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40 Cards in this Set

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Epidemiology definition
Characterizing the distribution of health status, diseases, or other health problems
Who was James Lynn?
Scurvy

Found link between lack of citrus fruits and incidences of scurvy on ships 1770s
Who is considered the father of epidemiology?
John Snow

Linked cholera rates to water supply
Determinants?
The factors, exposures, characteristics, and behavior that determine the health pattern

How
Why
Endemic
Within the normal ranges of the population
Epidemic
Exceeds the normal ranges of the population
Pandemic
Exceeds the normal ranges in 2 countries or more
Morbidity
Extent of the illness, injury, or disability in a defined population
Mortality
Bills of mortality is a system of tracking and understanding the cause of death that was developed in the late 1600s
Risk
Refers to the probability that an event will occur within a specific time period
Incidence rate
The rate of development of new cases in a population at risk

Numerator- # of new cases
Denominator- pop at mid year

x100,000
Prevelance proportion
Measure of existing cases at a given point of time (new cases + old)

# is then divided by mid year pop
x100,000
Crude death rate-Mortality rate
Total number of deaths during a year divided by mid year pop

X 1,000 or 100,000 result equals # of deaths per whatever number you multiply by (ex 4.5 per 1,000)
Cause specific death rate
Total # of deaths from a specific cause, divided by mid year pop
What are the elements of the epidemiologic triangle?
Agent

Host

Environment
Prepathogenesis period?
Encompasses the stages of suceptibility and adaptation
Susceptibility stage?
Interactions occur among the person, host, and causative agent
Adaptation stage?
Changes occur in the body in response to the agent or stimulus but no physiologic symptoms occur
Screening
Key component to seconday prevention (4 elements)

1) Validity
2) Sensitivity
3) Specificity
4) Reliability
Validity?
How accurate
Sensitivity?
How accurately the test identifies those with the condition or trait
Specificity?
How accurately the test identifies those without the condition or trait
Reliability?
consistency or repeatability
Descriptive epidemiology
Describes the amount of and distribution of disease, death, and other health concerns in pop

Describes person, place, and time
Analytic epidemiology
Seeks to discover the determinants of outcomes

How and why
What are the modes of transmission?
Direct -person to person

Indirect- intermediate (ex mosquito)

Vertical- Parent to offspring, sperm, placenta, breast milk, etc..
What are the types of immunity?
Natural
Acquired
Active/ Artificial
Passive
Herd
Infectiousness (how likely u r to get)
Incubation period?
How long between invasion and 1st appearance of symptoms
Communicable period
Time in which agent can be transfered
Environmental health definition?
Freedom from illness or injury related to expose to toxic agents and other environmental conditions that are potentially detrimental to human health
Toxicology
The science that investigates the adverse effects of chemicals on health
Toxicity
The ability of a chemical to affect the human body
Clean Air Act
passed in 63 revised 97

Mandates to control air contaminants
What are the 3 main sources to water contamination
Industrial wastes

Sewage

Agricultural chemicals
Hazardous wastes
Any material that might pose a threat or danger to human health when improperly handled such as infectious wastes, radioactive substances, chemical agents, and flammable products
Right to know
Public has the right ot know about the hazardous chemicals that are present in the community

companies that emit toxic chemicals have to report to the EPA ex
Consumer confidence
This report is provided by the supplier once per year to describe the testing that was done and the results of the testing

Water suppliers ex.
MSDS
Material Safety Data Sheets

Required by OSHA to inform the employees about the hazardous chemicals, risk, and use
Environmental Justice
Heatlh risks disproportionately affect poor people and people of color in the US
Healthy People 2010 for Environmental Health
Reduce hospitalizations for asthma

Reduce the proportion of children who are regularly exposed to tobacco smoke at home

Eliminate elevated blood lead levels in children

Increase the proportion of persons living in pre 1950's homes that have been tested for the presence of lead based paint.