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Chapter 6
Community Health ATI
19
Nursing
Undergraduate 4
11/20/2013

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Cards

Term
Airborne transmission
Definition
measles
chickenpox
TB
pertussis
flu
Term
foodborne transmission
Definition
inf:
- salmonellosis
- Hep A
- Trichinosis
- E. Coli

Food toxins
- Staph aureus
- Clostridium botulinum
Term
waterborne (fecal)
Definition
cholera
typhoid fever
bacillary dysentery
giardia lamblia
Term
vector borne (mosquito, tick) transmission
Definition
lyme
rocky mt spotted fever
malaria
Term
direct contact transmission
Definition
STD
mono
enterobiasis (pinworms)
impetigo
lice
scabies
Term
Defense mechanisms to communicable diseas
Definition
- Herd immunity: due to immunity of most of community, less exposure

- Natural immunity: natural defense to resist

- Acquired immunity: actual exposure
----active - infection or immunizations
----passive - mother to newborn, tranfusions
Term
Communicable disease primary prevention
Definition
- prevent occurence
- educate on vaccinations/immunizations
- counsel travelers
- educate public
Term
communicable disease secondary preventions
Definition
- early detection through screening and case finding
- refer suspected for confirmation and epidemiologic reporting
- provide postexposure prophylaxis
- quarantine when necessary
Term
communicable disease tertiary prevention
Definition
- decrease complications and disabilities due to diseases with treatment and rehab
- monitor compliance
- identify and link clients to community resources
Term
Four levels of disaster management
Definition
1. disaster prevention
2. disaster preparedness
3. disaster response
4. disaster recovery
Term
agencies associated with disaster response
Definition
- FEMA: Federal Emergency Management Agency
- CDC
- Red Cross
- Public Health System
- DHS: US Dept of Homeland Security
- OEM: Office of Emergency Management

fed emergency declared: NRF (National Response Framework) is activated and provides direction for national response
Term
Category A of bioterrorism
Definition
highest priority agents, posing a risk to national security because they are easily transmitted and have high mortality rates

Smallpoz (variola)
botulism toxin
anthrax
tularemia
hemorrhagic fever and plague
Term
Category B of bioterrorism
Definition
moderately easy to disseminate and have high morbidity rates and low mortality

Typhus
Cholera
Term
Category C of bioterrorism
Definition
third highest priority, comprising emerging pathogens that can be engineered for mass dissemination because they are easy to produce and/or have a potential for high morbidity and mortality rates

Hantavirus
Term
Inhalation Anthrax Manifestations and Treatment
Definition
CM:
headache
fever
muscle aches
chest discomfort
severe dyspnea
shock

Treatment/prevention:
IV Cipro prophylactically for exposure/high risk but does not stop disease progression
Term
Botulism (food poisoning) Manifestations and Treatment
Definition
SM:
difficulty swallowing
progressive weakness
N/V, cramps
difficulty breathing

Treatment:
-airway management
-elimination of toxin and an antitoxin
-supportive care
Term
Smallpox Manifestations and Treatment
Definition
CM:
high fever
fatigue
severe headache
rash (face/tongue down) turns to pus lesions
Vomiting

No cure
Supportive care
Prevent with vaccine
Term
Ebola (hemorrhagic fever) Manifestations and Treatment
Definition
fever hemorrhage
vomit, diarrhea
cough
jaundice
shock


No cure - dialysis and supportive care
Airway management
Prevent by avoiding contaminated items and animals
Term
Role of CH nurse in bioterrorism
Definition
- participate in planning and prep for immediate response to event
- ID potential agents for bioterrorism
- survey for and report
- contain and control spread resulting from bioterrorist activity
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