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Health
A dynamic state or condition of the human organism that is multidimensional in nature
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Community
collective body of individuals identified by a common characteristic
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Public Health
actions that society takes collectively to ensure that the condition in which people can be healthy can occur
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Public Health System
the organization mechanism of those activities undertaken with in the formal structure of government
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Community Health
the health status of a defined group of people and the actions and conditions to promote, protect, and preserve their health
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Population Health
the health status of people who are not organized and have no identity as a group or locality
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Global Health
describes health problems, issues, and concerns that transcend national borders
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Factors affecting health of a community
- Physical factors
- Social and Cultural
- Community organization
- individual behaviors
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community organizing
the process by which community groups are helped to identify common problems or change targets, mobilize resources, and develop and implement strategies
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Herd immunity
resistance of a population to the spread of an infectious agent based on the immunity of a high proportion of the individuals
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Healthy People 2020
US national goals set forth to define the US public health agenda
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Health Related Millennium development Goals
- eradicate extreme poverty and hunger
- reduce child mortality
- improve maternal health
- combat HIV/Aids Malaria and other diseases
- ensure environmental sustainability
- develop a global partnership for development
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Health and Human services HHS
- Oversees all aspects of health in the US
- CDC, FDA, NIH, CMS, FDA
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core Functions of publica health
- assessment
- policy
- development
- assurance
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Quasi-governmental vs voluntary
- quasi-has an assigned governmental function
- voluntary-formed to meet needs not addressed through government
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Epidemiology
the study of the distribution and determinants of health-related states or events in specified populations, and the application of this study to control health problems
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Epidemic
an unexpectedly large number of cases of an illness, specific health-related behavior or other health related event in a particular population
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Endemic disease
a disease that occurs regularly in a population as a matter of course
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pandemic
outbreak of a disease over a wide geographical area
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incidence rate
the number of new cases of a disease divided by the total number in the population at risk
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prevalence rate
the number of new and old cases of a disease in a population in a given period of time, divided by the total number in that population
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crude rate
a rate in which the denominator includes the total population
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crude death/birth rate
The total births/deaths per 1000 people in a given period of time
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Specific rate
measures morbidity and mortality for a specific diseases or populations
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Proportionate mortality ratio
the percentage of overall mortality in a population that is attributable to a particular cause
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Reportable diseases include...
Cancer, gonorrhea, Hep A-C, HIV, Lyme, Malaria, Measles, Mumps, Pertussis, Rubella, Smallpox, Varicella, Syphilus, TB, Yellow Fever
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YPLL
- Years of potential life lost
- number of years lost when death occurs before 65 or 75.
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DALYs
- Disability-adjusted life years
- measure of the burden of a disease that takes into account the premature death and loss of healthy life from disability
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HALE
- Health-adjusted life expectancy
- the number of years of healthy life expected in a given population
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Vital Statitics
- records of major life events
- birth, marriage, divorce, death and infant death
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Incubation period
The period between exposure and onset of symptoms
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Point source epidemic
a type of epidemic where all cases were exposed a certain point in time
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Propagated epidemic curve
an epidemic curve depicting a distribution of cases traceable to multiple exposures
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Cross-sectional study
when information about diseases and exposure are collected at the same time
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Case control
a comparison of groups of people those with disease to those without disease to asses for risk factors
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Odds ratio
a probability statement about the association between a particular disease and a specific risk factor, resulting from case/control study
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Relative risk
the relationship of acquiring a specific disease when a given risk factor is present vs when the risk factor is absent
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Zoonosis
disease is transmitted from vertebrate animals to humans
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Anthroponosis
disease only affects humans
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Etiology
the main cause of a disease
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Vector
an organism that can transmit a communicable agent to susceptible host
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Primary prevention
preventative measures that forestall the onset of illness or injury during the prepathogenisis period (exercise)
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Secondary Prevention
preventative measures that lead to an early diagnosis and prompt treatment of a disease or injury to limit the disability and prevent more severe pathogenesis (cancer screening)
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Tertiary prevention
measures aimed at rehabilitation following significant pathogenesis
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Unmodifiable risk factors
factors contributing to the development of a noncommunicable disease that cannot be altered by modifying one's behavior or environment
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Modifiable risk factors
contributors of a noncommunicable disease that can be altered by changing one's behavior or environment
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Gag Rule
Bands conversation between patient and provider regarding abortion services when clinic is receiving federal funds
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Low birth weight
< 5.5 lbs
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Adolescents and young adults
10-24
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