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Questions and Answers
What does test sensitivity measure?
What does test sensitivity measure?
A test can have high sensitivity but low specificity and still be useful.
A test can have high sensitivity but low specificity and still be useful.
True
What are the two measures of validity for screening tests?
What are the two measures of validity for screening tests?
Sensitivity and specificity
A screening test with high _______ will identify those without the disease effectively.
A screening test with high _______ will identify those without the disease effectively.
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Match the following terms with their definitions:
Match the following terms with their definitions:
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What is one of the aims of public health?
What is one of the aims of public health?
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Public health is solely concerned with the lack of disease in individuals.
Public health is solely concerned with the lack of disease in individuals.
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What does epidemiology act as the base of?
What does epidemiology act as the base of?
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According to the World Health Organization (WHO), health includes physical, mental, and social ______.
According to the World Health Organization (WHO), health includes physical, mental, and social ______.
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Match the following health aspects with their corresponding focus:
Match the following health aspects with their corresponding focus:
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What percentage of the course assessment is allocated to the final written exam?
What percentage of the course assessment is allocated to the final written exam?
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As of 2 September 2023, the case-fatality ratio of COVID-19 globally was below 1%.
As of 2 September 2023, the case-fatality ratio of COVID-19 globally was below 1%.
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What is the reported cumulative incidence of COVID-19 cases globally as of 2 September 2023?
What is the reported cumulative incidence of COVID-19 cases globally as of 2 September 2023?
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Which level of prevention focuses on preventing the emergence of risk factors?
Which level of prevention focuses on preventing the emergence of risk factors?
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Secondary prevention involves the early detection and prompt treatment of diseases.
Secondary prevention involves the early detection and prompt treatment of diseases.
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What is the primary focus of preventive medicine?
What is the primary focus of preventive medicine?
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The limitation of disability and the rehabilitation from disease is known as ________ prevention.
The limitation of disability and the rehabilitation from disease is known as ________ prevention.
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Which of the following is an example of a primary prevention activity?
Which of the following is an example of a primary prevention activity?
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Match the type of preventive measure with its description:
Match the type of preventive measure with its description:
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Which of the following best describes the primary focus of epidemiology?
Which of the following best describes the primary focus of epidemiology?
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Tertiary prevention involves health education and immunization efforts.
Tertiary prevention involves health education and immunization efforts.
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Name one preventive service that community pharmacies typically provide.
Name one preventive service that community pharmacies typically provide.
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Epidemiologists are mainly concerned with individual patient care.
Epidemiologists are mainly concerned with individual patient care.
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What do epidemiologists aim to identify in their studies?
What do epidemiologists aim to identify in their studies?
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The _____ Theory suggests that diseases are caused by contact with particles created by decomposing organic matter.
The _____ Theory suggests that diseases are caused by contact with particles created by decomposing organic matter.
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Match the following roles to their descriptions:
Match the following roles to their descriptions:
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Which of the following is NOT an objective of epidemiology?
Which of the following is NOT an objective of epidemiology?
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The Miasma Theory posits that diseases are caused by bad air.
The Miasma Theory posits that diseases are caused by bad air.
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Identify one method used by epidemiologists to study disease.
Identify one method used by epidemiologists to study disease.
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What is the primary focus of pharmacoepidemiology?
What is the primary focus of pharmacoepidemiology?
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Pharmacoepidemiology only applies to adverse effects of drug use.
Pharmacoepidemiology only applies to adverse effects of drug use.
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What is one example of a beneficial effect of aspirin mentioned in the content?
What is one example of a beneficial effect of aspirin mentioned in the content?
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The FDA is responsible for ensuring the safety of all marketed __________ products.
The FDA is responsible for ensuring the safety of all marketed __________ products.
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Match the following sources of pharmacoepidemiological data with their descriptions:
Match the following sources of pharmacoepidemiological data with their descriptions:
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What role do pharmacists play in pharmacoepidemiology?
What role do pharmacists play in pharmacoepidemiology?
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The Epidemiologic Triangle consists of a host, an agent, and environmental factors.
The Epidemiologic Triangle consists of a host, an agent, and environmental factors.
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What is one method of post-marketing surveillance mentioned in the content?
What is one method of post-marketing surveillance mentioned in the content?
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Study Notes
Introduction to Public Health & Epidemiology
- Course title: Public Health (PM 906)
- Department: Microbiology & Immunology
- Semester: Fall 2024
- Lecture: 1
Overall Aim of the Course
- Understand scientific disciplines for health education and promotion
- Understand epidemiology as the basis of public health actions
- Control communicable and non-communicable diseases
- Improve mental, environmental, occupational, geriatric, and family health
- Improve healthy food and nutrition, safe drinking water, and waste disposal
Course Content
- Introduction to disease epidemiology
- Epidemiological studies
- Communicable disease control and prevention
- Non-communicable disease control and prevention
- Waterborne diseases
- Food and milk microbiology
- Pollution, environmental health & sustainable development
- Family health
- Mental health
- Occupational health
- Nutrition
Course Assessment
-
Class work (25%):
- Quizzes (2 quizzes, 10%)
- Assignments (10%)
- Attendance (5%)
- Final written exam (75%)
What is Public Health?
