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Lecture 2: Disease Patterns in Populations
Study Stack
44
Health Care
Undergraduate 3
01/20/2015

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Cards

Term
Health
Definition
state of complete physical, mental and social well-being and not merely the absence of disease or infirmity
Term
Public Health
Definition
concerned with protecting the health of entire populations. Populations can be small as a local neighborhood or as big as an entire community
Term
ISDH Mission/Vision
Definition
promote and provide essential public health services/healthier and safer Indiana
Term
ISDH priorities
Definition
infant mortality, adult smoking, adult obesity
Term
Total HIV count in Indiana for 2012
Definition
517
Term
Total Chlamydia count for 2012/2013
Definition
29,095/28,967
Term
Total Gonorrhea count for 2012/2013
Definition
7338/7379
Term
Total Syphilis count for 2012/2013
Definition
224/228
Term
Salmonella outbreak from
Definition
Cantaloupe-S.W. Indiana
Term
Public Health Veterinarians
Definition
investigate reports of zoonotic diseases
Term
Zoonotic Diseases
Definition
Diseases caused by infectious agents that can be transmitted between animals and humans
Term
what fraction of diseases are reported to ISDH as zoonotic diseases
Definition
35/70
Term
Small animal practices
Definition
rabies prevention, parasites, fungal and bacterial infections
Term
Large animal veterinarians
Definition
bacterial infections, antibiotic residues
Term
USDA and FDA veterinary services
Definition
-inspect meat to insure wholesome
-regulates drugs used in food producing animals
-regulates food animal and pet food
Term
Zoonotic disease examples
Definition
-rabies
-vectorborne disease: tick borne, mosquito borne
-influenze
-milk borne disease: TB, Q Fever, brucellosis
-Pork and Beef tapeworms (Toxocara canis)
Term
Monkeypox
Definition
-occurs naturally in central and west Africa
-infects rodents, non-human primates, humans
-case fatality rate in Africa-3%
Term
Monkeypox Timeline
Definition
contracted from sick prairie dogs in Wisconsin.
in and WI patients had exposure to prairie dogs from a northern IL supplier.
Term
West Nile Fever
Definition
Abrupt onset, moderate to high fever, rash, meningitis, encephalitis

-most fatal cases in people > 50 yrs old
Term
West Nile Virus: Reservoir Hosts
Definition
-Isolated from wild birds (wetland and terrestrial species)
-Birds are primary amplifier hosts
-Migratory bird role in distribution and reintroduction of virus into northern latitudes
Term
West Nile Transmission Routes
Definition
Mosquito Bites, Organ transplants, Blood transfusions, Breastfeeding, Transplacental, Occupational Exposure
Term
Indiana West Nile Cases 2002
Definition
11 deaths
Median age 51
Median age death 72
Age range 2-89 years
-293 confirmed
Term
Indiana Human Rabies Cases
Definition
1900-1949 - 120 cases
1950 - 10 cases
1960-2006 60 encephalitis deaths
Term
Rabies overlook
Definition
-virus infected saliva contaminating bite wounds, scratches, licks
-aerosols in bat caves
-medical procedures

Incubation period:3-8 weeks
Term
three types of influenza virus
Definition
A,B,C

A and B cause seasonal epidemics
Term
influenza identified by what?
Definition
HA and NA
Term
two influenza A circulating in humans
Definition
H1N1 and H3N2
Term
Spanish Flu Pandemic (1918-1919)
Definition
Cause: H1N1
30-50 million deaths worldwide
350K cases in Indiana with 10K deaths
Term
Asian Flu pandemic
Definition
Cause: H2N2
-1.5-2 million deaths worldwide
Term
Hong Kong Flu Pandemic
Definition
Cause: H3N2
-1 million deaths worldwide
Term
H1N1 started where and how long did it take to spread worldwide?
Definition
Mexico and 6 weeks
Term
ISDH response
Definition
-surveillance
-investigate clusters of illness
-provide education
-coordinate mass vaccination
-guide local health departments and other state agencies
-coordinate with other states
-heed federal guidance
Term
Bioterrorism
Definition
vaccines not available and they appear as a nauturally occurring outbreak
Term
Response to Bioterrorism
Definition
Scale: Potential for far larger numbers of cases than normally handled
Novelty: Probably will involve agents that are not routinely dealt with
Criminal: Law enforcement authorities will be involved, as each case is a crime victim
Term
Category A agents:

Variola Major
Definition
Smallpox
Term
Bacillus anthraxis
Definition
anthrax
Term
yersinia pestis
Definition
plague
Term
botulinum toxin
Definition
botulism
Term
francisella tularensis
Definition
tularemia
Term
Filovirus/arenavirus
Definition
hemorrhagic fevers
Term
Public Health Interventions:
Definition
Means of tranmission-->portal of entry-->susceptible host--> infectious agent--> reservoirs--> portal of exit--> repeat
Term
where is Guniea worm found
Definition
South Sadan, Mali, Chad, and Ethopia
Term
Means of Transmission (4 F's)
Definition
Food, Feces, Fluids, Fomites
Term
Life Cycle of Guinea Worm
Definition
1.Enters Body
2.Multiplies (in abdominal tissue)
3.Growing (3 feet long and moves through body mostly to lower limbs)
4.Leaves Body (emerges from blister it creates, causes pain)
5.Infesting the water
6.Infecting water fleas
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