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Published byBeatrix Merry Foster Modified over 9 years ago
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EPIDEMIOLOGY
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MORBIDITY VS MORTALITY SUVEILLANCE OF DISEASE OCCURRENCE REPORTING SYSTEM FROM INDIVIDUAL DOCTORS TO COUNTY, STATE AND FEDERAL PUBLIC HEALTH OFFICIALS CENTERS FOR DISEASE CONTROL AND PREVENTION IN ATLANTA GEORGIA
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STATISTICS AND EPIDEMIOLOGY PROBABILITY OF EXPOSURE PROBABILITY OF TRANSMISSION
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HISTORY OF EPIDEMIOLOGY JOHN SNOW AND CHOLERA
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TYPES OF STUDIES DESCRIPTIVE EPIDEMIOLOGY ANALYTICAL EPIDEMIOLOGY EXPERIMENTAL STUDIES
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DESCRIPTIVE EPIDEMIOLOGICAL STUDIES DESCRIBES PATTERNS OF DISEASE IN POPULATIONS USING AGE, GENDER, GEOGRAPHIC AREA AND TIME OF OCCURENCE
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ESCHERICHIA COLI E. COLI O157:H7 JANUARY 1993 -WASHINGTON STATE SEVERE BLOODY DIARRHEA FOUND IN HAMBURGER MEAT
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ANALYTICAL EPIDEMIOLOGICAL STUDIES USE SCIENTIFIC METHOD ESTABLISHES CAUSE AND EFFECT RELATIONSHIPS COHORT STUDY CASE CONTROL STUDY
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COHORT STUDY MOST DEFINITIVE STUDY GROUPS WITH AND WITHOUT RISK FACTORS LEGIONAIRE’S DISEASE
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CASE CONTROL STUDY INDIVIDUALS WITH DISEASE ARE COMPARED WITH THOSE WITHOUT HANTAVIRUS
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EXPERIMENTAL STUDIES ANIMAL STUDIES HUMAN STUDIES
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TERMS OF EPIDEMIOLOGY INCIDENCE –NUMBER OF NEW CASES SEEN IN A SPECIFIC TIME PERIOD PREVELANCE –TOTAL NUMBER OF CASES AT ANY ONE TIME
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MORBIDITY RATE EXPRESSED AS CASES PER 10,000 PER YEAR
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MORTALITY RATE NUMBER OF INDIVIDUALS WHO DIE AS OF A SPECIFIC DISEASE PUBLISHED IN MORBIDITY AND MORTALITY WEEKLY REPORTS
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PATTERNS OF DISEASE OCCURENCE ENDEMIC, EPIDEMIC, PANDEMIC AND SPORADIC DISEASES
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ENDEMIC DISEASE CONSTANTLY PRESENT PARTICULAR GEOGRAPHIC AREA INVOLVES RELATIVELY FEW INDIVIDUALS NOT MAJOR HEALTH PROBLEM TUBERCULOSIS AND MUMPS IN US GONORRHEA AND CHANCROID IN WORLD
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EPIDEMIC DISEASE UNUSUAL OCCURENCE OF DISEASE INVOLVES LARGE SEGMENT OF POPULATION FOR LIMITED TIME ENDEMIC DISEASES CAN BECOME EPIDEMIC INFLUENZA, MEASLES AND CHICKEN POX
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PANDEMIC DISEASE SERIES OF EPIDEMICS AFFECT SEVERAL COUNTRIES MAJOR PORTIONS OF THE WORLD INFLUENZA PANDEMIC OF 1918-1919 HIV AND AIDS GENITAL HERPES AND GENITAL WARTS
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SPORADIC DISEASES UNCOMMON OCCUR IRREGULARLY AFFECT FEW PEOPLE DIPHTHERIA AND WHOOPING COUGH CAN OCCASIONALLY BECOME EPIDEMIC
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TYPES OF EPIDEMICS COMMON SOURCE PERSON TO PERSON http://uhavax.hartford.edu/bugl/histepi.htm http://en.allexperts.com/e/e/ep/epidemic.ht mhttp://en.allexperts.com/e/e/ep/epidemic.ht m
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COMMON SOURCE EPIDEMICS SINGLE EXPOSURE SOURCE RAPID ONSET OF DISEASE CASES RAPID DECLINE OF DISEASE CASES
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PERSON TO PERSON EPIDEMIC PROPOGATED SLOW PROLONGED RISE OF CASES SLOW PROLONGED DECLINE IN CASES
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INFLUENZA EPIDEMICS PRIME EXAMPLE OF PERSON TO PERSON EPIDEMICS WORLD HEALTH ORGANIZATION TRIES TO LIMIT BY VACCINES SOMETIMES WORKS SOMETIMES NOT
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DISEASE TRANSMISSION
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RESERVOIRS SUPPORTS SURVIVAL, MULTIPLICATION, AND TRANSMISSION LIVING RESERVOIRS NONLIVING RESERVOIRS
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TERMS VECTORS VEHICLES FOMITES
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HUMAN RESERVOIRS MOST HUMAN PATHOGENS CANNOT LIVE OUTSIDE HOST LONG MANY RESTICTED ALMOST ENTIRELY TO HUMANS
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POTENTIALSOURCES BODY FLUIDS FECES URINE SEMEN AND DISCHARGES FROM GENITOURINARY TRACT SALIVA FROM MOUTH MUCUS FROM RESPIRATORY TRACT BLOOD DISCHARGES FROM SORES AND WOUNDS
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CARRIERS HOST WHO HARBORS PATHOGENS THAT ARE TRANSMISSIBLE TO OTHERS HEALTHY CARRIERS INCUBATORY CARRIERS CONVALESCENT CARRIERS INTERMITTENT CARRIERS
