Trans - Respiratory Epidemiology Flashcards
%GNP targeted for health expenditure
3-4%
epidemiologic shift
transition from infectious disease to lifestyle disease
trend in prevalence of pneumonia and TB
decreasing
trend in prevalence of cardiovascular disease
increasing
COPD started appearing in what year?
1995
epidemiologic shift due to: [3]
[1] aging population in developing countries
[2] increasing urbanization
[3] lifestyle changes
leading cause of mortality in the Philippines
cardiovascular disease
double burden of disease in developing countries
communicable diseases are the leading cause of morbidity, noncommunicable diseases are the leading cause of mortality
pneumonias usually kill:
the very young and the very old
old man’s friend
pneumonia
pneumonia
infection of the lungs causing accumulation of neutrophilic exudate in the alveoli, impairing gas exchange
main issues in pneumonia control
medication issues –> improper medication
single most important cause of mortality due to a particular pathogen
TB
Arcana of Tuberculosis
model created by Griggs, showing TB contacts, morbidity, mortality over 300 years
trend of tuberculosis incidence
steep fall in other countries, slow fall in the Philippines
how many Filipinos die per day due to TB?
75
DOTS
Directly Observed Treatment Short-course
success rate in DOTS
78%
[T/F] strengthening DOTS in the government diminishes the importance of the private MD
F
GATS
Global Adult Tobacco Survey - systematically monitor adult tobacco use, track key tobacco control indicators
percentage of current smokers
23%
average age of initiation into smoking
17.4
percent relative risk of lung cancer in smokers
[1] males - 130%
[2] females - 1140%
percent relative risk of COPD in smokers
967%
[T/F] percent prevalence of COPD greater in urban areas than rural areas
F
why is the percent prevalence of COPD greater in rural areas?
high prevalence of smoking, exposure to biomass fuel
cancer with the most incidence rate
breast cancer
cancer with the most mortality
lung cancer
NAES
National Asthma Epidemiology Study
[T/F] asthma is largely uncontrolled and its management is suboptimal in urban communities
T