Epidemiology History NSC 301
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Questions and Answers

Which of the following best describes the etymological origin of the term 'epidemiology'?

  • It is rooted in Latin, with 'epi' meaning 'spread', 'demos' meaning 'community', and 'logy' meaning 'knowledge'.
  • A combination of 'epi' meaning 'study of' and 'demos' meaning 'diseases'.
  • A blend of 'epi' meaning 'prevention' and 'demos' meaning 'population', combined with 'logy' meaning 'science or research'
  • Derived from the Greek words 'epi' meaning 'on, upon, or among' and 'demos' meaning 'the common people', combined with 'logy' meaning 'study of'. (correct)

What is a core focus of epidemiology as a field of study?

  • The development of new treatments for diseases.
  • The clinical management of hospital patients with acute illnesses.
  • The diagnosis of diseases at an individual patient level.
  • The study of the mass phenomena of infectious diseases including their incidence, distribution, and determinants. (correct)

According to the various definitions of epidemiology, what aspect is consistently highlighted?

  • The study of the distribution and determinants of health-related states or events including diseases. (correct)
  • The individual patient's experience of illness.
  • The biochemical processes of disease at a cellular level.
  • The economic impact of illnesses on households.

Which of the following would be considered one of the key objectives of epidemiology?

<p>To study the occurrence and control of diseases and health conditions in defined populations. (C)</p> Signup and view all the answers

Which of the following did not contribute early in the field of epidemiology that is specifically mentioned in the text provided?

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

What is the primary focus in the study of epidemiology?

<p>Analyzing the distribution of diseases within populations. (D)</p> Signup and view all the answers

Which of the following was NOT a proposed objective of epidemiology?

<p>To evaluate patient preferences regarding healthcare. (C)</p> Signup and view all the answers

Which of the following is NOT considered to be a branch of epidemiology?

<p>Cardiovascular epidemiology (B)</p> Signup and view all the answers

What was Hippocrates' primary contribution to the field of epidemiology?

<p>Exploring the correlation between disease and environmental factors. (C)</p> Signup and view all the answers

What did Hippocrates believe was the main cause of sickness in the human body?

<p>Imbalances of the four humors (D)</p> Signup and view all the answers

What is the key distinction between 'epidemic' and 'endemic' as defined by Hippocrates?

<p>Epidemic diseases appear suddenly in a population, while endemic ones are always present. (D)</p> Signup and view all the answers

Who is credited with initially proposing that diseases are caused by tiny, unseen, living particles?

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

Which physician is credited with the first usage of the term 'epidemiology'?

<p>Joaquín de Villalba (C)</p> Signup and view all the answers

What did Hippocrates believe caused sickness in the human body?

<p>Imbalance of the four Humors (C)</p> Signup and view all the answers

Who was the first to propose the importance of personal and environmental hygiene to prevent disease?

<p>Girolamo Fracastoro (C)</p> Signup and view all the answers

What did Anton van Leeuwenhoek's microscope reveal that supported the germ theory of disease?

<p>Living particles consistent with a germ theory of disease (C)</p> Signup and view all the answers

Who is considered the father of modern epidemiology?

<p>John Snow (B)</p> Signup and view all the answers

What substance did John Snow use in his attempt to clean water during the cholera outbreak?

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

Which century did Girolamo Fracastoro first propose that diseases are caused by small, unseen particles?

<p>16th century (D)</p> Signup and view all the answers

What was a major outcome of the British Doctors Study led by Richard Doll and Austin Bradford Hill?

<p>Strong statistical support linking smoking to lung cancer (B)</p> Signup and view all the answers

What did epidemiology evolve to focus on after originally dealing primarily with infectious diseases?

<p>Applying observational scientific method to prevent and control all health-related states and events (B)</p> Signup and view all the answers

Which of the following best describes the work of John Grant?

<p>He was the first epidemiologist, statistician, and demographer. (B)</p> Signup and view all the answers

What is the distinction between 'disease' and 'sickness'?

<p>Disease is medically definable, while sickness is about the social role of a person with disease. (A)</p> Signup and view all the answers

What fundamental aspect is critical when comparing disease rates across different populations?

<p>The use of rates for comparison. (D)</p> Signup and view all the answers

Which of these terms describes a disease or injury rate that is consistently present?

<p>Endemic (B)</p> Signup and view all the answers

Which of the following best describes how 'pattern' is defined when discussing health events in epidemiology?

<p>The occurrence of events by time, place, and personal characteristics. (B)</p> Signup and view all the answers

Flashcards

What is epidemiology?

The study of the occurrence, distribution, and determinants of health-related states or events in populations, and the application of this study to control health problems.

What is the meaning of epidemiology based on its etymology?

The study of that which falls upon the common people.

What is epidemiology's role in medicine?

The branch of medicine that uses scientific data to study the incidence, distribution, causes, and control of diseases in populations.

Who are some key figures in the history of epidemiology?

John Graunt, James Lind, Edward Jenner, John Snow, and Ignaz Semmelweis are all considered pioneers in the history of this field.

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How did James Lind and Edward Jenner contribute to epidemiology?

James Lind and Edward Jenner made significant contributions to this field by studying the causes and prevention of scurvy and smallpox, respectively.

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Epidemic

The occurrence of disease or injuries in clear excess of normalcy.

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Disease

A medically definable physiological or psychological dysfunction.

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Health

The state of complete physical, mental, and social well-being and not merely the absence of disease.

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Pattern

The occurrence of health-related events by time, place, and personal characteristics.

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Morbidity

Events and factors associated with disease or disability.

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Epidemiology

The study of how diseases are distributed in populations and the factors that influence this.

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Etiology

The causes of a disease, or the factors that contribute to its development.

