Disease Prevention Overview

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Questions and Answers

Which of the following is NOT considered a personal hygiene practice?

  • Washing your hands after handling pets
  • Cleaning your body every day
  • Covering your mouth when sneezing
  • Taking daily vitamins (correct)

What is the primary goal of epidemiology?

  • To study only infectious diseases
  • To understand health and disease in populations (correct)
  • To provide treatments for individuals
  • To eliminate all diseases

Which type of epidemiology is concerned with the assessment of data related to time, place, and person?

  • Analytic epidemiology
  • Experimental epidemiology
  • Descriptive epidemiology (correct)
  • Stationary epidemiology

Which of the following functions of epidemiology involves the collection and analysis of health-related data?

<p>Public health surveillance (D)</p> Signup and view all the answers

What is the term for an individual who carries infectious organisms without showing any obvious signs of disease?

<p>Carrier (A)</p> Signup and view all the answers

What is the primary role of T4 cells in the immune system?

<p>To stimulate the production of antibodies (A)</p> Signup and view all the answers

Which of the following is considered a sexually transmitted disease (STD)?

<p>HIV infection (C)</p> Signup and view all the answers

What does viral load refer to in the context of HIV?

<p>The amount of HIV in the circulating blood (D)</p> Signup and view all the answers

What is thrush primarily caused by?

<p>Fungal infections (A)</p> Signup and view all the answers

What is meant by vertical transmission?

<p>Transfer of pathogens from mother to child during pregnancy or birth (C)</p> Signup and view all the answers

Which of the following best describes a syndrome?

<p>A group of symptoms characteristic of a specific condition (B)</p> Signup and view all the answers

How have sexually transmitted diseases (STDs) changed since the 1980s?

<p>More microorganisms and syndromes are now classified as STDs (D)</p> Signup and view all the answers

What is the relationship between T4 and T8 cells in a healthy immune system?

<p>T4 cells are twice as common as T8 cells (D)</p> Signup and view all the answers

What is a required characteristic for a confirmatory test for HIV?

<p>It should be of a different type than the first test. (D)</p> Signup and view all the answers

Which of the following statements is true regarding epidemiology?

<p>It deals with the study and control of diseases in populations. (C)</p> Signup and view all the answers

What does exclusive breast-feeding entail?

<p>Feeding a baby only breast milk without any other liquids or solids. (C)</p> Signup and view all the answers

What is the main purpose of antiretroviral drugs?

<p>To kill or suppress retroviruses like HIV (D)</p> Signup and view all the answers

What is the distinction between endemic and epidemic diseases?

<p>Endemic diseases are localized, whereas epidemics spread rapidly through populations. (C)</p> Signup and view all the answers

Which of the following indicates a high risk of opportunistic infection in an adult?

<p>A CD4 count below 200 cells/µL (B)</p> Signup and view all the answers

Which of the following best describes HIV-1?

<p>A retrovirus that converts its RNA into DNA. (A)</p> Signup and view all the answers

What is the primary goal of antiretroviral therapy (ART)?

<p>To halt the progress of HIV disease (A)</p> Signup and view all the answers

Which body fluids are primarily linked to the transmission of HIV?

<p>Blood, semen, mother's milk, and vaginal secretions (B)</p> Signup and view all the answers

What does epidemiologic surveillance involve?

<p>Collecting and analyzing data related to diseases. (C)</p> Signup and view all the answers

What is the primary purpose of counseling in the context of HIV testing?

<p>To help clients examine their HIV transmission risk. (C)</p> Signup and view all the answers

What characterizes an asymptomatic person with HIV?

<p>They show no symptoms but can still infect others (C)</p> Signup and view all the answers

What is the role of community planning groups in relation to HIV?

<p>To develop prevention, treatment, and care plans for their communities (D)</p> Signup and view all the answers

What is the primary characteristic of homosexual relations?

<p>Attraction and sexual relations with the same sex. (D)</p> Signup and view all the answers

What does a confirmatory test achieve in the context of HIV testing?

<p>It verifies the accuracy of a previous test result (A)</p> Signup and view all the answers

What happens to CD4 lymphocytes when a person is infected with HIV?

<p>They are infected and destroyed by the virus (D)</p> Signup and view all the answers

Which example is NOT a form of secondary prevention?

<p>Control of blood sugar in diabetes management (C)</p> Signup and view all the answers

What is the primary goal of tertiary prevention?

<p>Reduce severity and prevent complications of established diseases (B)</p> Signup and view all the answers

Which of the following is NOT a type of tertiary prevention?

