wildlife and PH & emerging diseases Flashcards

1
Q

what is public health

A

organized efforts of society to prevent human disease, prolong life and promote human health

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2
Q

determinants of health

A

physical, social and economic environments and lifestyle&behavior

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3
Q

two most important determinants of your health

A

income and education

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4
Q

two most important determinants of your health

A

income and education

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5
Q

4 domains of public health outcomes

A

improving wider determinants of health, health improvement, health protection, health care (public health and preventing premature mortality)

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6
Q

health protection includes

A

environmental health, occupational health and infectious diseases

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7
Q

why are emerging infections occurring from wildlife now?

A

“edge” effect, detection bias and new vulnerability hypothesis

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8
Q

what is the edge effect

A

increased interfaces between people, domestic animals and wildlife; allow for epidemiological connections

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9
Q

what actions are causing the edge effect

A

globalization, deforestation, suburbanization, food choices

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10
Q

what does detection bias mean

A

new technologies allow for molecular epidemiology for source tracing

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11
Q

what is the new vulnerability hypothesis

A

ecosystem changes affecting wildlife susceptibility and exposure

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12
Q

what can we do to prevent emerging disease

A

sentinels for new pathogens (surveillance and monitoring), risk assessment and communication (where and when we should worry), controlling disease at the source

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13
Q

what are mammalian portals of entry and exit

A

CNS, circulatory system, skin, urinary system, anus, genital system, mammary gland, alimentary system, respiratory system, nares, mouth, conjunctiva (PROTECT YOUR HOLES)

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14
Q

how do you control disease at the source with wildlife emerging diseases

A

manage human-wildlife interactions, maintain vibrant biodiversity and reducing their vulnerability, general precautions

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15
Q

endemic wildlife disease bite example

A

rabies

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16
Q

endemic wildlife diseases involving alimentary tract

A

trichinella (food), giardia, tularemia and toxoplasma (water), baylisascaris (hygiene)

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17
Q

excluding HIV, what is the emerging disease with the most impact

A

lyme disease

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18
Q

endemic wildlife diseases involving transmission by conjunctiva or nares

A

tularemia or influenza

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19
Q

endemic wildlife diseases involving vector transmission

A

WNV, lyme disease, rickettsia, babesia, tularemia, ehrlichia, plague

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20
Q

what processes lead to the spread of lyme disease

A

turkeys used to run throughout the east; cut down all the trees on the eastern sea board, reforested with trees from Ohio, trees were better for deer population, THEN suburbinization lead to closer contact between deer and people

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21
Q

endemic wildlife disease examples transmitted via air

A

hantavirus, influenza, tularemia

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22
Q

endemic wildlife disease that has in utero effects

A

toxoplasma

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23
Q

general advice for endemic disease

A

W.A.S.H

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24
Q

general advice for endemic disease

A

W.A.S.H

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25
W.A.S.H. stands for
WASH (good hygiene); AVOID (provoke bites, feces, lesions in game meat, vectors); use SAFELY (food, water, handling and habitat interactions); be HEALTHY (immunocompromised, keep wildlife healthy)
26
what can you track to tell whether it will be a bad lyme disease year
acorn levels (lots of acorns = lots of mice = ticks inhabit them ------ not many acorns == not many mice = ticks look for other host, human)
27
definition of hazard
biologic, chemical or physical agent or condition with potential to cause an adverse health effect
28
definition of risk
likelihood of identified hazards causing harm in exposed populations in a specific time frame including severity of consequences
29
risk calculation
chance X hazard X exposure X consequence
30
health improvement domain includes
global health, psychosocial health, health education, impact of wider determinants & international perspective
31
what has shown a causal link with human health
environment and ecosystem
32
why is nature not necessarily pristine and plentiful
pathogens and parasites are endemic; contaminants are prevalent
33
problems with harvesting wild meat
decreasing knowledge on safe harvest, no quality assurance
34
problems with harvesting wild meat
decreasing knowledge on safe harvest, no quality assurance
35
why are we concerned about emerging diseases now?
caught us by surprise, cost a lot of money, created public feat, created political pressure to respond
36
definition of emerging disease
appearing for first time in a population, existed but is rapidly increasing in prevalence or geographic range, disease that has expanded host range, change in virulence or resistance, caused by a newly discovered agent
37
what is most EID work focused on
find it rapidly and predict it
38
what is most EID work focused on
find it rapidly and predict it
39
4 main domains of emergency management
prevention, preparedness, response and recovery
40
elements of preparedness includes
biomedical systems, resilient communities, communication systms
41
biomedical systems can be prepared by
preventing entry (biosecurity), finding and containing early (surveillance and response plans)
42
what makes up a resilient community
enhanced innate and acquired immunity
43
what are communication systems for
public awareness and coordinated planning
44
requirements for enhanced immunity
access to veterinary services, education and support for animal husbandry/care, vaccine production and evaluation, contingency plans for new vaccines, plans for vaccine distribution, adverse event surveillance
45
targets for response to emerging disease
find and reduce infectious animals; stop spread; protect susceptible
46
important epidemiological model
C is proportional to E x S (C is the number of cases; E is the probability of effective exposure; S is the proportion of the population susceptible
47
how do you respond to an outbreak (3 basic things)
find the cases, reduce exposure, reduce susceptibility
48
4 categories of surprise
knowable in retrospect but ELUDE DETECTION; FAIL TO RECOGNIZE actionable signal or not able to RESPOND despite warning; UNANTICIPATED consequences of socio-ecological interactions; previously INCONCEIVABLE events
49
example of EID that was knowable in retrospect
bat associated disease (SARS, nipha, hendra)
50
example of EID that we failed to recognize/were unable to respond
WNV in NY
51
example of unanticipated consequence of socio-ecological interactions
ebola and EU fishing policy
52
example of EID that had unanticipated consequence of socio-ecological interactions
ebola and EU fishing policy
53
example of EID that was previously inconceivable
prions
54
why is poverty and infection inter-related
poor education, sociocultural disadvantage, gender discrimination
55
what are the 8 millennium development goals
eradicate extreme poverty and hunger; achieve universal primary education; promote gender equality and empower women; reduce child mortality; improve maternal health; combat AID/HIV, malaria and other disease; ensure environmental sustainability; global partnership for development
56
how can animals improve maternal and child health
adding animal protein to diet; animals can help work; animals provide income for health care
57
how can adding animals improve profit
adding fish into livestock production increases production/acre --> more profit
58
what is needed to add fish into livestock production
integrated health management and education on how to rear the new species
59
what are the benefits of ornamental fish farms
reduce capture of wild fish for pet trade; positive effect on income
60
what are the negative impacts of ornamental fish farms
inappropriate drug and chemical use, release of wastes and release of pathogens
61
how can adding goats achieve education goals in Kenya
the wife's access to income from small ruminants allows her to pay for children's books and school uniforms