- The art and science of disease prevention, health promotion, and prolonging life through organized societal efforts
- Concerned with promoting the health of the entire population and preventing diseases affecting it
- According to the WHO, health encompasses physical, mental, and social states, not just the absence of disease
- Pharmacists play a vital role in public health promotion.
The Pandemic of COVID-19
- COVID-19 continues to spread regionally and globally.
- Global cumulative incidence of COVID-19 reached 770,090,297 reported cases as of September 2023
- 6,972,616 associated deaths reported
- Case-fatality ratio (CFR) of 0.91% globally
- Eastern Mediterranean Region reported 23,389,586 cases (3.04% of the global count)
- 351,405 associated deaths in EMR (CFR 1.5%)
Epidemiology
- A broader concept than just fighting epidemics, encompassing:
- epi (upon), demos (people), logos (study)
- The study of the distribution and determinants of health-related states/events in human populations
- Application of this study towards controlling health problems
- Uses quantitative methods to study disease and risk factors in human populations
- Focuses on observation, identification, description, experimental investigation, and theoretical explanation of natural phenomena.
- Tool to improve public health, relying on a systematic and unbiased approach to data collection, analysis, and interpretation.
Role of Epidemiologist vs. Clinician
Clinician | Epidemiologist |
---|---|
Patient's diagnostician | Community's diagnostician |
Investigations | Investigations |
Diagnosis | Predict trend |
Therapy | Control |
Cure | Prevention |
Objectives of Epidemiology
- Identify factors causing disease (disease etiology)
- Identify risk factors affecting disease spread
- Explain disease and epidemic occurrence
- Determine disease extent and health needs in a community
- Establish a clinical disease diagnosis
- Study disease prognosis and predict future health needs
- Evaluate health program effectiveness
- Evaluate preventive and therapeutic measures effectiveness
- Provide foundation for public policy and regulatory decisions related to environmental and health problems
Theories of Disease Causation
- Miasma Theory: Diseases caused by malodorous/poisonous particles from decomposing organic matter.
- Contagion/Germ Theory: Diseases spread by contact with an infected individual.
Pharmacoepidemiology
- The application of epidemiological knowledge, methods and reasoning to study effects (beneficial and adverse) of drugs in populations.
- Used to describe, measure, explain, control, and predict the uses/effects of drugs in a defined time, place, and population.
Role of Pharmacoepidemiology
- Discover drug benefits and hazards (e.g., aspirin reducing cardiovascular risk)
- Measure illegal drug use and misuse outbreaks
- Inform drug development and approval processes
- Detect and measure adverse drug reactions post-market release
Sources of Pharmacoepidemiological data
- Spontaneous Reporting (USA, FDA)
- Global Drug Surveillance (WHO)
- Automated databases
Pharmacists' Role in Public Health
- Responsible for monitoring diseases and drug use
- Duties vary, some serving patients directly, others working for the FDA serving millions.
- Roles include monitoring disease/drug utilization, guiding drug distribution, providing risk/benefit drug information.
The Epidemiologic Triangle
- Disease occurs when agent encounters a susceptible host, facilitated by environmental factors.
- Host: Biological/social traits, e.g., genetic characteristics, race, sex, lifestyle, diet, residence
- Agent: Biological, chemical, nutritional, physical forces, e.g., microorganisms, toxins, excess/lack of food, energy radiation
- Environment: Physical and social, e.g., temperature, moisture, pollution, overcrowding, poverty, drug abuse
Preventive Medicine
- Primarily focuses on preventing physical, mental, and emotional diseases/injuries.
-
Levels of Prevention:
- Primordial Prevention: Preventing risk factors (e.g., obesity)
- Primary Prevention: Preventing emergence of disease if risk factors present (health ed., immunizations, environmental controls).
- Secondary Prevention: Early detection and treatment of disease during preclinical stages (e.g., neonatal screenings).
- Tertiary Prevention: Limiting disease disability and rehabilitating from disease.
Screening Tests
- Identify people at risk of a disease to justify further diagnostic tests/procedures and/or interventions.
- Tests must be reliable (consistent upon repetition) and valid (actually measure what they claim to).
-
Validity measures:
- Sensitivity: Ability to identify true positives (disease is present)
- Specificity: Ability to identify true negatives (disease is absent)
- Screening tests can have high sensitivity, low specificity, vice versa or both.
Role of Pharmacist in Public Health
- Question posed, role of pharmacists in public health.
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Description
Test your knowledge on the fundamental concepts of public health and epidemiology. This quiz covers topics such as test sensitivity, screening validity, and the aims of public health. Ideal for students and professionals looking to refresh their understanding of these crucial health areas.