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ZOONOSES & VECTOR TRANSMITTED DISEASES RABIES YELLOW FEVER PLAGUE ROCKY MOUNTAIN SPOTTED FEVER TYPHUS FEVER LYME DISEASE LEISHMANIASIS AFRICAN SLEEPING SICKNESS CHAGA’S DISEASE VIRAL ENCEPHALITIS MALARIA
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NONLIVING RESERVOIRS FOMITES VEHICLES
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PORTALS OF ENTRY SKIN MUCOUS MEMBRANES RESPIRATORY GASTROINTESTINAL TRACT URINARY TRACT PARAENTERAL ROUTE – WOUNDS, ANIMAL BITES, INJURIES PATHOGENS ARE GENERALLY RESTRICTED TO SPECIFIC PORTALS
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INFECTIOUS DOSE NUMBER OF PATHOGENS NEEDED TO CAUSE DISEASE VARIES FROM ONE TO HUNDREDS OF THOUSANDS HIV REQUIRES LARGE DOSES ENCAPSULATED STREPTOCOCCUS PNEUMONIAE JUST A FEW PATHOGEN MUST OVERCOME HOST DEFENSES
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FACTORS THAT AFFECT INFECTIOUS DOSE HOST DEFENSES ABILITY OF MICROBE TO OVERCOME DEFENSES MALNUTRITION IMMUNITY OF HOST
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PORTALS OF EXIT DISCHARGED WITH BODY FLUIDS AND WASTES SNEEZING, COUGHING, TALKING VAGINA AND SEMEN SECRETIONS
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TRANSMISSION AIRBORNE TRANSMISSION VEHICLE TRANSMISSION FOOD WATER DIRECT SEXUAL CONTACT VECTOR TRANSMISSION ZOONOSES DIRECT SKIN CONTACT NOSOCOMIAL TRANSMISSION TRANSMISSION BY BODY FLUIDS
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AIRBORNE TRANSMISSION COMMON CORYZA INFLUENZA LEGIONNAIRE’S DISEASE TUBERCULOSIS HISTOPLASMOSIS COCCIDIOMYCOSIS
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VEHICLE TRANSMISSION- FOOD POISONING OR INTOXICATION INFECTIONS
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FOOD POISONING OR INTOXICATAION STAPHYLOCOCCAL FOOD POISONING BOTULISM
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GASTROENTERITIS AND ENTEROCOLITIS VIRAL GASTROENTERITIS BACTERIAL GASTROENTERITIS BACTERIAL ENTEROCOLITIS E. COLI O157:H7 TYPHOID FEVER SHIGELLOSIS HEPATITIS GIARDIASIS CYRPTOSPORIDISOSIS TOXOPLASMOSIS YERSINIOSIS
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SEXUALLY TRANSMITTED DISEASES AIDS GENITAL HERPES GENITAL WARTS GONORRHEA SYPHILIS NONGONOCOCCAL URETHRITIS
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DIRECT TRANSMISSION BY SKIN CONTACT WARTS LEPROSY TINEA
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INDIRECT CONTACT FOMITES ARE CONTAMINATED WITH PATHOGENS
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VECTORS ARTHROPODS ARE MOST COMMON VECTOR MECHANICAL TRANSMISSION BIOLOGICAL TRANSMISSION
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MECHANICAL TRANSMISSION SIMPLE PASSIVE TRANSPORT PATHOGENS ARE CARRIED ON INSECTS (USUALLY) FEET OR BODY PARTS –FLIES ON FOOD
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BIOLOGICAL TRANSMISSION MORE COMPLEX PATHOGENS REPRODUCE BOTH IN VECTOR AND HOST
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ALTERNATE HOST HOST WHERE ASEXUAL REPRODUCTION OCCURS
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DETERMINANT HOST HOST WHERE SEXUAL REPRODUCTION OCCURS
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NOSOCOMIAL INFECTIONS SERUM HEPATITIS PUERPERAL FEVER\INFECTIONS AFTER SURGERY
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SERUM HEPATITIS EBOLA
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DISEASE PREVENTION REMOVAL OF PATHOGEN FROM FOOD AND WATER SOURCES VECTOR CONTROL ISOLATION AND QUARANTINE VACCINATION http://www.who.int/water_sanitation_health /hygiene/emergencies/em2002chap11.pdf
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REMOVAL OF PATHOGENS FROM FOOD AND WATER SEWAGE TREATMENT WATER TREATMENT PASTEURIZATION CANNING OF FOOD
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VECTOR CONTROL REDUCE INSECT NUMBERS LICE MOSQUITOS TICKS FLEAS
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ISOLATION AND QUARANTINE PREVENT EXPOSURE OF OTHER TO DISEASE PATHOGENS
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VACCINATIONS ATTEMPTING TO MAKE IMMUNOLOGICAL MEMORY HERD IMMUNITY
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TYPES OF VACCINATIONS TOXOIDS KILLED MICROBE INACTIVATED MICROBE ATTENUATED MICROBE INDIVIDUAL COMPONENTS OF MICROBE VECTOR VACCINES
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BOOSTER VACCINES GIVES MULTIPLE EXPOSURES TO ANTIGEN MAINTAINS IMMUNOLOGICAL MEMORY
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TYPES OF VACCINATIONS INTRADERMAL SUBCUTANEOUS INTRAMUSCULAR INTRAVENOUS ORALLY
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ROLE OF ADJUVANTS CHEMICALS THAT ENHANCE ANTIGENICITY ALUMINUM ALUM
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VACCINES FOR PREVENTION OF OF DISEASES PROPHYLAXIS –TETANUS –RABIES
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