Lecture 1 Notes Flashcards

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1
Q

Avian flu

A

A severe, often fatal flu virus of birds, especially poultry, that is transmissible from them to humans
-aka = bird flu

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2
Q

What happens as more vaccines are introduced?

A

The mortality rate decreases

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3
Q

When was the Spanish flu?

A

1918

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4
Q

Spanish flu

A

Influenza caused by an influenza virus of type A

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5
Q

Smallpox

A

An acute contagious viral disease, with fever and pustules usually leaving permanent scars

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6
Q

What are the 4 definitions of epidemiology

A
  1. Friedman, 1987 = Study of disease occurrence in human populations
  2. Schulte, 1993 = Study, prevention and control of health risks faced by human populations
  3. Madigan, 2003 = Study of the occurrence, distribution and control of diseases
  4. Tortora, 2013 = Science that studies when and where diseases occur and how they are transmitted in populations
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7
Q

What is epidemiology? (5)

A
  1. Systematic collection and analysis of vital statistics
  2. Delineation of the triad of agent, host and vector
  3. Refined exposure assessment
  4. Clearly delineated study designs
  5. Increase conceptional and statistical capabilities for modelling diseases and predicting epidemics or pandemics
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8
Q

What are the 3 types of epidemiology?

A
  1. Descriptive
  2. Analytical
  3. Experimental
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9
Q

Descriptive epidemiology

A

Collecting data and describing occurrence of human diseases

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10
Q

Analytical epidemiology

A

Analyzing a particular disease using case control method or cohort method

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11
Q

Experimental epidemiology

A

Tests effectiveness of a new vaccine against AIDs

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12
Q

What are the 8 causes of death and their %?

A
  1. Communicable diseases (32%)
    - lower respiratory tract = 6.8%
    - HIV/AIDs = 4.9%
    - diarrheal diseases = 3.2%
    - tuberculosis = 2.7%
    - malaria = 2.2%
    - measles = 1.1%
  2. Non-communicable diseases (58%)
    - cardiovascular diseases = 29.3%
    - cancer = 12.5%
  3. Injuries (9%)
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13
Q

What does the triad consist of? (3)

A
  1. Agent
  2. Host
  3. Vector
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14
Q

Agent

A

Is the cause of the disease

- typically a microbe = too small to see with the naked eye

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15
Q

What are 5 examples of an agent?

A
  1. Bacteria (gonorrhea)
  2. Protozoa (malaria)
  3. Virus (influenza)
  4. Prions
  5. Chemicals
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16
Q

Host

A

An animal or a plant in which a parasite or commensal organism lives

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17
Q

What are 4 examples of a host?

A
  1. Humans (culture, geography, history)
  2. Animals (vertebrate, invertebrate)
  3. Plants (gymnosperm)
  4. Bacteria
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18
Q

Vector

A

An organism which transmits infection by conveying the pathogen from one host to another without causing disease itself

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19
Q

What are 4 examples of vectors?

A
  1. Ticks (Lyme disease)
  2. Mosquitos (malaria)
  3. Needles
  4. Surgical devices
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20
Q

What are the 2 population models?

A
  1. Exponential

2. Logistic

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21
Q

What is the formula for the exponential model?

A
dN/dt = rN
r = growth rate
22
Q

What is an example of exponential growth rate?

A

E. coli

- reproduce every 20 mins

23
Q

What is the formula for the logistic model?

A

dN/dt = rN(1-N/K)

24
Q

What is an example of logistic model?

A

tick/mosquito

- reproduces > days

25
Q

What are 5 ways to detect and agent?

A
  1. PCR
  2. Microarray
  3. Elisa
  4. Epi-fluorescence
  5. Microscopy
26
Q

What are the 2 factors that affect distribution of vectors?

A
  1. Geography

2. Culture

27
Q

Fomites

A

Objects or materials that are likely to carry infection

28
Q

What are 5 examples of fomites?

A
  1. Needles
  2. Surgical devices
  3. Clothes
  4. Utensils
  5. Furniture
29
Q

What is the goal of epidemiology?

A

To prevent and control health risks faced by the human population

30
Q

What are 2 ways to control transmission of infectious diseases at the host level?

A
  1. Vaccines and toxoids

2. Antibiotics

31
Q

What are 3 ways to control transmission of infectious diseases at the environmental level?

A
  1. Control the vector b insecticide
  2. Hygienic procedures
  3. Emerging field
32
Q

What is an example of an environmental prevention?

A

DDT

  • used to control infection from mosquitos
  • had a massive impact on the environment
  • need to look at the impact on the environment when coming up with a cure
33
Q

What does epidemiology provide? (3)

A
  1. More accurate comparisons among groups
    - agents, hosts and vectors
  2. Further classification of mechanisms
  3. More specialized assessment of individual risks
34
Q

Traditional epidemiology (1 step)

A

Exposure –> disease

35
Q

Molecular epidemiology ( 5 steps)

A

Exposure –> internal dose –> effective dose –> altered structure/ function –> clinical disease –> prognostic/ significance

36
Q

Biomarkers

A

a measurable substance in an organism whose presence is indicative of some phenomenon such as disease, infection, or environmental exposure

37
Q

What do valid biomarkers provide? (7)

A
  1. The precise continuum of events
  2. Identification of exposure to lower doses
  3. Early identification of events in clinical disease
  4. Reduction of misclassification of dependent and independent variables
  5. Indication of mechanism relating exposure to disease
  6. Better accounting for variability (agent and host)
  7. Enhance individual and group assessment
38
Q

What are dependent variables?

A

Something you cant control

39
Q

What is an example of a dependent variable?

A

Tree growth

40
Q

What is an independent variable?

A

Something you can control

41
Q

What is an example of an independent variable?

A

Exposure of moisture for trees

42
Q

What do molecular tools allow?

A

Early identification to resolve population issues

–> prevention

43
Q

What are 2 levels of molecular epidemiology for population?

A
  1. Behaviour

2. Environment

44
Q

What are 2 levels of molecular epidemiology for organisms?

A
  1. Specific exposure

2. Systemic communication

45
Q

What are 3 levels of molecular epidemiology for cells?

A
  1. Cell-cell communication
  2. Substrate molecules
  3. Genetic instructions
46
Q

Influenza virus

A

an acute and infectious disease of the respiratory system caused by a virus and characterized by fever, muscle pain, headache, and inflammation of the mucous membranes in the respiratory tract

47
Q

How many strands does an RNA virus have?

A

single strand

48
Q

Hemagglutinin

A

refers to a substance that causes red blood cells to clump together

49
Q

Neuraminidase

A

an enzyme, present in many pathogenic or symbiotic microorganisms, that catalyzes the breakdown of glycosides containing neuraminic acid

50
Q

What is a key factor in immune response?

A

Proteins

51
Q

Pandemic

A

Prevalent of a disease over a whole country or the world

- larger scale (compared to an epidemic)

52
Q

When was the last influenza outburst?

A

1968