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(3 PRELIM) PUBLIC HEALTH

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refers to the PROGRESSION OF A DISEASE process in an individual over time, in the absence of treatment.

Natural history of disease

SAXITOXIN AND SIMILAR TOXINS FORM SHELLFISH ; few minutes– 30 minutes

Paralytic shellfish poisoning

NAUSEA, VOMITING, CRAMPS, HEADACHE, NERVOUSNESS, BLURRED VISION, CHEST PAIN, confusion, twitching, convulsions; few minutes–few hours.

Organophosphorusingestion

DIARRHEA, often with fever and cramps; usually 6–48 hours

Salmonella

SEVERE ACUTE RESPIRATORY SYNDROME (SARS); 3–10 days, usually 4–6 days

SARS-associated coronaviruses

CHICKENPOX; 10–21 days, usually 14–16 days

Varicella -zoster virus

SYPHILIS; 10–90 days, usually 3 weeks

Treponema pallidum

HEPATITIS; 14–50 days, average 4 weeks

Hepatitis A

HEPATITIS; 50–180 days, usually 2– 3 months

Hepatitis B

AIDS; <1 to 15+ year

Human immunodeficiency virus

LEUKEMIA; 2-12 years

Atomic bomb radiation (Japan)

THYROID CANCER; 3–20+ years

Radiation (Japan, Chernobyl)

BONE MARROW; 8–40 years

Radium (watch dial painters

refers to the PROPORTION OF EXPOSED PERSONS who become infected.

Infectivity

refers to the proportion of infected individuals who develop clinically apparent disease

Pathogenicity

refers to the proportion of clinically apparent CASES THAT ARE SEVERE OR FATAL

Virulence

Such PERSONS WHO ARE INFECTIOUS but have subclinical disease; are persons with incubating disease or inapparent infection

Carriers

a SINGLE INSTANCE OF DISEASE, injury, or other health condition that meets selected criteria of clinical and laboratory findings and for person, place, and time.

Case

refers to a DISEASE that occurs INFREQUENTLY and IRREGULARLY.

Sporadic

refers to the constant presence and/or usual prevalence of a disease or infectious agent in a POPULATION WITHIN A GEOGRAPHIC AREA.

Endemic

refers to PERSISTENT, HIGH LEVELS OF DISEASE OCCURRENCE

Hyperendemic

An observed amount of disease that is USUALLY PRESENT IN A COMMUNITY OR GEOGRAPHIC LOCATION, like a state or country, known through historical counts or public health surveillance, and often used for comparison in identifying outbreaks or measuring the effectiveness of public health actions.

Expected level

refers to an INCREASE, OFTEN SUDDEN, IN A NUMBER OF CASES of a disease above what is normally expected in that population in that area.

Epidemic

carries the SAME DEFINITION OF EPIDEMIC, but is often used for a more limited geographic area.

Outbreak

A group of cases of the same general health problem that occur in a LIMITED GEOGRAPHICAL AREA without regard to the expected levels.

Cluster

refers to an epidemic that has spread over several countries or continents, usually affecting a large number of people

Pandemic

A virus that has not been seen before or is a virus that is known but has not infected humans before

Novel virus

What is NERD?

Novel Emerging Respiratory Disease

A fictional novel emerging respiratory disease caused by a virus that can spread from person to person

NERD

when an agent and susceptible hosts are present in adequate numbers, and the agent can be effectively conveyed from a source to the susceptible hosts.

Epidemic

Transmission occurs from person to person.

propagated source

patients are exposed to the source of the disease at irregular intervals

Intermittent common source outbreak

both common-source epidemics and propagated epidemics.

Mixed epidemics

The disease is spreading from person to person with confirmed outbreaks at the community level.

Phase 4

There are scattered cases or small clusters of disease in humans. If the illness is spreading from human to human, it’s not broad enough to cause community-level outbreaks

Phase 3

A virus in animals has caused no known infections in humans.

Phase 1

An animal virus has caused infection in humans.

Phase 2

The disease is spreading between humans in more than one country of one of the WHO regions.

Phase 5

At least one more country, in a different region from Phase 5, has community-level outbreaks.

Phase 6

List of the deadliest pandemics in world history includes:

The black death; The influenza pandemic of 1918; Smallpox; HIV and AIDS; COVID19

A bacterial infection found mainly in rodents and associated fleas, plague readily leaps to humans in close contact.

black death

most nutorious epedimic in history

Black Death

3 types of Plague

Bubonic plague, Pneumonic plague, Septicemic plague

the disease's most common form, refers to telltale buboes—painfully swollen lymph nodes—that appear around the groin, armpit, or neck.

Bubonic Plague

the most infectious type, is an advanced stage of plague that moves into the lungs

Pneumonic Plague

Patients develop fever, chills, extreme weakness, abdominal pain, shock, and possibly bleeding into the skin and other organs.

Septicemic plague

It was caused by an H1N1 virus with genes of avian origin.

Spanish Flu

also known as the influenza pandemic of 1918

Spanish Flu

caused by variola virus

Smallpox

The most severe phase of HIV infection.

AIDS

Some people have flu-like symptoms.

Acute HIV Infection

called asymptomatic HIV infection or clinical latency. any symptoms or get sick during this phase

Chronic HIV Infection

is a sickness caused by a virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

COVID19

Treatment of Covid 19

Nirmatrelvir, Remdesivir, Molnupiravir

COVOID VACCINES

Test your knowledge on the natural progression of a disease in an individual over time, without any treatment. Explore the factors and stages involved in the development of a disease without intervention.

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