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Questions and Answers

What are the 5W’s that epidemiologists strive to characterize an event?

  • When, Where, What, Who, How
  • Who, What, Where, How, When
  • What, Who, How, When, Where
  • What, Who, Where, When, Why (correct)
  • What does descriptive epidemiology cover?

    Time, place, and person

    Epidemiologists can identify high rates of disease within certain groups.

    True

    Which disease occurs seasonally in winter?

    <p>Influenza</p> Signup and view all the answers

    What can health officials implement based on data analysis?

    <p>Vaccination campaigns</p> Signup and view all the answers

    Sporadic occurrence refers to diseases that occur at ______.

    <p>any time</p> Signup and view all the answers

    Study Notes

    Descriptive Epidemiology

    • Epidemiology involves describing the who, what, when, where, and why/how of an event, aiming for comprehensiveness like reporting a newspaper story.
    • Epidemiologists use synonyms for the 5Ws (what, who, where, when, why) to describe an event, from large pandemics to local increases in accidents.
    • Descriptive epidemiology covers time, place, and person.

    Advantages of compiling and analyzing data by time, place, and person

    • Epidemiologists become very familiar with data, understanding its variables, limitations, and variations.
    • Epidemiologists can learn details about a health problem in a population, such as specific neighbourhoods, months, or groups of people.
    • Detailed descriptions of health in a population create tables, graphs, maps, which are easily communicated, along with identifying high-risk areas or groups within the population that could help find causes of the problem.

    Time

    • Occurrence of disease can change over time.
    • Regular occurrences- anticipated by officials, like influenza or West Nile virus.
    • Seasonal occurrences- expected in certain seasons like influenza in winter.
    • Sporadic occurrences- unpredictable, like Hepatitis B.
    • Time scale can range from minutes, hours, to days, months, and even decades.
    • Examples- chronic diseases, foodborne outbreaks.

    Place

    • Insight into geographic extent of health problems and variability.
    • Relates to location of residence, diagnosis, or reporting and geographic locations relevant to the disease.
    • Includes birthplace, place of employment, school districts, hospital units, and urban/rural or domestic/foreign categories.
    • Large area of a country, continent, or a smaller category like a street address or hospital wing.

    Person

    • Personal characteristics are factors in illness.
    • Inherent or acquired characteristics of people (age, sex, race)
    • Biological attributes (immune, genetic)
    • Acquired traits like marital status, activities (occupation, leisure and use of medications/tobacco/drugs) and socioeconomic status.
    • Data is displayed in tables or graphs.

    Age

    • The most important person attribute because health-related events commonly vary with age.
    • Susceptibility, exposure opportunity, latency and physiologic response are age-dependent factors.
    • Age groups are often used for detailed understanding of disease patterns.
    • Chronic diseases may benefit from 10-year or 5-year age groups.

    Sex

    • Males generally have higher illness and death rates for various diseases.
    • Genetic, hormonal, anatomic or other biological differences may explain different susceptibilities or physiologic responses to some diseases.

    Ethnic and racial groups

    • Differences in susceptibility, exposure, and other factors (like socioeconomic status and health care access) should be considered.
    • Some diseases are more or less common in different ethnic or racial groups.

    Socioeconomic Status

    • This is a difficult variable to measure.
    • Relevant variables to include are occupation, income, education, and social standing.

    Epidemiologic studies in general

    • Epidemiologists are interested in the cause of diseases and in preventative measures to minimize adverse health outcomes.
    • They develop and conduct studies on risks of diseases and the effect of interventions.
    • Public health officials depend on epidemiology in order to understand risk, prevent occurrence, characterize distributions, investigate, and monitor.

    Types of Studies

    • Case reports - describe a single patient.
    • Case series - describe multiple patients.
    • Cross-sectional - examines existing conditions in a group at one point in time.
    • Prevalence studies and assessments.
    • Ecologic - analyzes characteristics of groups.
    • Cohort - involves following a group over time.
    • Retrospective cohort - uses existing data.
    • Prospective cohort - tracks a group forward in time.
    • Case-control - study of individuals with and without a disease.
    • Randomized trials - used to test treatments or interventions.

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