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Questions and Answers
Which of the following is NOT an assumption underlying verbal autopsy instruments?
Which of the following is NOT an assumption underlying verbal autopsy instruments?
In the context of verbal autopsies, what is meant by "the certifying officer"?
In the context of verbal autopsies, what is meant by "the certifying officer"?
In instances where a medical attendant is not present at the time of death, which of the following individuals may issue a Certificate of Death solely for burial purposes?
In instances where a medical attendant is not present at the time of death, which of the following individuals may issue a Certificate of Death solely for burial purposes?
Which of the following statements best describes the rationale for using verbal autopsies?
Which of the following statements best describes the rationale for using verbal autopsies?
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Why is it important for interviewers conducting verbal autopsies to be "trained lay persons or health workers" rather than medical doctors?
Why is it important for interviewers conducting verbal autopsies to be "trained lay persons or health workers" rather than medical doctors?
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Based on the information provided, which of the following is a key limitation of verbal autopsies?
Based on the information provided, which of the following is a key limitation of verbal autopsies?
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What is the primary objective of a verbal autopsy?
What is the primary objective of a verbal autopsy?
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What type of data is classified as primary data in public health studies?
What type of data is classified as primary data in public health studies?
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Which of the following best describes secondary data?
Which of the following best describes secondary data?
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Which type of community health data requires mandatory reporting to health authorities?
Which type of community health data requires mandatory reporting to health authorities?
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Why is the quality of secondary data typically considered lower than that of primary data?
Why is the quality of secondary data typically considered lower than that of primary data?
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What is the primary aim of collecting community health indices?
What is the primary aim of collecting community health indices?
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What role do civil registries play in public health data collection?
What role do civil registries play in public health data collection?
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Which is NOT a typical source of morbidity data used in public health studies?
Which is NOT a typical source of morbidity data used in public health studies?
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Which type of specialist is most likely to utilize community health data in their practice?
Which type of specialist is most likely to utilize community health data in their practice?
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Which of the following diseases are categorized as immediately notifiable (Category I)?
Which of the following diseases are categorized as immediately notifiable (Category I)?
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What is the primary purpose of civil registration?
What is the primary purpose of civil registration?
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Which certificate serves as a permanent legal record of an individual's death?
Which certificate serves as a permanent legal record of an individual's death?
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Which disease is NOT categorized as a weekly notifiable (Category II) disease?
Which disease is NOT categorized as a weekly notifiable (Category II) disease?
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What role does the physician play in death certification?
What role does the physician play in death certification?
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Which of the following diseases is categorized as a Category I notifiable disease?
Which of the following diseases is categorized as a Category I notifiable disease?
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Which condition is included in Category II notifiable diseases?
Which condition is included in Category II notifiable diseases?
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What information does the Certificate of Death provide?
What information does the Certificate of Death provide?
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Which of the following diseases is categorized as both Category I and Category II?
Which of the following diseases is categorized as both Category I and Category II?
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Which of the following categories includes diseases that are less critical in terms of immediate reporting?
Which of the following categories includes diseases that are less critical in terms of immediate reporting?
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Which activity is NOT included in disease response measures?
Which activity is NOT included in disease response measures?
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What is a key component of a disease surveillance system?
What is a key component of a disease surveillance system?
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Which of the following is primarily utilized to prevent the spread of diseases during an outbreak?
Which of the following is primarily utilized to prevent the spread of diseases during an outbreak?
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What differentiates quarantine from isolation?
What differentiates quarantine from isolation?
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Which of the following describes a characteristic of disease emergence?
Which of the following describes a characteristic of disease emergence?
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During which situation would disease surveillance be most critical?
During which situation would disease surveillance be most critical?
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Which statement correctly identifies a reason for movements restrictions during an outbreak?
Which statement correctly identifies a reason for movements restrictions during an outbreak?
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Why is timely dissemination of data important during public health emergencies?
Why is timely dissemination of data important during public health emergencies?
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Which of the following best describes the function of movement restrictions?
Which of the following best describes the function of movement restrictions?
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What is a common cause of re-emerging diseases?
What is a common cause of re-emerging diseases?
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What is the primary purpose of the weekly reporting of notifiable diseases?
What is the primary purpose of the weekly reporting of notifiable diseases?
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Which statement best distinguishes between elimination and eradication of a disease?
Which statement best distinguishes between elimination and eradication of a disease?
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What role do volunteer health workers play in rural health settings regarding disease diagnosis?
What role do volunteer health workers play in rural health settings regarding disease diagnosis?
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What does disease control aim to achieve?
What does disease control aim to achieve?
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What is primarily a limitation in the data reported for notifiable diseases?
What is primarily a limitation in the data reported for notifiable diseases?
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What is included in disease response activities?
What is included in disease response activities?
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What is the significance of the Law on Reporting of Notifiable Diseases (Republic Act 3573)?