<p>Early detection of cervical cancer (C)</p> Signup and view all the answers

What is a characteristic feature of KAIS 2012?

<p>It was nationally representative and informed HIV-related policies (B)</p> Signup and view all the answers

How many AIDS Indicator Surveys have been conducted in Kenya as of KAIS 2012?

<p>Two (D)</p> Signup and view all the answers

What purpose do AIDS Indicator Surveys serve in countries with generalized HIV epidemics?

<p>To ensure comparability of findings across countries (A)</p> Signup and view all the answers

Which of the following accurately describes the focus of KAIS 2012?

<p>Tracking the national HIV response through epidemiological data (A)</p> Signup and view all the answers

Which of the following indicators is NOT typically monitored by AIDS Indicator Surveys?

<p>Economic support structures for HIV patients (D)</p> Signup and view all the answers

What is the primary goal of antiretroviral therapy (ART) for HIV?

<p>To suppress the HIV viral load (D)</p> Signup and view all the answers

Which test is commonly used for confirming HIV infection after a positive ELISA or EIA test?

<p>Western blot test (D)</p> Signup and view all the answers

What characterizes wasting syndrome in AIDS patients?

<p>At least 10% weight loss in the presence of diarrhea (D)</p> Signup and view all the answers

What does the window period refer to in the context of HIV infection?

<p>The time from infection until antibodies are detectable (B)</p> Signup and view all the answers

In epidemiology, what is the difference between incidence and prevalence?

<p>Incidence measures new cases over time, while prevalence measures total cases at a certain point (D)</p> Signup and view all the answers

What defines a pandemic?

<p>A disease spread over large geographical areas affecting many people (D)</p> Signup and view all the answers

What is typically a major characteristic of viruses compared to other living organisms?

<p>They require a host cell to replicate (B)</p> Signup and view all the answers

What does voluntary HIV testing typically involve?

<p>Counseling about HIV prevention and the testing process (D)</p> Signup and view all the answers

Flashcards

Secondary Prevention

Actions taken to identify and treat diseases in their early stages, aiming to prevent further development or complications. Examples include Pap smears, colonoscopies, and mammograms.

Tertiary Prevention

Actions taken to manage existing chronic diseases to prevent complications and deterioration. Examples include managing diabetes, rehabilitation after a heart attack, and preventing pressure sores in bedridden individuals.

AIDS Indicator Surveys (KAIS)

A surveillance tool used to monitor the prevalence and impact of HIV/AIDS in countries with widespread epidemics. It provides data on the epidemic's status, behavior, and programs.

KAIS 2007

The first AIDS Indicator Survey conducted in Kenya, providing data for comparison with subsequent surveys.

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KAIS 2012

The second AIDS Indicator Survey conducted in Kenya, building upon the earlier data and providing updated information on the HIV epidemic.

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Impact of KAIS on Policy

The findings from KAIS 2007 and KAIS 2012 were used to inform changes in HIV policies and practices in Kenya.

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Provides Nationally Representative Data

KAIS provides nationally representative information on the HIV/AIDS epidemic in Kenya, including prevalence, behavior, and program information.

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KAIS Data Use

KAIS data guides responses to the HIV/AIDS epidemic, meets program reporting requirements, and ensures comparability of findings across countries.

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Confirmatory test

A type of test used to confirm a positive result from an initial test. It should be different from the initial test.

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Epidemic

A disease that spreads quickly among a specific population in a particular area.

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Endemic

Diseases that are common in a particular place or group of people.

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Epidemiology

The study and distribution of diseases in a population.

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HIV-1

A virus that causes AIDS.

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HIV-2

A virus closely related to HIV-1 that also causes AIDS.

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Exclusive breastfeeding

Feeding an infant only breast milk from the mother or a wet nurse, or expressed breast milk.

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Counseling

A private, non-judgemental conversation between a person and their healthcare provider, especially related to HIV testing.

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Sexually Transmitted Disease (STD)

Also called venereal disease (VD) (an older public health term) or sexually transmitted infection (STI). STDs are infections spread by the transfer of organisms from person to person during sexual contact.

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Syndrome

A group of symptoms as reported by the patient and signs as detected in an examination that together are characteristic of a specific condition.

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T4 Cell

Antibody-triggered immune cells that seek and attack invading microorganisms. Macrophages summon T4 cells to the infection site. There, the T4 cell reproduces and secretes potent chemicals that stimulate B cells to produce antibodies, signal natural killer or cytotoxic (cell-killing) T cells, and summon other macrophages to the infection site. In healthy immune systems, T4 cells are twice as common as T8 cells.