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Disease prevalence

The extent or frequency of a disease in a specific population.

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Natural history of disease

The natural course of the disease, from initial exposure to its eventual outcome.

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Prognosis of disease

The likely outcome of a disease, including possibilities like recovery, disability, or death.

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Evaluation of preventive and therapeutic measures

The use of epidemiological data to assess the effectiveness of interventions like vaccines, medications, or public health programs.

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Developing public health policies

The use of epidemiological findings to inform the development of public health policies aimed at addressing health concerns.

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Infectious disease epidemiology

A branch of epidemiology that focuses on the study of infectious diseases, exploring their spread, prevention, and control.

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Humoral Theory of Disease

The theory that diseases are caused by the imbalance of the four humors - air, fire, water, and earth. This theory dominated ancient medicine and practices like bloodletting were used to restore balance.

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John Snow and the Cholera Outbreak

A major event in public health history where Dr. John Snow investigated cholera epidemics and used chlorine to clean contaminated water, effectively stopping the outbreak. This achievement is considered the founding event of modern epidemiology.

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Fracastoro's Contagion Theory

Suggested that diseases are caused by tiny, invisible particles called 'seminaria contagiosa', which are alive, can spread through air, reproduce, and are destroyed by fire. This was a precursor to the germ theory.

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Leeuwenhoek's Microscopic Observations

Using a powerful microscope, Anton van Leeuwenhoek provided the first visual evidence of living particles, supporting the idea that microscopic organisms could cause disease. This discovery opened doors for the germ theory of disease.

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Germ Theory of Disease

The theory that diseases are caused by microscopic organisms, like bacteria and viruses, which invade the body and cause illness. This theory was supported by numerous observations and experiments including those of Pasteur and Koch.

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Quantitative methods in epidemiology

The application of mathematical methods to study and analyze disease patterns, including the use of statistics and modeling.

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British Doctors Study and Smoking

The British Doctors Study, led by Richard Doll and Austin Bradford Hill, provided strong statistical evidence linking tobacco smoking to lung cancer. This landmark study contributed significantly to the understanding and control of smoking-related diseases.

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Study Notes

Course Information

  • Course Title: Epidemiology
  • Course Code: NSC 301

History of Epidemiology

  • Hippocrates, considered the father of medicine, was the first epidemiologist. He examined relationships between disease and environmental factors.

  • Hippocrates linked illness to an imbalance of four humors; air, fire, water, and earth. This led to practices like bloodletting and dieting.

  • Girolamo Fracastoro (16th century) proposed a theory that disease was caused by tiny living organisms that could spread through the air, reproduce, and be destroyed by fire.

  • John Graunt (1662) was the first to use statistical methods to study mortality patterns. He examined patterns of mortality and morbidity and the numbers of inhabitants, their age structure, and rate of population growth.

  • James Lind (1747) conducted a clinical trial to identify effective treatments for scurvy. He observed that citrus fruits could prevent/treat scurvy. This is considered a cornerstone of controlled clinical trials.

  • Edward Jenner (1796) discovered vaccination against smallpox after observing milkmaids who contracted cowpox did not contract smallpox.

  • John Snow (19th century) investigated cholera epidemics and determined that the source was contaminated water.

  • The 1920s saw Winslow and Sedgwick lecturing on epidemiology within the US, while W.H. Frost became the first professor of Epidemiology in the US.

  • The 1940s saw the introduction of the experimental study, regarding the use of Streptomycin to treat Pulmonary TB.

  • The 1950's saw research conducted to identify a relationship between smoking and Lung Cancer.

Definitions of Epidemiology

  • Epidemiology is the branch of medical science that studies epidemics.
  • Also the study of disease distribution and determinants in populations and their application to the control of health problems.
  • Epidemiology can be used to study all diseases, and not just infectious diseases.

Objectives of Epidemiology

  • Understanding the cause (etiology) of disease and relevant risk factors
  • Determining the extent of a disease in a community
  • Studying the natural history (and prognosis) of a disease
  • Evaluating preventive and therapeutic measures for a disease.
  • Establishing the foundation for public health policies

Branches of Epidemiology

  • Infectious disease epidemiology
  • Chronic disease epidemiology
  • Clinical epidemiology
  • Serological epidemiology
  • Cancer epidemiology
  • Genetic epidemiology
  • Occupational epidemiology
  • Psychosocial epidemiology

Key Terms in Epidemiology

  • Health: State of complete physical, mental, and social well-being.
  • Public Health: Organized effort to prevent disease and promote health.
  • Illness: Physiological or psychological experience of a person.
  • Disease: Medically definable physiological or psychological dysfunction.
  • Sickness: Dysfunction in the social role of a person with a disease.
  • Mortality: Related to death
  • Morbidity: Events and factors associated with disease or disability.
  • Frequency: Number/rate of disease occurrences.
  • Pattern: Occurrence of health events by time, place, and personal characteristics.
  • Time (in context of pattern): Annual, seasonal, or daily occurrences of diseases
  • Place (in context of pattern): Geographic variation, urban-rural differences, worksites, schools.
  • Personal Characteristics (in context of pattern): Age, race, sex, marital status, socioeconomic status, behaviors, environmental exposures.
  • Endemic: Diseases and injuries occurring at a consistent rate
  • Epidemic: Disease occurrences in excess of normalcy
  • Pandemic: An epidemic affecting multiple countries/continents

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Epidemiology Past Paper PDF

Description

Explore the evolution of epidemiology and its key figures, from Hippocrates to John Graunt and James Lind. This quiz covers historical practices, theories of disease causation, and the beginnings of statistical methods in public health. Test your knowledge on the foundational concepts of epidemiology as outlined in your course.

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