What is the significance of the Law on Reporting of Notifiable Diseases (Republic Act 3573)?
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What is typically the cause of the insufficient diagnosis quality in rural health units?
What is typically the cause of the insufficient diagnosis quality in rural health units?
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Which of the following best describes the approach taken in disease eradication?
Which of the following best describes the approach taken in disease eradication?
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How are notifiable diseases usually diagnosed in many rural areas according to current practices?
How are notifiable diseases usually diagnosed in many rural areas according to current practices?
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Flashcards
Disease Response
Disease Response
Activities to control the spread of infection and outbreaks.
Quarantine
Quarantine
Separation of individuals who may be exposed to an infectious disease.
Isolation
Isolation
Separation of infected individuals from healthy individuals.
Disease Surveillance
Disease Surveillance
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Data Analysis in Surveillance
Data Analysis in Surveillance
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Timely Dissemination
Timely Dissemination
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Public Health Practice
Public Health Practice
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Epidemics
Epidemics
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Outbreak Control
Outbreak Control
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Mutant/Resistant Strains
Mutant/Resistant Strains
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Primary Data
Primary Data
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Secondary Data
Secondary Data
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Morbidity Data
Morbidity Data
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Mortality Data
Mortality Data
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Notifiable Diseases
Notifiable Diseases
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Community Health Indices
Community Health Indices
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Civil Registries
Civil Registries
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Epidemiologic Investigations
Epidemiologic Investigations
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Immediately Notifiable Diseases
Immediately Notifiable Diseases
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Weekly Notifiable Diseases
Weekly Notifiable Diseases
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COVID-19
COVID-19
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Anthrax
Anthrax
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Acute Flaccid Paralysis
Acute Flaccid Paralysis
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Certificate of Death
Certificate of Death
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Cause of Death Certification
Cause of Death Certification
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Civil Registration
Civil Registration
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Adverse Event Following Immunization
Adverse Event Following Immunization
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Meningococcal Disease
Meningococcal Disease
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Reporting Frequency
Reporting Frequency
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Rural Health Units (RHUs)
Rural Health Units (RHUs)
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Republic Act 3573
Republic Act 3573
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Elimination
Elimination
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Eradication
Eradication
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Disease Control
Disease Control
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Mandatory Reporting
Mandatory Reporting
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Laboratory Testing Limitations
Laboratory Testing Limitations
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Verbal Autopsy
Verbal Autopsy
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Objective of Verbal Autopsy
Objective of Verbal Autopsy
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Interviewer in Verbal Autopsy
Interviewer in Verbal Autopsy
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Physician's Role in Verbal Autopsy
Physician's Role in Verbal Autopsy
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Signs and Symptoms
Signs and Symptoms
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Death Certification
Death Certification
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Local Health Officer
Local Health Officer
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Study Notes
Sources of Morbidity and Mortality Data
- Students should be able to identify various sources of morbidity and mortality data used in public health studies and epidemiological investigations.
- Students should be able to complete pertinent public documents related to civil registries of vital events.
- Students should be able to identify important community health indices of public health significance.
Sources of Data
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Primary Data: Collected directly by the investigator for the specific study's objectives. Examples include survey data, interviews, tests, and examinations. These are crucial for answering specific research questions.
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Secondary Data: Data collected by other researchers for different purposes, but may be helpful in the current study. Investigators have no control over data collection methods, objectives, or variable classifications. Quality may be affected.
Reports of Occurrence of Notifiable Diseases
- Certain diseases are legally required to be reported to health authorities.
- Reporting is generally done weekly to monitor communicable diseases.
- Data comes from rural health units, city health offices, provincial health offices, and municipal health offices.
Reporting of Notifiable Diseases - Objectives
- Reporting of notifiable diseases provides information about community morbidity.
Epidemiologic-Prone Diseases
- Includes a list of diseases categorized as epidemic prone (e.g., Acute Bloody Diarrhea, Acute Encephalitis Syndrome, Acute Viral Hepatitis, Anthrax, Cholera, etc.)
Diseases Targeted for Eradication or Elimination
- Includes a list of diseases targeted for eradication (e.g., Poliomyelitis, Measles, Neonatal Tetanus).
Other Diseases or Conditions of Public Health Importance
- Includes conditions of public health importance (e.g., adverse events following immunization, diphtheria, non-neonatal tetanus, pertussis, rabies).
Elimination and Eradication
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Elimination: Reduction to zero of a specified disease incidence in a defined geographical area due to deliberate efforts. Continued intervention is required.
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Eradication: Permanent reduction to zero of the worldwide incidence of infection caused by a specific agent, as a result of deliberate efforts. Intervention measures are no longer needed.
Quality of Diagnosis in Notifiable Diseases Reports
- Diagnosis accuracy may be limited by a lack of laboratory testing facilities, especially in rural areas.
Republic Act 11332
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Disease control refers to reducing disease incidence, prevalence, morbidity, or mortality to acceptable levels through deliberate efforts and continuous intervention.
