Epidemiology and Transmission Ecology Flashcards
What does a complete understanding of disease transmission require the study of (both)
Macroepidemiology and microepidemiology
- large-scale problems of disease distribution
- demographic and cultural factors affecting transmission
- illness and death rates
- economic impacts
- requires substantial funding, institutions, trained personnel, and government policies allowing for data collection
macroepidemiology
- small-scale problems
- looks at how disease distribution affects individual host-parasite interactions, parasite strains, host genetic variation, immunity
microepidemiology
Which institution monitors national health statistics, issues weekly morbidity and mortality reports, responds to situations to learn more about origin/transmission dynamics, and provides electronic health statistics?
The Centers for Disease Control and Prevention (CDC)
What organization is global in scale and provides information about many health issues?
The World Health Organization (WHO)
Name four things the distribution of a parasite is influenced by WITHIN POPULATIONS:
1) host age
2) sex
3) social and economic status
4) diet and ecological conditions that factor completion of life cycles
How are pinworms an example of how a parasite is distributed?
Influenced by age – children are a source of parasites for the entire family
How is leishmania an example of how parasites are distributed?
Infections often occur in agricultural workers (shows how occupation plays a role in health)
Vehicles by which infections are transmitted from one host to another – provide two examples
Vectors; snails and blood-sucking arthropods
What are the two most medically important vectors and what do they carry?
- mosquitos (malaria)
- snails (blood flukes/schistosomes)
How does malaria illustrate the need to understand vector biology as a means of control?
Standing water is a good breeding ground for mosquitos – difficult to eliminate as this may be the only available source of water for drinking/bathing
How does Egyptian agricultural practices illustrate the need to understand vector biology?
Irrigation ditches are the ideal environments for snails, which are intermediate hosts for schistosomes
- a natural set of conditions under which it is predicted for a disease to occur
- a landmark of parasitology (scientists could recognize and predict where diseases could occur and could thus be controlled)
A natural “nidus” or focus (part of landscape epidemiology)
Name four knowledge factors influencing landscape epidemiology within the nidus:
- Climate
- Plant and animal population densities
- Geological conditions
- Human activities
What type of mapping can be used to reveal vegetation and land-use patterns?
Geographic information systems
Name two diagnostic groups that have been helpful
- IsoCode STIX (allows samples to be collected and transported for processing)
- Human Genome Project (opened opportunities for epidemiologists to address public health problems)
What type of descriptors are the the following
- numbers of parasites
- reproductive success/fitness
quantitative descriptors
when talking about parasite communities, what two terms are used?
mean intensity and prevalence (can also include density, abundance, etc.)
large parasites that do not multiply in or on a host, occur in aggregated populations, most hosts uninfected or lightly infected
provide examples
macroparasites; adult tapeworms, trematodes, nematodes, arthropods
small parasites that do multiply within a host
provide examples
microparasites; trypanosomes, apicomplexans, amoebas