Podcast
Questions and Answers
What is the primary purpose of field epidemiology?
What is the primary purpose of field epidemiology?
Which aspect is a key focus of health protection?
Which aspect is a key focus of health protection?
Which phrase best describes epidemiology?
Which phrase best describes epidemiology?
What type of threats does health protection aim to mitigate?
What type of threats does health protection aim to mitigate?
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How does field epidemiology differ from traditional epidemiology?
How does field epidemiology differ from traditional epidemiology?
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What is best described as a disease or condition that is always present among a population?
What is best described as a disease or condition that is always present among a population?
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Which term describes the number of new cases generated from a single infected individual in a population with no previous exposure?
Which term describes the number of new cases generated from a single infected individual in a population with no previous exposure?
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Which factor is NOT necessary when calculating a disease rate?
Which factor is NOT necessary when calculating a disease rate?
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Which of the following best describes HIV/AIDS in relation to its scope and impact?
Which of the following best describes HIV/AIDS in relation to its scope and impact?
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What is described as a condition where the number of cases exceeds what is normally expected for a population in a certain region?
What is described as a condition where the number of cases exceeds what is normally expected for a population in a certain region?
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In the study of Legionnaires’ disease during July 21-24, 1976, which age group had the highest percentage of sick individuals?
In the study of Legionnaires’ disease during July 21-24, 1976, which age group had the highest percentage of sick individuals?
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Which Latin term is the root of the word 'prevalence'?
Which Latin term is the root of the word 'prevalence'?
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What measure is described by the term 'prevalence'?
What measure is described by the term 'prevalence'?
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What is the prevalence of freshers’ flu among 1st year students as expressed in a ratio per thousand?
What is the prevalence of freshers’ flu among 1st year students as expressed in a ratio per thousand?
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During the Legionnaires’ disease outbreak study, which age group had the largest total number of sick individuals?
During the Legionnaires’ disease outbreak study, which age group had the largest total number of sick individuals?
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Which factor is not typically assessed by field epidemiology in terms of improving population health?
Which factor is not typically assessed by field epidemiology in terms of improving population health?
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What is the primary concern of epidemiology when monitoring health on a global scale?
What is the primary concern of epidemiology when monitoring health on a global scale?
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Which component of epidemiology focuses on establishing evidence-based policy?
Which component of epidemiology focuses on establishing evidence-based policy?
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Which aspect of an infectious agent relates to its ability to cause severe disease outcomes?
Which aspect of an infectious agent relates to its ability to cause severe disease outcomes?
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What is an example of a measurement used to assess the pathogenicity of an infectious disease agent?
What is an example of a measurement used to assess the pathogenicity of an infectious disease agent?
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Which of the following is not typically a focus of epidemiological advocacy?
Which of the following is not typically a focus of epidemiological advocacy?
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Which concept best describes the concern of epidemiology with determining the relative importance of causes of illness?
Which concept best describes the concern of epidemiology with determining the relative importance of causes of illness?
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Which epidemiological process is unlikely to be directly related to advocacy within a local community context?
Which epidemiological process is unlikely to be directly related to advocacy within a local community context?
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What does point prevalence measure?
What does point prevalence measure?
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When the word 'prevalence' is unqualified, to which form does it typically refer?
When the word 'prevalence' is unqualified, to which form does it typically refer?
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Which statement is true about period prevalence?
Which statement is true about period prevalence?
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How is incidence generally expressed?
How is incidence generally expressed?
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What is the difference between incidence and prevalence?
What is the difference between incidence and prevalence?
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If 3% of students have had the flu each month, what type of prevalence is being described?
If 3% of students have had the flu each month, what type of prevalence is being described?
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What does a 100 case per 1000 student per year incidence rate signify?
What does a 100 case per 1000 student per year incidence rate signify?
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Which type of prevalence would include individuals who have ever experienced the condition in their lifetime?
Which type of prevalence would include individuals who have ever experienced the condition in their lifetime?
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How is 100 cases per 1000 student-years quantitatively related to person-years?
How is 100 cases per 1000 student-years quantitatively related to person-years?
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If a study observes 100 people over 2.5 years, what is the total person-years for this study?
If a study observes 100 people over 2.5 years, what is the total person-years for this study?
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In calculating the incidence of tinnitus among music undergrads, what is represented by the denominator?
In calculating the incidence of tinnitus among music undergrads, what is represented by the denominator?
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Which of the following describes a condition with a high prevalence but low incidence?
Which of the following describes a condition with a high prevalence but low incidence?
