(F) Outbreak Investigation Flashcards
Levels Of Disease
The amount of a disease that is usually present in a community; the observed but not necessarily the desired level; regarded as the expected level of disease
Baseline
Levels Of Disease
→ First or initial Data
→ observe but not necessarily the desired level
→ Starting Point
Baseline
Levels Of Disease - T or F
in baseline, it is the final data, and puts conclusion to the investigation
F (First or Initial Data)
Levels Of Disease
A disease that occurs infrequently and irregularly
Sporadic
Levels Of Disease
The constant presence and/or usual prevalence of a disease or infectious agent in a population within a geographic area
Endemic
Level of Disease - T or F
In endemic, it is the constant presence of specific disease to a specific place
T
Levels Of Disease
The persistently high levels of disease occurrence
Hyperendemic
Levels Of Disease
An increase, often sudden, in the number of cases of a disease above what is normally expected in that population in that area
Epidemic
Levels Of Disease
Similar to an epidemic but is often used for a more limited geographic area
Outbreak
Levels Of Disease
An aggregation of cases grouped in place and time that are suspected to be greater than the number expected, even though the expected number maybe unknown
Cluster
Levels Of Disease
An epidemic that has spread over several countries or continents, usually affecting a large number of people
Pandemic
Level of Disease
what is the origin of a Pandemic??
it is an epidemic from one country that spread over several countries
T or F
If there is an outbreak to a community, there is a need to conduct of outbreak investigation?
True
Aims of Outbreak Investigation - T or F
Asses the situation
T
Aims of Outbreak Investigation - T or F
identifying new syndrome and case
T
Aims of Outbreak Investigation - T or F
For asset concers – need to inform the government official
F (Liability)
Aims of Outbreak Investigation - T or F
Train drake, for experience
F (Epidemiologist)
Aims of Outbreak Investigation - T or F
Asses the effectiveness of previous prevention strategies
F (current)
If the existing program is effective or not
Aims of Outbreak Investigation - T or F
Find the loopholes this will help fixing the program
True
Aims of Outbreak Investigation - T or F
To determine the cause of the outbreak (the disease detected)
True
Aims of Outbreak Investigation - T or F
To continue further spread of the outbreak (the fire fighter)
F (prevent)
dumb ass or what????
Aims of Outbreak Investigation - T or F
To educate responsible individuals in the prevention of similar outbreak in the future (the public health educator)
True
Enumerate the Reasons for Investigating Outbreaks
lol make kabisado dont familliarize
- Prevention and Control
- Gain additional knowledge/ research
- Training
- Public, political, or legal concerns
- Program considerations
bruh make kabisado of it okay? okay
Principle under Prevention and Control
Primary ____________ Reason for investigation
Public Health
Principle under Prevention and Control
Principal _____________
Considerations
Principle under Prevention and Control
How much is known about the ________, the ________, and the ________of the agent?
- Causitive Agent
- Source
- Mode of Transmission
Principle under Prevention and Control
The decisions regarding whether and how extensively to investigate an outbreak are influenced by the ____________ of the problem itself
characteristics
Prevention and Control
What is the main objective of Primary Public Health Reason for investigation
3P’s – Promote life, prolong heatlh, and prevent spread of disease
Prevention and Control
What are the questions asked in principal considerations?
- What is the stage of the epidemic?
- Are cases occurring in increasing numbers?
- Is the outbreak just about over?
Prevention and Control - T or F
cases are CONTINUING TO OCCUR:
Goal is most probably to prevent occurrence of additional cases
True
So no more cases will be, and person to be infected
Prevention and Control - T or F
cases are CONTINUING TO OCCUR:
The objective of the investigation would be to assess the extent of the outbreak, the size, and characteristics of the population that is not concerned
F (at risk)
Prevention and Control - T or F
outbreak appears to be ALMOST OVER:
Goal may be to prevent similar outbreaks in the future
True
Prevention and Control - T or F
outbreak appears to be ALMOST OVER:
The objective of the investigation is to identify factors which contributed to the dancebreak in order to design and implement measures that would prevent similar outbreaks in the future
F (Outbreak)
Prevention and Control - T or F
outbreak appears to be ALMOST OVER:
This is to strengthen Program for different outbreaks
F (Similar)
Control and Prevention
Agent is Known and Mode of transmission and source is unknown , what is the priority?
CONTROL
Control and Prevention
Agent is known, and mode of transmission is unknown
Primary goal is investigation
Control and Prevention
Agent unknown
Investigation and control
Gain additional knowledge/ research
Each outbreak is an opportunity to study the ____________________ in question
natural history of the disease
Gain additional knowledge/ research
Each outbreak is an opportunity to study the natural history of the disease in question, Especially if this is a?
