public health objectives Flashcards
Role of Gov in PH
protect health, safety, welfare
Public Health Definition
to fulfill society’s interest in assuring conditions for people to be health
science and art of preventing disease, prolongining life, promotiong health through oganized efforts and informed choices of socierty, organizations, communities, and inficidualds
WITHIN GROUPS
distinction from rest of health care system
primary emphasis is to PREVENT disease
POPULATION vs individual focus
core functions
assessment, policy development, assurance
case study
design to form hypothesis based on cases
descriptive study
case series, reports, outcomes, cant test hypothesis
analytical study
aim to ID subpopulations, compare outcomes
experimental study
treatment and exposure in a controlled enviro
incidence
FREQUENCY of event in a population over time
prevalence
number or PROPORTION of cases in a given population
observational epidemiology
natural progression to track source, distribution control
experimental epidemiology
intervene on natural occurence to see cause and effect
goal of infant screening
encourage uniform screening for 32 specific conditions in the period of time when dz is not clinically detected. test with sensitivity and specificity
conditions tested in infant screening
organic acids, fatty acids, amino acids, endocrine, mercury
criteria for infant screening
specific/sensitive test available. health outcomes well understood. available and effective tx available. identification of condition may affect future reproductive decisions of family.
propionic acidemia
cant process 4 aa in proteinous food,may progress, may have some mental impairment. dietary control to avoid metabolic crisis
sickle cell anemia
sickle cells block blood flow- pain, organ damage, risk of infx
tyrosinemia
deficiency of enzyme to break tyrosine- build up in tissues and organs
blood spot screening
blood test for sickle cell dz, cystic fibrosis, congenital hypothyroidism, metabolic dz
sensitivity
how often will the test be positive?
true pos / false pos + true neg