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Which factor can simultaneously increase the prevalence of a disease without affecting its incidence?
Which factor can simultaneously increase the prevalence of a disease without affecting its incidence?
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What key concept helps relate the observations made by a field epidemiologist to health protection measures?
What key concept helps relate the observations made by a field epidemiologist to health protection measures?
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Which aspect of a study design ensures that person-years can be accurately measured?
Which aspect of a study design ensures that person-years can be accurately measured?
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What would cause an increase in both incidence and prevalence of a given disease?
What would cause an increase in both incidence and prevalence of a given disease?
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Flashcards
Health Protection
Health Protection
Protection of individuals and populations from health threats through advice and collaboration.
Epidemiology
Epidemiology
Study of health-related states in populations and their determinants, applied to control health issues.
Field Epidemiology
Field Epidemiology
Investigations responding to urgent public health issues, aiming to implement quick interventions.
Determinants of Health
Determinants of Health
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Interventions
Interventions
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Legionnaires’ Disease
Legionnaires’ Disease
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Prevalence
Prevalence
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Disease Rate Calculation
Disease Rate Calculation
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Epidemic
Epidemic
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Age-related Risk
Age-related Risk
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Pandemic
Pandemic
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R0 (Basic reproduction number)
R0 (Basic reproduction number)
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Re (Effective reproduction number)
Re (Effective reproduction number)
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Point Prevalence
Point Prevalence
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Current Flu Prevalence
Current Flu Prevalence
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Period Prevalence
Period Prevalence
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Monthly Flu Prevalence
Monthly Flu Prevalence
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Lifetime Prevalence
Lifetime Prevalence
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Incidence
Incidence
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Incidence Rate
Incidence Rate
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Freshers’ Flu Incidence
Freshers’ Flu Incidence
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Infectivity
Infectivity
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Pathogenicity
Pathogenicity
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Virulence
Virulence
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Epidemiology Purpose
Epidemiology Purpose
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Population at Risk
Population at Risk
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Effectiveness Evaluation
Effectiveness Evaluation
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Global Context in Delivery
Global Context in Delivery
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Infectious Agents
Infectious Agents
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Person-years
Person-years
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Incidence Rate Calculation
Incidence Rate Calculation
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High Incidence/Low Prevalence
High Incidence/Low Prevalence
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Low Incidence/High Prevalence
Low Incidence/High Prevalence
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Factors Affecting Prevalence
Factors Affecting Prevalence
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Epidemiology Functions
Epidemiology Functions
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Study Notes
Introduction to Health Protection and Epidemiology
- The presenter is Professor Roberto Vivancos, a Consultant Epidemiologist and Professor in Public Health at the UK Health Security Agency/Warwick Medical School.
- Contact email provided.
- The goal of the session is to understand health protection and epidemiology.
- Students need to learn about communicable diseases and their importance.
- Key terms and epidemiological concepts will be defined.
Communicable Diseases
- Communicable diseases are transmissible from one person to another, by direct or indirect means, via an affected individual.
- Infectious diseases.
Why are communicable diseases important?
- Diseases contribute to the significant burden of ill-health globally.
- Mortality and morbidity reduced globally.
- International Health Regulations (196 countries).
- Despite decreases, there are still high-impact epidemics such as influenza, SARS, Ebola, and Zika.
- As once common diseases are controlled new infections arise.
Timeline of new and emerging infections since 1998
- A timeline (with dates) detailing numerous emerging infections.
Socio-economic Disparities and Infectious Diseases
- The burden of communicable diseases affects developed and developing countries differently.
- Variations in communicable diseases exist among continents and countries
- Socio-economic disparities exist within countries.
- Those in deprived groups experience higher morbidity and mortality for various reasons, including higher rates of pre-existing conditions (hypertension, obesity, diabetes).
- Lack of control in employment, dense housing, inadequate heating, etc.
- COVID-19 highlights these disparities
Disease Burden vs GDP
- A scatter plot showing the disease burden via DALYS (Disability-Adjusted Life Years) per 100,000 against GDP per capita in different countries.
Public Health
- Presentation of three domains of public health (health improvement, health protection, health and social care quality.)
- Health improvement: improving and protecting health, reducing inequalities, tracking broader determinants, family community health education and lifestyle health education.
- Health protection: Clean air, water and food, infectious disease surveillance and control, protection from radiation, chemical and biological poisons, environmental health hazards, and disaster response.
- Health and social care quality: health systems policy, quality and standards, and evidence-based healthcare.
Health Protection
- Health protection is a core field of public health.