- Rare
- New
- Emerging disease
Gain additional knowledge/ research
what should be the channel for outbreak investigation?
Proper scientific method
take not thet Epidemiologic study uses different design
Gain additional knowledge/ research
For a newly recognized disease, field investigation provides an opportunity to define the natural history, enumerate what could possibly defined.
- agent
- mode of transmission
- incubation period
- clinical spectrum of the disease
Gain additional knowledge/ research - T or F
Are able to characterize the populations at lesser risk
F (its always the poopulation at GREATER RISK)
identify specific risk factors!!!
Identify whose population are at risk
Leptospirosis Season
A. People at lowlying area
B. those who are suspended in air
C. birds that doesnt stop flying
D. Rich kid in katips
A
is it questionable ??? hell nah
Gain additional knowledge/ research
Can we asses the impact of control measures??
Yes we can it is theoretically always available but it cannot be always feasible in practice (Resources wise)
Training - T or F
Investigating an outbreak requires a combination of diplomacy, logical thinking, problem-solving ability, quantitative skills, epidemiologic know-how and judgment.
True
diplomacy?? (high pitched voice)
Training
what are the skills improved in investigatin an outbreak?
- Diplomacy
- Logical Thinking
- Problem-Solving Ability
- Quantitative Skills
- Epidemiologic know-how
- Judgement
Training
Skills are improve with?
Practice and Experience
Training - T or F
Exposure of the epidemiologist and public workers, they will be more compenetnt and ready for more outbreak
True
Training
The investigating team can be composed of?
a seasoned epidemiologist with trainee/s
Public, political, or legal concerns - T or F
The existing knowledge for program we have are jeopardized by political reasons
True – Nag ma-magaling pa mga politiko kesa sa mga specialist or trained individual ex. epidemiologist./.
Public, political, or legal concerns
Increasingly, the public has taken an interest in ________________ and potential environmental exposures, and has called upon the health department to investigate
Disease Clusters
Public, political, or legal concerns
involves community in every process so they can be more empowered, and they can solve problems on their own within their community)
Active community participation
TOF
in Program considerations you can change or modify the existinge program/s?
True - Cause it may be ineffective and change it to be better Esp to the overlook populations
Program considerations
An outbreak of a disease (which is targeted by a public health program) may reveal a ________ in that program and provide an opportunity to modify/strengthen the program’s efforts.
Weakness
Program considerations
Investigating the causes of an outbreak may identify populations which may have been ____________, failures in the ________________, changes in the ________, or events beyond the scope of the program.
- Overlooked
- Investigation strategy
- Agent
SO WHAT IS THE BOTTOM LINE OF Reasons for Investigating Outbreaks
Prevent the spread of disease
Steps in and Outbreak Investigation, enumerate : P
familliarize if u want
- Verify the diagnosis and confirm the outbreak
- Define a case and conduct case finding
- Tabulate and orient data: time, place, person
- Do immediate control measures
- Formulate and test hypothesis
- Plan and execute additional studies
- Implement and evaluate control measures
- Communicate findings
Steps in and Outbreak Investigation
________ the diagnosis and confirm the outbreak
Verify
Steps in and Outbreak Investigation
________ a case and conduct case finding
Define
Steps in and Outbreak Investigation
_____________ and _________ data: time, place, person
Tabulate and Orient
Steps in and Outbreak Investigation
Do ________ control measures
Immediate
Steps in and Outbreak Investigation
Formulate and test ________________
Hypothesis
Steps in and Outbreak Investigation
Plan and execute additional _____
Studies
Steps in and Outbreak Investigation
Implement and evaluate ______________
Control Measures
Steps in and Outbreak Investigation
Communicate _________
Findings
Steps in and Outbreak Investigation - T or F
The steps can occur simultaneously or repeated
True
What are
What are the preparation for field work?
- Investigation
- Administration
- Consultation
Preparation for Field Work
Appropriate scientific knowledge,
Supplies, and equipment
Consult regarding epidemic
Laboratory specimen collection
Storage
Transport
INVESTIGATION
Preparation for Field Work
Travel arrangements and travel orders
Logistics, administration and contracts
ADMINISTRATION
Preparation for Field Work
Specific roles and responsibilities
Understand your own role so that you can contribute more dearly.
CONSULTATION
Knowledge Necessary to Prepare for Outbreak Investigation
Various types of ________ agents and the ___________
- Etiologic
- Resultant Disease
Knowledge Necessary to Prepare for Outbreak Investigation
Epidemiologic characteristics of outbreaks associated with ________ etiologic agents or resultant diseases;
Different
Knowledge Necessary to Prepare for Outbreak Investigation
____________________ of resultant diseases;
Clinical Symptoms