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epidemiology
science that evaluates occurence, determinants, distribution, and control of health and disease in a defined human population
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sporadic disease
occurs occasionally and at irregular intervals
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endemic disease:
maintains a relatively steady low-level frequency at a moderately regular interval
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outbreak vs epidemic vs pandemic
- sudden occurance
- sudden increase
- increase of occurence within large populations
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how disease frequency is measured
- prevalence rate
- morbidity rate
- mortality rate
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prevalence rate
total number of individuals infected at any one time
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morbidity rate
number of new cases in a specific time perioud per unit of population
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mortality rate
number of deaths from a disease per number of cases of the disease
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how are disease cases recongnized
by the characteristic disease syndrome: set of signs and symptoms characterisic of a disease
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signs vs symptoms
- objectve changes in body observed
- subjective changes experienced
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remote sensing
gathering of digital images of earth's surface from satelites and trasnforming data into maps
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geographic iformation system
data management system that organizes and displays digital map data from RS
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periods of infectious disease
- incubation - pathogen entry but no symptoms
- prodromal - symptoms
- perioud of illness - climax of disease
- convalescence - symptoms begin to disseappear
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goal of infectious disease epemiology
determine causative agen and the source of the disease as well as its mechanism for transmission and factors that help it
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herd immunity
infection hard to spread because a large percentage of the population is immune
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antigenic shift vs antigenic drift
big change in atigenic character vs smaller change
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Metonds of finding causative pathogens
- koch's postulates
- clinical microbiology lab
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communicable disease
can be transmitted from one host to another
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active carrier
overt clinical case of the disease
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convalescent carrier
has recovered but continues to harbor large numbers of pathogen
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zoonoes
numerous diseases of animal resevoirs
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vectors
oragnisms that spread disease from one host to another
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four main routes of transmission for a pathogen
- airborne
- contact
- vehicle
- vector-borne
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droplet nuclei
small particles that can remain airborne for a long time and travel long distances
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vehicles
inanimate materials or objects involved in pathogen transmission
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common vehicle transmission
single vehicle spreads to multiple hosts (i.e. water, food)
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fomites
comomn vehicles such as surgical instruments, bedding, and eating utensils
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vector
mostly arthropods or vertebrates that can transmit disease
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external (mechanical) transmission
- passive carriage of pathogen on body of vector
- pathogen doensn't grow on it
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internal transmission
carried within vector
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harborage transmission -
pathogen does not undergo changes within vector
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biologic transmission
pathogen undergoes changes within vector
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active escape
movement of pathogen to portal of exit
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passive escape
excretion in feces, urine droplets, saliva, or desquamated cells
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nosocomial infections
are from pathogens that develop within a hostpital or a clinical care facility and are acquired by patients while they are in the facility
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endogenous pathogen
brought into hospital by patient or acquired when patient is colonized after admission
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exogenous pathogen
microbiota other than the patient's
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autogenous infection
caused by patient's owm microbiota, but it is not known if the infectious microbe was aaquired before or after admission
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ways to control epidemics
- reduce or eliminate source of infection
- break connection between source and individual
- reduce number of susptible individuals
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vaccine:
microbial intigen used to induce protective immunity
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whole cell vaccines
most current vaccines against bacteria and virueses oncist of whole microbes that are either inactiveated or attenuated
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adjuvants
- a nontoxic materal that prolongs antigen interaction with immune cells
- stimulates immunes response to the antigen
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serum
part of blood that remains after cells and clotting factors have been removed (called antiserum when obtained from immunized host due to antibodies)
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acellular or subunite vaccines
specfic, purifed macromolecules form pathogenic microbes
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recombinant vector vaccines
pathogen genese for major antigens are inserted into nonvirulent vectors that express the inserted gene
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1984 dalles
1996 texas
2001
- salmonella restaurant
- shigella in a hospitol lab
- anthrax through mail
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