a year, the incidence risk is 50/ 1000 = 0.05 or 5%

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2
Q

Case control study

A

Definition: Observational study that compares individuals with a disease (cases) to those without (controls) to identify risk factors.
Example: Investigating smoking history in lung cancer patients (cases) and comparing it to non-patients (controls).

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3
Q

Cohort study

A

Definition: Observational study that follows a group exposed to a risk factor and a group not exposed to compare incidence of disease.
Example: Following smokers and non-smokers over time to study the incidence of lung cancer in each group.

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4
Q

Incidence rate

A

Definition: Rate at which new cases occur in a population per unit of time.
Formula: Incidence Rate = New Cases / Person-Time at Risk
Example: In a study with 100 person-years of observation, 20 new cases of a disease yield an incidence rate of 20 / 100 = 0.2 cases per person-year.

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5
Q

Prevalence

A

Definition: Proportion of a population with a disease at a given point in time.
Formula: Prevalence = Existing Cases / Total Population
Example: If 100 out of 1,000 people in a community have diabetes, the prevalence is 100 / 1000 = 0.1 or 10%.

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6
Q

Incidence

A

Definition: Refers to the number of new cases of a disease in a population during a specific period.
Formula: Incidence = Count of New Cases Over Time
Example: If a city has 200 new flu cases in January, the incidence is 200 for that month.

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7
Q

Sensitivity

A

Definition: Proportion of true positives correctly identified by a test.
Formula: Sensitivity = True Positives / (True Positives + False Negatives)
Example: If a COVID test correctly identifies 90 out of 100 infected individuals, sensitivity is 90 / 100 = 0.9 or 90%.

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8
Q

Specificity

A

Definition: Proportion of true negatives correctly identified by a test.
Formula: Specificity = True Negatives / (True Negatives + False Positives)
Example: If a COVID test correctly identifies 95 out of 100 healthy individuals, specificity is 95 / 100 = 0.95 or 95%.

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9
Q

Negative predictive value

A

Definition: Probability that individuals with a negative test truly do not have the disease.
Formula: NPV = True Negatives / (True Negatives + False Negatives)
Example: If 150 out of 160 people with a negative COVID test are truly disease-free, NPV is 150 / 160 = 0.9375 or 93.75%.

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10
Q
  1. Positive Predictive Value (PPV)
A

Definition: Probability that individuals with a positive test truly have the disease.
Formula: PPV = True Positives / (True Positives + False Positives)
Example: If 80 out of 100 people with a positive COVID test actually have COVID, PPV is 80 / 100 = 0.8 or 80%.

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11
Q

Odds ratio

A

Definition: The odds that an event occurs in one group compared to the odds of it occurring in another group, often used in case-control studies.
Formula: Odds Ratio = (A / B) / (C / D) = (A × D) / (B × C)

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12
Q

Risk ratio

A

Definition: The risk of an event occurring in the exposed group compared to the risk in the unexposed group, commonly used in cohort studies.
Formula: Risk Ratio = (A / (A + B)) / (C / (C + D))

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13
Q

Categorical data - which test

A

Chi squared

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14
Q

Continuous - normally distributed - which test

A

Mean and standard deviation
T test

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15
Q

Continuous - skewed - which test

A

Median and interquartile range
Mann Whitney U test

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16
Q

Outbreak management response (10)

A
  1. Quantify new cases and clarify whether this is actually an outbreak
  2. Case definition
  3. Assemble a team: lab staff for diagnostics, epidemiologists, clinicians, nurses, infection prevention team, pharmacists
  4. Active case finding
  5. Case surveillance and plot an outbreak curve
  6. Develop hypotheses
  7. Review hypotheses
  8. Implement control and prevention measures
  9. Communicate findings
  10. Institute surveillance
17
Q

Point source outbreak

A

Curve goes up to a peak and then back down
Same exposure and same source with a brief exposure period
(e.g. Legionnaire’s)

18
Q

Extended common source

A

Goes up and down in peaks like a wave (reflecting the incubation period with each peak)
Caused by an ongoing source of infection
Not caused by spread between people
For example cholera from a water source

19
Q

Propagated source

A

Multiple waves, which cumulatively builds over time
Characterised by person to person transmission
e.g. Covid

20
Q

Intermittent source

A

Comes and goes in bursts, with some time free of cases in between
e.g. contaminated food which is interemittently opened/distributed like listeria in canned salmon

21
Q

What is the definition of an outbreak?

A

Occurence of more cases of an adverse health event than expected

in a given geographic area over a particular period of time

22
Q

What are the aims of an outbreak response?

A
  1. Protect public health
  2. Identify the source
  3. Prevent further spread by implementing control measures