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Disease response refers to actions to control the spread of infection, outbreaks, or epidemics and prevent re-occurrences. This includes, but isn't limited to, movement restrictions, partial or complete closure of schools and businesses, travel restrictions, and emergency preparation.
Quarantine versus Isolation
- Quarantine separates and restricts the movement of individuals that may have been exposed to a communicable disease to see if they become ill.
- Isolation separates ill individuals from those who are healthy to prevent spread of disease.
Disease Surveillance
- Refers to a process of ongoing systematic collection, analysis, interpretation, and dissemination of data for planning, implementation, and evaluation of public health practice.
- A system for data analysis and dissemination for prevention and control.
Emerging and Re-Emerging Infectious Diseases
- Diseases that have not occurred before in humans, or those that have occurred rarely but now have a wider impact.
Notifiable Diseases (Category I and II)
- Presents a categorization of notifiable diseases into immediately notifiable (Category I) and weekly notifiable (Category II) groups.
Civil Registries of Vital Events
- Continuous and permanent recording of vital events (births, deaths, marriages).
- Primary use for legal documents and statistics.
Certificate of Death
- Legal record containing an individual's death information, and details surrounding the event.
- Provides data for claims, inheritance, insurance benefits.
- Provides information to family for arrangements.
- Includes the cause of death certified by a licensed doctor
- The physician diagnoses the cause of death.
- Information is coded according to the International Classification of Diseases Version 11 (ICD-11) and entered into a database.
- The consolidated mortality statistics form the basis for health policies and programs
Uses of Death Statistics
- Provides indicators for infectious diseases and outbreaks that need control.
- Serves as a basis for programs to promote public safety, accident prevention and crime eradication.
- Part of mortality surveillance, health, epidemiological research, health policy, and program planning.
- Used in analyzing mortality rate differentials.
Certificate of Death - Parts
- Immediate cause: The recent condition that led directly to death.
- Antecedent cause: The condition between the underlying and immediate cause
- Underlying cause: The disease or injury that initiated a chain of events leading the death.
Certificate of Death – Additional Information
- Time interval between the onset of the cause to the death
- Acceptable intervals for time (e.g., approximately, unknown)
Infant Death
- Provides data entry guidelines for infant deaths.
Ill-Defined and Non-Specific Causes of Death
- Vague causes of death lacking detailed information for public health.
- A rule: Not typically used as underlying causes, unless nothing else is known
Modes of Dying
- Presents different modes of dying that cannot be specific causes of death. Examples include Asphyxia, Cardiac Arrest, and Coma
Death Involving External Injuries
- The external cause or event (e.g., a trauma) is considered the underlying cause of death.
- The bodily trauma is the antecedent cause.
- The fatal derangement from the bodily trauma is the immediate cause.
Death Under Medico-Legal Examination
- Report to the Philippine National Police (PNP) or the National Bureau of Investigation (NBI) if suspecting violence or crime.
- Identifies violent or criminal causes of death.
Dead on Arrival (ER)
- Deaths occurring in the emergency room.
- ER officer will complete certificate and provide a definite diagnosis - otherwise it goes to the medico-legal officer.
Certificate of Live Birth
- Information on a recorded birth
- Gravidity and parity data
Issues on Paternity - Illegitimate Children
- Important issues in determining paternity and legal implications for illegitimate children.
- Addressing the registration and legal issues of illegitimate children
Legitimation
- Details on legitimacy, distinguishing factors between legitimate, illegitimate and legitimated children.
Fetal Death
- Demise prior to complete expulsion of the product of conception, regardless of the period of pregnancy.
- Indicated by absence of breathing, heartbeat, or umbilical cord pulsation
- Different form used for fetal deaths aged 20 weeks or older (Certificate of Fetal Death).
Periprocedural Death
- Death known to be during or after a medical procedure
Death Under Medico-Legal Exam
Death from Infectious Diseases
- Requires recording the body site affected, the causative agent (if known) and any underlying issues that made the patient susceptible
Death from Neoplasms
- Requires reporting the specific site of the neoplasm and secondary growths
- If the primary site is unknown, "primary unknown" should be recorded.
Death of Women of Child-Bearing Age
- Maternal deaths include deaths during or shortly after pregnancy/childbirth.
- Top causes include post-partum bleeding, unsafe abortion, hypertensive disorders of pregnancy, post-partum infections, and obstructed labor.
Other Important Points
- Guidelines for filling out the Certificate of Death ensuring accuracy, clarity, and proper sequence
- Important points related to different cases, such as uncertainty, ill-defined/non-specific conditions
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Description
Test your knowledge on verbal autopsy instruments and their underlying assumptions. This quiz covers key concepts such as the roles of certifying officers and the distinction between primary and secondary data in public health. Assess your understanding of the rationale and limitations associated with verbal autopsies.