Overview of Epidemiology Flashcards

1
Q

Who is the “Father of Epidemiology”

A

John Snow

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2
Q

Describe the initial study John Snow conducted, now regarded as the beginning of epidemiology

A

Cholera outbreak, he studied water sources and narrowed it down to Broad St. pump

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3
Q

Define Epidemiology

A

A public health basic science studying the distribution and determinants of health-related states or events in specific populations to control disease and illness and promote health

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4
Q

Name the 6 objectives/activities of epidemiology

A
  1. Identify patterns/trends
  2. Determine extent
  3. Study natural course
  4. Identify the causes of, or risk factors for
  5. Evaluate effectives of measures
  6. Assist in developing public health policy
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5
Q

What are the three assumptions of epidemiology

A
  1. Disease occurrence is not random
  2. Systematic investigation of different populations can identify associations and causal/preventative factors and impact of changes can impart on health of population
  3. Making comparisons is the cornerstone of systematic disease and assessments/investigations
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6
Q

What does Distribution of Disease measure?

A
  1. Frequencies of disease occurrences – counts in relation to size of population
  2. Person, Place, Time
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7
Q

What do Determinants of Disease measure?

A
  1. Factors of Susceptibility/Exposure/Risk
  2. Etiology
  3. Mode of Transmission
  4. Social/Environmental/Biologic elements that determine the occurrence/presence of disease
    * Why and How (Analytic)*
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8
Q

Name the 6 Core Functions of Epidemiology

A
  1. Public health surveillance
  2. Field investigation
  3. Analytic studies
  4. Evaluation
  5. Linkages
  6. Policy development
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9
Q

Describe Public Health Surveillance

A

Portray ongoing patterns of disease occurrence, so investigations, control and prevention measures can be developed and applied

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10
Q

What are the key skills of public health surveillance?

A
  1. Designing and using data collection instruments
  2. Data management via descriptive methods and graphing/presentation reporting
  3. Data interpretation
  4. Scientific writing and presentation (CDC/MMWR)
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11
Q

What is the CDC

A

Center for Disease Control and Prevention

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12
Q

What is the MMWR

A

Under the CDC, Morbidity and Mortality Weekly Report

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13
Q

What is the NNDSS

A

Under the CDC, National Notifiable Diseases Surveillance System

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14
Q

Describe Field Investigation

A

Determine sources/vehicles of disease; learn more about natural history, clinical spectrum, descriptive epidemiology, and risk factors of a disease

“Boots on the ground”

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15
Q

Describe Analytic Studies

A

Advance the information (hypotheses) generated by descriptive epidemiology techniques

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16
Q

What is the hallmark of analytic studies?

A

Use of a comparison group

17
Q

What are the key skills of analytic studies?

A

Design, conduct, analysis, interpretation, and communication of research study data and findings

18
Q

Describe Evaluation

A

Systematically and objectively determine relevance, effectiveness, efficiency, and impact of activities

19
Q

Describe Linkages

A

Collaborate/Communicate with other public health and healthcare professionals (as well as the public)

20
Q

Describe Policy Development

A

Provide input, testimony, recommendations regarding disease control and prevention strategies, reportable disease regulations and health-care policy

21
Q

What is the epidemiological approach?

A
  1. Counting (Frequencies)
  2. Dividing (Percentages)
  3. Comparing
22
Q

What does it mean to count?

A

Counting “cases”/health events and describing them in terms of person, place and time

23
Q

What does it mean to divide?

A

Dividing # of cases by an appropriate denominator to calculate rates, ratios, and proportions

Standardized and unstandardized populations

24
Q

What does it mean to compare?

A
  • Compare changes in disease over time as well as absolute/relative changes and differences within/between populations
  • Compare statistical differences between groups or time points