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20 Cards in this Set

  • Front
  • Back
Questions Epidemiologist Ask

Who is getting the disease?


When did they get the diesease?


Where is the disease occuring?

Incidence and Prevalence

Incidence - number of new cases


Prevalence - number of existing cases




If causes or risk factors increase, incidence and prevalence increase




Prevalence depends on incidence and prognosis

Types of Epidemiological studies

Intervention study


Cohort Study - A type of study where investigators can link exposures to results by observation alone


Case-Control Study - Start with people who are already ill and look back to determine their exposure

Vital Statistics

Birth Certificates


Death Certificates


Notifiable Diseases


Other Vital Statistics

Surveys

NCHS actively conducts a number of surveys to gather additional information on the health of the American population.

Factors that Lend Validity to Results

Strong Association


Dose-Response relationship


Known biological explanation


LArge study population


Consistent results from several studies

Federal Legislation

Clean Water Act - 1972, 1977, 1987


-Lakes and rivers should be fishable and swimmable


Safe Drinking Water Act - 1974, 1966


EPA should set standars for local systems, states should enforce the standars

Indoor Air Pollutants

Sources - tobacco smoke, wood-burning stoves and fireplaces, gas ranges, and furnaces


Radon - danger is unclear, seeps up from soil and rock, can be sealed out

Solid waste disposal Methods

Sanitary Landfills - Lined with plastic, drains liquids, vents to control explosive gasses, tipping fee.



Point Source Polution

any single identifiable source of pollution from which pollutants are discharged, such as a pipe, ditch, ship or factory smokestack

Criteria Air Pollutants

six common air pollutants required to be monitered by the clean air act known to be harmful to health and the environment


-particulate matter, sulfur dioxide, carbon monoxide, nitrogen oxides, ozone and lead.

Water Borne disease

the CDC provides surveillance and data and publishes its data every two years analyzing outbreaks caused by the agent, type of water system, type of deficiency in the system and the source of water.

Carrying Capacity

J curve - Exponential (un-restricted) growth


the growth rate of the population accelerates and then dies quickly


S curve - Logistic (restricted) growth


the rate accelerates to a point of maximum growht and then slowly slows down

Effects of overpopulation

Excess population settles in cities- homelessness, shanty towns -- poor sanitation. HIV/AIDS shortening life expectancies. Depletion of Global resources such as fresh water, food, arable land, and food from sea.

Prospects for population control

Opposition to contraception by catholics and Musilms (proposed by UN conference 1994)


-20 year programme of action, education for women, empowering women to choose fewer children.


- Population stabilization comes with modernization and economic viability

Demographic Transition

Birth rates tend to fall as a result of falling death rates

Medicare Coverage and Financing

Medicare enrollment has more than doubled since 1966 and will continue to grow.


Medicare does not pay for long term care, medicaid does straning state budgets




Medicare pays for only half the expenses of its enrollees

Health status of older people

-majority of older people especially in younger group in good health.


-Causes of death for older people pretty much the same for the rest of the population


-does longer life expectancy lead to more healthy years or longer periods of chronic illness and disability.

IADL's

Instrumental Activities of Daily Living =
-managing finances
-handling transportation
-shopping
-preparing meals
-using telephone

ADL

Activities of Daily Living =


-Feeding


-Toileting


-Selecting proper attire


-Grooming


-Maintaining continence


-Putting on clothes