Introduction to Health Protection and Epidemiology
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Questions and Answers

What is the primary purpose of field epidemiology?

  • To research genetic causes of diseases
  • To guide the implementation of interventions for urgent health issues (correct)
  • To conduct controlled clinical trials for new treatments
  • To perform longitudinal studies to understand health trends
  • Which aspect is a key focus of health protection?

  • Development of new pharmaceutical compounds
  • Integration of traditional medicine in healthcare systems
  • Expert advice and collaboration to prevent infectious diseases (correct)
  • Conducting economic studies of healthcare markets
  • Which phrase best describes epidemiology?

  • Study of health-related states and their determinants in populations (correct)
  • Investigation of individual health preferences
  • Creation of health policies based on political needs
  • Development of personalized medicine plans
  • What type of threats does health protection aim to mitigate?

    <p>Environmental, chemical, and radiological (C)</p> Signup and view all the answers

    How does field epidemiology differ from traditional epidemiology?

    <p>It deals with urgent public health problems and quick intervention. (A)</p> Signup and view all the answers

    What is best described as a disease or condition that is always present among a population?

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

    Which term describes the number of new cases generated from a single infected individual in a population with no previous exposure?

    <p>R0 (Basic reproduction number) (A)</p> Signup and view all the answers

    Which factor is NOT necessary when calculating a disease rate?

    <p>Immune response strength (A)</p> Signup and view all the answers

    Which of the following best describes HIV/AIDS in relation to its scope and impact?

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

    What is described as a condition where the number of cases exceeds what is normally expected for a population in a certain region?

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

    In the study of Legionnaires’ disease during July 21-24, 1976, which age group had the highest percentage of sick individuals?

    <p>70 years (D)</p> Signup and view all the answers

    Which Latin term is the root of the word 'prevalence'?

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

    What measure is described by the term 'prevalence'?

    <p>A measure of how common a disease is, including both new and established cases (C)</p> Signup and view all the answers

    What is the prevalence of freshers’ flu among 1st year students as expressed in a ratio per thousand?

    <p>10 per 1000 (C)</p> Signup and view all the answers

    During the Legionnaires’ disease outbreak study, which age group had the largest total number of sick individuals?

    <p>50–59 years (D)</p> Signup and view all the answers

    Which factor is not typically assessed by field epidemiology in terms of improving population health?

    <p>Providing treatment for patients in clinical settings (B)</p> Signup and view all the answers

    What is the primary concern of epidemiology when monitoring health on a global scale?

    <p>Technical support and capacity building (B)</p> Signup and view all the answers

    Which component of epidemiology focuses on establishing evidence-based policy?

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

    Which aspect of an infectious agent relates to its ability to cause severe disease outcomes?

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

    What is an example of a measurement used to assess the pathogenicity of an infectious disease agent?

    <p>Apparent to in-apparent infection ratio (B)</p> Signup and view all the answers

    Which of the following is not typically a focus of epidemiological advocacy?

    <p>Marketing new health gadgets (D)</p> Signup and view all the answers

    Which concept best describes the concern of epidemiology with determining the relative importance of causes of illness?

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

    Which epidemiological process is unlikely to be directly related to advocacy within a local community context?

    <p>Developing recreational programs (B)</p> Signup and view all the answers

    What does point prevalence measure?

    <p>Proportion of individuals with the condition at a specific point in time (A)</p> Signup and view all the answers

    When the word 'prevalence' is unqualified, to which form does it typically refer?

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

    Which statement is true about period prevalence?

    <p>It reflects the proportion of the population with the condition at any time during a specified interval. (D)</p> Signup and view all the answers

    How is incidence generally expressed?

    <p>As the rate of new events within a population over a defined time (A)</p> Signup and view all the answers

    What is the difference between incidence and prevalence?

    <p>Incidence is a measure over time, while prevalence is at a single time point or period (D)</p> Signup and view all the answers

    If 3% of students have had the flu each month, what type of prevalence is being described?

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

    What does a 100 case per 1000 student per year incidence rate signify?

    <p>100 new cases appear over a year in every 1000 students (A)</p> Signup and view all the answers

    Which type of prevalence would include individuals who have ever experienced the condition in their lifetime?

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

    How is 100 cases per 1000 student-years quantitatively related to person-years?

