Mod 7-8 Quiz Flashcards
Burden of Disease Caused by communicable diseases
- Caused by bacteria, viruses, parasites
- Used to be leading cause of death and disability
- Last half of 20th century showed brief respite due to vaccines and elimination programs
- Turmoil in 2000s due to antibiotic resistance and failure to sustain elimination programs
- Potential of pandemic (COVID)
- Solutions: public health management and interventions
Koch’s Postulates: 4 Conditions to Establish Contributory Cause
- Evidence of an epidemiological association between the organism and disease
- Isolation of organism from most infected cases
- Ongoing transmission, establishing pathogen is contributor cause of disease
Identify the routes of communicable diseases transmission
- Route of transmission: anatomical and physical methods for transmission from person to person and from animal species to humans
- Asymptomatic Transmission: ability to transmit the disease while humans or animals are free of symptoms (carrier)
What is R0?
- Reproduction ratio
- Measure of inherent transmissibility
- Measure average # of infections produced by infected person exposed to a susceptible population
- Depends on route of transmission and presence of asymptomatic transmission
What are the public health tools that are available to address burden of disease and prevent communicable diseases?
- Barrier protections
- Vaccinations
- Screening and case finding
- Contact Treatment
- Efforts to maximize effectiveness of treatments and prevent resistance to treatment
Barrier Protections
- Insecticide: decrease malaria transmission
- Condoms
- Masks
- Isolation and quarantine
Vaccinations
- Strengthen immune system to prevent disease
- Passive immunity
- Inactivated and live vaccines
- Create herd immunity
Screening and case finding
- Screening controls spread of infections, contract tracing
- Linked with case finding
- Confidential interviewing of those diagnosed with disease
- Key to control syphilis and TB before and affect effective treatment
Contact Treatment
prevention of contact with disease
Efforts to maximize effectiveness of treatments and prevent resistance to treatment
- Treatment of symptomatic reduce risk of infectivity
- Epidemiological Treatment: treatment of contacts, effective in controlling the # of people with disease
What does it mean if R0 is greater than 1?
Indicates infection can increase over time -> produce epidemic
What are the big 3 communicable diseases?
- HIV/AIDS
- TB
- Malaria
Causes of Drug Resistance
- Overuse of prescribed antibiotics
- over the counter sales of antibiotics
- Widespread use in agricultural animals
What is DOT?
- directly observed therapy
- Effective even in presence of drug resistance
- ensures complete adherence to treatment by observing individuals taking treatment at certain intervals
Agent
Factor, like microorganism, who presence, excessive presence, or relative absence is essential for occurrence of disease
Anthroponoses
Diseases that can transfer human to animal
Carrier
- A person or animal without symptoms who can spread an infectious agent to others.
-It can be short or long term, occurring during different stages of illness.