1. Unit 5 Seminar Nicole Heim, MPH, REHS Non-Communicable Diseases

2. Reminder for Seminar  There is an 8 second delay.  Questions…  Type ??? before a question so I see it.

3. Quiz Issues  Unit 3  Unit 4

4. Assignments  Midterm due tomorrow, September 27 th by 11:59 PM MST  Unit 6 Assignment, final paper outline, due October 5 th by 11:59 PM MST in the Dropbox  Any questions?

5. Overview  Screening for Non-Communicable Disease  Four Criteria for an Ideal Screening Program  In the Footnotes  Testing  Quality-Adjusted Life Years (QALYs)  Genetic Testing

6. Screening for Non- Communicable Disease  Completed when individuals are asymptomatic  Three screenings recommended at least once a year for everyone: 1. Cholesterol 2. Blood pressure 3. Blood sugar  Other screenings are done based on risk.

7. Four Criteria for an Ideal Screening Program 1. The disease produces substantial death and/or disability. 2. Early detection is possible and improves outcome. 3. There is a feasible testing strategy for screening. 4. Screening is acceptable in terms of harms, costs, and patient acceptance.

8. In the Footnotes  Reference interval  Sensitivity  Specificity

9. Testing  Sequential or two-stage testing  Simultaneous or parallel testing

10. Quality-Adjusted Life Years (QALYs)  Determines the number of life-years saved by an intervention  Usually has a monetary value attached to it

11. Genetic Testing  Genetic prevention  Genetic detection prior to disease  Gene-environmental protection  Genotypic-based screening for early disease

12. Questions?  AIM: nicolerheim  Can contact any time I am online.  Email: nheim@kaplan.edunheim@kaplan.edu  Phone: 816.564.2201  Best time to call is in the evening.