- It is defined as protecting individuals, groups, and populations through expert advice and cooperation to prevent and mitigate the impact of infectious diseases, environmental, chemical, and radiological threats.
Epidemiology Defined
- Epidemiology is the study of the distribution and determinants of health-related states and events in specified populations.
- Epidemiological study is applied to control health problems.
Field Epidemiology
- Field epidemiology involves investigations initiated in response to public health issues.
- The primary goal is to help quickly select and implement interventions to reduce illness or death.
Epidemiology in Public Health Practice
- Discovering the agent, host, and environmental factors that affect health.
- Determining causes of illness, disability, and death.
- Identifying at-risk population segments.
- Evaluating health programs’ effectiveness to improve population health.
Process
- A process diagram showing how epidemiologists solve health problems, covering data collection, assessment, hypothesis testing, inference, intervention, and action.
Which Doesn't Illustrate the Purpose of Epidemiology in Public Health?
- A multiple-choice question about the purpose of epidemiology in public health, with an option that does not reflect that purpose.
Delivery - Global Context
- Key points of delivery on a global context.
- Leadership, norms and standards, evidence-based polices, technical support and capacity building, monitoring health, research and advocacy.
Delivery – Epidemiology in Different Settings
The 'Epidemiological Triad' of Causal Factors
- Agent characteristics.
- Environment features.
- Host characteristics
Infectious Agents
- Infectivity, Pathogenicity ratio, Virulence, Disease and incubation period.
Reservoirs of Infectious Diseases
- Human reservoirs: Polio, hepatitis A, B, and C, measles, mumps, etc.
- Animal-derived reservoirs: Zoonoses.
- Soil-based reservoirs: West-Nile Virus, etc.
Host Factors
- Host factors include behaviours, susceptibility, and response to an agent.
Prevention & Control of Infectious Diseases: Host
- Prevention focuses on health education, reduced unprotected sexual intercourse, personal protective equipment and immunizations of people at risk.
Environmental Factors
- Factors include water supply, sanitation facilities, overcrowding, food, climate, airflow and circulation, humidity, and availability of health services.
Modes of Transmission
- Direct transmission (touching, droplet transmission)
- Indirect transmission (faecal–oral, vehicle-borne, vector-borne, airborne).
Innate Defenses Against Pathogens
- Summary of innate defenses (tears, skin, large intestine, saliva, respiratory tract and stomach).
Part Two: Key Epidemiological Terms and Concepts
Epidemiology Key Terms I
- A definition of outbreak/epidemic and cluster.
Epidemiology Key Terms II
- Definitions of endemic and pandemic, R., basic reproduction number(R0) and effective reproduction number(Rt)
Over to You...
- Malaria, Ebola, and HIV/AIDS epidemics are discussed.
Comparing Population Characteristics
- How rates help to compare health issues among different groups
Rate Calculation
- Formula for rate calculation.
- Explanation of the elements of the rate formula.
Scenario: Unexplained Pneumonia
- A scenario about unexplained pneumonia at a convention.
- Reports of illnesses.
Legionnaires' Disease, by Age Group
- Data table showing frequency of legionnaires' disease among specific age groups in a hotel.
Legionnaires' Disease Rate
- Data table presenting the rate of legionnaires' disease among age groups at the hotel.
Prevalence
- Definition of prevalence in terms of a measure of how common a disease is.
- Different ways prevalence can be expressed (percentages and numbers per people).
- Examples about prevalence of specific illnesses (flu among freshers).
Types of Prevalence
- Defines point prevalence, period prevalence, and lifetime prevalence.
- Examples about flu prevalence.
Incidence
- Definition of incidence as the rate at which new events occur in a population, within a specific period of time.
- Different forms of expressing incidence ( per ‘n’ people per time versus per ‘n’ person-years).
Person-Years
- Defining person-years as time x numbers of observed individuals
Calculating Incidence
- Explanation of how to calculate incidence.
- Examples of calculations.
Relating Incidence and Prevalence
- A table showing relationships between high/low incidence and high/low prevalence.
Factors Affecting Prevalence
- Variables that affect prevalence are explored.
Summary Slide
- Summary of the session's key concepts.
Questions
- A slide for questions.
Acknowledgements
- Individuals and organizations (like the CDC) who contributed to the information about the presentation.
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Description
This quiz covers key aspects of health protection and epidemiology, focusing on communicable diseases. Participants will learn about the transmission of infectious diseases, their global impact, and the importance of understanding epidemiological concepts. Definitions of important terms in the field will also be explored.