Global Health Flashcards

1
Q

what is the under 5 mortality rate?

A

the probability of a child dying before reaching the age of 5

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2
Q

what is the infant mortality rate?

A

the probability of a child dying before reaching the age of 1

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3
Q

what is the neonatal mortality rate?

A

the probability of a child dying before reaching the age of 1 month

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4
Q

what is a live birth?

A

one where there is any sign of life after birth, regardless of gestation

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5
Q

what is one of the leading causes of mortality for children?

A

pneumonia

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6
Q

name four causes of pneumonia in children

A

strep pneumonia
h influenza
RSV
pneumocystis jivroci

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7
Q

what is another name for pneumocystis jivrocii?

A

PCP

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8
Q

what are four risk factors for childhood pneumonia?

A

malnutrition
over crowding
indoor air pollution
parental smoking

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9
Q

how can pneumonia be prevented?

A

vaccines
breastfeeding
good hygiene

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10
Q

what is given to HIV positive children to protect against PCP?

A

daily cotrimoxazole

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11
Q

what commonly causes diarrhoea?

A

water or food contaminated with faeces

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12
Q

how is diarrhoea managed?

A

oral rehydration solution (ORS)

zinc supplements

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13
Q

name two common causes for diarrhoea

A

e coli

rotavirus

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14
Q

how do most children with HIV get the disease?

A

mother to child transmission

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15
Q

when is HIV transmitted from mother to child?

A

pregnancy
delivery
breastfeeding

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16
Q

how can mother to child transmission of HIV be prevented?

A

maternal ART
screen and treat other STDs
infant prophylaxis for 6 weeks

17
Q

what is ART?

A

anti retroviral therapy

18
Q

what is the diagnostic test for HIV in someone <18 months?

A

virological PCR for HIV DNA/RNA

19
Q

what is the diagnostic test for HIV in someone >18 months?

A

serological rapid antibody test

20
Q

how is HIV staged?

A

based on CD4 count or viral load

21
Q

what is the management for HIV in someone under 3?

A

two NRTI’s

one NNRTI

22
Q

what is the management for HIV in someone over 3?

A

two NRTI’s

protease inhibitor

23
Q

name an NRTI

A

abacavir

24
Q

what is an NRTI?

A

nucleoside reverse transcriptase inhibitors

25
Q

what is an NNRTI?

A

non nucleoside reverse transcriptase inhibitors

26
Q

name a NNRTI

A

efavirenz

27
Q

name a protease inhibitor

A

kaletra

28
Q

how does TB present?

A

chronic cough or fever
night sweats
lymphadenopathy

29
Q

how is TB managed?

A

two months RIPE

four months RI

30
Q

how can TB be prevented?

A

BCG

31
Q

what causes malaria?

A

Plasmodium parasite from female anopheles mosquito

32
Q

what parasite causes the most severe malaria?

A

p falciparum

33
Q

how is malaria diagnosed?

A

blood film for microscopy

34
Q

how does malaria present?

A

fever
pallor
malaise

35
Q

how is malaria managed?

A

ACT for 3 days

36
Q

what is ACT?

A

artemisinin based combination therapy

37
Q

how should severe malaria be managed?

A

treat with IM/IV artesunpte until they can tolerate oral