    <p>They are equivalent expressions for incidence rates. (B)</p> Signup and view all the answers

    If a study observes 100 people over 2.5 years, what is the total person-years for this study?

    <p>250 person-years (D)</p> Signup and view all the answers

    In calculating the incidence of tinnitus among music undergrads, what is represented by the denominator?

    <p>Total person-years observed (A)</p> Signup and view all the answers

    Which of the following describes a condition with a high prevalence but low incidence?

    <p>Type 2 diabetes (C)</p> Signup and view all the answers

    Which factor can simultaneously increase the prevalence of a disease without affecting its incidence?

    <p>An increase in the transfer (migration) rate (C)</p> Signup and view all the answers

    What key concept helps relate the observations made by a field epidemiologist to health protection measures?

    <p>The epidemiologist’s bathtub model (C)</p> Signup and view all the answers

    Which aspect of a study design ensures that person-years can be accurately measured?

    <p>Consistent observation periods (B)</p> Signup and view all the answers

    What would cause an increase in both incidence and prevalence of a given disease?

    <p>Improved diagnostic techniques (D)</p> Signup and view all the answers

    Flashcards

    Health Protection

    Protection of individuals and populations from health threats through advice and collaboration.

    Epidemiology

    Study of health-related states in populations and their determinants, applied to control health issues.

    Field Epidemiology

    Investigations responding to urgent public health issues, aiming to implement quick interventions.

    Determinants of Health

    Factors that influence the health outcomes of populations, including social, environmental, and biological aspects.

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    Interventions

    Actions taken to improve health outcomes or prevent illness in populations during health crises.

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    Legionnaires’ Disease

    An epidemic of pneumonia first identified in 1976 associated with Legionella bacteria.

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    Prevalence

    A measure of how common a disease is in a population, reflecting both established and new cases.

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    Disease Rate Calculation

    The percentage of individuals affected by a disease in a specific population group.

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    Epidemic

    A rapid increase in the number of cases of a disease above what is normally expected in a population.

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    Age-related Risk

    Different age groups show varying rates of disease occurrence, evident in Legionnaires’ Disease statistics.

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    Pandemic

    A disease or condition that spreads across multiple regions or globally.

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    R0 (Basic reproduction number)

    Average number of new cases from a single infected individual in a naive population.

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    Re (Effective reproduction number)

    Average number of new cases from a single infected individual in a susceptible population.

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    Point Prevalence

    Proportion of individuals with a condition at a specific point in time.

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    Current Flu Prevalence

    1% of students currently have the flu.

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    Period Prevalence

    Proportion of individuals with a condition during a specified time interval.

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    Monthly Flu Prevalence

    3% of students suffer from the flu each month.

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    Lifetime Prevalence

    Proportion of individuals with a condition at any time during their lifetime.

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    Incidence

    Rate at which new events occur in a population over time.

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    Incidence Rate

    Frequency of new cases in a population, expressed per time unit.

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    Freshers’ Flu Incidence

    The incidence of flu cases among 1st year students.

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    Infectivity

    The ability of an agent to infect a host, often measured by the secondary attack rate.

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    Pathogenicity

    The capacity of an agent to cause disease, indicated by the proportion of infected individuals who show symptoms.

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    Virulence

    The severity of disease caused by an agent, often measured by the case fatality ratio.

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    Epidemiology Purpose

    The study to discover factors affecting health and determine causes of illness, disability, and death.

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    Population at Risk

    Segments of the population that face the greatest risk from specific health issues.

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    Effectiveness Evaluation

    Assessing how well health programs and services improve population health.

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    Global Context in Delivery

    The framework involving leadership, norms, evidence-based policies, and capacity building for health delivery.

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    Infectious Agents

    Microorganisms that can cause disease; efficacy is evaluated by infectivity, pathogenicity, and virulence.

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    Person-years

    A measurement combining number of people and years observed.

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    Incidence Rate Calculation

    Incidence = Number of new cases / (Total number of people × years observed) × 1000.

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    High Incidence/Low Prevalence

    Common conditions that develop frequently but may not last long.

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    Low Incidence/High Prevalence

    Rare conditions that persist over a long period.

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    Factors Affecting Prevalence

    Incidence rate, recovery, death, and transfer rates influence prevalence.

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    Epidemiology Functions

    Studies health protection, communicable diseases, and their control importance.

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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.

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