MPH Flashcards
Q
The science and art of preventing disease, prolonging life, and promoting health and efficiency thru organized community effort
What is public health?
study of the distribution and determinants of health-related states or events in specified populations and the applications of this study to the control of health problems
What is epidemiology?
Immunizations Vehicle safety Workplace safety Infectious Dz Control Decrease CAD/CVA Safe/healthy Food Healthier mothers/ babies Family planning Fluoridation of water Tobacco as hazard
What are the top 10 achievements of PH?
heart disease and cancer
What mortality has increased from 1900 to 2010?
accidents, nephropathies, pneumonia, influenza, senility
What mortality has decreased from 1900 to 2010?
diphtheria, TB, GI infections
What mortality has been eradicated from 1900-2010?
Maintain force health, OP performance, readiness
What is the goal of the military PM?
Trauma/sports injury, communicable disease, proactive health, safety
What does the military PM focus on?
PHA, PDHA, PDHRA
What are examples of proactive health in military setting?
Primary prevention
The process of prevention the onset of a disease before the process beings such as immunizations, prophylaxis, environmental, sanitation, PPM is called?
Secondary prevention
The process of prevention that leads to an early diagnosis of a disease to prevent serious problems such as STD screenings is called?
Teritary prevention
The process of prevention that reduced morbidity and mortality from an existing disease which include all treatments is called?
Recommendations for primary and secondary prevention based on evidence strength, benefits and harm balance, WITHOUT cost as an influence
What does the USPSTF provide?
Those WITHOUT signs or symptoms of a disease (primary and secondary)
Who does USPSTF recommendations apply too?
not enough evidence, complete more research or redetermine from a different method
What is the difference between “no evidence of effectiveness” and “ineffective” in a USPSTF recommendation?
LDL >130-190, HDL < 40, diabetes, HTN, smoking (LDL >190 NOT considered)
Who is considered at increased risk for CVD via USPSTF?
Men who have sex with men, those with or living with HIV positive individuals
Who is at increased risk for syphilis via USPSTF?
A- benefit is substantial B- benefit is moderate C- benefit is small D- recommends against servic I- evidence is insufficient
What are the different grades USPSTF can give?
Indirect vector, mechanical
If a fly contaminates food bringing shigella what transmission is this? (also shigellosis, plague, malaria, dengue)
Indirect, vehicle
Staph. poisoning from a single meal is what type of transmission? (also HCV, MRSA from food, water, fomites)
Direct, droplet
The passage in pertussis, meningococcal, or mumps from a cough or sneeze onto a person is what type of transmission?
Indirect, airborne
The passage of TB or measles from coughing into the air is what type of transmission?
Direct, contact
The passes of impetigo, herpes, syphilis, or hookworm from hugging is what type of transmission?
Herd immunity
What is described as a percentage of the population (HIT) who is immune to a contagious disease, will protect those who are not immune by lack of disease?
Incidence rate
The new cases of a disease in a period of an at risk population (risk of getting a disease) is called?
Attack rate
The people who develop a disease over the total population with no time reference is called?
Secondary rate
When a susceptible person is exposed to a diseased individual and develops the disease this is called?
Isolation
The restriction of an ill person with a contagious disease during the communicable period to a hospital as a standard precaution to prevent its transmission is called?
Quarantine
The restriction of a well person who has been exposed to a contagious disease and may be in the incubation period that is rarely used is called?
Disease burden
The gap between current and ideal health status measured by the impact of the health problem and quantified by QUALY/DALY, hospital days, etc. is called?
Health, readiness, OPs, health cost, duty time lost
How is the importance of a condition that is a burden to the US military ranked to determine the priority of resources for primary, secondary,and tertiary prevention?
PM personnel
Who is responsible for the treatment, testing, and certification of major water sources?
Unit sanitation teams
Who is responsible for ensuring the water supplies, storage, and distribution points maintain required chlorine residues 2x/day and when filled?
Prohibiting when necessary, educating to lower the risks, vaccinations (Hep A, Typhoid), knowing threats, prophylaxis
How is the prevention of food and water-borne diseases completed?
1-7 day hospitalization (P. Fal), Anopheles mosquito, Dusk/Dawn
What is the operational impact of Malaria? What are the risks for developing Malaria?
NOT using the same prophylaxis drug for treatment, short-half life daily, long half-life weekly, NOT obtained OCONUS
What are the major considerations associated with the general chemoprophylaxis of Malaria?
Doxycycline, Mefloquine, Chloroquine
What suppressive chemoprophylaxis medications can be used to kill Malaria in the erythrocytic stage?
Primaquine
What medication should be used for presumptive anti relapse treatment for Malaria? (note: also used for P. vivid NOT blood stage P. fal, requires G6PD testing)
Tafenoquine (NOT for use w/ G6PD deficiency)
Which Malaria causal chemoprophylaxis prevents development in the liver, acts on blood stage parasites, and is active against dormant liver stage?
Malarone
Which Malaria causal chemoprophylaxis does NOT kill in the dormant liver stage?
Dengue
Which vector borne disease is associated with the Aedes daytime mosquito in urban areas that when re-exposed causes major risk of hemorrhagic fever?