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Epi Mod 2 OC6
Epidemiology Terms Mod 2 OC6
62
Medical
Graduate
09/23/2018

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Cards

Term
Case
Definition
Person in pop who has disease
Term
Case defintion
Definition
Standardized criteria for diagnosis of the dz
Term
Primary case vs Index case
Definition

Primary case: First person in pop who got the dz

Index Case: First pt brought to epidemiologist

Notice possible not the same person.

Term
Secondary cases
Definition
Those infected after the primary case
Term
Suspect case
Definition
Potential case since has the sx but not diagnosed since other differential dx not been r/o
Term
Fomite
Definition
Object that harbors agent
Term
Vector
Definition
transmits agent
Term
Reservoir
Definition
: environment (living or not) where pathogen multiplies and depends for its survival
Term
Zoonosis
Definition
dz that can be passed from animal to human
Term
Vehicle
Definition
nonliving thing that connects reservoir to host
Term

 

Active carrier

Definition

 

been exposed to pathogen and harbors it and can infect others, even after they may have recovered from it

Term
Convalescent carrier
Definition
Infectious carrier but in recovery phase
Term
Healthy carrier (passive carrier)
Definition
Has the dz but no sx
Term
Incubatory carrier
Definition
has sx, is infectious
Term
Intermittent carrier
Definition
Has the dz but can only spread it in certain circumstances or times
Term
Direct transmission
Definition
From direct contact
Term
Define indirect transmission and the three types
Definition

Spread through intermediate item

Airborne transmission

Vector-borne transmission

Vehicle-borne transmission

Term

 

Airborne transmission

Definition

Droplets or dust particles, talking or coughing

Term

 

Vector-borne transmission

Definition
Mosquitos etc
Term

 

Vehicle-borne transmission

Definition
fomites
Term
Vertical transmission
Definition
Mother to child
Term
Horizontal transmission
Definition
Human to susceptible person
Term
Give the components of the chain of infection
Definition
infectious agent-->reservoir-->portal of exit-->mode of transmission-->portal of entry-->susceptible host (in a circle)
Term
The 3 levels of prevention
Definition

Primary

Secondary

Tertiary

Term
Two types of primary prevention (stopping it before it happens)
Definition

Active: behavior change req (diet, exercise)

Passive: does not req behavior change (fluoridated water, immunizations)

Term
Secondary prevention
Definition

Screening/detecting the disease 

Prevents spread

Term
Tertiary prevention
Definition
Stopping progression of dz in individual (education/rehab)
Term
James Lind
Definition
“Father of Epidemiology”- first clinical trial, concluded citrus prevents scurvy (1747)
Term
Edward Jenner
Definition
“Father of Immunology”- cowpox vaccine (1796)
Term
Ignaz Semmelweis
Definition
“Savior of Mothers”- handwashing in obstertrics clinics prevented puerperal fever (1847)
Term
John Snow
Definition
one of the fathers of modern epideiology. Discovered source of cholera outbreak in England (1854)
Term

Hippocrates contribution to epidemiology

Definition

identified environmental and behavioral links to disease

Malaria- swamps

Term
Fracastoro
Definition
identified vehicles of transmission as air, clothing, airect contact. Rapidly multiplying seeds cause disease
Term
CPT Graunt
Definition
Demographer, statistical analysis of pts during plague
Term

 

Percival Pott

Definition

 

First to identify environmental carcinogen, chimney sweeps, beginning of non-infectious epidemiology

Term
William Farr
Definition
one of fathers of modern epidemiology, used to statistics to map out outbreaks, categorized deaths. Saw correlation between water sources and cholera outbreak in London.
Term
Sir Chadwick
Definition
advocated for social and public health reform to address disease. Water tight pipes to prevent water contamination, bathrooms in homes with flushing toilet etc.
Term
4 stages of disease
Definition

1. Susceptibility

2. Pre-symptomatic stage (incubation period)

3. Clinical dz

4. Recovery, disability or death

Term
Top two chronic non-infectious disease in US
Definition

Heart disease

Cancer

(lung dz is distant third)

Term

[image]

what type of graph is this?

Definition

Population (or age) pyramid

More specifically: expansive

Term
What type of pyramid graph is this?[image]
Definition

Constrictive: less young people so constricted at bottom

Low death rate and low birth rate (Europe)

Term

What type of pyramid is this? What does it indicate?

[image]

Definition

Stationary: block shaped

Indicate low fertility and low mortality rates (industrialized countries)

Term
What type of pyramid graph is this? What does it indicate?[image]
Definition

Expansive: big base

Indicates rapid growth/high death rate

Term
Dependency ratio
Definition
Those in the workforce and those not in the workforce by age
Term
Twin studies and migration studies can help examine how ____ may factor into disease
Definition
Place (environment)
Term

Time series designs

Definition

measurements at two or more successive periods of time

ex: Air temp at noon each day etc

Term
Trend analysis of Cohort
Definition
track a group of people exposed at same time
Term
Epidemic curve
Definition

tracks duration of the epidemic

Shape can tell you about source whether at one time or continuous

Term
A clustered epidemic curve indicates what type of exposure source?
Definition
Point source
Term
A gradually increasing epidemic curve with plateau then decline is indicative of what type of source?
Definition
Continuous
Term
What effects are considered in time-series data?
Definition

Age effect: change in rate due to age

Cohort effect: change in rate due to birth year

Period effect: change in rate due to condition affecting entire pop (vaccination)

Term
Time-series design
Definition
Tracking quantifiable data during two or more successive periods of time
Term
Secular trend
Definition
Long term general change
Term
Short term fluctuation
Definition
Change in hours to months
Term
Cyclic patterns
Definition
Increases and decreases over time, often predictable
Term
2 types of surveillance
Definition

Medical surveillance: watching those exposed to see what early sx are to initiate isolation

 

Public health surveillance: monitoring everyone in a pop

Term
Health indicators (give categories)
Definition

Health and well-being

Health resources

Social capital

Collective capacity

Resiliency

 

Functionality

Term
Distinguish between birth rate, fertility rate and total fertility rate
Definition

Birth rate gives number of births in population

Fertility rate is births in population of women in child bearing years

Total fertility rate is total # of children woman can have during reproductive years (15-49 years)

 

Term
Crude mortality rate
Definition
Deaths in population
Term
Maternal mortality ratio
Definition
# of maternal deaths/ # of births
Term
Proportional mortality rate
Definition
# of deaths from specific cause/ total deaths
Term
Years of Potential Life Lost
Definition
life expectancy-age of death
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