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Thrush

Patches in the mouth (sometimes painful) caused by the fungus Candida albicans. Thrush is one of the most frequent early symptoms or signs of an immune disorder. The fungus commonly lives in the mouth, but only causes problems when the body's resistance is reduced either by antibiotics that have reduced the number of competitive organisms in the mouth or by an immune deficiency such as HIV disease.

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Vertical Transmission

Transmission of a pathogen such as HIV from mother to fetus or baby during pregnancy or birth.

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Viral Load

The amount of HIV in the circulating blood. Sicker patients generally have more virus than those with less advanced disease. A viral load test is used to monitor the HIV viral burden.

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Antiretroviral

A substance that kills or suppresses a retrovirus, such as HIV.

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Antiretroviral drugs

Substances used to kill or stop the multiplication of retroviruses such as HIV.

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Antiretroviral therapy (ART)

Combination antiretroviral regimens that aggressively decrease HIV viral multiplication to halt the progress of HIV disease. The usual ART regimen combines three or more different drugs. These treatment regimens can reduce the amount of virus so that it becomes undetectable in a patient's blood.

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CD4 (T4) or CD4+ cells

A type of lymphocyte involved in protecting against viral, fungal, and protozoal infections. They are also known as T helper cells or simply T cells. HIV infects and destroys CD4 lymphocytes. Destruction of CD4+ lymphocytes is the major cause of the immunodeficiency observed in AIDS, and decreasing CD4 lymphocyte levels are the best indicator of someone's risk of developing opportunistic infections

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CD4 count

A test that measures the number of CD4 lymphocytes in the blood, thus reflecting the state of the immune system. A normal count in a healthy adult is 600-1,200 cells/µL. When the CD4 count of an adult falls below 200 cells/µL, there is a high risk of opportunistic infection.

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Community Planning

Community planning groups are responsible for developing HIV prevention, treatment, and care plans that are used in their communities. The goal of HIV community planning is to improve the effectiveness of HIV programs and to be certain that the needs of the community are being met.

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Body fluids

Any fluid in the human body, such as blood, urine, saliva (spit), sputum, tears, semen, mother's milk, or vaginal secretions. Only blood, semen, mother's milk, and vaginal secretions have been linked directly to the transmission of HIV.

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What is Epidemiology?

The study of how diseases spread and affect populations, including their causes, distribution, and control.

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What is a carrier?

A person who carries infectious organisms but doesn't show symptoms.

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What is infection?

The replication of organisms in a host's tissues, which can cause illness.

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What is primary prevention?

Actions that aim to prevent disease from starting, like vaccination or promoting healthy habits.

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What is secondary prevention?

Actions taken to identify and treat a disease in its early stages, like screenings and early interventions.

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Window period

The time between when a person is infected with HIV and when they develop detectable antibodies. This is the period when a person may test negative for HIV even though they are infected.

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Incidence

The number of new cases of a disease or condition occurring in a population during a specific period.

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Western Blot

A laboratory test used to confirm the presence of HIV antibodies in a person's blood. It's usually performed after a positive ELISA test.

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Wasting syndrome

An AIDS-defining condition characterized by significant weight loss, diarrhea, chronic weakness, and fever, lasting at least 30 days. It's sometimes called 'slim disease.'

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Voluntary HIV testing

An individual gets counseled about HIV prevention and infection modes before deciding whether to get tested for HIV.

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Prevalence

A measure of the number of cases of a disease or condition found in a population at a specific time.

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Viruses how they multiply?

An organism made up of genetic material (DNA or RNA) enclosed in a protein coat. Viruses need a living host cell to multiply.

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Study Notes

Disease Prevention

  • Primary prevention aims to avoid disease entirely
  • Secondary prevention involves screening for early detection/diagnosis
  • Tertiary prevention focuses on slowing or stopping disease and restoring function

Types of Disease Prevention

  • Three types: primary, secondary and tertiary
  • Primary prevention reduces disease onset (e.g., seatbelts, helmets)
  • Secondary prevention includes tests and recommendations for early disease detection
  • Tertiary prevention involves diagnosing disease and improving quality of life

Three Levels of Prevention

  • Primary: Prevents disorder development
  • Secondary: Detects and treats disease early
  • Tertiary: Manages existing chronic diseases to prevent complications

Primary Prevention Examples

  • Legislation/enforcement to control hazardous products (e.g., asbestos)
  • Mandating safe practices (e.g., seatbelts, bike helmets)
  • Education on healthy habits (e.g., diet, exercise, avoiding smoking)
  • Delivering advice/guidance to prevent disease onset/reduce risk

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