Module 1: Introduction to Epidemiology Flashcards
Epidemiology
The study of how disease is distributed in populations and of the factors that influence or determine the distribution of disease.
Hippocrates
Father of medicine; credited with departing from supernatural explanations of disease outbreaks. He hypothesized in “On Airs, Waters, and Places” that environmental factors may cause disease
John Snow
Father of modern epidemiology; conducted house-to-house research in London during the cholera outbreak in 1854. His research led him to conclude that the cholera was being spread through the water. He removed the handle to the Broad Street pump to end the outbreak.
Primary prevention
Preventing disease before it occurs. Examples of primary prevention include vaccination programs, modern sanitation, safe drinking water, and health education.
Secondary prevention
Form of prevention that attempts to reduce the progress of disease through early detection and prompt interventions. Example of secondary prevention is cancer screening tests.
Tertiary prevention
Focuses on reducing impairment and helping people manage health programs or injuries. The goal being to return them to a state of health. Examples include: physical and occupational therapy.
Quantitative
Relating to, measuring, or measured by the quantity/amount of something rather than its quality
Ratio
Expression of relationship between two distinct (non-overlapping) groups – something that is binary (yes/no)
Comparing x/y or x:y
Proportion
Part of a whole (%),
in which the numerator
is included in the denominator
Comparing x/(x+y)
Rate
Expression of frequency with which an event occurs in a defined population
Expressed as # per population (i.e., 100,000)
Prevalence
Number of cases of disease in a population. Reported as a percent of the population with disease.
Incidence
Number of new cases of disease in a population at risk for disease
“At risk” population
Denominator for incidence calculation.
In order to be at risk, an individual must be disease-free, able to get the disease, and alive.
Mortality
Number of deaths in a population.
Calculated this way, mortality is a proportion. To make it a rate, you need to convert it to per population (i.e., per 100,000)
Case fatality
The number of individuals who die from a specific disease divided by the number of individuals diagnosed with that disease.
A measure of disease severity.